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Tumor necrosis factor alpha neutralization has no direct effect on parasite burden, but causes impaired IFN-gamma production by spleen cells from human visceral leishmaniasis patients

机译:肿瘤坏死因子α中和对寄生虫负担没有直接影响,但会导致人内脏利什曼病患者脾细胞的IFN-γ产生受损

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The pro-inflammatory cytokine tumor necrosis factor (TNF)-alpha has an important role in control of experimental Leishmania donovani infection. Less is known about the role of TNF-alpha in human visceral leishmaniasis (VL). Evidence for a protective role is primarily based on case reports of VL development in individuals treated with TNF-alpha neutralizing antibody. In this study, we have evaluated how TNF-alpha neutralization affects parasite replication and cytokine production in ex vivo splenic aspirates (SA) from active VL patients. The effect of TNF-alpha neutralization on cell mediated antigen specific responses were also evaluated using whole blood cultures. Neutralization of TNF-alpha did not affect parasite numbers in SA cultures. Interferon (IFN)-gamma levels were significantly reduced, but interleukin (IL)-10 levels were unchanged in these cultures. Leishmania antigen stimulated SA produced significant TNF-alpha which suggests that TNF-alpha is actively produced in VL spleen. Further it stimulates IFN-gamma production, but no direct effect on parasite replication. (C) 2016 Elsevier Ltd. All rights reserved.
机译:促炎性细胞因子肿瘤坏死因子(TNF)-α在控制实验性利什曼原虫多诺万尼感染中具有重要作用。 TNF-α在人类内脏利什曼病(VL)中的作用鲜为人知。保护作用的证据主要基于用TNF-α中和抗体治疗的个体中VL发育的病例报告。在这项研究中,我们评估了TNF-α的中和作用如何影响活动性VL患者离体脾脏抽吸物(SA)中的寄生虫复制和细胞因子产生。还使用全血培养物评估了TNF-α中和作用对细胞介导的抗原特异性反应的影响。 TNF-α的中和作用不影响SA培养物中的寄生虫数量。在这些培养物中,干扰素(IFN)-γ水平显着降低,但白介素(IL)-10水平未发生变化。利什曼原虫抗原刺激的SA产生显着的TNF-α,这表明TNF-α在VL脾脏中活跃产生。此外,它刺激IFN-γ的产生,但对寄生虫复制没有直接影响。 (C)2016 Elsevier Ltd.保留所有权利。

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