Tatano Yutaka, Sano Chiaki, Emori Masako, Saito Hajime, Sato Katsumasa, Shimizu Toshiaki, Tomioka Haruaki
Department of Microbiology and Immunology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Nihon Hansenbyo Gakkai Zasshi. 2012 Sep;81(3):175-83. doi: 10.5025/hansen.81.175.
Patients with highly bacillated lepromatous leprosy (LL) essentially lack T cell-mediated immune responses specific to Mycobacterium leprae (ML) antigens, resulting in severely impaired host resistance to leprosy bacilli. Such type of immune unresponsiveness characteristic of LL patients is mainly attributable to markedly depressed T cell ability to activate/expand in response to ML antigens. In this study, we examined profiles of antimycobacterial activity of macrophages, which phagocytized leprosy bacilli, because there is another possibility that, in LL patients, host macrophages in the leprosy lesions are impaired in their antimicrobial activity due to their interaction with infected leprosy bacilli, particularly cellular events through binding with and/or internalization of the pathogens, thereby causing the reduction in host resistance to ML pathogens. The present study indicated the following. First, the anti-M. avium complex activity of murine peritoneal macrophages was significantly reduced when they had phagocytosed heat-killed leprosy bacilli. Second, infection of macrophages with leprosy bacilli did not affect macrophage-mediated suppressor activity against T cell proliferative response to Concanavalin A. These findings indicate that macrophage's intracellular signaling pathways that are up-regulated in response to phagocytosis of leprosy bacilli are linked to the signaling cascades participating in macrophage antimicrobial functions, but not cross-talk with those allowing the expression of macrophage's suppressor activity against T cell functions.
高菌量瘤型麻风(LL)患者基本上缺乏针对麻风分枝杆菌(ML)抗原的T细胞介导的免疫反应,导致宿主对麻风杆菌的抵抗力严重受损。LL患者这种免疫无反应性的特征主要归因于T细胞对ML抗原反应时激活/扩增能力的显著降低。在本研究中,我们检测了吞噬麻风杆菌的巨噬细胞的抗分枝杆菌活性谱,因为存在另一种可能性,即在LL患者中,麻风病损中的宿主巨噬细胞由于与感染的麻风杆菌相互作用,特别是通过与病原体结合和/或内化的细胞事件,其抗菌活性受损,从而导致宿主对ML病原体的抵抗力降低。本研究表明如下情况。第一,当小鼠腹膜巨噬细胞吞噬热灭活的麻风杆菌后,其抗鸟分枝杆菌复合群活性显著降低。第二,用麻风杆菌感染巨噬细胞并不影响巨噬细胞介导的对T细胞对刀豆球蛋白A增殖反应的抑制活性。这些发现表明,巨噬细胞在吞噬麻风杆菌后上调的细胞内信号通路与参与巨噬细胞抗菌功能的信号级联相关,但不与那些允许巨噬细胞表达对T细胞功能抑制活性的信号通路相互作用。