Type 2 diabetes mellitus is associated with altered CD8+ T and natural killer cell function in pulmonary tuberculosis

Type 2 diabetes mellitus ( DM ) is associated with expanded frequencies of mycobacterial antigen‐specific CD 4 + T helper type 1 (Th1) and Th17 cells in individuals with active pulmonary tuberculosis ( TB ). No data are available on the role of CD 8 + T and natural killer ( NK ) cells in TB with coincident DM . To identify the role of CD 8 + T and NK cells in pulmonary TB with diabetes, we examined mycobacteria‐specific immune responses in the whole blood of individuals with TB and DM ( TB ‐ DM ) and compared them with those without DM ( TB ‐ NDM ). We found that TB ‐ DM is characterized by elevated frequencies of mycobacterial antigen‐stimulated CD 8 + T cells expressing type 1 [interferon‐ γ and interleukin‐2 ( IL ‐2)] and type 17 ( IL ‐17F) cytokines. We also found that TB ‐ DM is characterized by expanded frequencies of TB antigen‐stimulated NK cells expressing type 1 (tumour necrosis factor‐ α ) and type 17 ( IL ‐17A and IL ‐17F) cytokines. In contrast, CD 8 + T cells were associated with significantly diminished expression of the cytotoxic markers perforin, granzyme B and CD 107a both at baseline and following antigen or anti‐ CD 3 stimulation, while NK cells were associated with significantly decreased antigen‐stimulated expression of CD 107a only. This was not associated with alterations in CD 8 + T‐cell or NK cell numbers or subset distribution. Therefore, our data suggest that pulmonary TB complicated with type 2 DM is associated with an altered repertoire of cytokine‐producing and cytotoxic molecule‐expressing CD 8 + T and NK cells, possibly contributing to increased pathology..

Medienart:

Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:144

Enthalten in:

Immunology - 144(2015), 4, Seite 677-686

Sprache:

Englisch

Beteiligte Personen:

Kumar, Nathella P [VerfasserIn]
Sridhar, Rathinam [Sonstige Person]
Nair, Dina [Sonstige Person]
Banurekha, Vaithilingam V [Sonstige Person]
Nutman, Thomas B [Sonstige Person]
Babu, Subash [Sonstige Person]

Links:

Volltext
onlinelibrary.wiley.com
www.ncbi.nlm.nih.gov
search.proquest.com

BKL:

44.45

Themen:

Antigens
Antigens, Bacterial - immunology
Biological Markers - blood
CD8-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - metabolism
CD8-Positive T-Lymphocytes - microbiology
Cytokines
Cytokines - blood
Cytokines - immunology
Cytotoxicity
Diabetes
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - diagnosis
Diabetes Mellitus, Type 1 - immunology
Immune system
Killer Cells, Natural - immunology
Killer Cells, Natural - metabolism
Killer Cells, Natural - microbiology
Mycobacterium tuberculosis - immunology
Mycobacterium tuberculosis - pathogenicity
Natural killer cells
T cells
Tuberculosis
Tuberculosis, Pulmonary - blood
Tuberculosis, Pulmonary - complications
Tuberculosis, Pulmonary - diagnosis
Tuberculosis, Pulmonary - immunology
Tuberculosis, Pulmonary - microbiology

RVK:

RVK Klassifikation

doi:

10.1111/imm.12421

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC1964045541