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Published on: November 5, 2019
Gamma delta T lymphocytes and proinflammatory cytokines in bacterial meningitis
S Raziuddin1, N A Mir, el-Awad M el-H
1Department of Clinical Immunology, King Saud University, College of Medicine, Abha, Saudi Arabia.
Background:
Patients with bacterial meningitis have a T-cell defect and impaired cytokine production.
Methods:
The phenotype and percentage of circulating alpha beta and gamma delta T-cell receptor-bearing lymphocytes were determined from patients with bacterial meningitis (Haemophilus influenzae, Streptococcus pneumoniae, and Neisseria meningitidis), patients with bacterial infection but without meningitis, and healthy control subjects by a monoclonal antibody staining method. The in vitro production of cytokines, interleukins (IL-2, IL-6), interferon-gamma and tumor necrosis factor-alpha was measured by the bioassay or ELISAs.
Results:
The percentage of circulating gamma delta T cells with a CD3+CD4+CD8- phenotype was significantly (p < 0.001) increased in all patients with bacterial meningitis compared with patients with bacterial infection and healthy control subjects. The CD3+ gamma delta T cells from patients with meningitis produced highly elevated levels of two proinflammatory cytokines, tumor necrosis factor-alpha and IL-6. However, interferon-gamma production was enhanced by CD3+ alpha beta T cells.
Conclusion:
The increased percentage of circulating T-cell receptor gamma delta T cells and their in vitro production of tumor necrosis factor-alpha and IL-6 cytokines may play an important role in the pathogenesis and inflammatory response in bacterial meningitis.
Insights
Bacterial meningitis patients show increased gamma delta T cells, which produce inflammatory cytokines tumor necrosis factor-alpha and IL-6. This may drive the disease
Area of Science:
- Immunology
- Infectious Diseases
- Cell Biology
Background:
- Bacterial meningitis is associated with T-cell defects.
- Impaired cytokine production is observed in patients.
Purpose of the Study:
- To investigate T-cell receptor phenotypes in bacterial meningitis.
- To analyze cytokine production in T cells from meningitis patients.
Main Methods:
- Monoclonal antibody staining determined T-cell receptor phenotypes (alpha beta and gamma delta).
- Cytokine production (IL-2, IL-6, interferon-gamma, TNF-alpha) was measured via bioassay/ELISAs.
- Compared patients with bacterial meningitis, bacterial infection, and healthy controls.
Main Results:
- A significant increase in circulating gamma delta T cells (CD3+CD4+CD8-) was found in bacterial meningitis patients.
- Gamma delta T cells from meningitis patients produced elevated levels of TNF-alpha and IL-6.
- Alpha beta T cells showed enhanced interferon-gamma production.
Conclusions:
- Increased circulating gamma delta T cells and their cytokine production (TNF-alpha, IL-6) are implicated in bacterial meningitis pathogenesis.
- These findings highlight the role of T cells in the inflammatory response to bacterial meningitis.
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