@phdthesis{Lee1999, author = {Lee, Kyeong-Hee}, title = {Cofilin}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-1681}, school = {Universit{\"a}t W{\"u}rzburg}, year = {1999}, abstract = {This study has identified cofilin, an actin binding protein, as a control element in the reorganization of the actin cytoskeleton which is highly relevant for T lymphocyte activation. Cofilin is regulated in its activity by reversible phosphorylation which is inducible by stimulation through accessory receptors such as CD2 and CD28. First it could be demonstrated that accessory receptor triggering induces the transient association of cofilin with the actin cytoskeleton and that only the dephosphorylated form of cofilin possesses the capacity to bind cytoskeletal actin in vivo. PI3-kinase inhibitors block both the dephosphorylation of cofilin and its association with the actin cytoskeleton. Importantly, cofilin, actin, PI3-kinase and one of its substrates, namely phosphatidylinositol 4,5-bisphosphate (PtdIns(4,5)P2) which can bind to cofilin, co-localize within CD2-receptor caps. The cofilin/F-actin interaction has been identified as a crucial regulatory element for receptor cap formation and the strength of signal transduction. To this end, appropriately designed cell permeable non-toxic peptides that are homologous to actin binding motifs of the human cofilin sequence were introduced into untransformed human peripheral blood T lymphocytes. These peptides competitively and dose dependently inhibit the activation induced interaction of cofilin with the actin cytoskeleton in vivo. By this approach it was possible to study, for the first time, the functional consequences of this interaction in immunocompetent T cells. The present data demonstrate that inhibition of the actin/cofilin interaction in human T lymphocytes by means of these cofilin derived peptides abolishes receptor cap formation and strongly modulates functional T cell responses such as T cell proliferation, interleukin-2 production, cell surface expression of CD69, gIFN production, and CD95L expression. Importantly, receptor independent activation by PMA and calcium ionophore circumvents these peptide produced inhibitory effects on lymphocyte stimulation and places the cofilin/actin interaction to a proximal step in the cascade of signaling events following T cell activation via surface signals. The present results are novel since as yet no information existed regarding the molecular elements which link cell surface receptor stimulation directly to the resulting reorganization of the actin cytoskeleton.}, subject = {T-Lymphozyt}, language = {en} } @phdthesis{Bischof2000, author = {Bischof, Astrid}, title = {Mechanismen der TZR-abh{\"a}ngigen und -unabh{\"a}ngigen Aktivierung prim{\"a}rer T-Zellen der Ratte durch CD 28}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-875}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2000}, abstract = {Zur Aktivierung ruhender T-Zellen sind zwei Signale erforderlich: Eines wird antigen-abh{\"a}ngig {\"u}ber den T-Zellrezeptor (TZR) gegeben, ein zweites erfolgt {\"u}ber kostimulatorische Rezeptoren. Unter den bekannten kostimulatorischen Molek{\"u}len ist CD28 das potenteste. Die mitogene Aktivit{\"a}t einiger monoklonaler Antik{\"o}rper (mAb) spezifisch f{\"u}r CD28 der Ratte, die alle ruhenden prim{\"a}ren Ratten-T-Zellen ohne TZR-Ligation zu Proliferation und IL-2-Produktion anregen k{\"o}nnen, erlaubte, die Signalwege nach dieser direkten CD28-Stimulation und nach Kostimulation zu analysieren und zu vergleichen. Die erzielten Ergebnisse deuten auf unterschiedliche Signalwege nach Kostimulation mit TZR-Beteiligung und direkter CD28-Stimulation hin und zeigen, daß direkte CD28-Stimulation nicht die Signaltransduktion durch den TZR imitiert. Daher unterst{\"u}tzt CD28 als kostimulatorisches Molek{\"u}l nicht nur TZR-vermittelte Signaltransduktion, sondern fungiert auch als eigenst{\"a}ndiges Signalmolek{\"u}l, das spezifische mitogene Signale generiert. Diese Eigenschaft von CD28 k{\"o}nnte f{\"u}r die Art der induzierten Immunreaktion von Bedeutung sein, da das Verh{\"a}ltnis der St{\"a}rke von TZR- und CD28-Signal die funktionelle Differenzierung von T-Zellen in Th1- oder Th2-Zellen bestimmt.