Pathogenetic significance of CD3+CD56+ T-lymphocytes in hemorrhagic fever with renal syndrome

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Abstract

Aim – to evaluate the pathogenetic role of T-lymphocytes carrying the natural killer marker CD56 in hemorrhagic fever with renal syndrome (HFRS).

Material and methods. The study group included 65 patients with HFRS receiving the inpatient treatment in the Clinics of SamSMU, and 15 healthy people were chosen for the control group. The following examinations were scheduled for all patients in the different stages of the disease: a clinical blood test, flow cytometry with a given set of monoclonal antibodies, enzyme-linked immunosorbent assay of blood serum to determine the cytokine profile. For statistical analysis we used the SPSS v.23 software.

Results. The percentage of CD3+ CD56+ NKT blood content in comparison with those for cells of innate immunity (neutrophil granulocytes, monocytes, natural killers) and lymphocytes of adaptive immune response, as well as the level of cytokines in the blood serum showed that in polyuric and convalescent periods, the number of these cells significantly increases and remains closely embedded in correlations with other components of the immune system.

Conclusion. A new hypothesis has been proposed to interpret the role of NKT in the development of the immune response in HFRS.

About the authors

Mikhail F. Ivanov

Samara State Medical University

Author for correspondence.
Email: m.f.ivanov@samsmu.ru
ORCID iD: 0000-0002-2528-0091

PhD, Associate professor, Department of General and Clinical Microbiology, Immunology and Allergology

Russian Federation, Samara

Dmitrii Yu. Konstantinov

Samara State Medical University

Email: d.u.konstantinov@samsmu.ru
ORCID iD: 0000-0002-6177-8487

PhD, Associate professor, Head of the Department of Infectious Diseases with Epidemiology

Russian Federation, Samara

Irina P. Balmasova

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: iri.balm@mail.ru
ORCID iD: 0000-0001-8194-2419

PhD, Professor, Head of the Laboratory of Infectious Diseases Pathogenesis and Treatment Methods

Russian Federation, Moscow

Alina Yu. Ulitina

Samara State Medical University

Email: a.ju.ulitina@samsmu.ru
ORCID iD: 0000-0003-0452-2781

assistant of the Department of Infectious Diseases with Epidemiology

Russian Federation, Samara

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2. Figure 1. Deviation (%) of the blood NKT level from the controls in different periods of HFRS.

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3. Figure 2. Significant correlations between innate immunity cells and lymphocytes of various phenotypes and cytokines in the polyuric period and the period of reconvalescence in HFRS.

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Copyright (c) 2023 Ivanov M.F., Konstantinov D.Y., Balmasova I.P., Ulitina A.Y.

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