Copyright © 2006 Elsevier Inc. All rights reserved.
Transcriptional profile of the immune response in the lungs of patients with active tuberculosis
Received 16 March 2006;
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Abstract
Despite advances in diagnosis and treatment, Mycobacterium tuberculosis causes active disease in about 8 million people worldwide annually. The study of the interplay between the host and the pathogen at the site of infection in human TB may contribute to elucidate the pathogenesis of the disease. In this work, using macroarray technology and real-time PCR, we analyzed the modulation of 847 genes encoding immune-inflammatory mediators in BALF samples of patients affected by active pulmonary TB (PTB) and control patients affected by non-TB diseases. The data show that the PTB milieu contains a complex network of gene activation. Different genes with adhesive properties and involved in tissue repair and fibrosis were modulated. In TB patients, we observed the up-regulation of cytokines, including IFN-γ and IFN-γ pathway genes, of several apoptotic genes, and of potent transcriptional activators. These findings can contribute to elucidate the mechanisms of MTB pathogenicity in humans.
Keywords: BALF; Macroarray; Inflammatory cytokine genes; Site of infection; Host–pathogen interaction; Immune response; Mycobacterium tuberculosis
Article Outline
- Introduction
- Materials and methods
- Study population
- BALF collection and handling of cells
- RNA extraction from BALF samples
- Macroarray experiments
- Real-time PCR
- Identification of gene regulation groups in macroarray data
- Statistical analyses
- Results
- Inflammatory transcriptional profile in the lung of tuberculosis patients
- Comparison of real-time PCR and macroarray data on a selected group of genes
- Levels of IFN-γ, IFN-γ-related genes, and TNF-α transcripts in BALF
- Discussion
- Acknowledgements
- Appendix A. Supplementary data
- References






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Genes up-regulated in 80% of TB patients.