Correlation of virulence, lung pathology, bacterial load and delayed type hypersensitivity responses after infection with different <i>Mycobacterium tuberculosis</i> genotypes in a BALB/c mouse model

Clinical and Experimental Immunology - Tập 137 Số 3 - Trang 460-468 - 2004
J. A. M. A. Dormans1, Marion Burger2, D Aguilar3, Rogelio Hernández‐Pando3, Kristin Kremer2, Paul Roholl4, Sandra M. Arend5, Dick van Soolingen2
1Laboratory for Toxicology, Pathology and Genetics, National Institute of Public Health and Environment (RIVM), Bilthoven, The Netherlands.
2Mycobacterial Reference Department, Diagnostic Laboratory for Infectious Diseases and Perinatal Screening, National Institute of Public Health and the Environment (RIVM), Bilthoven and
3Experimental Pathology Section, Department of Pathology, National Institute of Medical Sciences and Nutrition ‘Salvador Zubirán’, México
4Laboratory for Toxicology, Pathology and Genetics and
5Department of Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands and

Tóm tắt

SUMMARY One of the most intriguing aspects of tuberculosis is that the outcome of an infection with M. tuberculosis (TB) is highly variable between individuals. The possibility of differences in virulence between M. tuberculosis strains or genotypes has only recently been studied. There is evidence of multifactorial genetic predisposition in humans that influences the susceptibility to tuberculosis. A better understanding of differences in virulence between M. tuberculosis genotypes could be important with regard to the efforts at TB control and the development of improved antituberculosis vaccines. Survival, lung pathology, bacterial load and delayed type hypersensitivity (DTH) responses of BALB/c mice after intratracheal infection with any of 19 different M. tuberculosis complex strains of 11 major genotype families were studied. The results indicate that among genetically different M. tuberculosis strains a very broad response was present with respect to virulence, pathology, bacterial load and DTH. ‘Low’-responders were the H37Rv, Canetti, Beijing-1 strains, while Beijing-2,3, Africa-2 and Somalia-2 strains were ‘high’-responders. A severe pathological response correlates with a high mortality and a high CFU counts in lungs, but poorly with the degree of the DTH response.

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Tài liệu tham khảo

Delves, 1998, Encyclopaedia of immunology, 2nd, 1793

Mandell, 1995, Mandell, Douglas, Bennett's Principles and Practice of Infectious Disease, 4th, 2213

Bloom, 1992, Tuberculosis commentary on a re-emergent killer, Science, 257, 1055, 10.1126/science.257.5073.1055

Bellamy, 1998, Variation in the NRAMP1 gene and susceptibility to tuberculosis in west-Africans, N Engl J Med, 338, 640, 10.1056/NEJM199803053381002

Collins, 1989, Mycobacterial disease, immunosuppression and acquired immuno–deficiency syndrome, Clin Microbiol Rev, 2, 360, 10.1128/CMR.2.4.360

Houk, 1968, The epidemiology of tuberculosis infection in a closed environment, Arch Environ Health, 16, 26, 10.1080/00039896.1968.10665011

Nardell, 1989, Tuberculosis in homeless, residential case facilities, prisons, nursing homes, and other close communities, Semin Respir Infect, 4, 206

Hernández Pando, 1997, Pathogenesis of tuberculosis in mice exposed to low and high doses of an environmental mycobacterial saprophyte before infection, Infect Immun, 65, 3317, 10.1128/iai.65.8.3317-3327.1997

Hill, 1998, The immunogenetics of human infectious diseases, Ann Rev Immunol, 16, 593, 10.1146/annurev.immunol.16.1.593

Stead, 1992, Genetics and resistance to tuberculosis. Could resistance be enhanced by genetic engineering?, Ann Intern Med, 116, 937, 10.7326/0003-4819-116-11-937

Bellamy, 1999, The natural resistance-associated macrophage protein and susceptibility to intracellular pathogens, Microbes Infect, 1, 23, 10.1016/S1286-4579(99)80010-0

El Baghdadi, 2003, Variants of the human NRAMP1 gene and susceptibility to tuberculosis in Morocco, Int J Tuberc Lung Dis, 7, 599

Lopez, 2003, A marked difference in pathogenesis and immune response induced by different Mycobacterium tuberculosis strains, Clin Exp Immunol, 133, 30, 10.1046/j.1365-2249.2003.02171.x

