Specific cytokine patterns of pulmonary tuberculosis in Central Africa

Specific cytokine patterns of pulmonary tuberculosis in Central Africa
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DOI:
10.1016/j.clim.2010.09.005
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发表时间:
2011-01-01
影响因子:
8.6
通讯作者:
Winkler, Stefan
Winkler, Stefan
中科院分区:
医学3区
文献类型:
--
作者:
Nemeth, Johannes;Winkler, Heide-Maria;Winkler, Stefan

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不同的细胞因子被认为参与了肺结核(TB)的发病机制。结核分枝杆菌(MTB)特异性CIA的频率。在加蓬的HIV阴性肺结核(TB)患者(n=30)和健康对照(n=23)中评估了CD 8(+)T细胞、CD 4(+)CD 25(+)叉头盒蛋白(FoxP)3(+)T细胞、白细胞介素(IL)-6、干扰素(IFN)-γ、肿瘤坏死因子(TNF)-α、转化生长因子(TGF)-β和IL-10。用纯化的蛋白衍生物(PPD)和早期分泌性抗原靶标-6(ESAT-6)刺激外周血单个核细胞(PBMC)。在患者中,可检测到显著的促炎细胞因子应答,其中IL-6和TNF-α水平高度显著升高,并伴有TGF-β升高。患者和健康个体之间IFN-γ反应的差异不如预期的明显。FoxP 3表达在各组之间没有差异。一种独特的细胞因子模式与中非患者的活动性肺结核相关。(C)2010年爱思唯尔公司All rights reserved.
Different cytokines have been suggested to be involved in the pathogenesis of pulmonary tuberculosis (TB). The frequencies of Mycobacterium tuberculosis (MTB) specific CIA. and CD8(+) T cells, CD4(+)CD25(+) Forkhead Box Protein (FoxP)3(+) T cells, interleukin (IL)-6, interferon (IFN)-gamma, Tumor necrosis factor (TNF)-alpha, transforming growth factor (TGF)-beta and IL-10 were assessed in HIV-negative, pulmonary tuberculosis (TB) patients (n=30) and in healthy controls (n=23) in Gabon. Peripheral blood mononuclear cells (PBMC) were stimulated with purified protein derivative (PPD) and early secretory antigenic target-6 (ESAT-6). In patients, a pronounced pro-inflammatory cytokine response with highly significant increased levels of IL-6 and TNF-alpha accompanied by increased TGF-beta was detectable. Differences in IFN-gamma responses between patients and healthy individuals were less pronounced than expected. FoxP3 expression did not differ between groups. A distinct cytokine pattern is associated with active pulmonary TB in patients from Central Africa. (C) 2010 Elsevier Inc. All rights reserved.