Yıl: 2023 Cilt: 65 Sayı: 1 Sayfa Aralığı: 73 - 80 Metin Dili: İngilizce DOI: 10.24953/turkjped.2021.5190 İndeks Tarihi: 16-05-2023

Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years

Öz:
Background. Early diagnosis and effective treatment serve as life-saving procedures for primary immunodeficiencies (PIDs) which are very common and a major public health problem in Turkey. Severe combined immunodeficiency (SCID) is constitutively a T-cell defect in which naïve T-cell development is defective due to the mutations in genes responsible for the T cell differentiation and insufficient thymopoiesis. So, assessment of thymopoiesis is very important in the diagnosis of SCID and several combined immune deficiencies (CIDs). Methods. The purpose of this study is to examine thymopoiesis in healthy children via measurement of recent thymic emigrants (RTE); T lymphocytes that express CD4, CD45RA and CD31 to establish the RTE reference values in Turkish children. RTE were measured in the peripheral blood (PB) of 120 healthy infants and children between 0-6 years including cord blood samples, by flow cytometry. Results. The absolute count of RTE cells and their relative ratios were found to be higher during the first year of life, being highest at the 6th month and tending to decrease significantly by age following birth (p=0.001). In the cord blood group, both values were lower than those in the 6-month-old group. The absolute lymphocyte count (ALC) varying by age, was found to reduce to 1850/mm³ in 4-years and after. Conclusions. Here we evaluated normal thymopoiesis and established the normal reference levels of RTE cells in the peripheral blood of healthy children aged between 0-6 years. We believe that the collected data will contribute to early diagnosis and monitoring of immune reconstitution; serving as an additional fast and reliable marker for many PID patients especially for SCID including many other CIDs, especially in nations where newborn screening (NBS) via T cell receptor excision circles (TREC) has not yet become available.
Anahtar Kelime: recent thymic emigrants (RTE) thymopoiesis flow cytometry

