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Phenotype of apoptotic lymphocytes in children with Down syndrome
Solaf M Elsayed1, Ghada M Elsayed
1Genetics Unit, Pediatrics Department, Ain Shams University, Cairo, Egypt. elsayed683@yahoo.com
Insights
Children with Down syndrome (DS) exhibit increased early apoptotic T and B lymphocytes, indicating impaired immune cell function rather than number. This finding highlights a key mechanism behind the immunodeficiency observed in DS.
Area of Science:
- Immunology
- Genetics
- Cell Biology
Background:
- Down syndrome (DS) is a common chromosomal disorder linked to immunodeficiency, increasing infection susceptibility.
- Increased apoptotic cells are a proposed mechanism for immune dysfunction in DS.
Purpose of the Study:
- To investigate the impact of apoptosis on T and B lymphocytes in children with DS.
- To use Annexin V staining to detect early apoptotic cells as a marker.
Main Methods:
- Studied 17 children with DS and 17 healthy controls, excluding those with infections.
- Utilized Annexin V staining to analyze apoptosis in T and B lymphocytes.
- Performed immunophenotyping and complete blood counts.
Main Results:
- DS children showed significantly higher relative and absolute numbers of apoptotic CD(3+) T lymphocytes compared to controls.
- A higher relative number of apoptotic CD(19+) B lymphocytes was observed in DS children.
- No significant difference in the absolute number of CD(19+) B lymphocytes was found.
Conclusions:
- Increased early apoptosis, particularly in T cells, suggests impaired immune cell function is central to DS immunodeficiency.
- Cellular immunity appears more compromised than humoral immunity in individuals with DS.
- Further research on apoptotic phenotypes in larger DS cohorts is warranted.
Background:
Down syndrome (DS) is the most common and best-known chromosomal disorder and is associated with several other pathologic conditions including immunodeficiency which makes a significant contribution to morbidity and mortality. Various immunological theories and observations to explain the predisposition of individuals with DS to various infections have been published, one of which is increased apoptotic cells.
Aim:
The aim of this study was to identify the effect of apoptosis on both types of cells of specific immune response (T and B lymphocytes) in children with DS using Annexin V staining of phosphatidyserine (PS) as a specific marker of early apoptosis.
Subjects And Methods:
The study included 17 children with karyotypically ascertained DS (7 males and 10 females). Their ages ranged from 4 months to 14 years with mean age of 5.7 +/- 4.35 years. Seventeen age and sex matched healthy children were included in the study as controls. Patients or controls with infections were excluded from the study. Complete blood picture, immunophenotyping, analysis of apoptosis using Annexin V was done at National cancer Institute to all children included in this study.
Results:
Although CBC, differential count, relative and absolute number of CD(3+) and CD(16+) did not show significant differences between DS children and control group, the relative and the absolute size of apoptotic CD(3+) T lymphocytes, and the relative size of apoptotic CD(19+) B lymphocytes were significantly higher in DS children than in controls. On the other hand, no significant difference was detected as regards the absolute size of CD(19+) B lymphocytes in DS children and in controls
Conclusion:
our finding of increased early apoptotic cells (especially T cells) in DS children may emphasize the fact that the function of cells- and not their number- is main mechanism responsible for the impairment of the immune system in DS children and may further add to the known fact that cellular immunity is more severely affected than humoral immunity in these children. Further studies on apoptotic cellular phenotype in larger number of DS are needed.
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