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Age‐dependent accumulation of monoclonal CD4 + CD8 + double positive T lymphocytes in the peripheral blood of the elderly
Author(s) -
Ghia Paolo,
Prato Giuseppina,
Stella Stefania,
Scielzo Cristina,
Geuna Massimo,
CaligarisCappio Federico
Publication year - 2007
Publication title -
british journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.907
H-Index - 186
eISSN - 1365-2141
pISSN - 0007-1048
DOI - 10.1111/j.1365-2141.2007.06867.x
Subject(s) - lymphocytosis , cd8 , immunosenescence , t lymphocyte , microbiology and biotechnology , immunology , biology , population , monoclonal , lymphocyte , flow cytometry , monoclonal antibody , t cell , antigen , medicine , antibody , immune system , environmental health
Summary Multicolour flow cytometric analysis enabled the identification of monoclonal B‐cell lymphocytosis (MBL), frequently resembling chronic lymphocytic leukaemia, at a rather high frequency in peripheral blood (PB) samples from an elderly population. PB T lymphocytes from 103 otherwise healthy subjects >65 years of age and 51 younger donors (<65 years) were analysed. Besides CD4 + and CD8 + single positive (SP) cells, CD4 + CD8 + double positive (DP) mature T lymphocytes were present in both series and could be further distinguished into CD4 high CD8 low and CD4 low CD8 high subsets. An age‐dependent increase of both DP T‐cell subsets was observed, while SP T cells remained stable throughout life. Flow cytometry and polymerase chain reaction analysis of the TRBV expression profiles showed the presence of a TRBV restriction within CD4 + CD8 + DP cells in more than half (53/103; 55·3%) of the individuals >65 years of age, regardless the actual number of DP T cells observed. Clonal expansions were more prominent within the CD4 high CD8 low subset, accounting for most circulating DP clones (47/103; 45·6%). A few cases showed more than one (up to three) monoclonal expansion. Clonal CD4 low CD8 high DP T‐lymphocyte expansions were detected in only 10/103 samples (9·7%) and showed a close phenotypic similarity to the rare T‐cell large granular lymphocyte leukaemias. The similarities between DP clones and MBL in the elderly may help to better understand the mechanisms of immunosenescence and their relationships with the development of lymphoproliferative disorders.