Uremia causes premature ageing of the T cell compartment in end-stage renal disease patients

Immunity & Ageing - Tập 9 - Trang 1-8 - 2012
Ruud WJ Meijers1, Nicolle HR Litjens1, Elly A de Wit1, Anton W Langerak2, Ashley van der Spek2, Carla C Baan3, Willem Weimar3, Michiel GH Betjes1
1Department of Internal Medicine,, section Nephrology and Transplantation, Erasmus Medical Center,, Rotterdam,, the Netherlands
2Department of Immunology, Erasmus Medical Center, Rotterdam, The Netherlands
3Transplantation, Erasmus Medical Center,, Rotterdam,, the Netherlands

Tóm tắt

End-stage renal disease (ESRD) patients treated with renal replacement therapy (RRT) have premature immunologically aged T cells which may underlie uremia-associated immune dysfunction. The aim of this study was to investigate whether uremia was able to induce premature ageing of the T cell compartment. For this purpose, we examined the degree of premature immunological T cell ageing by examining the T cell differentiation status, thymic output via T cell receptor excision circle (TREC) content and proliferative history via relative telomere length in ESRD patients not on RRT. Compared to healthy controls, these patients already had a lower TREC content and an increased T cell differentiation accompanied by shorter telomeres. RRT was able to enhance CD8+ T cell differentiation and to reduce CD8+ T cell telomere length in young dialysis patients. An increased differentiation status of memory CD4+ T cells was also noted in young dialysis patients. Based on these results we can conclude that uremia already causes premature immunological ageing of the T cell system and RRT further increases immunological ageing of the CD8+ T cell compartment in particular in young ESRD patients.

Tài liệu tham khảo

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