Evaluation of interleukin 12 and CD56+ lymphocyte cells in pediatric hematopoietic stem cell transplantation for early diagnosis of acute graft versus host disease

Transpl Immunol. 2016 Nov:39:25-29. doi: 10.1016/j.trim.2016.10.002. Epub 2016 Oct 15.

Abstract

The present study tried to explain CD56+ lymphocyte cells activities and possible prognostic role of these cells in Graft-Versus-Host-Disease (GVHD). The role of IL-12 activation and function is of interest in this study. Peripheral blood samples of 51 Hematopoietic Stem Cell Transplantation (HSCT) recipients collected at before (day -8) and after (days 7 and 14). PBMC were collected by Ficoll separation and analyzed by Flow Cytometry using triple antibody (CD45-PerCP, CD56-FITC, and CD69-PE staining and control antibody. Levels of the cytokine IL-12 in the patient's serum were evaluated by ELISA. Percentage of CD56+ lymphocytes (CD56+bright) cells was significantly increased at day 14 in patients with acute GVHD and percentage of lymphocytes expressing CD69 was significantly increased at days 7 and 14 posts HSCT in patients with acute GVHD in comparison to those in non-GVHD patients. Baseline serum IL-12 levels (pre-HSCT, day -8) were significantly higher in those HSCT recipients who did not develop GVHD. This study showed that post-transplant CD56+ lymphocytes and pre-transplant serum levels of IL-12 play significant roles in the induction of and protection against GVHD, respectively. The increase in the percentage of CD69+ cells indicates the activation of lymphocyte in acute GVHD group.

Keywords: CD56+ lymphocyte; GVHD; IL-12.

MeSH terms

  • Acute Disease
  • Antigens, CD / metabolism
  • Antigens, Differentiation, T-Lymphocyte / metabolism
  • CD56 Antigen / metabolism
  • Cell Count
  • Cell Separation
  • Child
  • Early Diagnosis
  • Female
  • Flow Cytometry
  • Graft vs Host Disease / diagnosis*
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Interleukin-12 / blood*
  • Lectins, C-Type / metabolism
  • Lymphocyte Activation
  • Lymphocytes / immunology*
  • Male
  • Prognosis

Substances

  • Antigens, CD
  • Antigens, Differentiation, T-Lymphocyte
  • CD56 Antigen
  • CD69 antigen
  • Lectins, C-Type
  • Interleukin-12