Mass cytometry identifies characteristic immune cell subsets in bronchoalveolar lavage fluid from interstitial lung

Kentaro Hata1, Toyoshi Yanagihara1, Keisuke Matsubara2

  • 1Department of Respiratory Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Insights

Immune cell differences in interstitial lung diseases (ILDs) were explored. Specific monocyte, B cell, and T cell subsets were identified in idiopathic pulmonary fibrosis (IPF) and other ILDs, revealing diverse immune responses.

Area of Science:

  • Immunology
  • Pulmonology
  • Cell Biology

Background:

  • Immune cell involvement in interstitial lung diseases (ILDs) is recognized, but their specific roles and characteristics are not fully understood.
  • Idiopathic pulmonary fibrosis (IPF), connective-tissue disease (CTD)-related ILD, and sarcoidosis represent distinct ILD phenotypes with potentially unique immune system interactions.

Purpose of the Study:

  • To characterize immune cell subsets in bronchoalveolar lavage fluid (BALF) from patients with IPF, CTD-ILD, and sarcoidosis.
  • To identify distinct immune cell phenotypes associated with different ILD types and disease progression.

Main Methods:

  • Exploratory mass cytometry analysis utilizing two panels with 64 markers.
  • Analysis of immune cell populations including myeloid cells, B cells, and T cells in BALF samples.

Main Results:

  • Expansion of CD14+ CD36hi CD84hi CCR2- monocytes observed in IPF, particularly in progressive ILDs and acute exacerbation (AEx) of IPF.
  • Increased IgG memory B cells in CTD-ILDs and a trend toward more FCRL5+ B cells in AEx-IPF and advanced sarcoidosis.
  • Distinct T cell subsets identified: IL-2R+ TIGIT+ LAG3+ CD4+ T cells in IPF, CXCR3+ CD226+ CD4+ T cells in sarcoidosis, and PD1+ TIGIT+ CD57+ CD8+ T cells in CTD-ILDs.

Conclusions:

  • Immune cell profiles vary significantly across different interstitial lung diseases.
  • Specific myeloid, B cell, and T cell subsets are associated with distinct ILD pathologies, suggesting diverse immunopathogenesis.
  • These findings highlight the complex immune landscape of ILDs and provide targets for further research.

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