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dc.contributor.authorTan, D.
dc.contributor.authorLim, A.
dc.contributor.authorYong, Y.
dc.contributor.authorPonnampalavanar, S.
dc.contributor.authorOmar, S.
dc.contributor.authorKamarulzaman, A.
dc.contributor.authorFrench, M.
dc.contributor.authorPrice, Patricia
dc.identifier.citationTan, D. and Lim, A. and Yong, Y. and Ponnampalavanar, S. and Omar, S. and Kamarulzaman, A. and French, M. et al. 2011. TLR2-induced cytokine responses may characterize HIV-infected patients experiencing mycobacterial immune restoration disease. AIDS. 25 (12): pp. 1455-1460.

Objectives: Most HIV patients who experience Mycobacterium tuberculosis-associated immune restoration disease (TB IRD) display elevated interferon-gamma (IFN?) responses against mycobacterial antigens, but these can occur without an IRD. Recognition of mycobacteria-associated molecular patterns through toll-like receptors (TLRs) on dendritic cells and monocytes induces cytokine production. Here, we investigate TLR-induced responses in IRD. Design: Peripheral blood mononuclear cells (PBMCs) were collected at approximately weeks 0, 6, 12, 24 and 48 after antiretroviral therapy from five patients experiencing TB IRD, nine matched non-IRD patients and 15 healthy controls. Methods: IFN? production by PBMC stimulated with protein purified derivative (PPD) was assessed by ELISpot. TLR2 expression on myeloid dendritic cells (mDCs) and monocytes was assessed by flow cytometry. TNFa, IL-12p40 and IL-10 were measured by ELISA in 24-h cultures of PBMC with lipomannan (mycobacteria-derived TLR2 agonist). Results: TLR2 expression on mDC and monocytes was higher in patients than controls at baseline (P<0.005). TLR2 expression decreased to normal levels on mDC by week 12, but remained higher on monocytes at week 24 (P=0.02). At week 24, IRD patients showed higher IFN? responses to PPD (P=0.02), TLR2 expression on monocytes (P=0.006) and lipomannan-induced TNFa production (P=0.016) than non-IRD patients. Lipomannan-induced TNFa and IL-12p40 responses paralleled TB IRD in the patients with high TLR2 expression. IL-10 levels did not associate with IRD. Conclusion: TLR2-induced pro-inflammatory cytokines by dendritic cells or monocytes may contribute to the pathogenesis of mycobacterial IRD. © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.

dc.titleTLR2-induced cytokine responses may characterize HIV-infected patients experiencing mycobacterial immune restoration disease
dc.typeJournal Article
curtin.departmentSchool of Biomedical Sciences
curtin.accessStatusOpen access via publisher

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