PT - JOURNAL ARTICLE AU - Andersson, Anders AU - Bossios, Apostolos AU - Malmhäll, Carina AU - Sjöstrand, Margareta AU - Houltz, Birgitta AU - Qvarfordt, Ingemar AU - Lindén, Anders TI - The impact of long-term tobacco smoking on circulating IL-16<sup>+</sup> NK cells DP - 2012 Sep 01 TA - European Respiratory Journal PG - P786 VI - 40 IP - Suppl 56 4099 - https://publications.ersnet.org//content/40/Suppl_56/P786.short 4100 - https://publications.ersnet.org//content/40/Suppl_56/P786.full SO - Eur Respir J2012 Sep 01; 40 AB - Natural killer (NK) cells constitute a first line of anti-viral host defence and tobacco smoke may cause reduced cytotoxicity. Among the cytokines expressed in NK cells, interleukin-16 (IL-16) is of interest since it is known that the extracellular concentrations of this CD4 cell chemoattractant are increased in the airways of long-term smokers. Here, we investigated whether long-term smoking alters the number and IL-16 content of circulating NK cells.Never-smokers (NS) and asymptomatic smokers (AS) with a normal ventilatory capacity plus a normal diffusion capacity for carbon monoxide (DLCO) were included. We also examined smokers with COPD (GOLD stages 2 &amp; 3) with reduced DLCO (&gt;2SD from the predicted mean). In each subject, a peripheral, venous blood sample was taken during clinically stable conditions for flow cytometry analysis of intracellular IL-16 in NK cells (IL-16+ NK cells; IL-16+CD3-CD16+CD56+). The relative and absolute number of NK cells (CD3-CD16+CD56+) was determined.Smokers (AS and COPD) exhibited a lower relative number of IL-16+ NK cells compared to NS (Mann-Whitney U test, p&lt;0.05). In line with this, the absolute number of IL-16+ NK cells tended to be lower in smokers as well, although this trend was not statistically significant. Among smokers, there was a negative and statistically significant correlation for both the absolute and relative numbers of NK cells, on the one hand, and tobacco load (ie. pack-years; Spearmen Rank Corr. test; p&lt;0.05; rho=-0.056 for both correlations) on the other.Our study indicates that long-term smoking exerts a negative impact on circulating NK cells, in terms of number and IL-16 content. Hypothetically, this impact may impair anti-viral host-defence.