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Published on: March 8, 2012
The immune characterization of interferon-β responses in tuberculosis patients
Xiao Zhang1, Yi Sun2, Caiyun He1
1State Key Laboratory of Oncology in South China, Department of Molecular Diagnostics, Sun Yat-Sen University Cancer Center, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Insights
Tuberculosis pleurisy involves spontaneous expression of IFN-β, IL-17, and IFN-γ in pleural fluid cells. Interferon-beta (IFN-β) suppresses IL-17 while boosting IFN-γ, suggesting caution in IFN-β targeted tuberculosis treatments.
Area of Science:
- Immunology
- Infectious Diseases
- Respiratory Medicine
Background:
- Tuberculous pleurisy is an inflammatory condition affecting the pleural space.
- The roles of key cytokines like Interferon-beta (IFN-β), Interferon-gamma (IFN-γ), and Interleukin-17 (IL-17) in tuberculous pleurisy are not fully understood.
- Understanding immune responses is crucial for developing effective anti-tuberculosis strategies.
Purpose of the Study:
- To investigate the immunoregulatory effects of IFN-β in patients with tuberculous pleurisy.
- To analyze the expression levels and correlations of IFN-β, IFN-γ, and IL-17 in pleural fluid.
- To determine the impact of IFN-β on IL-17 and IFN-γ production in this context.
Main Methods:
- Detection of IFN-β, IFN-γ, and IL-17 expression in pleural fluid mononuclear cells (PFMC) from tuberculous effusions and peripheral blood mononuclear cells (PBMC) from healthy donors.
- Analysis of cytokine expression following exogenous IFN-β stimulation of PFMC.
- Assessment of cytokine regulation using IFN-β and IFN-γ neutralizing antibodies in bacillus Calmette-Guérin (BCG)-stimulated PFMC.
Main Results:
- Freshly isolated PFMC from tuberculous pleurisy spontaneously expressed IFN-β, IL-17, and IFN-γ, unlike PBMC from healthy individuals.
- Exogenous IFN-β inhibited IL-17 expression but enhanced IFN-γ production in PFMC.
- Neutralization of endogenous IFN-β led to increased IL-17 and decreased IFN-γ, while IFN-γ neutralization increased IL-17 production.
Conclusions:
- IFN-β plays a significant immunoregulatory role in tuberculous pleurisy, suppressing IL-17 and promoting IFN-γ.
- Both IFN-β and IFN-γ contribute to the down-regulation of IL-17.
- These findings highlight the complex interplay of cytokines and suggest caution is needed when considering IFN-β inhibition as an anti-tuberculosis therapeutic approach.
Abstract:
We aimed to assess the immunoregulatory effects of IFN-β in patients with tuberculous pleurisy. IFN-β, IFN-γ and IL-17 expression levels were detected, and correlations among these factors in different culture groups were analyzed. Pleural fluid mononuclear cells (PFMC) from tuberculous pleural effusions, but not peripheral blood mononuclear cells (PBMC) from healthy donors, spontaneously expressed IFN-β, IL-17 and IFN-γ. Moreover, exogenous IFN-β significantly inhibited the expression of IL-17 in PFMC. By contrast, IFN-β simultaneously enhanced the levels of IFN-γ. To further investigate the regulation of IL-17 and IFN-γ by endogenous IFN-β, an IFN-β neutralizing antibody was simultaneously added to bacillus Calmette-Guérin (BCG)-stimulated PFMC. IL-17 expression was significantly increased, but IFN-γ production was markedly decreased in the experimental group supplemented with the IFN-β neutralizing antibody. Simultaneously, IL-17 production was remarkably increased in the experimental group supplemented with the IFN-γ neutralizing antibody. Taken together, in our study, we first found that freshly isolated PFMC, but not PBMC from healthy donors, spontaneously expressed IFN-β, IL-17 and IFN-γ in vivo. Moreover, IFN-β suppressed IL-17 expression and increased IFN-γ production. Furthermore, both IFN-β and IFN-γ down-regulated IL-17 expression. These observations suggest that caution is required when basing anti-tuberculosis treatment on the inhibition of IFN-β signaling.
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