Effect of pregnancy on functions of circulating T cells from patients with systemic lupus erythematosus: Correction of T-cell suppression and autologous mixed-lymphocyte responses


Por: Frajman M., Díaz-Jouanen E., Alcocer-Varela J., Fishbein E., Guevara M., Alarcón-Segovia D.

Publicada: 1 ene 1983
Resumen:
Pregnant systemic lupus erythematosus (SLE) patients with inactive disease were found to have normal spontaneously generated suppressor-cell function and slightly higher concanavalin A-induced suppressor function as compared to matched normal pregnant and nonpregnant females. In six SLE patients studied sequentially throughout pregnancy and postpartum, suppressor functions were found to fall sharply within the first week after delivery. One of these patients had been studied before she became pregnant and found to have a decreased suppressor function. Nonpregnant SLE patients had both suppressor functions diminished despite their disease being similarly inactive. This group was also the only one to have decreased responses in autologous mixed-lymphocyte cultures. Both pregnant and nonpregnant SLE patients had decreased absolute numbers of total lymphocytes, T cells, and their subpopulations, but the proportions of these cells were similar in all four groups. Despite this apparent normalcy of immune regulation, pregnant SLE patients had higher levels of C1q-binding immune complexes than did nonpregnant ones. Functional T-cell abnormalities found in SLE patients tend to be corrected by pregnancy. This may explain in part the disease remissions that occur in them during the second half of pregnancy. © 1983.

Filiaciones:
Frajman M.:
 Department of Immunology and Rheumatology, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico

Díaz-Jouanen E.:
 Department of Immunology and Rheumatology, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico

Alcocer-Varela J.:
 Department of Immunology and Rheumatology, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico

Fishbein E.:
 Department of Immunology and Rheumatology, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico

Guevara M.:
 Rheumatology Service, Centro Hospitalario 20 de Noviembre, ISSSTE, Mexico City, Mexico

Alarcón-Segovia D.:
 Department of Immunology and Rheumatology, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico
ISSN: 00901229
Editorial
Academic Press Inc.
Tipo de documento: Article
Volumen: 29 Número: 1
Páginas: 94-102
WOS Id: A1983RJ26800010
ID de PubMed: 6224619