PMID- 30022471 OWN - NLM STAT- MEDLINE DCOM- 20190812 LR - 20191001 IS - 1365-2249 (Electronic) IS - 0009-9104 (Print) IS - 0009-9104 (Linking) VI - 194 IP - 1 DP - 2018 Oct TI - Functional status of immune cells in patients with long-lasting type 2 diabetes mellitus. PG - 125-136 LID - 10.1111/cei.13187 [doi] AB - Although patients with diabetes contract infectious diseases at higher frequencies, and in more severe forms, compared to non-diabetics, the underlying defects of the immune function have not been defined clearly. To address this, we designed an immune monitoring protocol and analysed the functional status of various immune cells. Peripheral blood mononuclear cells (PBMCs) were stimulated with the proper ligands and the functional reactivity of each lineage of cells was subsequently measured. Patients with type 2 diabetes mellitus (T2DM) had PBMC composition ratios comparable to healthy controls, except for a higher frequency of B cell and effector T cell fractions. The capacity of myeloid cells to secrete proinflammatory cytokines was not diminished in terms of the sensitivity and magnitude of the response. Furthermore, cytolytic activity and interferon (IFN)-gamma production of natural killer (NK) cells and CD8(+) T cells were not decreased in T2DM patients. Phenotypical maturation of dendritic cells, indicated by the up-regulation of major histocompatibility complex (MHC) proteins and co-stimulatory molecules in response to lipopolysaccharide (LPS), was slightly enhanced in T2DM patients. Finally, the functional differentiation profiles of CD4(+) T cells did not differ between T2DM patients and the control group. These data indicate that patients with long-lasting T2DM do not have any gross functional defects in immune cells, at least in circulating monocytes, dendritic cells, NK cells and T lymphocytes. CI - (c) 2018 British Society for Immunology. FAU - Nam, H W AU - Nam HW AD - Division of Endocrinology, Department of Internal Medicine, Seoul, Korea. FAU - Cho, Y J AU - Cho YJ AD - Division of Endocrinology, Department of Internal Medicine, Seoul, Korea. FAU - Lim, J A AU - Lim JA AD - Division of Endocrinology, Department of Internal Medicine, Seoul, Korea. FAU - Kim, S J AU - Kim SJ AD - Department of Family Medicine, National Medical Center, Seoul, Korea. FAU - Kim, H AU - Kim H AD - Center for Chronic Diseases, Seoul, Korea. FAU - Sim, S Y AU - Sim SY AD - Research Institute, National Medical Center, Seoul, Korea. FAU - Lim, D G AU - Lim DG AD - Center for Chronic Diseases, Seoul, Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180912 PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Cytokines) RN - 0 (IFNG protein, human) RN - 82115-62-6 (Interferon-gamma) MH - Aged MH - CD8-Positive T-Lymphocytes/*immunology MH - Cytokines/metabolism MH - Dendritic Cells/cytology/*immunology MH - Diabetes Mellitus, Type 2/*immunology MH - Female MH - Humans MH - Interferon-gamma/metabolism MH - Killer Cells, Natural/*immunology MH - Leukocytes, Mononuclear/*immunology MH - Lymphocyte Activation/immunology MH - Lymphocyte Count MH - Male MH - Middle Aged PMC - PMC6156808 OTO - NOTNLM OT - immune cells OT - immune function OT - immune monitoring OT - type 2 diabetes mellitus EDAT- 2018/07/20 06:00 MHDA- 2019/08/14 06:00 PMCR- 2019/10/01 CRDT- 2018/07/20 06:00 PHST- 2018/07/11 00:00 [accepted] PHST- 2018/07/20 06:00 [pubmed] PHST- 2019/08/14 06:00 [medline] PHST- 2018/07/20 06:00 [entrez] PHST- 2019/10/01 00:00 [pmc-release] AID - CEI13187 [pii] AID - 10.1111/cei.13187 [doi] PST - ppublish SO - Clin Exp Immunol. 2018 Oct;194(1):125-136. doi: 10.1111/cei.13187. Epub 2018 Sep 12.