Autoantibodies to Interferon‐γ in a Patient with Selective Susceptibility to Mycobacterial Infection and Organ‐Specific Autoimmunity
Author(s) -
Rainer Döffinger,
MATTHEW HELBERT,
Gabriela BarcenasMorales,
Kun Yang,
Stéphanie BoissonDupuis,
Lourdes CeronGutierrez,
Clara Espitia-Pinzón,
Neil Barnes,
Graham Bothamley,
JeanLaurent Casanova,
Hilary Longhurst,
Dinakantha Kumararatne
Publication year - 2003
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/380453
Subject(s) - medicine , autoantibody , immunology , autoimmunity , tuberculosis , mycobacterium tuberculosis , peripheral blood mononuclear cell , mycobacterium chelonae , interferon , antibody , mycobacterium , in vitro , pathology , biology , biochemistry
We evaluated a patient with disseminated Mycobacterium tuberculosis and Mycobacterium chelonae infection, of which he died. He also developed autoimmune (type I) diabetes and primary hypothyroidism. His serum contained a high titer of immunoglobulin G autoantibody to interferon-gamma (IFN-gamma) capable of blocking in vitro responses to this cytokine by peripheral blood mononuclear cells from normal donors. These results suggest that autoantibodies to IFN-gamma can induce susceptibility to disseminated mycobacterial infection, which may be refractory to chemotherapy.
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