}, subject = {Antigen CD28}, language = {de} } @phdthesis{Song2005, author = {Song, Bong-Seok}, title = {Morphodynamiken der Interaktion zwischen T-Zelle und dendritischer Zelle in dreidimensionaler extrazellul{\"a}rer Matrix}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-15397}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2005}, abstract = {Die Aktivierung der T Zelle bedarf der spezifischen Interaktion zwischen T Zelle und Antigen-pr{\"a}sentierender Zelle unter Ausbildung einer engen Anlagerung beider Zellmembranen („immunologische Synapse") f{\"u}r Rezeptoren-Interaktionen und konsekutive Signaltransduktion. In dreidimensionaler Kollagenmatrix zeigte sich ein stereotypes, dynamisches Muster bei der Interaktion zwischen CD45RO-positiven humanen T Zellen und antigenpr{\"a}sentierenden dendritischen Zellen. i) Die Kontaktaufnahme wurde stets {\"u}ber das Leading edge der T Zelle initiiert. ii) Beim dynamischen Kontakt wanderte die T Zelle polarisiert, mit vielen Richtungs{\"a}nderungen und mit reduzierter Geschwindigkeit auf der DC-Oberfl{\"a}che, nur unterbrochen von kurzen Stopp- und Abrundungsphasen. Der Uropod der T Zelle stand w{\"a}hrend der dynamischen Kontakts in kontinuierlicher Verbindung zur DC. iii) Die Losl{\"o}sung der T Zelle von der DC war ein aktiver Prozess, der durch Interaktion der Vorderfront der T Zelle zu benachbarten Kollagenfasern eingeleitet wurde, gefolgt von der L{\"o}sung des Zellk{\"o}rpers und des Uropods. Alternativ wurden Kontakte durch Uropod-mediierte Retention der T Zelle auf der DC-Oberfl{\"a}che verl{\"a}ngert. Zur dynamischen molekularen Charakterisierung der Kontaktfl{\"a}che wurde eine Methode zur Darstellung von Lipid-Rafts an lebenden Zellen in der 3D ECM mit BTRITC etabliert. Die Ergebnisse zeigen ein neues 3-Schritt-Konzept dynamischer und produktiver Interaktionen zwischen T Zelle und DC in vitro. Die assymetrische Kontaktzone impliziert distinkte Funktionen von Vorderfront und Uropod der T Zelle und definiert eine neuartige dynamische Kontaktform f{\"u}r die Signal{\"u}bertragung zwischen beweglichen Zellen.}, language = {de} } @phdthesis{Gassert2011, author = {Gassert, Evelyn}, title = {Die Bedeutung von Ceramiden f{\"u}r die Reorganisation des Zytoskeletts in T-Zellen, die Ausbildung einer immunologischen Synapse und die T-Zell-Aktivierung}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-65123}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2011}, abstract = {Ceramide sind biologisch aktive Sphingolipide, die verschiedene zellul{\"a}re Signalwege regulieren, meist im Zusammenhang mit der Induktion von Apoptose oder der Regulation des Zellzyklus. Dar{\"u}ber hinaus wurde in der Literatur beschrieben, dass Ceramide die Zytoskelettdynamik unterschiedlicher Zelltypen beeinflussen, die Bedeutung von Ceramiden f{\"u}r die Funktion von T-Zellen wurde allerdings bisher wenig untersucht. In der vorliegenden Arbeit konnte gezeigt werden, dass die exogene Akkumulation von Ceramiden ebenso wie die Generierung von Ceramiden durch bSMase die Adh{\"a}renz von T-Zellen an FN bzw. ICAM-1 beeintr{\"a}chtigt. Des Weiteren konnte eine verminderte T-Zell-Polarisierung auf FN sowie eine reduzierte Chemotaxis und Motilit{\"a}t ceramidmodifizierter T-Zellen in Antwort auf SDF-1 nachgewiesen werden. In {\"U}bereinstimmung mit der Unf{\"a}higkeit ceramidmodifizierter Zellen morphologisch zu polarisieren wird ferner die Relokalisation von Oberfl{\"a}chenmolek{\"u}len und intrazellul{\"a}rer Proteine durch die Akkumulation von Ceramiden gest{\"o}rt. {\"U}berdies konnte in dieser Arbeit gezeigt werden, dass Ceramide mit dem Aktivierungsstatus von Akt und ERM-Proteinen interferieren, da eine verminderte stimulationsabh{\"a}ngige Phosphorylierung von Akt und ERM-Proteinen in ceramidmodifizierten Zellen nachgewiesen wurde. Ein wesentlicher Schritt im Verlauf der T-Zell-Aktivierung