Natural killer-cell-mediated and antibody-dependent cellular cytotoxicity in leprosy

S V Chiplunkar1, M V Deshmukh, P D Samson

  • 1Cancer Research Institute, Tata Memorial Centre, Bombay, India.

Insights

Leprosy patients exhibit reduced natural killer (NK) cell and antibody-dependent cellular cytotoxicity (ADCC). However, these immune functions in lepromatous leprosy patients can be improved with lymphokine treatments like IL-2 and IFN-alpha.

Area of Science:

  • Immunology
  • Cellular Biology
  • Infectious Diseases

Background:

  • Leprosy, a chronic infectious disease, significantly impacts the immune system.
  • Natural killer (NK) cells and antibody-dependent cellular cytotoxicity (ADCC) are crucial for immune defense.
  • Understanding immune cell function in leprosy patients is vital for developing effective treatments.

Purpose of the Study:

  • To evaluate NK cell-mediated cytotoxicity and ADCC in leprosy patients.
  • To assess the impact of multidrug therapy (MDT) on these immune functions.
  • To investigate the potential of lymphokines (IL-2, IFN-alpha) to enhance immune responses in leprosy.

Main Methods:

  • Peripheral blood lymphocytes (PBL) were analyzed from untreated lepromatous leprosy (LL), multidrug therapy (MDT)-treated LL (MDT-R, MDT-NR), treated tuberculoid leprosy (TT) patients, and healthy donors.
  • NK cytotoxicity and ADCC were measured.
  • PBL were treated with recombinant interferon-alpha (IFN-alpha) and interleukin-2 (IL-2) to assess modulation of NK activity.

Main Results:

  • Untreated LL patients and MDT-treated LL patients showed significantly lower NK cytotoxicity compared to TT patients and healthy donors.
  • ADCC activity was reduced in untreated LL patients but normal in TT patients.
  • IL-2 and IFN-alpha enhanced NK cytotoxicity in most LL and some TT patients, indicating lymphokine responsiveness.

Conclusions:

  • Lepromatous leprosy is associated with impaired NK cell and ADCC functions.
  • While MDT improves some immune parameters, LL patients exhibit persistent deficits in cytotoxicity.
  • Lymphokine therapy holds promise for restoring NK cell activity in leprosy patients.

Related Concept Videos

Cell-mediated Immune Responses01:40

Cell-mediated Immune Responses

Overview
Cells of the Innate Immune Response01:28

Cells of the Innate Immune Response

The innate immune response is an immediate and non-specific response against pathogens, acting swiftly to prevent the spread of infections. The primary cells involved in this response are phagocytes and natural killer (NK) cells.
Phagocytes
Phagocytes police the peripheral tissues by removing cellular debris and responding to the invasion of foreign substances or pathogens. Many phagocytes attack and remove microorganisms even before lymphocytes detect them. The human body has two general...
Immune Surveillance by NK Cells and Phagocytes01:25

Immune Surveillance by NK Cells and Phagocytes

Immune surveillance is an integral part of the innate immune system, involving the continuous monitoring of peripheral tissues to detect and respond to pathogens, infected cells, or cancerous cells. This surveillance is conducted primarily by natural killer (NK) cells and phagocytes, which employ distinct but complementary mechanisms to identify and eliminate threats.
Natural Killer Cells: The Fast Responders
NK cells are large granular lymphocytes found in the blood and lymphatic system. These...
Cytotoxic T Cells-mediated Immune Response01:27

Cytotoxic T Cells-mediated Immune Response

Cytotoxic T cells are a vital component of the immune system. They have the remarkable ability to identify and target antigens on infected or abnormal cells. These antigens often originate from intracellular pathogens such as viruses or abnormal proteins cancer cells produce.
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
Defense Against Bacterial Pathogens01:31

Defense Against Bacterial Pathogens

The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Immune Response Against Viral Pathogens01:29

Immune Response Against Viral Pathogens

The immune system's response to viral infections is a complex and coordinated process involving natural killer (NK) cells, T cell-mediated responses, and antibody-mediated responses.
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...