Intracellular expression of granzymes A, B, K and M in blood lymphocyte subsets of critically ill patients with or without sepsis

Sepsis is a complex syndrome related to an infection-induced exaggerated inflammatory response, which is associated with a high mortality. Granzymes (Gzm) are proteases mainly found in cytotoxic lymphocytes that not only have a role in target cell death, but also as mediators of infection and inflam...

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Main Authors: García-Laorden, MI, Hoogendijk, AJ, Wiewel, MA, van Vught, LA, Schultz, MJ, Bovenschen, N, de Vos, AF, van der Poll, T
Format: Journal article
Language:English
Published: Oxford University Press 2021
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author García-Laorden, MI
Hoogendijk, AJ
Wiewel, MA
van Vught, LA
Schultz, MJ
Bovenschen, N
de Vos, AF
van der Poll, T
author_facet García-Laorden, MI
Hoogendijk, AJ
Wiewel, MA
van Vught, LA
Schultz, MJ
Bovenschen, N
de Vos, AF
van der Poll, T
author_sort García-Laorden, MI
collection OXFORD
description Sepsis is a complex syndrome related to an infection-induced exaggerated inflammatory response, which is associated with a high mortality. Granzymes (Gzm) are proteases mainly found in cytotoxic lymphocytes that not only have a role in target cell death, but also as mediators of infection and inflammation. In this study we sought to analyse the intracellular expression of GzmA, B, M and K by flow cytometry in diverse blood lymphocyte populations from 22 sepsis patients, 12 non-infected intensive care unit (ICU) patients and 32 healthy controls. Additionally, we measured GzmA and B plasma levels. Both groups of patients presented decreased percentage of natural killer (NK) cells expressing GzmA, B and M relative to healthy controls, while sepsis patients showed an increased proportion of CD8+ T cells expressing GzmB compared to controls. Expression of GzmK remained relatively unaltered between groups. Extracellular levels of GzmB were increased in non-infected ICU patients relative to sepsis patients and healthy controls. Our results show differential alterations in intracellular expression of Gzm in sepsis patients and non-infected critically ill patients compared to healthy individuals depending on the lymphocyte population and on the Gzm.
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spelling oxford-uuid:d38820b1-2b25-49c2-9c2b-72395a080eb72022-03-27T08:11:57ZIntracellular expression of granzymes A, B, K and M in blood lymphocyte subsets of critically ill patients with or without sepsisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d38820b1-2b25-49c2-9c2b-72395a080eb7EnglishSymplectic ElementsOxford University Press2021García-Laorden, MIHoogendijk, AJWiewel, MAvan Vught, LASchultz, MJBovenschen, Nde Vos, AFvan der Poll, TSepsis is a complex syndrome related to an infection-induced exaggerated inflammatory response, which is associated with a high mortality. Granzymes (Gzm) are proteases mainly found in cytotoxic lymphocytes that not only have a role in target cell death, but also as mediators of infection and inflammation. In this study we sought to analyse the intracellular expression of GzmA, B, M and K by flow cytometry in diverse blood lymphocyte populations from 22 sepsis patients, 12 non-infected intensive care unit (ICU) patients and 32 healthy controls. Additionally, we measured GzmA and B plasma levels. Both groups of patients presented decreased percentage of natural killer (NK) cells expressing GzmA, B and M relative to healthy controls, while sepsis patients showed an increased proportion of CD8+ T cells expressing GzmB compared to controls. Expression of GzmK remained relatively unaltered between groups. Extracellular levels of GzmB were increased in non-infected ICU patients relative to sepsis patients and healthy controls. Our results show differential alterations in intracellular expression of Gzm in sepsis patients and non-infected critically ill patients compared to healthy individuals depending on the lymphocyte population and on the Gzm.
spellingShingle García-Laorden, MI
Hoogendijk, AJ
Wiewel, MA
van Vught, LA
Schultz, MJ
Bovenschen, N
de Vos, AF
van der Poll, T
Intracellular expression of granzymes A, B, K and M in blood lymphocyte subsets of critically ill patients with or without sepsis
title Intracellular expression of granzymes A, B, K and M in blood lymphocyte subsets of critically ill patients with or without sepsis
title_full Intracellular expression of granzymes A, B, K and M in blood lymphocyte subsets of critically ill patients with or without sepsis
title_fullStr Intracellular expression of granzymes A, B, K and M in blood lymphocyte subsets of critically ill patients with or without sepsis
title_full_unstemmed Intracellular expression of granzymes A, B, K and M in blood lymphocyte subsets of critically ill patients with or without sepsis
title_short Intracellular expression of granzymes A, B, K and M in blood lymphocyte subsets of critically ill patients with or without sepsis
title_sort intracellular expression of granzymes a b k and m in blood lymphocyte subsets of critically ill patients with or without sepsis
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