ist die Ausbildung einer immunologischen Synapse mit dendritischen Zellen. In dieser Arbeit konnte gezeigt werden, dass, obwohl ceramidreiche Membrandom{\"a}nen von der Kontaktstelle ausgeschlossen werden, Konjugatfrequenz und Architektur der IS durch die Induktion von Ceramiden nicht beeinflusst werden, da eine normale Verteilung von CD3 und des MTOC beobachtet wurde. Allerdings wird die Funktionalit{\"a}t der Konjugate durch die Induktion von Ceramiden beeintr{\"a}chtigt. Ceramidmodifizierte Zellen waren nur eingeschr{\"a}nkt in der Lage Orai1 und Stim1 zur Kontaktfl{\"a}che mit DCs zu translozieren. In {\"U}bereinstimmung mit diesen Befunden wurde auch ein verminderter Calcium-Einstrom sowie eine verminderte Proliferation infolge der Akkumulation von Ceramiden detektiert. Zusammenfassend konnte in dieser Arbeit gezeigt werden, dass Ceramide wesentliche Prozesse im Verlauf der T-Zell-Aktivierung beeinflussen, so dass die pathogeninduzierte Generierung von Ceramiden einen m{\"o}glichen Mechanismus darstellt, die Funktion von T-Zellen zu beeintr{\"a}chtigen.}, subject = {Ceramide}, language = {de} } @article{RuckBittnerAfzalietal.2015, author = {Ruck, Tobias and Bittner, Stefan and Afzali, Ali Maisam and G{\"o}bel, Kerstin and Glumm, Sarah and Kraft, Peter and Sommer, Claudia and Kleinschnitz, Christoph and Preusse, Corinna and Stenzel, Werner and Wiendl, Heinz and Meuth, Sven G.}, title = {The NKG2D-IL-15 signaling pathway contributes to T-cell mediated pathology in inflammatory myopathies}, series = {Oncotarget}, volume = {6}, journal = {Oncotarget}, number = {41}, doi = {10.18632/oncotarget.6462}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-136047}, year = {2015}, abstract = {NKG2D is an activating receptor on T cells, which has been implicated in the pathogenesis of autoimmune diseases. T cells are critically involved in idiopathic inflammatory myopathies (IIM) and have been proposed as specific therapeutic targets. However, the mechanisms underlying T cell-mediated progressive muscle destruction in IIM remain to be elucidated. We here determined the involvement of the NKG2D - IL-15 signaling pathway. Primary human myoblasts expressed NKG2D ligands, which were further upregulated upon inflammatory stimuli. In parallel, shedding of the soluble NKG2D ligand MICA (sMICA) decreased upon inflammation potentially diminishing inhibition of NKG2D signaling. Membrane-related expression of IL-15 by myoblasts induced differentiation of naive CD8\(^+\) T cells into highly activated, cytotoxic \(CD8^+NKG2D^{high}\) T cells demonstrating NKG2D-dependent lysis of myoblasts in vitro. \(CD8^+NKG2D^{high}\) T cell frequencies were increased in the peripheral blood of polymyositis (PM) patients and correlated with serum creatinine kinase concentrations, while serum sMICA levels were not significantly changed. In muscle biopsy specimens from PM patients expression of the NKG2D ligand MICA/B was upregulated, IL-15 was expressed by muscle cells, CD68\(^+\) macrophages as well as CD4\(^+\) T cells, and \(CD8^+NKG2D^+\) cells were frequently detected within inflammatory infiltrates arguing for a local signaling circuit in the inflammatory muscle milieu. In conclusion, the NKG2D - IL-15 signaling pathway contributes to progressive muscle destruction in IIM potentially opening new therapeutic avenues.}, language = {en} } @phdthesis{Riano2016, author = {Ria{\~n}o, Rub{\´e}n Felipe}, title = {BTN3A1 in the immune response of Vγ9Vδ2 T cells}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-142084}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2016}, abstract = {Human Vγ9Vδ2 T cells are the main γδ T cell subset in the circulation, accounting for up to 5\% of the total peripheral blood lymphocyte population. They have been suggested to be important in response to tumors and infections. Their immune mechanisms encompass cell killing via cytotoxicity and secretion of pro-inflammatory cytokines such as IFNγ and tumor necrosis factor (TNF). The main stimulators of Vγ9Vδ2 T cells are isopentenyl pyrophosphate (IPP) and (E)-4-hydroxy-3-methyl-but-2-enyl pyrophosphate (HMBPP), denominated phosphoantigens (PAg). A major advance in the understanding of PAg detection and Vγ9Vδ2 T cell activation has been the identification of the butyrophlin 3A (BTN3A) proteins as key mediators in these processes. In humans, three isoforms constitute the BTN3A family: BTN3A1, BTN3A2, and BTN3A3; and their genes are localized on the short arm of chromosome 6. The role of BTN3A1 has been highlighted by BTN3A-specific monoclonal antibody 20.1 (mAb 20.1), which has an agonist effect and causes proliferation, expansion, and activation of primary human Vγ9Vδ2 T cells. On the other hand, BTN3A-specific monoclonal antibody 103.2 (mAb 103.2) is antagonistic, inhibiting the Vγ9Vδ2 T cell response. The actual mechanism underlying both PAg- and mAb 20.1-mediated activation is not completely elucidated, but the importance of BTN3A1 is clear. The main objective of this dissertation was to characterize the role of BTN3A1 in the PAg-dependent and PAg-independent Vγ9Vδ2 T cell activation and to evaluate its contribution in the response to influeza A virus infected cells. This research work demonstrated, by using Vγ9Vδ2 TCR MOP-transduced murine cells (reporter cells), that human chromosome 6 (Chr6) is mandatory for PAg-induced stimulation, but not for stimulation with mAb 20.1. The reporter cells responded to mAb 20.1 in cultures with BTN3A1-transduced Chinese hamster ovary cells (CHO BTN3A1) as antigen presenting cells. Nevertheless, for PAg-dependent activation the presence of Chr6 in CHO BTN3A1 was mandatory. Although reporter cells expressing clonotypically different Vγ9Vδ2 TCRs showed similar PAg response, they clearly differed in the mAb 20.1 response. The reporter cell line transduced with Vγ9Vδ2 TCR D1C55 demonstrated essentially no response to mAb 20.1 compared to Vγ9Vδ2 TCR MOP cells. These findings were further supported by experiments performed with human PBMCs-derived Vγ9Vδ2 T cell clones. The results indicate heterogeneity in the PAg- and 20.1-dependent responses, in terms of CD25 and CD69 expression, among three different Vγ9Vδ2 T cells clones. Co-cultures of reporter cells with Raji RT1BI and PAg plus mAb 20.1 or single chain antibody 20.1 (sc 20.1) revealed no additive or synergistic activating effects. In contrast, mAb 20.1 or sc 20.1 inhibited the PAg-mediated activation of the reporter cells. The comparison of the relative contribution of the isoforms BTN3A2 and BTN3A3, in the activation of Vγ9Vδ2 T cells, was undertaken by overexpression of these isoforms in CHO cells. The results showed that BTN3A2 contributes to both PAg- and mAb-induced Vγ9Vδ2 T cell activation. On the contrary, BTN3A3 does not support PAg-mediated γδ T cell response. Additionally, mutations in the proposed PAg- and mAb 20.1-binding sites of the extracellular BTN3A1 domain were generated by means of site-directed mutagenesis. These mutations revoked the mAb 20.1-induced Vγ9Vδ2 T cell activation, but not that induced by PAg. Finally, co-cultures of Vγ9Vδ2 TCR MOP-transduced murine reporter cells with influenza A/PR/8/34-infected cells, or infection of PBMCs with this virus strain indicated that BTN3A1 might be dispensable for the Vγ9Vδ2 T cell response against influenza A. The data of this research work points out that: i) in addition to BTN3A1, other Chr6-encoded genes are necessary for Vγ9Vδ2 T cell activation with PAg; ii) clonotypical (CDR3) differences influence the PAg- and mAb 20.1-mediated Vγ9Vδ2 T cell activation; iii) the PAg- and mAb 20.1-induced responses are not synergistic and interfere with each other; iv) BTN3A2 and BTN3A3 isoforms differ in the ability to support PAg- or mAb 20.1-dependent Vγ9Vδ2 T cell activation; v) the importance of the intracellular B30.2 domain of BTN3A1, in the Vγ9Vδ2 T cell activation, might be higher than that of the extracellular domain; and vi) in spite of the importance of BTN3A1 in the activation of Vγ9Vδ2 T cells, it is possible that many molecules with redundant functions are involved in the elimination of influenza