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Cited by 187

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

A Th17- and Th2-skewed Cytokine Profile in Cystic Fibrosis Lungs Represents a Potential Risk Factor for Pseudomonas aeruginosa Infection

Tiringer, Kerstin, Treis, Angela, Fucik, Petra, Gona, Mia, Gruber, Saskia, Renner, Sabine, Dehlink, Eleonora, Nachbaur, Edith, Horak, Friedrich, Jaksch, Peter, Döring, Gerd, Crameri, Reto, Jung, Andreas, Rochat, Mascha K., Hörmann, Marcus, Spittler, Andreas, Klepetko, Walter, Akdis, Cezmi A., Szépfalusi, Zsolt, Frischer, Thomas, Eiwegger, Thomas·2013·American Journal of Respiratory and Critical Care Medicine

Abstract

RATIONALE: Cystic fibrosis (CF) is characterized by progressive pulmonary inflammation that is infection-triggered. Pseudomonas aeruginosa represents a risk factor for deterioration of lung function and reduced life expectancy. OBJECTIVES: To assess T-cell cytokine/chemokine production in clinically stable children with CF and evaluate the association between T-cell subtypes and susceptibility for infection with P. aeruginosa. METHODS: T-cell cytokine/chemokine profiles were measured in bronchoalveolar lavage fluid (BALF) from children with CF (n = 57; 6.1 ± 5.9 yr) and non-CF control subjects (n = 18; 5.9 ± 4.3 yr). Memory responses to Aspergillus fumigatus and P. aeruginosa were monitored. High-resolution computed tomography-based Helbich score was assessed. In a prospective observational trial the association between BALF cytokine/chemokine profiles and subsequent infection with P. aeruginosa was studied. MEASUREMENTS AND MAIN RESULTS: Th1- (INF-γ), Th2- (IL-5, IL-13), Th17- (IL-17A), and Th17-related cytokines (IL-1β, IL-6) were significantly up-regulated in airways of patients with CF. IL-17A, IL-13, and IL-5 were significantly higher in BALF of symptomatic as compared with clinically asymptomatic patients with CF. IL-17A and IL-5 correlated with the percentage of neutrophils in BALF (r = 0.41, P < 0.05 and r = 0.46, P < 0.05, respectively). Th17- (IL-17A, IL-6, IL-1β, IL-8) and Th2-associated cytokines and chemokines (IL-5, IL-13, TARC/CCL17), but not IFN-γ levels, significantly correlated with high-resolution computed tomography changes (Helbich score; P < 0.05). P. aeruginosa- and A. fumigatus-specific T cells from patients with CF displayed significantly higher IL-5 and IL-17A mRNA expression. IL-17A and TARC/CCL17 were significantly augmented in patients that developed P. aeruginosa infection within 24 months. CONCLUSIONS: We propose a role for Th17 and Th2 T cells in chronic inflammation in lungs of patients with CF. High concentrations of these cytokines/chemokines in CF airways precede infection with P. aeruginosa.

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Metadata

Authors
Tiringer, K., Treis, A., Fucik, P., Gona, M., Gruber, S., Renner, S., Dehlink, E., Nachbaur, E., Horak, F., Jaksch, P., Döring, G., Crameri, R., Jung, A., Rochat, M. K., Hörmann, M., Spittler, A., Klepetko, W., Akdis, C. A., Szépfalusi, Z., Frischer, T., & Eiwegger, T.
Venue
American Journal of Respiratory and Critical Care Medicine
Published
2013-03-15
Volume
187
Issue
6
Pages
621-629
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W2004817354
Cited by
187
References
6
FWCI
12.67
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: A Th17- and Th2-skewed Cytokine Profile in Cystic Fibrosis Lungs Represents a Potential Risk Factor for Pseudomonas aeruginosa Infection. https://app.cochat.ai/papers/10.1164/rccm.201206-1150oc
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Tiringer, K., Treis, A., Fucik, P., Gona, M., Gruber, S., Renner, S., Dehlink, E., Nachbaur, E., Horak, F., Jaksch, P., Döring, G., Crameri, R., Jung, A., Rochat, M. K., Hörmann, M., Spittler, A., Klepetko, W., Akdis, C. A., Szépfalusi, Z., . . . Eiwegger, T. (2013). A Th17- and Th2-skewed Cytokine Profile in Cystic Fibrosis Lungs Represents a Potential Risk Factor for Pseudomonas aeruginosa Infection. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/rccm.201206-1150oc

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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