Foxp3+ regulatory T cells among tuberculosis patients: impact on prognosis and restoration of antigen specific IFN-γ producing T cells

CD4(+)CD25(+)Foxp3(+) regulatory T cells (Treg) and programmed death-1 (PD-1) molecules have emerged as pivotal players in immune suppression of chronic diseases. However, their impact on the disease severity, therapeutic response and restoration of immune response in human tuberculosis remains uncl...

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Veröffentlicht in:PloS one 2012-09, Vol.7 (9), p.e44728-e44728
Hauptverfasser: Singh, Amar, Dey, Aparajita Ballave, Mohan, Anant, Sharma, Prabhat Kumar, Mitra, Dipendra Kumar
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Dey, Aparajita Ballave
Mohan, Anant
Sharma, Prabhat Kumar
Mitra, Dipendra Kumar
description CD4(+)CD25(+)Foxp3(+) regulatory T cells (Treg) and programmed death-1 (PD-1) molecules have emerged as pivotal players in immune suppression of chronic diseases. However, their impact on the disease severity, therapeutic response and restoration of immune response in human tuberculosis remains unclear. Here, we describe the possible role of Treg cells, their M. tuberculosis driven expansion and contribution of PD-1 pathway to the suppressive function of Treg cells among pulmonary tuberculosis (PTB) patients. Multicolor flow cytometry, cell culture, cells sorting and ELISA were employed to execute the study. Our results showed significant increase in frequency of antigen-reactive Treg cells, which gradually declined during successful therapy and paralleled with decline of M. tuberculosis-specific IL-10 along with elevation of IFN-γ production, and raising the IFN-γ/IL-4 ratio. Interestingly, persistence of Treg cells tightly correlated with MDR tuberculosis. Also, we show that blocking PD-1/PD-L1 pathway abrogates Treg-mediated suppression, suggesting that the PD-1/PD-L1 pathway is required for Treg-mediated suppression of the antigen-specific T cells. Treg cells possibly play a role in dampening the effector immune response and abrogating PD-1 pathway on Treg cells significantly rescued protective T cell response, suggesting its importance in immune restoration among tuberculosis patients.
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subjects Adult
Antigens
Apoptosis
Biology
CD25 antigen
CD4 antigen
CD4-Positive T-Lymphocytes - immunology
CD4-Positive T-Lymphocytes - metabolism
Cell culture
Chronic illnesses
Cytokines
Cytometry
Enzyme-Linked Immunosorbent Assay
Female
Flow Cytometry
Forkhead Transcription Factors - metabolism
Foxp3 protein
Gene expression
Human behavior
Humans
Immune response
Immune system
Immunology
Immunoregulation
Infectious diseases
Interferon
Interferon-gamma - metabolism
Interleukin 10
Interleukin 4
Interleukin-4 - metabolism
Lymphocytes
Lymphocytes T
Male
Medical prognosis
Medicine
Middle Aged
Mycobacterium tuberculosis
Patients
PD-1 protein
PD-L1 protein
Programmed Cell Death 1 Receptor - metabolism
Restoration
T cell receptors
T-Lymphocytes - immunology
T-Lymphocytes - metabolism
T-Lymphocytes, Regulatory - immunology
T-Lymphocytes, Regulatory - metabolism
Tropical diseases
Tuberculosis
Tuberculosis, Pulmonary - immunology
Tuberculosis, Pulmonary - metabolism
Tuberculosis, Pulmonary - pathology
Viral infections
Young Adult
γ-Interferon
title Foxp3+ regulatory T cells among tuberculosis patients: impact on prognosis and restoration of antigen specific IFN-γ producing T cells
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