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Picard C, Bobby Gaspar H, Al-Herz W, et al. International union of immunological societies: 2017 primary immunodeficiency diseases committee report on inborn errors of immunity. J Clin Immunol 2018; 38: 96–128. https://doi.org/10.1007/s10875-017- 0464-9
  • 2. Odek C, Kendirli T, Doğu F, et al. Patients with primary immunodeficiencies in pediatric intensive care unit: outcomes and mortality-related risk factors. J Clin Immunol 2014; 34: 309–315. https:// doi.org/10.1007/s10875-014-9994-6
  • 3. Sanal O, Tezcan I. Thirty years of primary immunodeficiencies in Turkey. Ann N Y Acad Sci 2011; 1238: 15–23. https://doi.org/10.1111/j.1749- 6632.2011.06242.x
  • 4. Bousfiha A, Jeddane L, Picard C, et al. The 2017 IUIS phenotypic classification for primary immunodeficiencies. J Clin Immunol 2018; 38: 129– 143. https://doi.org/10.1007/s10875-017-0465-8
  • 5. Routes JM, Grossman WJ, Verbsky J, et al. Statewide newborn screening for severe T-cell lymphopenia. JAMA 2009; 302: 2465–2470. https://doi.org/10.1001/ jama.2009.1806
  • 6. Puck JM, SCID Newborn Screening Working Group. Population-based newborn screening for severe combined immunodeficiency: steps toward implementation. J Allergy Clin Immunol 2007; 120: 760–768. https://doi.org/10.1016/j.jaci.2007.08.043
  • 7. European Society for Immunodeficiencies. Severe Combined Immunodeficiency (SCID). Available at: https://esid.org/Working-Parties/Clinical- Working-Party/Resources/Severe-Combined- Immunodeficiency-SCID (Accessed on September 1, 2021)
  • 8. Kwan A, Abraham RS, Currier R, et al. Newborn screening for severe combined immunodeficiency in 11 screening programs in the United States. JAMA 2014; 312: 729–738. https://doi.org/10.1001/ jama.2014.9132
  • 9. Schatorjé EJH, Gemen EFA, Driessen GJA, Leuvenink J, van Hout RWNM, de Vries E. Paediatric reference values for the peripheral T cell compartment. Scand J Immunol 2012; 75: 436–444. https://doi.org/10.1111/ j.1365-3083.2012.02671.x
  • 10. de Vries E, de Bruin-Versteeg S, Comans-Bitter WM, et al. Longitudinal survey of lymphocyte subpopulations in the first year of life. Pediatr Res 2000; 47: 528–537. https://doi.org/10.1203/00006450- 200004000-00019
  • 11. İkincioğulları A, Kendirli T, Doğu F, et al. Peripheral blood lymphocyte subsets in healthy Turkish children. Turk J Pediatr 2004; 46: 125-130.
  • 12. Junge S, Kloeckener-Gruissem B, Zufferey R, et al. Correlation between recent thymic emigrants and CD31+ (PECAM-1) CD4+ T cells in normal individuals during aging and in lymphopenic children. Eur J Immunol 2007; 37: 3270–3280. https:// doi.org/10.1002/eji.200636976
  • 13. Garcia-Prat M, Álvarez-Sierra D, Aguiló-Cucurull A, et al. Extended immunophenotyping reference values in a healthy pediatric population. Cytometry B Clin Cytom 2019; 96: 223–233. https://doi. org/10.1002/cyto.b.21728
  • 14. Karaca N, Azarsız E, Akarcan SE, Aksu G, Kütükçüler N. Thymic output changes in children with clinical findings signaling a probable primary immunodeficiency. Turk J Pediatr 2019; 61: 885–894. https://doi.org/10.24953/turkjped.2019.06.010
  • 15. Koçak S, Arıkan M, Haskoloğlu ZŞ, Doğu F, İkincioğulları A. Ağır kombine immün yetmezlikler (AKİY)’de hematopoetik kök hücre nakli (HKHN) sonrası immün yapılanmanın TREC ölçümü ile izlenmesi. 2. Klinik İmmünoloji Kongresi, 31 Mart-3 Nisan 2016, Antalya, Türkiye.
APA Kavgacı A, Guloglu D, Kostel Bal S, Haskoloğlu Z, Cullas Ilarslan N, Topçu S, Okulu E, İslamoğlu C, Arıkan M, Dogu F, İkincioğulları A (2023). Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. , 73 - 80. 10.24953/turkjped.2021.5190
Chicago Kavgacı Akif,Guloglu Deniz,Kostel Bal Sevgi,Haskoloğlu Zehra Şule,Cullas Ilarslan Nisa Eda,Topçu Seda,Okulu Emel,İslamoğlu Candan,Arıkan Meltem,Dogu Figen,İkincioğulları Aydan Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. (2023): 73 - 80. 10.24953/turkjped.2021.5190
MLA Kavgacı Akif,Guloglu Deniz,Kostel Bal Sevgi,Haskoloğlu Zehra Şule,Cullas Ilarslan Nisa Eda,Topçu Seda,Okulu Emel,İslamoğlu Candan,Arıkan Meltem,Dogu Figen,İkincioğulları Aydan Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. , 2023, ss.73 - 80. 10.24953/turkjped.2021.5190
AMA Kavgacı A,Guloglu D,Kostel Bal S,Haskoloğlu Z,Cullas Ilarslan N,Topçu S,Okulu E,İslamoğlu C,Arıkan M,Dogu F,İkincioğulları A Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. . 2023; 73 - 80. 10.24953/turkjped.2021.5190
Vancouver Kavgacı A,Guloglu D,Kostel Bal S,Haskoloğlu Z,Cullas Ilarslan N,Topçu S,Okulu E,İslamoğlu C,Arıkan M,Dogu F,İkincioğulları A Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. . 2023; 73 - 80. 10.24953/turkjped.2021.5190
IEEE Kavgacı A,Guloglu D,Kostel Bal S,Haskoloğlu Z,Cullas Ilarslan N,Topçu S,Okulu E,İslamoğlu C,Arıkan M,Dogu F,İkincioğulları A "Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years." , ss.73 - 80, 2023. 10.24953/turkjped.2021.5190
ISNAD Kavgacı, Akif vd. "Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years". (2023), 73-80. https://doi.org/10.24953/turkjped.2021.5190
APA Kavgacı A, Guloglu D, Kostel Bal S, Haskoloğlu Z, Cullas Ilarslan N, Topçu S, Okulu E, İslamoğlu C, Arıkan M, Dogu F, İkincioğulları A (2023). Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. Turkish Journal of Pediatrics, 65(1), 73 - 80. 10.24953/turkjped.2021.5190
Chicago Kavgacı Akif,Guloglu Deniz,Kostel Bal Sevgi,Haskoloğlu Zehra Şule,Cullas Ilarslan Nisa Eda,Topçu Seda,Okulu Emel,İslamoğlu Candan,Arıkan Meltem,Dogu Figen,İkincioğulları Aydan Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. Turkish Journal of Pediatrics 65, no.1 (2023): 73 - 80. 10.24953/turkjped.2021.5190
MLA Kavgacı Akif,Guloglu Deniz,Kostel Bal Sevgi,Haskoloğlu Zehra Şule,Cullas Ilarslan Nisa Eda,Topçu Seda,Okulu Emel,İslamoğlu Candan,Arıkan Meltem,Dogu Figen,İkincioğulları Aydan Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. Turkish Journal of Pediatrics, vol.65, no.1, 2023, ss.73 - 80. 10.24953/turkjped.2021.5190
AMA Kavgacı A,Guloglu D,Kostel Bal S,Haskoloğlu Z,Cullas Ilarslan N,Topçu S,Okulu E,İslamoğlu C,Arıkan M,Dogu F,İkincioğulları A Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. Turkish Journal of Pediatrics. 2023; 65(1): 73 - 80. 10.24953/turkjped.2021.5190
Vancouver Kavgacı A,Guloglu D,Kostel Bal S,Haskoloğlu Z,Cullas Ilarslan N,Topçu S,Okulu E,İslamoğlu C,Arıkan M,Dogu F,İkincioğulları A Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years. Turkish Journal of Pediatrics. 2023; 65(1): 73 - 80. 10.24953/turkjped.2021.5190
IEEE Kavgacı A,Guloglu D,Kostel Bal S,Haskoloğlu Z,Cullas Ilarslan N,Topçu S,Okulu E,İslamoğlu C,Arıkan M,Dogu F,İkincioğulları A "Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years." Turkish Journal of Pediatrics, 65, ss.73 - 80, 2023. 10.24953/turkjped.2021.5190
ISNAD Kavgacı, Akif vd. "Evaluation of thymopoiesis in healthy Turkish children aged 0-6 years". Turkish Journal of Pediatrics 65/1 (2023), 73-80. https://doi.org/10.24953/turkjped.2021.5190