virus infection by these cells. In summary, it is possible to hypothesize a model in which BTN3A1 detects prenyl pyrophosphates in the cytoplasm via its B30.2 domain and in association with another protein(s). The binding of PAg to this domain induces a multimerization of BTN3A1 or a conformational change of its extracellular domain (mimicked by mAb 20.1). These modifications might be recognized by the Vγ9Vδ2 TCR or by an associated T cell protein. In the case that the TCR directly recognizes BTN3A1, the intensity of the response will depend on the Vγ9Vδ2 TCR clonotype. Future research will allow to gain a better understanding of BTN3A1, its interaction with other proteins, its actual role in the activation of Vγ9Vδ2 T cells, and its importance in specific models of cancer or infection. This knowledge will be necessary to transform these cells into effective tools in the clinic.}, subject = {T-Lymphozyt}, language = {en} } @phdthesis{Fichtner2020, author = {Fichtner, Alina Suzann}, title = {Alpaca, armadillo and cotton rat as new animal models for nonconventional T cells: Identification of cell populations and analysis of antigen receptors and ligands}, doi = {10.25972/OPUS-16910}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-169108}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2020}, abstract = {In this thesis, three species were investigated for the conservation of two non-conventional T cell systems, the CD1d/ iNKT cell system and the BTN3/ Vγ9Vδ2 T cell system. Non-conventional T cells are αβ or γδ T cells that do not fit into the classical mode of antigen recognition and adaptive responses. These T cells recognize antigens different from classical peptide antigens and are not restricted to the polymorphic MHC molecules but rather to non-polymorphic antigen-presenting molecules. The iNKT cell subset is restricted by the lipid antigen-presenting molecule CD1d and carries out immunomodulatory functions by rapid cytokine secretion. The molecular basis of this system, the semi-invariant iNKT TCR chains and CD1d were proven to be expressed and compared to homologs in human and rodents. Cotton rats possess multiple members of the AV14 and BV8 family and only one isoform of CD1d which is comparable to findings in the rat. Moreover, the reactivity of primary cells to glycolipid antigens could be shown, and an iNKT cell-like population was detected in primary cells using newly developed cotton rat CD1d oligomers. These were also applied to test the capacity of CD1d to present typical glycolipid antigens to iNKT TCR transductants. In addition, expression of cotton rat iNKT TCR α and β chains in TCR-negative cell lines was used to show successful pairing and detection of glycolipids in the context of CD1d. In summary, the conservation of a functional CD1d/iNKT cell system in the cotton rat could be shown, and tools were developed to study this cell subset in the course of infectious diseases. The Vγ9Vδ2 T cell subset is the major γδ T cell subset in human peripheral blood and has the unique ability to contribute to immune surveillance by detecting pyrophosphorylated metabolites of isoprenoid synthesis that indicate cell stress, transformation or infection. Up to this date, phosphoantigen-reactive γδ T cells have only been shown in primate species. However, evidence for the existence and functional conservation of the genes implied in the BTN3/Vγ9Vδ2 T cell system was found in several placental mammal species, and two candidate species were chosen for further investigation. The nine-banded armadillo, a valuable model for leprosy research, was shown to possess homologous genes to TRGV9, TRDV2 and BTN3. In this study, the expression of productive rearrangements of TRDV2 gene segments could be shown in peripheral blood samples, but no evidence was found for the expression of a functional TRGV9 rearrangement or BTN3 molecules. Moreover, determinants of phosphoantigen-reactive Vγ9Vδ2 T cells and functional BTN3 molecules were found to still be prevalent in armadillo genes. This makes the armadillo an