Waters W R, Nonnecke B J, Rahner T E, Palmer M V, Whipple D L, Horst R L
Bacterial Diseases of Livestock Research Unit, National Animal Disease Center, Agricultural Research Service, United States Department of Agriculture, Ames, Iowa 50010-0070, USA.
Clin Diagn Lab Immunol. 2001 Nov;8(6):1204-12. doi: 10.1128/CDLI.8.6.1204-1212.2001.
Historically, administration of vitamin D has been considered beneficial in the treatment of tuberculosis. The interaction of this vitamin [i.e., 1,25-dihdroxyvitamin D(3) [1,25(OH)(2)D(3)]] with the antitubercular immune response, however, is not clear. In the present study, in vitro recall responses of peripheral blood mononuclear cells (PBMC) from cattle infected with Mycobacterium bovis were used to study the immune-modulatory effects of 1,25(OH)(2)D(3) on M. bovis-specific responses in vitro. Addition of 1 or 10 nM 1,25(OH)(2)D(3) inhibited M. bovis-specific proliferative responses of PBMC from M. bovis-infected cattle, affecting predominantly the CD4(+) cell subset. In addition, 1,25(OH)(2)D(3) inhibited M. bovis-specific gamma interferon (IFN-gamma) production yet enhanced M. bovis-specific nitric oxide (NO) production. Lymphocyte apoptosis, measured by flow cytometry using annexin-V staining, was diminished by addition of 1,25(OH)(2)D(3) to PBMC cultures. These findings support the current hypothesis that 1,25(OH)(2)D(3) enhances mycobacterial killing by increasing NO production, a potent antimicrobial mechanism of activated macrophages, and suggest that 1,25(OH)(2)D(3) limits host damage by decreasing M. bovis-induced IFN-gamma production.
从历史上看,维生素D的给药一直被认为对结核病治疗有益。然而,这种维生素[即1,25-二羟基维生素D(3)[1,25(OH)₂D(3)]]与抗结核免疫反应之间的相互作用尚不清楚。在本研究中,利用感染牛分枝杆菌的牛外周血单个核细胞(PBMC)的体外回忆反应,研究1,25(OH)₂D(3)对体外牛分枝杆菌特异性反应的免疫调节作用。添加1或10 nM的1,25(OH)₂D(3)可抑制来自感染牛分枝杆菌的牛的PBMC的牛分枝杆菌特异性增殖反应,主要影响CD4⁺细胞亚群。此外,1,25(OH)₂D(3)抑制牛分枝杆菌特异性γ干扰素(IFN-γ)的产生,但增强牛分枝杆菌特异性一氧化氮(NO)的产生。通过使用膜联蛋白-V染色的流式细胞术检测淋巴细胞凋亡,向PBMC培养物中添加1,25(OH)₂D(3)可减少凋亡。这些发现支持了当前的假设,即1,25(OH)₂D(3)通过增加NO的产生来增强分枝杆菌的杀伤作用,这是活化巨噬细胞的一种有效的抗菌机制,并表明1,25(OH)₂D(3)通过减少牛分枝杆菌诱导的IFN-γ产生来限制宿主损伤。