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Updated: Aug 4, 2026

Enzyme-linked Immunospot Assay (ELISPOT): Quantification of Th-1 Cellular Immune Responses Against Microbial Antigens
Published on: November 23, 2010
Specific in vitro proliferative immune responses and lymphokine production in Ethiopian children with and without
1Kaplan Hospital, Kaplan Medical Center, Rehovot, Israel.
Insights
Ethiopian children with tuberculosis (TB) show a robust cellular immune response, indicated by positive Mantoux tests and specific cytokine profiles. This suggests an effective Th1-type immune response to mycobacteria in this population.
Area of Science:
- Immunology
- Infectious Diseases
- Public Health
Background:
- Cellular immune responses are crucial in combating tuberculosis (TB).
- Understanding these responses in Ethiopian children is vital due to the region's TB burden.
- Previous studies have not fully characterized the in vitro immune profiles in Ethiopian pediatric TB cases.
Purpose of the Study:
- To investigate in vitro cellular immune responses in Ethiopian children and young adults with and without TB.
- To compare these responses with healthy Ethiopian and non-Ethiopian controls.
- To analyze cytokine profiles (IL-2, IFN-gamma, IL-4, IL-6) in response to purified protein derivative (PPD) stimulation.
Main Methods:
- Peripheral blood mononuclear cells (PBMC) from Ethiopian children with TB, healthy Ethiopian contacts, healthy Ethiopians, and non-Ethiopian controls were analyzed.
- In vitro proliferative responses to PPD were measured.
- Cytokine levels (IL-2, IFN-gamma, IL-4, IL-6) were quantified using ELISA assays on PBMC supernatants after PPD stimulation.
Main Results:
- Ethiopian children with TB and TB contacts had positive Mantoux skin tests.
- PBMC proliferative response to PPD was significantly higher in Ethiopian children with TB compared to those without TB.
- PPD stimulation significantly increased Interleukin-2 (IL-2) levels in Ethiopian children with TB compared to other groups; Interleukin-4 (IL-4) and Interleukin-6 (IL-6) showed no significant increase.
Conclusions:
- Ethiopian children with TB demonstrate a strong cellular immune response, characterized by positive Mantoux tests and limited IL-4 and IL-6 production.
- The observed immune profile suggests an effective Th1-type cellular immune response to mycobacteria in young Ethiopians with TB.
- These findings contribute to understanding TB pathogenesis and immune evasion strategies in endemic settings.
Unlabelled:
We investigated the profile of some in vitro parameters of cellular immune responses in non-HIV-infected Ethiopian children and young adults with and without tuberculosis (TB) as compared to healthy Ethiopian and non-Ethiopian controls. The in vitro proliferative responses of peripheral blood mononuclear cells (PBMC) to purified protein derivative (PPD) were determined in 15 Ethiopian children and young adults with TB, 12 healthy Ethiopian children who were contacts of TB patients, 20 Ethiopian children without contact with TB and ten non-Ethiopian controls. All TB patients and contacts had a positive Mantoux skin test. The PBMC proliferative response to PPD of the Ethiopian children with TB was significantly higher than that of the Ethiopian children without TB, while all Ethiopian children demonstrated stronger proliferative response as compared to non-Ethiopian healthy controls. Interleukin 2 (IL-2), interferon gamma (IFN-gamma), interleukin 4 (IL-4) and interleukin 6 (IL-6) were measured by ELISA assays performed on the supernatant of PPD-stimulated and non-stimulated PBMC cultures of seven Ethiopian children with TB, ten Ethiopian children without TB and eight non-Ethiopian controls. IFN-gamma and IL-4 were undetectable and IL-2 levels in unstimulated supernatants were low in all groups. PPD stimulation induced a significant rise in IL-2 levels in Ethiopians with TB as compared to all other groups. There was no increase above baseline in IL-6 levels in any group studied.
Conclusions:
Ethiopian children with TB exhibit a strong cellular immune response as expressed by Mantoux tests and lack of stimulation of IL-4 and IL-6 production. This pattern suggests a Th1 type effective cellular immune response to mycobacteria in a cohort of young Ethiopians with TB.
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