Please use this identifier to cite or link to this item: http://hdl.handle.net/11455/34631
標題: Decreased in vitro interferon-7 production in patients with cavilary tuberculosis on chest radiography
作者: Wu, H.P.
莊敦堯
Hua, C.C.
Chuang, D.Y.
關鍵字: tuberculosis
interferon-gamma
IFN-gamma
chest radiography
blood mononuclear-cells
pulmonary tuberculosis
mycobacterium-tuberculosis
gamma-interferon
interleukin-4
activation
cytokines
responses
involvement
granulomas
期刊/報告no:: Respiratory Medicine, Volume 101, Issue 1, Page(s) 48-52.
摘要: Interferon (IFN)-gamma expression is altered in pulmonary lesions, such as cavities and granulomas. However, the exact association between patterns on chest radiography and IFN-gamma responses are unclear. The purpose of this study was to determine the IFN-gamma response in patients with tuberculosis and to correlate the pulmonary lesions with the IFN-gamma responses. We enrolled 78 patients with tuberculosis, as diagnosed with initial positive results for acid-fast bacilli in the sputum and final positive cultures for Mycobacterium tuberculosis. Cell cultures of stimulated peripheral blood mononuclear cells were performed. The supernatants were analyzed for the IFN-gamma response and the results statistically analyzed. The patients' chest radiographs were examined for fibronodules, masses, pleural effusion, cavities, and the severity of parenchymal involvement. IFN-gamma responses were lower in patients with cavities on chest radiography than in those without cavities (403.306 +/- 397.048 vs 698.154 +/- 593.436 pg/ml, P < 0.05). IFN-gamma responses were also lower in patients with masses on chest radiography than in those without masses (186.345 +/- 200.724 vs 583.950 +/- 528.295 pg/ml, P < 0.05). After regression analysis, the presence of a cavity was the only factor predictive of a decreased IFN-gamma response. We conclude that only chest radiographic pattern correlated with the IFN-gamma response was cavity formation. The administration of pharmacological IFN-gamma in tuberculosis patients with cavity may be considered. (c) 2006 Elsevier Ltd. All rights reserved.
URI: http://hdl.handle.net/11455/34631
ISSN: 0954-6111
文章連結: http://dx.doi.org/10.1016/j.rmed.2006.04.016
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