2016
DOI: 10.1111/ajt.13614
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Cytomegalovirus-Associated CD4+CD28null Cells in NKG2D-Dependent Glomerular Endothelial Injury and Kidney Allograft Dysfunction

Abstract: Emerging data suggest that expansion of a circulating population of atypical, cytotoxic CD4 + T cells lacking costimulatory CD28 (CD4 + CD28 null cells) is associated with latent cytomegalovirus (CMV) infection. The purpose of the current study was to increase the understanding of the relevance of these cells in 100 unselected kidney transplant recipients followed prospectively for a median of 54 months. Multicolor flow cytometry of peripheral blood mononuclear cells before transplantation and serially pos… Show more

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Cited by 31 publications
(36 citation statements)
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“…B), indicating that these cells exhibit potential to migrate into the intestine. Several studies show that CD4 + NKG2D + T cells with CD28 negative expression have autoreactivity and promote local inflammation . In the present study, NK1.1 − CD4 + NKG2D + T cells increased CD28 expression level compared with NK1.1 − CD4 + NKG2D − T cells in both DSS‐treated and control mice.…”
Section: Resultssupporting
confidence: 58%
“…B), indicating that these cells exhibit potential to migrate into the intestine. Several studies show that CD4 + NKG2D + T cells with CD28 negative expression have autoreactivity and promote local inflammation . In the present study, NK1.1 − CD4 + NKG2D + T cells increased CD28 expression level compared with NK1.1 − CD4 + NKG2D − T cells in both DSS‐treated and control mice.…”
Section: Resultssupporting
confidence: 58%
“…Shabir et al followed an unselected group of kidney transplant recipients and examined the CD28− CD4 T cells. These cells were found predominantly in CMV-seropositive patients and expanded posttransplantation; they had an effector memory phenotype and expressed CX3CR1 as well as NKG2D and perforin (132). …”
Section: Infections In Which Cd4 Ctl Are Protectivementioning
confidence: 99%
“…It should be noted that the loss of CD28 on CD4 T cells has been implicated in promoting immunosuppression resistance and allograft rejection (6970) due to the cytotoxic capacity of these cells. Very recently it was reported that increases in circulating CD4 + CD28 − CD57 + T cells prior to transplantation is associated with belatacept resistant rejection (BRR) post-transplantation (7172). Furthermore, cytomegalovirus-related, cytotoxic CD4 + CD28 − T cells potentiate kidney allograft dysfunction by glomerular endothelial injury in an NKG2D-dependent manner.…”
Section: Clinical Relevance Of Cd4+cd28− T Cellsmentioning
confidence: 99%