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Updated: Jul 11, 2026

Murine Model of CD40-activation of B cells
Published on: March 5, 2010
CD40 ligand expression on stimulated T-helper lymphocytes in patients with common variable immunodeficiency
Masoud Ravanbakhsh1, Abdolfatah Sarafnejad, Asghar Aghamohammadi
1Department of Immunology, School of Public Health and Institute of Public Health Research, Medical Sciences, University of Tehran, Tehran, Iran.
Insights
Common variable immunodeficiency (CVID) patients show normal CD40 ligand expression on T-helper cells. This finding in CVID immune deficiency suggests T-cell function is similar to healthy individuals.
Area of Science:
- Immunology
- Clinical Medicine
- Cell Biology
Background:
- Common variable immunodeficiency (CVID) is a primary antibody deficiency characterized by low immunoglobulin levels and recurrent infections.
- Understanding T-helper lymphocyte function is crucial for CVID pathogenesis.
- CD40 ligand (CD40L) plays a key role in B-cell activation and antibody production.
Purpose of the Study:
- To investigate CD40 ligand expression on T-helper lymphocytes in patients with Common variable immunodeficiency (CVID).
- To compare CD40L expression in stimulated versus unstimulated T-helper cells between CVID patients and healthy controls.
Main Methods:
- Peripheral blood mononuclear cells from nine CVID patients and fifteen healthy controls were stimulated in vitro using PMA and Ionomycin.
- Cells were analyzed for CD40 ligand expression on T-helper lymphocytes using three-color flow cytometry.
- Cell activation was confirmed by CD69 expression.
Main Results:
- No statistically significant difference in CD40 ligand expression was observed between CVID patients and normal controls (p > 0.05).
- Successful in vitro stimulation was confirmed by CD69 expression in both groups.
- CD40 ligand expression on stimulated T-helper lymphocytes is comparable between CVID patients and controls.
Conclusions:
- CD40 ligand expression on stimulated T-helper lymphocytes does not appear to be impaired in Common variable immunodeficiency.
- These findings align with previous research suggesting normal T-cell mediated B-cell help in some CVID cases.
- Further research may explore other T-cell related defects contributing to CVID pathogenesis.
Abstract:
Common variable immunodeficiency (CVID) is the most common symptomatic primary antibody deficiency, characterized by reduced serum immunoglobulins levels and increased susceptibility to recurrent pyogenic infections. In this study, we evaluated CD40 ligand expression on stimulated versus unstimulated T-helper lymphocytes of nine Common variable immunodeficient patients in comparison with fifteen normal controls. Phorbol myristate acetate (PMA) and Ionomycin were used to stimulate cells in vitro. After six hours stimulation, the cells were subjected to surface staining with three-color staining procedure. Events were analyzed by flow cytometer, using FloMax software. Results were reported as the percentage of lymphocytes expressing CD markers. We did not find any significant statistical difference in CD40 ligand expression between patients and controls (p > 0.05), despite having stimulation documented by CD69 expression as activation marker in each run. The results of this study are in agreement with some other studies, indicating that CD40 ligand expression on stimulated T-helper lymphocytes of Common variable immunodeficiency patients is similar to normal controls.
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