PMID- 21951393 OWN - NLM STAT- MEDLINE DCOM- 20120416 LR - 20120105 IS - 1167-1122 (Print) IS - 1167-1122 (Linking) VI - 21 IP - 6 DP - 2011 Nov-Dec TI - Functional and phenotypical alterations of polymorphonuclear cells in Sezary syndrome patients. PG - 921-9 LID - 10.1684/ejd.2011.1544 [doi] AB - Sezary syndrome (SS), the leukemic variant of cutaneous T-cell lymphoma (CTCL), has a poor prognosis and infections represent the most frequent cause of death. Polymorphonucleate granulocytes (PMNs) constitute an essential part of the innate immune system: their phagocytic and killing activity against pathogens is mediated by the interactions between Toll-like receptors (TLRs) and the Pathogen-associated molecular patterns (PAMPs). The aim of this study was to investigate PMN functional activity and phenotype in SS patients and their correlation with the onset of infectious complications. This prospective study enrolled 18 consecutive SS patients; PMN functional activity was evaluated by phagocytosis and intracellular killing tests towards Klebsiella pneumoniae. Flow-cytometry was applied to analyze PMN phenotype. PMNs from SS patients displayed a reduced phagocytic activity and intracellular killing against K. pneumoniae at 30 min and 60 min, more pronounced in SS patients with recurrent infections. CD11b and CD66b median fluorescence intensity (MFI) was significantly higher in SS than in healthy subjects, whereas CD62L MFI was decreased. No significant differences in TLR2, 4, 8 and 9 percentage expression or MFI were found. An increased TLR5 percentage expression was documented. The impairment in PMN functional activities in SS could favour the immune-suppression and raise infection risk. FAU - Fierro, Maria Teresa AU - Fierro MT AD - Department of Dermatology, Biomedical Sciences and Human Oncology, Turin University, Via Cherasco 23, 10126 Turin, Italy. FAU - Cuffini, Anna Maria AU - Cuffini AM FAU - Novelli, Mauro AU - Novelli M FAU - Banche, Giuliana AU - Banche G FAU - Allizond, Valeria AU - Allizond V FAU - Comessatti, Alessandra AU - Comessatti A FAU - Brizio, Matteo AU - Brizio M FAU - Scalas, Daniela AU - Scalas D FAU - Merlino, Chiara AU - Merlino C FAU - Quaglino, Pietro AU - Quaglino P FAU - Bernengo, Maria Grazia AU - Bernengo MG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - France TA - Eur J Dermatol JT - European journal of dermatology : EJD JID - 9206420 RN - 0 (Toll-Like Receptor 5) RN - 0 (Toll-Like Receptors) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - Flow Cytometry MH - Humans MH - Klebsiella pneumoniae/physiology MH - Male MH - Middle Aged MH - Neutrophils/*pathology/*physiology MH - Phagocytosis/physiology MH - Phenotype MH - Prospective Studies MH - Sezary Syndrome/immunology/mortality/*pathology/*physiopathology MH - Toll-Like Receptor 5/metabolism MH - Toll-Like Receptors/metabolism EDAT- 2011/09/29 06:00 MHDA- 2012/04/17 06:00 CRDT- 2011/09/29 06:00 PHST- 2011/09/29 06:00 [entrez] PHST- 2011/09/29 06:00 [pubmed] PHST- 2012/04/17 06:00 [medline] AID - ejd.2011.1544 [pii] AID - 10.1684/ejd.2011.1544 [doi] PST - ppublish SO - Eur J Dermatol. 2011 Nov-Dec;21(6):921-9. doi: 10.1684/ejd.2011.1544.