Diagnostic Value of the CD103+CD4+/CD4+ Ratio to Differentiate Sarcoidosis from Other Causes of Lymphocytic Alveolitis
Author(s) -
Lisa Bretagne,
Ibrahima Diatta,
Mohamed Faouzi,
Antoine Nobile,
Massimo Bongiovanni,
Laurent Nicod,
Romain Lazor
Publication year - 2016
Publication title -
respiration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.264
H-Index - 81
eISSN - 1423-0356
pISSN - 0025-7931
DOI - 10.1159/000446606
Subject(s) - sarcoidosis , medicine , hypersensitivity pneumonitis , bronchoalveolar lavage , lymphocytosis , lung , gastroenterology , immunology , pathology
The CD103 integrin is present on CD4+ lymphocytes of the bronchial mucosa, but not on peripheral blood CD4+ lymphocytes. It has been hypothesized that CD4+ lymphocytes in pulmonary sarcoidosis originate from redistribution from the peripheral blood to the lung, and therefore do not bear the CD103 integrin. Some data suggest that a low CD103+ percentage among bronchoalveolar lavage fluid (BALF) CD4+ lymphocytes discriminates between sarcoidosis and other diagnoses.
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