Efforts of the human immune system to maintain the peripheral CD8+T cell compartment after childhood thymectomy

Zlamy,M.;Almanzar,G.;Parson,W.;Schmidt,C.;Leierer,J.;Weinberger,B.;Jeller,V.;Unsinn,K.;Eyrich,M.;Wurzner,R.;Prelog,M.;
Background: Homeostatic mechanisms to maintain the T cell compartment diversity indicate an ongoing process of thymic activity and peripheral T cell renewal during human life. These processes are expected to be accelerated after childhood thymectomy and by the influence of cytomegalovirus (CMV) inducing a prematurely aged immune system. The study aimed to investigate proportional changes and replicative history of CD8+ T cells, of recent thymic emigrants (RTEs) and CD103+ T cells (mostly gut-experienced) and the role of Interleukin-(IL)-7 and IL-7 receptor (CD127)-expressing T cells in thymectomized patients compared to young and old healthy controls. Results: Decreased proportions of naive and CD31 + CD8+ T cells were demonstrated after thymectomy, with higher proliferative activity of CD127-expressing T cells and significantly shorter relative telomere lengths (RTLs) and lower T cell receptor excision circles (TRECs). Increased circulating CD103+ T cells and a skewed T cell receptor (TCR) repertoire were found after thymectomy similar to elderly persons. Naive T cells were influenced by age at thymectomy and further decreased by CMV. Conclusions: After childhood thymectomy, the immune system demonstrated constant efforts of the peripheral CD8+ T cell compartment to maintain homeostasis. Supposedly it tries to fill the void of RTEs by peripheral T cell proliferation, by at least partly IL-7-mediated mechanisms and by proportional increase of circulating CD103+ T cells, reminiscent of immune aging in elderly. Although other findings were less significant compared to healthy elderly, early thymectomy demonstrated immunological alterations of CD8+ T cells which mimic features of premature immunosenescence in humans.
Tags: thymectomy; naive t cells; cd8; trecs; telomeres; tcr diversity; cmv; cd8(+) t-cells; tick-borne encephalitis; recent thymic emigrants; excision circle content; cytomegalovirus-infection; in-vivo; cd127 expression; quantitative pcr; cardiac-surgery; il-7 receptor;
PubMed: 26839574
Home » Research » Publications » Detail