Correlation of clinical and immunologic parameters of the inflammatory activity of pulmonary sarcoidosis

Am Rev Respir Dis. 1991 Dec;144(6):1322-9. doi: 10.1164/ajrccm/144.6.1322.

Abstract

The evaluation of activation markers such as T4/T8 ratio and HLA-DR expression of lymphocytes of bronchoalveolar lavage (L-BAL) is an important clinical approach for the staging of sarcoidosis. However, it is not known to what extent this is paralleled by an exaggerated lymphocyte function. We investigated the dependence of L-BAL activation markers on the production of interleukin-2 (IL-2) by L-BAL and on the soluble IL-2 receptor serum level (sIL-2R) in 116 patients with sarcoidosis. In none of the combinations tested was a correlation between the two groups of parameters found; r less than 0.5, upper 90% confidence limit of r less than 0.8. Interestingly, IL-2 production is independent of HLA-DR+ T4 L-BAL, and sIL-2R production is independent of the percentage of IL-2+ L-BAL. Our data indicate that the L-BAL activation markers and the functional activity of T-cells represent independent phenomena.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bronchoalveolar Lavage Fluid / pathology
  • CD4-CD8 Ratio
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • HLA-DR Antigens / analysis
  • Humans
  • Interleukin-2 / analysis
  • Lung Diseases / diagnosis*
  • Lung Diseases / immunology
  • Lymphocyte Activation / immunology
  • Male
  • Receptors, Interleukin-2 / analysis
  • Sarcoidosis / diagnosis*
  • Sarcoidosis / immunology
  • T-Lymphocytes / immunology*

Substances

  • HLA-DR Antigens
  • Interleukin-2
  • Receptors, Interleukin-2