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Bronchoalveolar lavage fluid and blood natural killer and natural killer T-like cells in cryptogenic organizing pneumonia.

TitleBronchoalveolar lavage fluid and blood natural killer and natural killer T-like cells in cryptogenic organizing pneumonia.
Publication TypeJournal Article
Year of Publication2014
AuthorsPapakosta, D., Manika K., Gounari E., Kyriazis G., Kontakiotis T., Spyropoulos G., Kontakioti E., & Zarogoulidis K.
JournalRespirology
Volume19
Issue5
Pagination748-54
Date Published2014 Jul
ISSN1440-1843
KeywordsAged, Alveolitis, Extrinsic Allergic, Blood Cells, Bronchoalveolar Lavage Fluid, Case-Control Studies, CD8-Positive T-Lymphocytes, Cell Count, Cryptogenic Organizing Pneumonia, Female, Humans, Idiopathic Pulmonary Fibrosis, Killer Cells, Natural, Lung, Male, Middle Aged, Natural Killer T-Cells, Prospective Studies
Abstract

BACKGROUND AND OBJECTIVE: Natural killer (NK) cells appear to be involved in the development of interstitial lung diseases (ILD). The purpose of this study was to investigate the involvement of NK and natural killer T (NKT)-like cells in two recognized cytotoxic ILD with systemic character, hypersensitivity pneumonitis (HP) and cryptogenic organizing pneumonia (COP), compared with idiopathic pulmonary fibrosis (IPF) and controls.METHODS: Bronchoalveolar lavage fluid (BALF) and peripheral blood (PBL) cells and lymphocyte subsets of 83 patients (26 with COP, 19 with HP and 38 with IPF) and 10 controls were prospectively studied by flow cytometry.RESULTS: The percentage of NK and NKT-like cells was lower in BALF than in PBL in all patient groups and controls. Patients with COP presented with statistically significantly higher NK and NKT-like cell counts in BALF compared with controls (P = 0.044 and P = 0.05 respectively) and IPF (P = 0.049 and P = 0.045 respectively). BALF NKT-like cell count correlated with PBL NKT-like cell count only in COP (r = 0.627, P = 0.002). In addition, a significant positive correlation between BALF NKT-like cell and PBL cytotoxic T CD8+ cell count was observed in COP (r = 0.562, P = 0.006) but not in HP, IPF or controls.CONCLUSIONS: Our study provides for the first time evidence for the implication of NKT-like cells in the pathogenesis of COP, as part of both localized and systemic cytotoxicity.

DOI10.1111/resp.12305
Alternate JournalRespirology
PubMed ID24889556

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