Hanna F Nowotny, Thomas Marchant Seiter, Jing Ju, Adrian Gottschlich, Holger Schneider, Stephanie Zopp, Frederick Vogel, Lea Tschaidse, Matthias K Auer, Christian Lottspeich, Sebastian Kobold, Simon Rothenfusser, Felix Beuschlein, Martin Reincke, Leah Braun, Nicole Reisch
INTRODUCTION: Patients with primary adrenal insufficiency (PAI) suffer from increased risk of infection, adrenal crises and have a higher mortality rate. Such dismal outcomes have been inferred to immune cell dysregulation because of unphysiological cortisol replacement. As the immune landscape of patients with different types of PAI has not been systematically explored, we set out to immunophenotype PAI patients with different causes of glucocorticoid (GC) deficiency. METHODS: This cross-sectional single center study includes 28 patients with congenital adrenal hyperplasia (CAH), 27 after bilateral adrenalectomy due to Cushing's syndrome (BADx), 21 with Addison's disease (AD) and 52 healthy controls...
2023: Frontiers in Immunology