Life and death in the granuloma: immunopathology of tuberculosis.

Abstract:

:During tuberculosis (TB) infection, the granuloma provides the microenvironment in which antigen-specific T cells colocate with and activate infected macrophages to inhibit the growth of Mycobacterium tuberculosis. Although the granuloma is the site for mycobacterial killing, virulent mycobacteria have developed a variety of mechanisms to resist this macrophage-mediated killing. These surviving mycobacteria become dormant, however, if host cellular immunity or the signals maintaining granuloma structure wane, or if mycobacteria resume replication, leading to reactivation of TB. This balance of life and death applies not only to the mycobacterium but also to the host macrophages that may undergo apoptosis or necrosis, leading to the characteristic caseous necrosis within the granuloma, and the potential spread of TB infection. The immunological factors controlling the development and maintenance of the granuloma will be reviewed.

journal_name

Immunol Cell Biol

authors

Saunders BM,Britton WJ

doi

10.1038/sj.icb.7100027

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

103-11

issue

2

eissn

0818-9641

issn

1440-1711

pii

7100027

journal_volume

85

pub_type

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