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Ex Vivo Characterization of Early Secretory Antigenic Target 6-Specific T Cells at Sites of Active Disease in Pleural Tuberculosis
Author(s) -
Katalin A. Wilkinson,
Robert J. Wilkinson,
Ansar A. Pathan,
Katie Ewer,
Mithilesh Prakash,
Paul Klenerman,
Nick Maskell,
R. Wayne Davies,
Geoffrey Pasvol,
Ajit Lalvani
Publication year - 2004
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 - 10.1086/426139
Subject(s) - medicine , tuberculosis , immunology , antigen , in vivo , ex vivo , effector , pathology , biology , microbiology and biotechnology
Presence of early secretory antigenic target-6 (ESAT-6)-specific, interferon- gamma -secreting T cells in blood accurately marks tuberculosis infection. In tuberculous pleural effusions from 10 patients with tuberculosis, these cells were concentrated a mean of 15-fold (standard deviation, +/-6-fold), relative to their level in peripheral blood (P=.014), and displayed rapid effector function. Such cells were absent in 8 control patients with nontuberculous pleural disease. The recruitment of ESAT-6-specific T cells to inflamed tuberculous tissue demonstrates their function in vivo and suggests a novel way to diagnose tuberculous pleuritis.

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