Menu

A+ A A-

Download article

DOI: https://doi.org/10.22263/2312-4156.2021.1.111

Prudnikov A.R.1, Yanchanka U.V.1, Sidarenka V.F.2, Nikolskaya V.V.2
Clinical case of secondary immunodeficiency against the background of acquired hypercholesterolemia
1Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
2Vitebsk Regional Clinical Hospital, Vitebsk, Republic of Belarus

Vestnik VGMU. 2021;20(1):111-119.

Abstract.
A clinical case of secondary immunodeficiency of mild severity against the background of unbalanced nutrition (food cholesterol deficiency) with a clinical pattern of recurrent upper respiratory tract infections and compensatory hypercholesterolemia of mild degree is presented. The patient had a deficiency of T-helper cells with the increase of total cholesterol and low-density lipoproteins. The patient was prescribed a meal enriched with cholesterol. After 5 months, almost complete normalization of the lipid profile and parameters of T-cell immunity was observed. The intake of food enriched with cholesterol contributed to the normalization of lipoprotein metabolism and T-cell immunity indicators and led to an adequate immune response to the introduced infection.
Key words: secondary immunodeficiency, hypercholesterolemia, T-cell immunity, viral infection.

References

1. Novikov DK, Novikova VI. Immune status assessment. Moscow, RF; Vitebsk, RB; 1996. 282 р. (In Russ.)
2. Yvan-Charvet L, Bonacina F, Guinamard RR, Norata GD. Immunometabolic function of cholesterol in cardiovascular disease and beyond. Cardiovasc Res. 2019 Jul;115(9):1393-1407. doi: http://dx.doi.org/10.1093/cvr/cvz127
3. Chyu K-Y, Lio WM, Dimayuga PC, Zhou J, Zhao X, Yano J, et al. Cholesterol lowering modulates T cell function in vivo and in vitro. PLoS One. 2014 Mar;9(3):e92095. doi: http://dx.doi.org/10.1371/journal.pone.0092095
4. Fessler MB. Regulation of adaptive immunity in health and disease by cholesterol metabolism. Curr Allergy Asthma Rep. 2015 Aug;15(8):48. doi: http://dx.doi.org/10.1007/s11882-015-0548-7
5. Tail AR, Yvan-Charvet L. Cholesterol, inflammation and innate immunity. Nat Rev Immunol. 2015 Feb;15(2):104-16. doi: http://dx.doi.org/10.1038/nri3793
6. Dotcenko M, Alekseichik D, Pankratova Iu, Alekseichik S, Dotcenko K, Sankovich E. Cholesterol and immunity: clinical and immunological parallels. Nauka Innovatsii. 2015;(4):58-64. (In Russ.)
7. Iupatov GI, Dotcenko EA, Chirkin AA. The relationship between cholesterol, lipoprotein levels and immunity to acute respiratory viral infections. Immunopatologiia Allergologiia Infektologiia. 2003;(2):31-9. (In Russ.)
8. Dotcenko EA, Iupatov GI, Novikov DK, Chirkin AA. Serum cholesterol and the state of the immune system. Zhurn Mikrobiologii Epidemiologii Immunobiologii. 2002;(6):99-105. (In Russ.)
9. Muldoon MF, Manuck SB, Mendelsohn AB, Kaplan JR, Belle SH. Cholesterol reduction and non-illness mortality: meta-analysis of randomised clinical trials. BMJ. 2001 Jan;322(7277):11-5. doi: http://dx.doi.org/10.1136/bmj.322.7277.11
10. Chirkin AA, Shvarenok VV, Dotcenko EA. Diagnostics, treatment and prevention of cardiovascular diseases. Minsk, RB: Trioleta; 2003. 390 р. (In Russ.)
11. Olsson AG, Angelin B, Assmann G, Binder CJ, Björkhem I, Cedazo-Minguez A, et al. Can LDL cholesterol be too low? Possible risks of extremely low levels. J Intern Med. 2017 Jun;281(6):534-553. doi: http://dx.doi.org/10.1111/joim.12614
12. Varol E, Bas HA, Aksoy F, Ari H, Ozaydin M. Relationship Between Neutrophil-Lymphocyte Ratio and Isolated Low High-Density Lipoprotein Cholesterol. Angiology. 2014 Aug;65(7):630-3. doi: http://dx.doi.org/10.1177/0003319713497992
13. Heffner LJ, Schust DJ. The Reproductive System at a Glance. 4th ed. Wiley-Blackwell; 2014. 112 p.
14. Glaser R, Kiecolt-Glaser JK. Stress-induced immune dysfunction: implications for health. Nat Rev Immunol. 2005;5(3):243-51. doi:10.1038/nri1571
15. Jones TH, Kelly DM. Randomized controlled trials - mechanistic studies of testosterone and the cardiovascular system. Asian J Androl. 2018 Mar-Apr;20(2):120-130. doi: http://dx.doi.org/10.4103/aja.aja_6_18
16. Van Pottelbergh I, Braeckman L, De Bacquer D, De Backer G, Kaufman JM. Differential contribution of testosterone and estradiol in the determination of cholesterol and lipoprotein profile in healthy middle-aged men. Atherosclerosis. 2003 Jan;166(1):95-102. doi: http://dx.doi.org/10.1016/s0021-9150(02)00308-8
17. Mailer RKW, Gisterå A, Polyzos KA, Ketelhuth DFJ, Hansson GK. Hypercholesterolemia induces differentiation of regulatory T cells in the liver. Circ Res. 2017 May;120(11):1740-1753. doi: http://dx.doi.org/10.1161/CIRCRESAHA.116.310054
18. Aguilar-Ballester M, Herrero-Cervera A, Vinué Á, Martínez-Hervás S, González-Navarro H. Impact of Cholesterol Metabolism in Immune Cell Function and Atherosclerosis. Nutrients. 2020 Jul;12(7):2021. doi: http://dx.doi.org/10.3390/nu12072021

Information about authors:
Prudnikov A.R. – Master of Medical Sciences, senior lecturer of the Chair of Hospital Therapy & Endocrinology with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University.
ORCID: https://orcid.org/0000-0001-9458-0867
Yanchanka U.V. – Candidate of Medical Sciences, associate professor of the Chair of Clinical Immunology and Allergology with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University,
ORCID: https://orcid.org/0000-0002-9355-8534
Sidarenka V.F. – laboratory diagnosis specialist, Vitebsk Regional Clinical Hospital;
Nikolskaya V.V. – laboratory diagnosis specialist, Vitebsk Regional Clinical Hospital.

Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Hospital Therapy & Endocrinology with the course of the Faculty for Advanced Training & Retraining. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Alexander R. Prudnikov.

Поиск по сайту