Dataset Information
Phenotype and functions of natural killer cells in critically-ill septic patients.
Ontology highlight
ABSTRACT: Rationale
Natural killer cells, as a major source of interferon-?, contribute to the amplification of the inflammatory response as well as to mortality during severe sepsis in animal models.Objective
We studied the phenotype and functions of circulating NK cells in critically-ill septic patients.Methods
Blood samples were taken <48 hours after admission from 42 ICU patients with severe sepsis (n?=?15) or septic shock (n?=?14) (Sepsis group), non-septic SIRS (n?=?13) (SIRS group), as well as 21 healthy controls. The immuno-phenotype and functions of NK cells were studied by flow cytometry.Results
The absolute number of peripheral blood CD3-CD56(+) NK cells was similarly reduced in all groups of ICU patients, but with a normal percentage of NK cells. When NK cell cytotoxicity was evaluated with degranulation assays (CD107 expression), no difference was observed between Sepsis patients and healthy controls. Under antibody-dependent cell cytotoxicity (ADCC) conditions, SIRS patients exhibited increased CD107 surface expression on NK cells (62.9[61.3-70]%) compared to healthy controls (43.5[32.1-53.1]%) or Sepsis patients (49.2[37.3-62.9]%) (p?=?0.002). Compared to healthy (10.2[6.3-13.1]%), reduced interferon-? production by NK cells (K562 stimulation) was observed in Sepsis group (6.2[2.2-9.9]%, p<0.01), and especially in patients with septic shock. Conversely, SIRS patients exhibited increased interferon-? production (42.9[30.1-54.7]%) compared to Sepsis patients (18.4[11.7-35.7]%, p<0.01) or healthy controls (26.8[19.3-44.9]%, p?=?0.09) in ADCC condition.Conclusions
Extensive monitoring of the NK-cell phenotype and function in critically-ill septic patients revealed early decreased NK-cell function with impaired interferon-? production. These results may aid future NK-based immuno-interventions.Trial registration
NTC00699868.
SUBMITTER: Forel JM
PROVIDER: S-EPMC3516510 | biostudies-literature | 2012
REPOSITORIES: biostudies-literature
Publications
Phenotype and functions of natural killer cells in critically-ill septic patients.
PloS one 20121206 12
<h4>Rationale</h4>Natural killer cells, as a major source of interferon-γ, contribute to the amplification of the inflammatory response as well as to mortality during severe sepsis in animal models.<h4>Objective</h4>We studied the phenotype and functions of circulating NK cells in critically-ill septic patients.<h4>Methods</h4>Blood samples were taken <48 hours after admission from 42 ICU patients with severe sepsis (n = 15) or septic shock (n = 14) (Sepsis group), non-septic SIRS (n = 13) (SIRS ...[more]
