Clinical Usefulness of T-Cell Receptor Vβ Repertoire Analysis for Differentiating Multisystem Inflammatory Syndrome in Japanese Children From Toxic Shock Syndrome and Kawasaki Disease

Pediatr Infect Dis J. 2024 Apr 1;43(4):e125-e127. doi: 10.1097/INF.0000000000004227. Epub 2023 Dec 22.

Abstract

The specific expansion of T-cell receptor β chain variable region (TCR-Vβ21.3 + ) CD4 + and CD8 + T cells was observed in Japanese patients with multisystem inflammatory syndrome in children. In contrast, these findings were not observed in patients with toxic shock syndrome and Kawasaki disease. T-cell receptor β chain variable region repertoire analysis to detect specific expansion of Vβ21.3 + T cells might be useful for differentiating multisystem inflammatory syndrome in children from toxic shock syndrome and Kawasaki disease.

MeSH terms

  • CD4-Positive T-Lymphocytes
  • CD8-Positive T-Lymphocytes
  • COVID-19 / complications*
  • Child
  • Humans
  • Japan
  • Mucocutaneous Lymph Node Syndrome* / diagnosis
  • Receptors, Antigen, T-Cell, alpha-beta / analysis
  • Receptors, Antigen, T-Cell, alpha-beta / genetics
  • Shock, Septic* / diagnosis
  • Systemic Inflammatory Response Syndrome*

Substances

  • Receptors, Antigen, T-Cell, alpha-beta

Supplementary concepts

  • pediatric multisystem inflammatory disease, COVID-19 related