Artículo
Outbreaks of mycobacterium tuberculosis MDR strains induce high IL-17 T-cell response in patients with MDR tuberculosis that is closely associated with high antigen load
Registro en:
1537-6613
10.1093/infdis/jir460
Autor
Basile, Juan Ignacio
Geffner, Laura
Romero, María Mercedes
Balboa, Luciana
Sabio y García, Carmen Alejandra
Ritacco, Viviana
García, Ana
Cuffré, Mónica
Abbate, Eduardo
López, Beatriz
Barrera, Lucía
Ambroggi, Marta
Alemán, Mercedes
Sasiain, María C.
de la Barrera, Silvia
Resumen
Fil: Basile, Juan I. Academia Nacional de Medicina. Instituto de Investigaciones Hematológicas Mariano R. Castex; Argentina. Fil: Geffner, Laura J. Academia Nacional de Medicina. Instituto de Investigaciones Hematológicas Mariano R. Castex; Argentina. Fil: Romero, María M. Academia Nacional de Medicina. Instituto de Investigaciones Hematológicas Mariano R. Castex; Argentina. Fil: Balboa, Luciana. Academia Nacional de Medicina. Instituto de Investigaciones Hematológicas Mariano R. Castex; Argentina. Fil: Sabio y García, Carmen. Academia Nacional de Medicina. Instituto de Investigaciones Hematológicas Mariano R. Castex; Argentina. Fil: Ritacco, Viviana. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas; Argentina. Fil: García, Ana. Hospital Muñíz. Instituto de Tisioneumonologías; Argentina. Fil: Cuffré, Mónica. Hospital Muñíz. Instituto de Tisioneumonologías; Argentina. Fil: Abbate, Eduardo. Hospital Muñíz. Instituto de Tisioneumonologías; Argentina. Fil: López, Beatriz. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas; Argentina. Fil: Barrera, Lucía. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas; Argentina. Fil: Ambroggi, Marta. Hospital Muñíz. Instituto de Tisioneumonologías; Argentina. Fil: Alemán, Mercedes. Academia Nacional de Medicina. Instituto de Investigaciones Hematológicas Mariano R. Castex; Argentina. Fil: Sasiain, María C. Academia Nacional de Medicina. Instituto de Investigaciones Hematológicas Mariano R. Castex; Argentina. Fil: de la Barrera, Silvia S. Academia Nacional de Medicina. Instituto de Investigaciones Hematológicas Mariano R. Castex; Argentina. Background. The proinflammatory cytokine interleukin 17 (IL-17) plays an important role in immune responses
but it is also associated with tissue-damaging inflammation. So, we evaluated the ability of Mycobacterium tuberculosis
clinical isolates to induce IL-17 in tuberculosis (TB) patients and in healthy human tuberculin reactors (PPD1HD).
Methods. IL-17, interferon c (IFN-c), and interleukin 23 (IL-23) receptor expression were evaluated ex vivo
and cultured peripheral blood mononuclear cells from TB and PPD1HD stimulated with irradiated clinical isolates
from multidrug resistant (MDR) outbreaks M (Haarlem family) and Ra (Latin American–Mediterranean family), as
well as drug-susceptible isolates belonging to the same families and laboratory strain H37Rv for 48 hours in T-cell
subsets by flow cytometry.
Results. We observed that: (1) MDR strains M and Ra are stronger IL-17 inducers than drug-susceptible Mtb
strains of the Haarlem and Latin American–Mediterranean families, (2) MDR-TB patients show the highest IL-17
expression that is independent on the strain, (3) IL-17 expression is dependent on CD41 and CD81 T cells
associates with persistently high antigen load.
Conclusions. IL-17–producing T cells could play an immunopathological role in MDR-TB promoting severe
tissue damage, which may be associated with the low effectiveness of the second-line drugs employed in the treatment.