New Insights into Blood Circulating Lymphocytes in Human Pneumocystis Pneumonia Article Swipe
Éléna Charpentier
,
Catherine Marques
,
Sandie Ménard
,
Pamela Chauvin
,
Emilie Guémas
,
Claire Cottrel
,
Sophie Cassaing
,
Judith Fillaux
,
Alexis Valentin
,
Nicolas Blanchard
,
Antoine Berry
,
Xavier Iriart
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3390/jof7080652
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3390/jof7080652
The host lymphocyte response is decisive in Pneumocystis pneumonia (PCP) pathophysiology but little is known of the specific roles of lymphocyte subpopulations in this fungal infection. Peripheral NK, NKT, B, TCD4+ and TCD8+ subpopulations were compared by immunophenotyping between 20 patients diagnosed with PCP (PCP(+)] and 20 uninfected immunosuppressed patients (PCP(−)). Among PCP(+) subjects, the lymphocyte populations were also compared between surviving and deceased patients. Low B cell count (<40 cells/µL) was more frequent in PCP(+) than in PCP(−) patients (p = 0.03), while there was no difference for the TCD4 count. Among the PCP(+) group, the 7 deceased patients had lower Th1 (p = 0.02) and Tc1 (p = 0.03) populations, higher Th2 response (p = 0.03), higher effector TCD8 (p < 0.01), lower central memory TCD8 (p = 0.04) and reduced NK cells (p = 0.02) compared with the 13 survivors. Th1/Th2 ratio < 17, CD8 Tc1 < 44%, effector TCD8 < 25%, central memory TCD8 < 4%, NK cells < 50 cells/µL and total lymphocytes < 0.75 G/L were associated with a higher risk of mortality (p = 0.003, p = 0.007, p = 0.0007, p = 0.004, p = 0.02 and p = 0.019, respectively). The traditional analysis of TCD4 and TCD8 populations may be insufficient in the context of PCP. It could be completed by using B cells to predict the risk of PCP, and by using lymphocyte subpopulations or total lymphocyte count, which are easy to obtain in all health care facilities, to evaluate PCP prognosis.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jof7080652
- https://www.mdpi.com/2309-608X/7/8/652/pdf?version=1628781494
- OA Status
- gold
- Cited By
- 7
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3193535579
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3193535579Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jof7080652Digital Object Identifier
- Title
-
New Insights into Blood Circulating Lymphocytes in Human Pneumocystis PneumoniaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-08-11Full publication date if available
- Authors
-
Éléna Charpentier, Catherine Marques, Sandie Ménard, Pamela Chauvin, Emilie Guémas, Claire Cottrel, Sophie Cassaing, Judith Fillaux, Alexis Valentin, Nicolas Blanchard, Antoine Berry, Xavier IriartList of authors in order
- Landing page
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https://doi.org/10.3390/jof7080652Publisher landing page
- PDF URL
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https://www.mdpi.com/2309-608X/7/8/652/pdf?version=1628781494Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2309-608X/7/8/652/pdf?version=1628781494Direct OA link when available
- Concepts
-
Immunophenotyping, CD8, Lymphocyte, Immunology, Pneumocystis pneumonia, Context (archaeology), Effector, T lymphocyte, Pneumonia, Biology, Pathophysiology, Immune system, Medicine, Internal medicine, Flow cytometry, Pneumocystis jirovecii, Human immunodeficiency virus (HIV), PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 4, 2022: 2Per-year citation counts (last 5 years)
- References (count)
-
32Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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