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Updated: Aug 8, 2026

Isolation and Activation of Murine Lymphocytes
Published on: October 30, 2016
Memory lymphocytes from tuberculous effusions: purified protein derivative (PPD) stimulates accelerated activation
P T Lukey1, S E Latouf, S R Ress
1Department of Medicine, University of Cape Town and Groote Schuur Hospital, Observatory, Republic of South Africa.
Insights
Tuberculosis effusions contain memory T cells in a post-activation state, leading to accelerated immune responses. This explains the faster PPD reactivity observed in these cells compared to peripheral blood.
Area of Science:
- Immunology
- Cellular Biology
- Infectious Diseases
Background:
- Previous studies reported accelerated PPD-specific proliferation and CD4+ cytotoxic effector generation by mononuclear leukocytes (MNL) from tuberculous effusions (EMNL).
- The contribution of MNL activation state to this accelerated reactivity requires further investigation.
Purpose of the Study:
- To explore the role of MNL activation state in accelerated immune responses in tuberculosis.
- To compare the activation status and cell cycle progression of EMNL and peripheral blood MNL (PBMNL) ex vivo and after PPD stimulation.
Main Methods:
- Flow cytometry was used to assess MNL activation markers (IL-2 receptor, HLA-DR), cell cycle progression, and T cell subsets (CD4+ CD29+ memory T cells).
- EMNL and PBMNL from seven tuberculosis patients were analyzed ex vivo and after in vitro PPD stimulation.
Main Results:
- Ex vivo, no differences in activation state or cell cycle progression were observed between EMNL and PBMNL.
- EMNL showed an accumulation of CD4+ CD29+ memory T cells compared to PBMNL.
- PPD stimulation led to accelerated expression of activation markers and cell cycle progression in EMNL (peak at 4 days) versus PBMNL (peak at 7 days).
- Accelerated reactivity was linked to a qualitative difference, with effusion memory T cells in a post-activation state, not quantitative differences.
Conclusions:
- Effusion CD4+ CD29+ memory T cells are in a post-activation state of differentiation, contributing to accelerated PPD reactivity.
- Accelerated immune responses in tuberculous effusions are associated with activated memory T cells in a post-activation state.
- This qualitative difference in memory T cells may account for the enhanced PPD reactivity observed in tuberculous effusions.
Abstract:
Accelerated PPD-specific proliferation and generation of CD4+ cytotoxic effectors by mononuclear leucocytes (MNL) from tuberculous effusions (EMNL) has been previously reported by our laboratory. In order to explore the contribution of the state of activation of MNL to accelerated reactivity, EMNL and peripheral blood (PB)MNL from seven patients with tuberculosis were assessed both ex vivo and after PPD stimulation. Flow cytometry revealed no difference in the activation state (IL-2 receptor and HLA-DR expression) or cell cycle progression ex vivo. However, CD4+ CD29+ memory T cells were accumulated in EMNL compared with PBMNL. In vitro stimulation of EMNL with PPD resulted in accelerated expression of activation markers and progression through the cell cycle (peak after 4 days), whilst PBMNL exhibited normal activation kinetics (peak after 7 days). Accelerated reactivity could not be accounted for by quantitative differences in effusion CD4+ CD29+ memory T cells compared with blood, but may be due to a qualitative difference in effusion memory T cells, which are shown to be in a postactivation state of differentiation. T cells entering S and G2/M phases of the cell cycle were largely of the activated memory phenotype. Activation marker expression occurred in association with up-regulation of CD4 antigen expression on the surface of EMNL. Thus accelerated expression of activation markers and cell cycle progression by CD4+ CD29+ memory T cells may in part account for accelerated PPD reactivity in tuberculous effusions.
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