1999
DOI: 10.1161/01.cir.100.21.2135
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Perturbation of the T-Cell Repertoire in Patients With Unstable Angina

Abstract: Patients with UA are characterized by a perturbation of the functional T-cell repertoire with a bias toward IFN-gamma production, suggesting that monocyte activation and acute phase responses are consequences of T-cell activation. IFN-gamma is produced by CD4(+)CD28(null) T cells, which are expanded in UA and distinctly low in SA and controls. The emergence of CD4(+)CD28(null) T cells may result from persistent antigenic stimulation.

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Cited by 361 publications
(316 citation statements)
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“…CD28 Ϫ CD4 T cells have been reported to play a role in rheumatoid arthritis and acute coronary syndromes (17,34). As these cells frequently expressed KIR (Fig.…”
Section: Cd4 T Cells Express a Distinct Kir Repertoirementioning
confidence: 95%
“…CD28 Ϫ CD4 T cells have been reported to play a role in rheumatoid arthritis and acute coronary syndromes (17,34). As these cells frequently expressed KIR (Fig.…”
Section: Cd4 T Cells Express a Distinct Kir Repertoirementioning
confidence: 95%
“…[4][5][6][7] Recently, the association of pathogenic T cells with acute coronary syndrome in humans was addressed. [8][9][10] However, it remains unclear which specific subpopulation of T cells plays a major role in acute coronary syndrome. CD4 1 CD28 null T cells have been reported to contribute to acute coronary syndrome, 11,12 and expansion of CD4 1 CD28 null T cells is strongly associated with the recurrence of acute coronary events.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, CD28– T cells were shown to produce the cytotoxic molecules perforin and granzyme B, which resulted in cytolysis of the endothelium in vitro 29, 30. CD4+CD28– T cells have been found in patients with cerebrovascular and cardiovascular diseases such as acute coronary syndrome27, 31 and stroke 32, 33, 34. Of note, in these patients this proinflammatory cytokine production is upregulated by the costimulatory receptors OX40 and CD137 on circulating CD4+CD28– T cells,25 which were also found to be located in atherosclerotic plaques preferentially accumulating in unstable lesions 35.…”
Section: Discussionmentioning
confidence: 99%