T-cell activation and HLA-regulated response to smoking in the deep airways of patients with multiple sclerosis.

Clin Immunol

Respiratory Medicine Unit, Department of Medicine and Center for Molecular Medicine, Karolinska Institutet, Karolinska University Hospital, SE-171 76 Stockholm, Sweden.

Published: August 2016

AI Article Synopsis

  • Cigarette smoking is linked to a higher risk of multiple sclerosis (MS), especially in individuals with a specific genetic marker (HLA-DRB1*15).
  • A study analyzed immune responses in the lungs of both smokers and non-smokers with MS through a procedure called bronchoscopy, revealing distinct immune cell behaviors in each group.
  • The findings indicate that smoking influences certain immune responses in the lungs, particularly affecting T-cells and macrophages, and also suggest a genetic factor that modifies these responses in people with MS.

Article Abstract

Cigarette smoking is a risk factor for multiple sclerosis (MS), and the risk is further multiplied for HLA-DRB1*15(+) smokers. To define the smoke-induced immune responses in the lung we performed bronchoscopy with bronchoalveolar lavage (BAL) on smokers and non-smokers, both MS-patients and healthy volunteers. In the BAL, non-smokers with MS showed an increased preformed CD40L expression in CD4(+) T-cells while smokers displayed an increase in proliferating (Ki-67(+)) T-cells. In addition, our results confirm that smoking induces an increase of alveolar macrophages in BAL, and further defined a significant attenuation of this response in carriers of the HLA-DRB1*15 allele, in both MS patients and healthy controls. This first systematic investigation of the immune response in the lungs of smokers and non-smokers diagnosed with MS, thus suggests an MS-associated lung T-cell phenotype, involvement of a specific T-cell response to smoke, and a genetic regulation of the macrophage response.

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Source
http://dx.doi.org/10.1016/j.clim.2016.06.006DOI Listing

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