Changes of Host Immunity Mediated by IFN-gamma(+) CD8(+) T Cells in Children with Adenovirus Pneumonia in Different Severity of Illness

The host immunity of patients with adenovirus pneumonia in different severity of illness is unclear. This study compared the routine laboratory tests and the host immunity of human adenovirus (HAdV) patients with different severity of illness. A co-cultured cell model in vitro was established to verify the T cell response in vitro. Among 140 patients with confirmed HAdV of varying severity, the number of lymphocytes in the severe patients was significantly reduced to 1.91 x 10(9)/L compared with the healthy control (3.92 x 10(9)/L) and the mild patients (4.27 x 10(9)/L). The levels of IL-6, IL-10, and IFN-gamma in patients with adenovirus pneumonia were significantly elevated with the severity of the disease. Compared with the healthy control (20.82%) and the stable patients (33.96%), the percentage of CD8(+) T cells that produced IFN-gamma increased to 56.27% in the progressing patients. Adenovirus infection increased the percentage of CD8(+) T and CD4(+ )T cells that produce IFN-gamma in the co-culture system. The hyperfunction of IFN-gamma(+) CD8(+) T cells might be related to the severity of adenovirus infection. The in vitro co-culture cell model could also provide a usable cellular model for subsequent experiments.