13 research outputs found

    ESX1-dependent fractalkine mediates chemotaxis and Mycobacterium tuberculosis infection in humans

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    SummaryMycobacterium tuberculosis-induced cellular aggregation is essential for granuloma formation and may assist establishment and early spread of M. tuberculosis infection. The M. tuberculosis ESX1 mutant, which has a non-functional type VII secretion system, induced significantly less production of the host macrophage-derived chemokine fractalkine (CX3CL1). Upon infection of human macrophages ESX1-dependent fractalkine production mediated selective recruitment of CD11b+ monocytic cells and increased infection of neighbouring cells consistent with early local spread of infection. Fractalkine levels were raised in vivo at tuberculous disease sites in humans and were significantly associated with increased CD11b+ monocytic cellular recruitment and extent of granulomatous disease. These findings suggest a novel fractalkine-dependent ESX1-mediated mechanism in early tuberculous disease pathogenesis in humans. Modulation of M. tuberculosis-mediated fractalkine induction may represent a potential treatment option in the future, perhaps allowing us to switch off a key mechanism required by the pathogen to spread between cells

    BAL: serum cytokine ratios in different conditions.

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    <p>(A) BAL: serum cytokine ratios seen in pulmonary sarcoidosis and pulmonary tuberculosis, (B) BAL and serum levels of IL-4 in pulmonary sarcoidosis, (C) BAL and serum levels of IL-4 in pulmonary tuberculosis, (D) BAL and serum levels of IL-4 in healthy volunteers and (E) matched BAL and serum levels of IL-4 in pulmonary sarcoidosis.</p
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