Academic Journal

A study of T CD4, CD8 and B lymphocytes in narcoleptic patients

التفاصيل البيبلوغرافية
العنوان: A study of T CD4, CD8 and B lymphocytes in narcoleptic patients
المؤلفون: Coelho, Fernando Morgadinho Santos, Pradella-Hallinan, Márcia, Alves, Gabriela Rodrigues, Bittencourt, Lia Rita Azeredo, Pedrazzoli Neto, Mário, Moreira, Fábio, Tufik, Sérgio
المصدر: Arquivos de Neuro-Psiquiatria. June 2007 65(2b)
بيانات النشر: Academia Brasileira de Neurologia - ABNEURO, 2007.
سنة النشر: 2007
مصطلحات موضوعية: narcolepsy, lymphocytes, immunology, HLA-DQB1*0602 allele
الوصف: Narcolepsy is characterized by excessive daytime sleep and cataplexy. Little is known about the possible difference in pathophysiology between patients with or without cataplexy. OBJECTIVE: To quantify T CD4, T CD8 and B lymphocytes in subgroups of patients with narcolepsy and the presence or absence of the HLA-DQB1*0602 allele between groups. METHOD: Our study was prospective and controlled (transversal) with 22 narcoleptic patients and 23 health control subjects. Patients underwent an all-night polysomnographic recording (PSG) and a multiple sleep latency Test (MSLT). The histocompatibility antigen allele (HLA-DQB1*0602), T CD4, CD8 and B lymphocytes were quantified in control subjects and in narcoleptics. RESULTS: The HLA-DQB1*0602 allele was identified in 10 (62.5%) of our 16 cataplexic subjects and in 2 (33.3%) of the 6 patients without cataplexy (p=0.24). In control subjects, HLA-DQB1*0602 allele was identified in 5 (20%). A significant decrease in T CD4 and B lymphocytes was found in narcoleptic patients with recurrent cataplexy when compared with our patients without cataplexy. CONCLUSION: Autoimmune diseases such as systemic lupus erythematosus and rheumatoid arthritis were associated with a decrease in sub-group of T CD4 and B lymphocytes. A drop in B lymphocytes count in reumathoid arthritis might, it is posited, be correlated to the presence of HLA-DRB1 allele along with an overall worsened outcome of the affliction. The theory of an increase in consumption of B lymphocytes over the maturation phase has likewise been put forward. Our study reinforces the view that narcolepsy should be considered from an immunological perspective.
نوع الوثيقة: article
وصف الملف: text/html
اللغة: English
تدمد: 0004-282X
DOI: 10.1590/S0004-282X2007000300011
URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000300011
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edssci.S0004.282X2007000300011
قاعدة البيانات: SciELO
الوصف
تدمد:0004282X
DOI:10.1590/S0004-282X2007000300011