Dale, 2003, Evolutionary relationships among strains of Mycobacterium tuberculosis with few copies of IS6110, J Bacteriol, 185, 2555, 10.1128/JB.185.8.2555-2562.2003

Fang, 1998, IS6110 transposition and evolutionary scenario of the direct repeat locus in a group of closely related Mycobacterium tuberculosis strains, J Bacteriol, 180, 2102, 10.1128/JB.180.8.2102-2109.1998

Glynn, 2002, Worldwide occurrence of Beijing/W strains of Mycobacterium tuberculosis: a systematic review, Emerging Inf Dis, 8, 843, 10.3201/eid0805.020002

Van Soolingen, 1995, Comparison of various repetitive DNA elements as genetic markers for strain differentiation and epidemiology of Mycobacterium tuberculosis, J Clin Microbiol, 33, 3234, 10.1128/jcm.33.12.3234-3238.1995

Kremer, 1999, Comparison of methods based on different molecular epidemiological markers for typing of Mycobacterium tuberculosis complex strains: interlaboratory study of discriminatory power and reproducibility, J Clin Microbiol, 37, 2607, 10.1128/JCM.37.8.2607-2618.1999

Van Soolingen, 1991, Occurrence and stability of insertion sequences in Mycobacterium tuberculosis complex strains: evaluation of an insertion sequence-dependent DNA polymorphism as a tool in the epidemiology of tuberculosis, J Clin Microbiol, 29, 2578, 10.1128/jcm.29.11.2578-2586.1991

Van Soolingen, 1995, Predominance of a single genotype of Mycobacterium tuberculosis in countries of East Asia, J Clin Microbiol, 33, 3234, 10.1128/jcm.33.12.3234-3238.1995

Van Soolingen, 1997, A novel pathogenic taxon of the Mycobacterium tuberculosis complex, Canetti: characterization of an exceptional isolate from Africa, Int J Sys Bacteriol, 47, 1236, 10.1099/00207713-47-4-1236

Kramnik, 2000, Genetic control of resistance to experimental infection with virulent Mycobacterium tuberculosis, Proc Nat Acad Sci, 97, 8560, 10.1073/pnas.150227197

Chan, 1992, Killing of virulent Mycobacterium tuberculosis by reactive nitrogen intermediates produced by activated macrophages, J Exp Med, 175, 1111, 10.1084/jem.175.4.1111

MacMicking, 1997, Nitric oxide and macrophage function, Ann Rev Immunol, 15, 323, 10.1146/annurev.immunol.15.1.323

Youmans, 1946, A method for determination of the culture cycle and the growth rate of virulent human type tubercle bacilli, J Bacteriol, 51, 703, 10.1128/jb.51.6.703-710.1946

Lawrence, 1994, Tuberculosis. Pathogenesis, Protection and Control, 73

Lammas, 2002, Heterogenity in the granulomatous resonse to mycobacterial infection in patients with defined genetic mutations in the inteleukin 12-dependent interferon-gamma production pathway, Int J Pathol, 83, 1, 10.1046/j.1365-2613.2002.00216.x

Stenger, 1998, An antimicrobial activity of cytolytic T cells mediated by granulysin, Science, 282, 121, 10.1126/science.282.5386.121

Seah, 2000, Type 2 cytokine gene activation and its relationship to extend of disease in patients with tuberculosis, J Infect Dis, 181, 385, 10.1086/315200

Wangoo, 2001, Contribution of Th1 and Th2 cells to protection and pathology in experimental models of granulomatous disease, J Immunol, 166, 3432, 10.4049/jimmunol.166.5.3432

Hernández Pando, 1996, Correlation between kinetics of Th1/Th2 cells and pathology in a murine model of experimental pulmonary tuberculosis, Immunology, 89, 26

Hernández Pando, 1997, Analysis of the local kinetics and localization of interleukin 1α, tumor necrosis factor α and transforming growth factor β during the course of experimental pulmonary tuberculosis, Immunology, 90, 607, 10.1046/j.1365-2567.1997.00193.x

Hernandez Pando, 2001, Expression of inducible nitric oxide synthase and nitrotyrosine during the evolution of experimental pulmonary tuberculosis, Exp Toxicol Pathol, 53, 257, 10.1078/0940-2993-00182

Manabe, 2003, Different Strains of Mycobacterium tuberculosis Cause Various Spectrums of Disease in the Rabbit Model of Tuberculosis, Infect Immun, 71, 6004, 10.1128/IAI.71.10.6004-6011.2003