LEERhuis Pubmed artikelen Antineutrophil cytoplasmic autoantibodies: how are they detected and what is their use for diagnosis, classification, and follow-up ? Cohen Tervaert JW, Damoiseaux JG. Clin Rev Allergy Immunol 2012; 43:211-219 PMID: 22153879 Exposure to silica dust has been examined as a possible risk factor for autoimmune diseases, including scleroderma, rheumatoid arthritis and systemic lupus erythematosus. Since CTLA-4 [CD152] and PD-1 [CD279] are important for the maintenance of peripheral tolerance by regulating T cell responsiveness, we evaluated the expression of these molecules on the surface of CD4 and CD8 T cells, as well as single nucleotide polymorphisms (SNP) in CTLA-4 and PDCD1 genes, of 70 silica-exposed workers and 30 non-exposed, age-, ethnically- and sex-matched controls. Expression of CTLA-4 was significantly (P<0.05) reduced in CD4 T cells of exposed individuals [median=0.1% and interquartile range, IQR 0.0-0.1% (exposed), median=0.20%, IQR 0.0-0.4% (control)]. Also the expression of PD-1 was significantly (P<0.0001) reduced in both CD4 [median=0.9%, IQR 0.4-2.3% (exposed), median=5.7%, IQR 1.4-13.3% (control)] and CD8 T cells [median=0.9%, IQR 0.3-1.9% (exposed), median=5.0%, IQR 3.4-8.9% (control)]. The study of polymorphisms demonstrated a lower frequency of the A allele in the analysis of the PD1.3 SNP in the exposed group, which might be associated with the lower expression of PD-1 on the surface of CD4 T cells. Our findings provide evidence for the association of silica exposure and the maintenance of self-tolerance, i.e., the susceptibility to autoimmune disorders. Overige artikelen Genetic polymorphisms and surface expression of CTLA-4 and PD-1 on T-cells of silica-exposed workers. Rocha MC, Santos LM, Bagatin E, Cohen Tervaert JW, Damoiseaux JG, Lido AV, Longhini AL, Torello CO, Queiroz ML. Int J Hyg Environ Health 2012; 215: 562-569. 54 Cursief: werkzaam in het Sint Franciscus Gasthuis WETENSCHAPPELIJK jaarverslag 2012 Pagina 53
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