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An efficient host immune response against pathogens encompasses both fast acting innate immunity as well as slower, but more specific, adaptive immunity. The innate immune system is diverse and comprises a variety of cells including natural killer (NK) cells, neutrophils, macrophages, dendritic cells (DCs), as well as soluble factors such as complement. The adaptive immune response is typified by antigen-specific T and B lymphocytes that provide long-lasting protection known as immunological memory. While these two systems are often discussed separately, neither arm of the immune system works in isolation (Medzhitov & Janeway, 1999). The succession of cells interacting with Mycobacterium tuberculosis (Mtb) comprises tissue macrophages (MΦ) and dendritic cells (DC) followed by chemokine-attracted immigrating neutrophils and monocytes, and then activation and recruitment of natural killer (NK) and ┛├ T cells, followed by effector T lymphocytes primed in the draining lymph nodes (Ulrichs & Kaufmann, 2006).

Role of NK Cells in Tuberculous Pleurisy as Innate Promoters of Local Type 1 Immunity with Potential Application on Differential Diagnosis