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Infant Alveolar Macrophages Are Unable to Effectively Contain Mycobacterium tuberculosis.


ABSTRACT: Infants are more likely to develop lethal disseminated forms of tuberculosis compared with older children and adults. The reasons for this are currently unknown. In this study we test the hypothesis that antimycobacterial function is impaired in infant alveolar macrophages (AM?s) compared with those of adults. We develop a method of obtaining AM?s from healthy infants using rigid bronchoscopy and incubate the AM?s with live virulent Mycobacterium tuberculosis (Mtb). Infant AM?s are less able to restrict Mtb replication compared with adult AM?s, despite having similar phagocytic capacity and immunophenotype. RNA-Seq showed that infant AM?s exhibit lower expression of genes involved in mycobactericidal activity and IFN?-induction pathways. Infant AM?s also exhibit lower expression of genes encoding mononuclear cell chemokines such as CXCL9. Our data indicates that failure of AM?s to contain Mtb and recruit additional mononuclear cells to the site of infection helps to explain the more fulminant course of tuberculosis in early life.

SUBMITTER: Goenka A 

PROVIDER: S-EPMC7107672 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Infant Alveolar Macrophages Are Unable to Effectively Contain <i>Mycobacterium tuberculosis</i>.

Goenka Anu A   Prise Ian E IE   Connolly Emma E   Fernandez-Soto Paulina P   Morgan David D   Cavet Jennifer S JS   Grainger John R JR   Nichani Jaya J   Arkwright Peter D PD   Hussell Tracy T  

Frontiers in immunology 20200324


Infants are more likely to develop lethal disseminated forms of tuberculosis compared with older children and adults. The reasons for this are currently unknown. In this study we test the hypothesis that antimycobacterial function is impaired in infant alveolar macrophages (AMϕs) compared with those of adults. We develop a method of obtaining AMϕs from healthy infants using rigid bronchoscopy and incubate the AMϕs with live virulent <i>Mycobacterium tuberculosis</i> (Mtb). Infant AMϕs are less a  ...[more]

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