Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.
Department of Surgery, Ray Rajotte Surgical-Medical Research Institute, Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada.
PLoS One. 2018 Sep 11;13(9):e0203822. doi: 10.1371/journal.pone.0203822. eCollection 2018.
This study characterized the immune responses in early Mycobacterium tuberculosis (Mtb) H37Ra infection of human peripheral blood mononuclear cell (PBMC)-collagen matrix culture and the impact of Bacille Calmette-Guérin (BCG) vaccination history of donor PBMCs on the immune responses to Mtb infection. Aggregates of PBMCs were initially observed on day 3 and the size of aggregates continued to increase on day 8 post-infection, where macrophages and T cell subsets were identified to be present. Similarly, mycobacterial load progressively increased in infected PBMCs during the 8 days of culture but were significantly lower in infected PBMCs from BCG vaccinated (BCG+) donors compared to unvaccinated (BCG-) donors. The levels of INF-γ, TNF-α, IL-4, IL-6, IL-10 and IL-17 in the supernatants of Mtb-infected PBMCs peaked at day 3 and decreased on days 5 and 8. The levels of these cytokines except IL-10 were significantly lower in Mtb-infected PBMCs from BCG+ donors compared to infected PBMCs from BCG- donors. The percentages of activated naïve Th cells, activated effector memory Th cells and activated central memory Tc cells were significantly higher in Mtb-infected PBMCs compared to uninfected PBMCs at day 8 post-infection. Further, the proportion of activated central memory Tc cells was significantly higher in infected PBMCs from BCG+ donors compared to the BCG- donors. This study highlights the possibility that BCG vaccination may confound results that utilize human PBMCs to study Mtb infection.
本研究对人外周血单核细胞(PBMC)-胶原基质培养中早期结核分枝杆菌(Mtb)H37Ra 感染的免疫反应进行了特征描述,并探讨了供体 PBMC 的卡介苗(BCG)接种史对 Mtb 感染免疫反应的影响。在感染后第 3 天,首先观察到 PBMC 聚集,并且在感染后第 8 天,聚集物的大小继续增加,其中鉴定出存在巨噬细胞和 T 细胞亚群。同样,在 8 天的培养过程中,感染的 PBMC 中的分枝杆菌负荷逐渐增加,但与未接种疫苗(BCG-)的供体相比,接种疫苗(BCG+)的供体感染的 PBMC 中的分枝杆菌负荷明显较低。在 Mtb 感染的 PBMC 上清液中,INF-γ、TNF-α、IL-4、IL-6、IL-10 和 IL-17 的水平在感染后第 3 天达到峰值,并在第 5 天和第 8 天下降。与 BCG-供体的 Mtb 感染的 PBMC 相比,BCG+供体的 Mtb 感染的 PBMC 中这些细胞因子(除 IL-10 外)的水平明显较低。在感染后第 8 天,与未感染的 PBMC 相比,Mtb 感染的 PBMC 中幼稚 Th 细胞、激活的效应记忆 Th 细胞和激活的中央记忆 Tc 细胞的激活百分比明显更高。此外,与 BCG-供体相比,BCG+供体的感染的 PBMC 中激活的中央记忆 Tc 细胞的比例明显更高。本研究强调了 BCG 接种可能会干扰利用人 PBMC 研究 Mtb 感染的结果的可能性。
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