IFNγ/TNFα specific-cells and effector memory phenotype associate with active tuberculosis

Copyright © 2013 The British Infection Association. Published by Elsevier Ltd. All rights reserved..

OBJECTIVES: Controversial results were reported on the role of polyfunctional T-cells in tuberculosis (TB). Our aim was to simultaneously characterize the Mycobacterium tuberculosis (Mtb)-specific immune response as cytokine production and memory phenotype by flow cytometry after in vitro stimulation with region of difference 1 ("RD1") recombinant proteins (ESAT-6 and CFP-10) in patients at different TB stage in a low TB endemic country. To assess the specificity of these findings, we evaluated the response to cytomegalovirus (CMV), an unrelated antigen.

METHODS: We enrolled subjects with active TB, cured TB, latent TB infection (LTBI). Cytokine and phenotype profiles of T-cells from whole blood stimulated with "RD1" proteins and CMV were characterized by multi-parametric flow cytometry.

RESULTS: Bifunctional IFNγ(+) TNFα(+) CD4(+) T-cells and effector memory phenotype significantly associated with active TB compared to the LTBI group (p = 0.008, at least p ≤ 0.009 respectively) whereas "RD1"-T-cell response in cured TB and LTBI was characterized by a central memory phenotype (at least p ≤ 0.013 and p ≤ 0.004 respectively vs active TB). In contrast, response to CMV antigen was not associated with a TB-specific status.

CONCLUSION: We identified qualitative associations between Mtb-specific T-cell and TB status in terms of functional capacity and memory status. These immune correlates may be helpful to trace natural history of TB.

Medienart:

E-Artikel

Erscheinungsjahr:

2013

Erschienen:

2013

Enthalten in:

Zur Gesamtaufnahme - volume:66

Enthalten in:

The Journal of infection - 66(2013), 6 vom: 19. Juni, Seite 475-86

Sprache:

Englisch

Beteiligte Personen:

Petruccioli, Elisa [VerfasserIn]
Petrone, Linda [VerfasserIn]
Vanini, Valentina [VerfasserIn]
Sampaolesi, Alessandro [VerfasserIn]
Gualano, Gina [VerfasserIn]
Girardi, Enrico [VerfasserIn]
Palmieri, Fabrizio [VerfasserIn]
Goletti, Delia [VerfasserIn]

Links:

Volltext

Themen:

82115-62-6
Antigens, Bacterial
Antigens, Viral
Bacterial Proteins
CFP-10 protein, Mycobacterium tuberculosis
ESAT-6 protein, Mycobacterium tuberculosis
Interferon-gamma
Journal Article
Research Support, Non-U.S. Gov't
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 06.03.2014

Date Revised 29.04.2013

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jinf.2013.02.004

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM225533782