Activity of Negative Regulation of the PD-1/PD-L1/PD-L2 T-Cell Response System in Patients with Pneumonia and Influenza A (H1N1)
Systemic inflammation is an integral pathophysiological component of many critical illnesses. The systemic inflammatory response is based on a cascade of interactions leading to hypercytokinemia and, as a consequence, multiple organ failure, which is one of the main causes of mortality in intensive ca...
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2021-08-01
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Series: | Общая реаниматология |
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Online Access: | https://www.reanimatology.com/rmt/article/view/2097 |
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author | A. V. Malyarchikov K. G. Shаpovаlov S. A. Lukyanov P. P. Tereshkov L. S. Kazantseva |
author_facet | A. V. Malyarchikov K. G. Shаpovаlov S. A. Lukyanov P. P. Tereshkov L. S. Kazantseva |
author_sort | A. V. Malyarchikov |
collection | DOAJ |
description | Systemic inflammation is an integral pathophysiological component of many critical illnesses. The systemic inflammatory response is based on a cascade of interactions leading to hypercytokinemia and, as a consequence, multiple organ failure, which is one of the main causes of mortality in intensive care units.Aim of the study. To evaluate the activity of the negative regulation system of T-cell response by determining the plasma levels of PD-1, PD-L1 and PD-L2 molecules in pneumonia patients with influenza A (H1N1).Materials and methods. 85 patients with pneumonia and underlying influenza A (H1N1) were examined. Among them there were 30 patients with severe pneumonia, and 55 patients with non-severe pneumonia. Plasma levels of PD-1, PD-L1, PD-L2 molecules was determined by flow cytofluorometry method.Results. In patients with severe pneumonia and underlying influenza A (H1N1), the plasma level of PD-1 receptor increased 4.6-fold, while the concentration of its ligands PD-L1 and PD-L2 increased 10.6 and 2.2-fold, respectively.Conclusion. Significant increase in levels of PD-1 and its ligands PD-L1 and PD-L2 in patients with pneumonia and underlying influenza A (H1N1) indicates the involvement of negative regulation system of T-cell response in the cascade of immunological reactions and is associated with the severe disease. Possible correction of immune reactions realized through PD-1/PD-L1/PD-L2 complex in critically ill patients is a promising research avenue. |
first_indexed | 2024-04-10T01:26:48Z |
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id | doaj.art-0e353dccf59343a4919f7c9043ba4e78 |
institution | Directory Open Access Journal |
issn | 1813-9779 2411-7110 |
language | English |
last_indexed | 2024-04-10T01:26:48Z |
publishDate | 2021-08-01 |
publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
record_format | Article |
series | Общая реаниматология |
spelling | doaj.art-0e353dccf59343a4919f7c9043ba4e782023-03-13T09:32:56ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102021-08-0117441110.15360/1813-9779-2021-4-4-111801Activity of Negative Regulation of the PD-1/PD-L1/PD-L2 T-Cell Response System in Patients with Pneumonia and Influenza A (H1N1)A. V. Malyarchikov0K. G. Shаpovаlov1S. A. Lukyanov2P. P. Tereshkov3L. S. Kazantseva4Читинская государственная медицинская академия Минздрава РоссииЧитинская государственная медицинская академия Минздрава РоссииЧитинская государственная медицинская академия Минздрава РоссииЧитинская государственная медицинская академия Минздрава РоссииЧитинская государственная медицинская академия Минздрава РоссииSystemic inflammation is an integral pathophysiological component of many critical illnesses. The systemic inflammatory response is based on a cascade of interactions leading to hypercytokinemia and, as a consequence, multiple organ failure, which is one of the main causes of mortality in intensive care units.Aim of the study. To evaluate the activity of the negative regulation system of T-cell response by determining the plasma levels of PD-1, PD-L1 and PD-L2 molecules in pneumonia patients with influenza A (H1N1).Materials and methods. 85 patients with pneumonia and underlying influenza A (H1N1) were examined. Among them there were 30 patients with severe pneumonia, and 55 patients with non-severe pneumonia. Plasma levels of PD-1, PD-L1, PD-L2 molecules was determined by flow cytofluorometry method.Results. In patients with severe pneumonia and underlying influenza A (H1N1), the plasma level of PD-1 receptor increased 4.6-fold, while the concentration of its ligands PD-L1 and PD-L2 increased 10.6 and 2.2-fold, respectively.Conclusion. Significant increase in levels of PD-1 and its ligands PD-L1 and PD-L2 in patients with pneumonia and underlying influenza A (H1N1) indicates the involvement of negative regulation system of T-cell response in the cascade of immunological reactions and is associated with the severe disease. Possible correction of immune reactions realized through PD-1/PD-L1/PD-L2 complex in critically ill patients is a promising research avenue.https://www.reanimatology.com/rmt/article/view/2097pd-1pd-l1pd-l2грипп a/h1n1пневмония |
spellingShingle | A. V. Malyarchikov K. G. Shаpovаlov S. A. Lukyanov P. P. Tereshkov L. S. Kazantseva Activity of Negative Regulation of the PD-1/PD-L1/PD-L2 T-Cell Response System in Patients with Pneumonia and Influenza A (H1N1) Общая реаниматология pd-1 pd-l1 pd-l2 грипп a/h1n1 пневмония |
title | Activity of Negative Regulation of the PD-1/PD-L1/PD-L2 T-Cell Response System in Patients with Pneumonia and Influenza A (H1N1) |
title_full | Activity of Negative Regulation of the PD-1/PD-L1/PD-L2 T-Cell Response System in Patients with Pneumonia and Influenza A (H1N1) |
title_fullStr | Activity of Negative Regulation of the PD-1/PD-L1/PD-L2 T-Cell Response System in Patients with Pneumonia and Influenza A (H1N1) |
title_full_unstemmed | Activity of Negative Regulation of the PD-1/PD-L1/PD-L2 T-Cell Response System in Patients with Pneumonia and Influenza A (H1N1) |
title_short | Activity of Negative Regulation of the PD-1/PD-L1/PD-L2 T-Cell Response System in Patients with Pneumonia and Influenza A (H1N1) |
title_sort | activity of negative regulation of the pd 1 pd l1 pd l2 t cell response system in patients with pneumonia and influenza a h1n1 |
topic | pd-1 pd-l1 pd-l2 грипп a/h1n1 пневмония |
url | https://www.reanimatology.com/rmt/article/view/2097 |
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