Severely Impaired Control of Bacterial Infections in a Patient With Cystic Fibrosis Defective in Mucosal-Associated Invariant T Cells

Chest: The Journal of Circulation, Respiration and Related Systems

Markus Moll^3¹  Dominic Paquin-Proulx^3²  Terezia Pincikova^1,2,3³ 

[1] Center for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden^3;Division of Pediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden^2;Stockholm CF Center, Karolinska University Hospital Huddinge, Stockholm, Sweden^1

关键词: cystic fibrosis;    infection;    mucosal-associated invariant T cells;    CF;    cystic fibrosis;    iNKT;    invariant natural killer T;    MAIT;    mucosal-associated invariant T;    PBMC;    peripheral blood mononuclear cells;   

DOI  :  10.1016/j.chest.2018.01.020

学科分类：呼吸医学

来源: American College of Chest Physicians

【 摘 要 】

Here we report a unique case of a patient with cystic fibrosis characterized by severely impaired control of bacterial respiratory infections. This patient's susceptibility to such infections was much worse than expected from a cystic fibrosis clinical perspective, and he died at age 22 years despite extensive efforts and massive use of antibiotics. We found that this severe condition was associated with a near-complete deficiency in circulating mucosal-associated invariant T (MAIT) cells as measured at several time points. MAIT cells are a large, recently described subset of T cells that recognize microbial riboflavin metabolites presented by the highly evolutionarily conserved MR1 molecules. The MAIT cell deficiency was specific; other T-cell subsets were intact. Even though this is only one unique case, the findings lend significant support to the emerging role of MAIT cells in mucosal immune defense and suggest that MAIT cells may significantly modify the clinical phenotype of respiratory diseases.

【 授权许可】

CC BY