THE INFLUENCE OF IMMUNOLOGICAL REACTIVITY TO THE MYCOBACTERIAL INFECTION PROCESS IN PATIENTS WITH PULMONARY TUBERCULOSIS

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Abstract

The ratio between the inflammatory and regulatory cytokines involved in immune response during infection M. tuberculosis (Mtb) determines the course of pulmonary tuberculosis (TB). We analyzed the production levels of 44 cytokines associated with innate and adaptive immunity by multiplex analysis in antigen-induced plasma (Ag-plasma) and serum of TB patients (TBP) and healthy donors who had contacted with TBP («TBC»). In TBP, the production levels of IL-2, IFN-γ, IP-10 in Ag-plasma were higher than in TBC (p<0.005). TBP with initially increased production levels of 12 cytokines in Ag-plasma were characterized by severe TB and slow responsiveness to anti-TB therapy compared to patients with initially low production levels of these cytokines. In conclusion, the production levels of IL-2, IFN-γ, and IP-10 were increased in patients with active TB. The immune reactivity evaluation of TBP with recently diagnosed TB can predict the TB severity and patients’ responsiveness to anti-TB therapy.

About the authors

I. Y. Nikitina

FSBRI «Central Tuberculosis Research Institute»

Author for correspondence.
Email: redwings2009@yandex.ru

PhD, Senior Staff Researcher, Immunology Department,

Moscow

Russian Federation

Y. V. Serduk

FSBRI «Central Tuberculosis Research Institute»

Email: fake@neicon.ru

PhD student, Junior Staff Researcher, Immunology Department,

Moscow

Russian Federation

T. A. Nenasheva

FSBRI «Central Tuberculosis Research Institute»

Email: fake@neicon.ru

PhD, Senior Staff Researcher, Immunology Department,

Moscow

Russian Federation

V. A. Shorochova

FSBRI «Central Tuberculosis Research Institute»

Email: fake@neicon.ru

phthisiatrician, PhD student, Phthisiology Department,

Moscow

Russian Federation

T. R. Bagdasarian

FSBRI «Central Tuberculosis Research Institute»

Email: fake@neicon.ru

PhD, phthisiatrician, Head of 1st Phthisiology Department, Phthisiology Department,

Moscow

Russian Federation

I. V. Lyadova

FSBRI «Central Tuberculosis Research Institute»

Email: fake@neicon.ru

Doctor of Medical Sc., Head of Biotechnology Laboratory, Immunology Department,

Moscow

Russian Federation

References

  1. WHO. Global tuberculosis report 2018. http://www.who.int/tb/publications/global_report/en/
  2. O’Garra A., Redford P. S., McNab F. W., Bloom C. I., Wilkinson R. J., Berry M. P. The immune response in tuberculosis. Annu Rev Immunol. 2013, 31, 475–527.
  3. Lyadova I. V. Infl ammation and immunopathogenesis of tuberculosis progression. In: Cardona PJ, editor. Understanding Tuberculosis. Moscow: Intechopen, 2012, 19–42.
  4. A., Nikitina I., Burmistrova I., Kosmiadi G., Radaeva T., Amansahedov R., Sadikov P., Serduk Y., Larionova E., Bagdasarian T., Chernousova L., Ganusov V., Lyadova I. Severe tuberculosis in humans correlates best with neutrophil abundance and lymphocyte deficiency and does not correlate with antigen-specific CD4 T cell response. Frontiers in Immunology, 2017, 8:963.

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Copyright (c) 2019 Nikitina I.Y., Serduk Y.V., Nenasheva T.A., Shorochova V.A., Bagdasarian T.R., Lyadova I.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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