Pulmonary tuberculosis patients with a vitamin D deficiency demonstrate low local expression of the antimicrobial peptide LL-37 but enhanced FoxP3+ regulatory T cells and IgG-secreting cells

Copyright © 2014. Published by Elsevier Inc.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 156(2015), 2 vom: 02. Feb., Seite 85-97
1. Verfasser: Rahman, Sayma (VerfasserIn)
Weitere Verfasser: Rehn, Anders, Rahman, Jubayer, Andersson, Jan, Svensson, Mattias, Brighenti, Susanna
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2015
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Research Support, Non-U.S. Gov't Antimicrobial peptide B cell Human Lung T cell Tuberculosis Antigens, CD20 Antimicrobial Cationic Peptides mehr... FOXP3 protein, human Forkhead Transcription Factors IL10 protein, human Immunoglobulin G Interleukins Interleukin-10 130068-27-8 25-Hydroxyvitamin D 2 21343-40-8 interleukin-21 MKM3CA6LT1 Calcifediol P6YZ13C99Q Cathelicidins
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245 1 0 |a Pulmonary tuberculosis patients with a vitamin D deficiency demonstrate low local expression of the antimicrobial peptide LL-37 but enhanced FoxP3+ regulatory T cells and IgG-secreting cells 
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520 |a Control of human tuberculosis (TB) requires induction and maintenance of both macrophage and T cell effector functions. We demonstrate that pulmonary TB patients with a vitamin D deficiency had significantly reduced local levels of the vitamin D-inducible antimicrobial peptide LL-37 in granulomatous lesions compared to distal parenchyma from the infected lung. Instead, TB lesions were abundant in CD3(+) T cells and FoxP3(+) regulatory T cells as well as IgG-secreting CD20(+) B cells, particularly in sputum-smear positive patients with cavitary TB. Mycobacteria-specific serum IgG titers were also elevated in patients with active TB. An up-regulation of the B cell stimulatory cytokine IL-21 correlated with mRNA expression of CD20, total IgG and also IL-10 in the TB lesions. Altogether, vitamin D-deficient TB patients expressed a weak antimicrobial response but an IL-21 associated expansion of IgG-secreting B cells combined with a rise in FoxP3(+) regulatory T cells at the local site of infection 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a Antimicrobial peptide 
650 4 |a B cell 
650 4 |a Human 
650 4 |a Lung 
650 4 |a T cell 
650 4 |a Tuberculosis 
650 7 |a Antigens, CD20  |2 NLM 
650 7 |a Antimicrobial Cationic Peptides  |2 NLM 
650 7 |a FOXP3 protein, human  |2 NLM 
650 7 |a Forkhead Transcription Factors  |2 NLM 
650 7 |a IL10 protein, human  |2 NLM 
650 7 |a Immunoglobulin G  |2 NLM 
650 7 |a Interleukins  |2 NLM 
650 7 |a Interleukin-10  |2 NLM 
650 7 |a 130068-27-8  |2 NLM 
650 7 |a 25-Hydroxyvitamin D 2  |2 NLM 
650 7 |a 21343-40-8  |2 NLM 
650 7 |a interleukin-21  |2 NLM 
650 7 |a MKM3CA6LT1  |2 NLM 
650 7 |a Calcifediol  |2 NLM 
650 7 |a P6YZ13C99Q  |2 NLM 
650 7 |a Cathelicidins  |2 NLM 
700 1 |a Rehn, Anders  |e verfasserin  |4 aut 
700 1 |a Rahman, Jubayer  |e verfasserin  |4 aut 
700 1 |a Andersson, Jan  |e verfasserin  |4 aut 
700 1 |a Svensson, Mattias  |e verfasserin  |4 aut 
700 1 |a Brighenti, Susanna  |e verfasserin  |4 aut 
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