INVESTIGATION OF PHAGOCYTE FUNCTIONS IN PSEUDOMONAS-COLONIZED CYSTIC
FIBROSIS PATIENTS
Abstract
Introduction: Cystic fibrosis (CF) is an autosomal recessive
disorder. Although it is considered as an epithelial disease due to
impaired chloride transport, its pathogenesis is not clear. CF is
classified as a syndrome with congenital defects of phagocyte in recent
human inborn errors of immunity phenotypic classification. Neutrophils
are the most effective cells in the eradication of bacterial infections
such as Pseudomonas aeruginosa. The aim of this study was to
investigate the phagocyte functions in pseudomonas colonized cystic
fibrosis patients. Material-Method: A total number of 26
Pseudomonas colonized cystic fibrosis patients and 21 healthy controls
(sex and age matched) were included in the study. Absolute neutrophil
counts(ANC), immunoglobulin values (Ig), Migratest to evaluate
chemotaxis in neutrophils and monocytes, CD11A/CD18/CD15 S (β2 integrin)
adhesion molecules, Phagoburst test for intracellular bacterial killing
were analyzed by flow cytometer. Results: Absolute neutrophil
counts (ANC), CD15S expression on neutrophils and IgG, IgA and IgM
levels were higher in CF patients than control group (p<0.01,
0,018). The neutrophils oxidative burst activity and chemotactic ability
of CF patients did not differ from that of controls. Patients with
Allergic Bronchopulmonary Aspergillosis (ABPA) and with a mutation of
2183AA>G had significantly lower chemotaxis index than the
others (respectively p:0.01, p:0.01). Conclusion: Our results
from a small group of patients does not support impaired functions such
as migration and phagocytosis of neutrophils in patients with CF.
Further studies involving more CF patients are needed to make a
definitive interpretation.