Cytomegalovirus contributes partly to uraemia-associated premature immunological ageing of the T cell compartment

Ruud Meijers, Nicolle Litjens, Elly Wit, Ton Langerak, Ashley van der Spek, Carla Baan, Willem Weimar, M.G.H. Betjes

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Cytomegalovirus (CMV) infection has been implicated in accelerated T cell ageing. End-stage renal disease (ESRD) patients have a severely immunologically aged T cell compartment but also a high prevalence of CMV infection. We investigated whether CMV infection contributes to T cell ageing in ESRD patients. We determined the thymic output by the T cell receptor excision circle (TREC) content and percentage of CD31+ naive T cells. The proliferative history of the T cell compartment by determination of the relative telomere length (RTL) and the T cell differentiation status was determined by immunophenotyping. It appeared that CMV infection did not affect thymic output but reduced RTL of CD8+ T cells in ESRD patients. Moreover, increased T cell differentiation was observed with higher percentages of CD57+ and CD28null CD4+ and CD8+ memory T cells. These CD28null T cells had significantly shorter telomeres compared to CD28+ T cells. Therefore we concluded that CMV infection does not affect the decreased thymic output but increases T cell differentiation as observed in ESRD-related premature T cell ageing.
Original languageUndefined/Unknown
Pages (from-to)424-432
Number of pages9
JournalClinical & Experimental Immunology
Issue number3
Publication statusPublished - 2013

Research programs

  • EMC MM-02-72-01
  • EMC MM-04-39-05

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