interesting model to study the structural determinants that allow phosphoantigen recognition by a functional Vγ9Vδ2 T cell subset although this species is merely a witness for a functional system in a placental mammal ancestor. In contrast, alpacas were shown to express functional Vγ9Vδ2 T cells which conserved many features of the human counterpart. Expression of Vγ9Vδ2 pairings could be shown by single-cell PCR and functional phosphoantigenreactive pairings were observed. This phosphoantigen reactivity was also shown in PBMC cultures with a newly developed antibody specific for alpaca Vδ2Jδ4 chains. Moreover, a more detailed study of the alpaca TCR repertoire showed similarities to "γδ high" species like camelids and cattle which possess an extended family of TRDV genes. The γ and δ loci of alpaca TCR genes were drafted based on genomic information and cDNA studies and provide an overview for more detailed studies. Conservation of phosphoantigen recognition by the single BTN3 molecule of alpacas was shown in 293T knock out cell lines, and BTN3 detection on PBMCs was investigated with a newly developed alpaca BTN3-specific antibody. These findings prove the existence of a functional BTN3-dependent phosphoantigen-reactive Vγ9Vδ2 T cell subset and provide a basis for the future study of this cell system in a non-primate species. Moreover, as the first non-primate candidate species with the BTN3/Vγ9Vδ2 T cell system the alpaca is an important outgroup for research in this field. The use of a single BTN3 variant in contrast to three human isoforms that work together renders the alpaca a unique and to this date indispensable model for Vγ9Vδ2 T cells. In conclusion, this study provides an overview of the applicability of new animal models in the study of the non-conventional T cell subsets iNKT cells and Vγ9Vδ2 T cells and leads the way for a better understanding of structural and functional relationships.}, subject = {T-Lymphozyt}, language = {en} } @article{IckrathSpruegelBeyersdorfetal.2021, author = {Ickrath, Pascal and Spr{\"u}gel, Lisa and Beyersdorf, Niklas and Scherzad, Agmal and Hagen, Rudolf and Hackenberg, Stephan}, title = {Detection of Candida albicans-Specific CD4+ and CD8+ T Cells in the Blood and Nasal Mucosa of Patients with Chronic Rhinosinusitis}, series = {Journal of Fungi}, volume = {7}, journal = {Journal of Fungi}, number = {6}, issn = {2309-608X}, doi = {10.3390/jof7060403}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-239671}, year = {2021}, abstract = {Candida albicans is ubiquitously present, and colonization in the nose and oral cavity is common. In healthy patients, it usually does not act as a pathogen, but in some cases can cause diseases. The influence of C. albicans as a trigger of T cell activation on the pathogenesis of chronic rhinosinusitis (CRS) is controversial, and its exact role is not clear to date. The aim of the present study was to detect and characterize C. albicans-specific CD4+ and CD8+ T cells in patients with CRS, with and without nasal polyps. Tissue and blood samples were collected from patients suffering from chronic rhinosinusitis with (CRSwNP) and without nasal polyps (CRSsNP), and from healthy controls. A peptide pool derived from C. albicans antigen was added to tissue and blood samples. After 6 days, lymphocytes were analyzed by multicolor flow cytometry. Activation was assessed by the intracellular marker Ki-67, and the cytokine secretion was measured. Tissue CD8+ T cells of CRSsNP patients showed a significantly higher proportion of Ki-67+ cells after activation with C. albicans antigen compared to peripheral blood CD8+ T cells. Cytokine secretion in response to C. albicans antigen was similar for all study groups. In this study, C. albicans-specific CD4+ and CD8+ T cells were detected in peripheral blood and mucosal tissue in all study groups. In patients suffering from CRSsNP, C. albicans-specific CD8+ T cells were relatively enriched in the nasal mucosa, suggesting that they might play a role in the pathogenesis of CRSsNP.}, language = {en} }