Effector T lymphocytes in well-nourished and malnourished infected children

Abstract

The mechanisms involved in impaired immunity in malnourished children are not well understood. CD4(+) CD62L(-) and CD8(+) CD28(-) do not express the naive cell markers CD62L and CD28, suggesting that they function as effector T cells. Using a flow cytometry-based analysis we examined the proportions of CD4(+) CD62L(-) and CD8(+) CD28(-) T cell subsets in well-nourished infected (WNI) and malnourished infected (MNI) children. Here we report that WNI children had a higher percentage of CD4(+) CD62L(-) (11.1 +/- 1.0) and CD8(+) D28(-) (40.2 +/- 5.0) T cell subsets than healthy (6.5 +/- 1.0 and 23.9 +/- 4.8) and MNI children (7.4 +/- 1.1 and 23.1 +/- 6.2, respectively) (P < 0.5). Data suggest that WNI children respond efficiently against pathogenic microbes. In contrast, relatively low numbers of circulating of CD4(+) CD62L(-) and CD8(+) CD28(-) T cells in MNI children may represent an ineffective response to infection. Levels of effector T cells in children with gastrointestinal infections versus those suffering from respiratory infections were also significantly different within the WNI group. While WNI children with gastrointestinal infections had higher absolute and relative values of CD8(+), and CD8(+) CD28(-) T subsets, by those with respiratory infections had higher values of CD4(+) lymphocytes. However, due to the small number of subjects examined, our results in WNI children should be interpreted with caution and confirmed using a larger sample size. Our data suggest that altered expression of CD62L and CD28 receptors may contribute to impaired T cell function observed in MNI children.

Fig. 1

(a) The lymphocyte gate set in the FL-1-side-scatter distribution (R1) gate was selected to restrict the analysis of CD4 and CD8 positive cells. (b) CD4 positive effector T cells showing CD62L positive (upper right quadrant) and negative (lower right quadrant) phenotypes. (c) CD 28 positive T cells expressing CD28 antigen (upper right quadrant).

Fig. 2

Percentages of peripheral blood effectors lymphocytes in well-nourished infected (WNI) children according to infection type. Gastrointestinal infection (Gast); mixed infection (Mix); respiratory infection (Resp). Mean ± s.e. *Significant difference in WNI children with respiratory infection, CD4⁺ (P < 0·01), CD8⁺ (P < 0·05), CD8⁺ CD28^– (P < 0·05).