Th2 predominance at the single-cell level in patients with IgA nephropathy

Background. Abnormalities of lymphocyte function have been reported to be i nvolved in the pathogenesis of IgA nephropathy (IgA-N). The aim of this stu dy was to investigate helper T (Th) predominance at the single-cell level, one of the abnormalities of lymphocyte function in IgA-N. Methods. Using flowcytometry, we assessed the levels of circulating Th cell s in IgA-N patients (n = 30), and in normal individuals (n=30) based on the expression of intracellular Th1 cytokines for interleukin-2 (IL-2) and int erferon-gamma (IFN-gamma), and of intracellular Th2 cytokines for IL-4, IL- 10, and IL-13. Because the production of each cytokine had a specific time course, we examined cytokine synthesis at 3, 6, 9, and 12 h after stimulati on. Results. The percentages of IL-2-positive Th cells from IgA-N patients were significantly lower than in normal individuals at 6, 9, and 12 h, with the difference becoming greater with time. The number of IFN-gamma -positive T h cells in IgA-N patients was significantly lower than in normal individual s at 9 h, and the number of IFN-gamma -positive Th cells increased more at 12 h than at 3 h in both groups. IL-4 and IL-13 expression was increased in patients with IgA-N at 6 h compared with normal individuals. In IgA-N pati ents, the percentage of IL-10-positive Th cells was significantly higher th an that in normal individuals at each time-point. Conclusion. A polarization toward Th2 response at the stimulated lymphocyte level may lead to immune abnormalities in IgA-N.