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Limited T cell receptor repertoire diversity in tuberculosis patients correlates with clinical severity.


ABSTRACT:

Background

The importance of CD4? and CD8? T cells in protection against tuberculosis (TB) is well known, however, the association between changes to the T cell repertoire and disease presentation has never been analyzed. Characterization of T-cells in TB patients in previous study only analyzed the TCR ? chain and omitted analysis of the V? family even though ? chain also contribute to antigen recognition. Furthermore, limited information is available regarding the heterogeneity compartment and overall function of the T cells in TB patients as well as the common TCR structural features of Mtb antigen specific T cells among the vast numbers of TB patients.

Methodology/principal findings

CDR3 spectratypes of CD4? and CD8? T cells were analyzed from 86 patients with TB exhibiting differing degrees of disease severity, and CDR3 spectratype complexity scoring system was used to characterize TCR repertoire diversity. TB patients with history of other chronic disease and other bacterial or viral infections were excluded for the study to decrease the likely contribution of TCRs specific to non-TB antigens as far as possible. Each patient was age-matched with a healthy donor group to control for age variability. Results showed that healthy controls had a normally diversified TCR repertoire while TB patients represented with restricted TCR repertoire. Patients with mild disease had the highest diversity of TCR repertoire while severely infected patients had the lowest, which suggest TCR repertoire diversity inversely correlates with disease severity. In addition, TB patients showed preferred usage of certain TCR types and have a bias in the usage of variable (V) and joining (J) gene segments and N nucleotide insertions.

Conclusions/significance

Results from this study promote a better knowledge about the public characteristics of T cells among TB patients and provides new insight into the TCR repertoire associated with clinic presentation in TB patients.

SUBMITTER: Luo W 

PROVIDER: S-EPMC3482216 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature

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Publications

Limited T cell receptor repertoire diversity in tuberculosis patients correlates with clinical severity.

Luo Wei W   Su Jin J   Zhang Xiao-Bing XB   Yang Zhi Z   Zhou Ming-Qian MQ   Jiang Zhen-Min ZM   Hao Pei-Pei PP   Liu Su-Dong SD   Wen Qian Q   Jin Qi Q   Ma Li L  

PloS one 20121026 10


<h4>Background</h4>The importance of CD4⁺ and CD8⁺ T cells in protection against tuberculosis (TB) is well known, however, the association between changes to the T cell repertoire and disease presentation has never been analyzed. Characterization of T-cells in TB patients in previous study only analyzed the TCR β chain and omitted analysis of the Vα family even though α chain also contribute to antigen recognition. Furthermore, limited information is available regarding the heterogeneity compart  ...[more]

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