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Th1-driven immune reconstitution disease in Mycobacterium avium-infected mice.


ABSTRACT: Following antiretroviral therapy, a significant proportion of HIV(+) patients with mycobacterial coinfections develop a paradoxical, poorly understood inflammatory disease termed immune reconstitution inflammatory syndrome (IRIS). Here, we show that Mycobacterium avium-infected T cell-deficient mice injected with CD4 T cells also develop an immune reconstitution disease (IRD) manifesting as weight loss, impaired lung function, and rapid mortality. This form of IRD requires Ag recognition and interferon? production by the donor CD4 T cells and correlates with marked alterations in blood and tissue CD11b(+) myeloid cells. Interestingly, disease is associated with impaired, rather than augmented, T-cell expansion and function and is not strictly dependent on lymphopenia-induced T-cell proliferation. Instead, our findings suggest that mycobacterial-associated IRIS results from a heightened sensitivity of infected lymphopenic hosts to the detrimental effects of Ag-driven CD4 T-cell responses.

SUBMITTER: Barber DL 

PROVIDER: S-EPMC2981475 | biostudies-literature | 2010 Nov

REPOSITORIES: biostudies-literature

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Th1-driven immune reconstitution disease in Mycobacterium avium-infected mice.

Barber Daniel L DL   Mayer-Barber Katrin D KD   Antonelli Lis R V LR   Wilson Mark S MS   White Sandra S   Caspar Patricia P   Hieny Sara S   Sereti Irini I   Sher Alan A  

Blood 20100723 18


Following antiretroviral therapy, a significant proportion of HIV(+) patients with mycobacterial coinfections develop a paradoxical, poorly understood inflammatory disease termed immune reconstitution inflammatory syndrome (IRIS). Here, we show that Mycobacterium avium-infected T cell-deficient mice injected with CD4 T cells also develop an immune reconstitution disease (IRD) manifesting as weight loss, impaired lung function, and rapid mortality. This form of IRD requires Ag recognition and int  ...[more]

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