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Original article| Volume 141, ISSUE 5, P330-334, May 2003

Capacity of neutrophils and monocytes from human immunodeficiency virus–infected patients and healthy controls to inhibit growth of Mycobacterium bovis

  • Daniel Kaul
    Affiliations
    Divisions of Infectious Diseases Pulmonary Medicine, Department of Internal Medicine, University of Michigan Health System, USA.
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  • Michael J. Coffey
    Affiliations
    Divisions of Infectious Diseases Pulmonary Medicine, Department of Internal Medicine, University of Michigan Health System, USA.
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  • Susan M. Phare
    Affiliations
    Divisions of Infectious Diseases Pulmonary Medicine, Department of Internal Medicine, University of Michigan Health System, USA.
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  • Powel H. Kazanjian
    Correspondence
    Reprint requests: Powel H. Kazanjian, MD, Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, Room 3120B TC, Ann Arbor, MI 48109-0378, USA
    Affiliations
    Divisions of Infectious Diseases Pulmonary Medicine, Department of Internal Medicine, University of Michigan Health System, USA.
    Search for articles by this author

      Abstract

      We compared the differences in growth inhibition of Mycobacterium bovis by monocytes and neutrophils from human immunodeficiency virus (HIV)–infected persons (n = 12; mean CD4 count = 451/mm3) and healthy controls (n = 6). Phagocytes from all HIV–infected patients were incubated with or without exogenous granulocyte-macrophate colony–stimulating factor (GMCSF; 500-1000 U/mL). In two of the HIV-infected patients, phagocytes were incubated with or without interleukin (IL)-2 or IL-8 (500-1000 U/mL). Compared with that in HIV-infected patients, the reduction of M. bovis growth at 24 hours was 81% greater among monocytes and 69% greater among neutrophils from healthy controls (P = .03 and .04, respectively). Among HIV-infected patients, we noted greater mycobacterial reduction in monocytes (49%, P = .04) and neutrophils (42%, P = .05) from the early-stage patients (mean CD4 count = 760/mm3) compared with that in late-stage patients (mean CD4 count = 172/ mm3). Incubation with GM-CSF, IL-2, or IL-8 did not augment mycobactericidal activity. These findings suggest that the capacity of neutrophils and monocytes from HIV-infected patients to inhibit the growth of M. bovis is impaired, and this impairment is more pronounced in later stages of HIV infection.

      Keywords:

      AIDS (acquired immune deficiency syndrome), GCSF (granulocyte colony–stimulating factor), GI (growth index), GMCSF (granulocyte-macrophage colony–stimulating factor), HIV (human immunodeficiency virus), IL (interleukin), TMP/SMX (trimethoprim sulfamethoxazole)
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