Endogenously activated interleukin-4 differentiates disease progressors and non-progressors in tuberculosis susceptible families: a 2-year biomarkers follow-up study.

Abstract:

OBJECTIVE:Dynamic cytokine profiles from endogenously activated T cells in transit from lymph node to the infected sites via the blood compartment after recent exposure to Mycobacterium tuberculosis may differentiate disease progressors from non-disease progressors in a BCG-vaccinated population. METHODS:Household contacts (N = 107) from families with (six families) or without (14 families) secondary cases were assessed for Types 1 and 2 cytokines serially in plasma of whole blood cultures without exogenous stimulation. "ARMS" PCR was carried out for detection of single nucleotide polymorphism T/A in IFN-γ +874. RESULTS:In the absence of IFN-γ expansion, raised IL-4 at 6 months was associated with disease progression in TB-susceptible families. Resistant families on the other hand showed overrepresentation of IFN-γ +874 A allele and expansion of IFN-γ secreting cells at 6 months followed by contraction at 12 months. CONCLUSION:Six months may be an important checkpoint for biomarker assessment in high-risk individuals post-exposure.

journal_name

J Clin Immunol

authors

Hussain R,Talat N,Ansari A,Shahid F,Hasan Z,Dawood G

doi

10.1007/s10875-011-9566-y

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

913-23

issue

5

eissn

0271-9142

issn

1573-2592

journal_volume

31

pub_type

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