Immunological markers of lung disease due to non-tuberculous mycobacteria

Lung disease due to non-tuberculous mycobacteria (NTM) is a poorly understood condition that is difficult to treat. Treatment remains problematic as few tools are available to help clinicians monitor disease progression or predict treatment outcome. In this study, plasma levels of several inflammato...

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Main Authors: Lim, A., Allison, C., Tan, D., Oliver, B., Price, Patricia, Waterer, G.
Format: Journal Article
Published: Hindawi Publishing Corporation 2010
Online Access:http://hdl.handle.net/20.500.11937/16224
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author Lim, A.
Allison, C.
Tan, D.
Oliver, B.
Price, Patricia
Waterer, G.
author_facet Lim, A.
Allison, C.
Tan, D.
Oliver, B.
Price, Patricia
Waterer, G.
author_sort Lim, A.
building Curtin Institutional Repository
collection Online Access
description Lung disease due to non-tuberculous mycobacteria (NTM) is a poorly understood condition that is difficult to treat. Treatment remains problematic as few tools are available to help clinicians monitor disease progression or predict treatment outcome. In this study, plasma levels of several inflammatory molecules and the frequency of circulating T cell subsets were measured in patients with NTM lung disease and known treatment status, and compared with their adult offspring and with unrelated healthy controls. Plasma levels of the chemokine CXCL10 and IL-18 were assessed for associations with treatment efficacy. CXCL10 was higher in patients than adult offspring (p< 0.001) and unrelated controls (p< 0.001). Plasma CXCL10 was also lower in patients who responded well to therapy or who controlled their infection without requiring therapy, when compared to patients who did not respond to therapy (p=0.03). Frequencies of activated (HLA-DR +) CD4 + T cells were higher in patients than adult offspring (p<0.001) and unrelated controls (p<0.05), with the highest frequencies in individuals who had completed at least 6 months of treatment. Frequencies of activated (CD38 +) CD8 + T cells in most treatment responders were similar to unrelated controls. Low plasma levels of CXCL10 may reflect successful control of NTM lung disease with or without therapy. Compared with responders, patients who responded poorly to treatment generally had higher plasma levels of CXCL10 and IL-18, and higher frequencies of activated CD8 + T cells. © 2010 - IOS Press and the authors. All rights reserved.
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spelling curtin-20.500.11937-162242017-09-13T15:03:21Z Immunological markers of lung disease due to non-tuberculous mycobacteria Lim, A. Allison, C. Tan, D. Oliver, B. Price, Patricia Waterer, G. Lung disease due to non-tuberculous mycobacteria (NTM) is a poorly understood condition that is difficult to treat. Treatment remains problematic as few tools are available to help clinicians monitor disease progression or predict treatment outcome. In this study, plasma levels of several inflammatory molecules and the frequency of circulating T cell subsets were measured in patients with NTM lung disease and known treatment status, and compared with their adult offspring and with unrelated healthy controls. Plasma levels of the chemokine CXCL10 and IL-18 were assessed for associations with treatment efficacy. CXCL10 was higher in patients than adult offspring (p< 0.001) and unrelated controls (p< 0.001). Plasma CXCL10 was also lower in patients who responded well to therapy or who controlled their infection without requiring therapy, when compared to patients who did not respond to therapy (p=0.03). Frequencies of activated (HLA-DR +) CD4 + T cells were higher in patients than adult offspring (p<0.001) and unrelated controls (p<0.05), with the highest frequencies in individuals who had completed at least 6 months of treatment. Frequencies of activated (CD38 +) CD8 + T cells in most treatment responders were similar to unrelated controls. Low plasma levels of CXCL10 may reflect successful control of NTM lung disease with or without therapy. Compared with responders, patients who responded poorly to treatment generally had higher plasma levels of CXCL10 and IL-18, and higher frequencies of activated CD8 + T cells. © 2010 - IOS Press and the authors. All rights reserved. 2010 Journal Article http://hdl.handle.net/20.500.11937/16224 10.3233/DMA-2010-0732 Hindawi Publishing Corporation restricted
spellingShingle Lim, A.
Allison, C.
Tan, D.
Oliver, B.
Price, Patricia
Waterer, G.
Immunological markers of lung disease due to non-tuberculous mycobacteria
title Immunological markers of lung disease due to non-tuberculous mycobacteria
title_full Immunological markers of lung disease due to non-tuberculous mycobacteria
title_fullStr Immunological markers of lung disease due to non-tuberculous mycobacteria
title_full_unstemmed Immunological markers of lung disease due to non-tuberculous mycobacteria
title_short Immunological markers of lung disease due to non-tuberculous mycobacteria
title_sort immunological markers of lung disease due to non-tuberculous mycobacteria
url http://hdl.handle.net/20.500.11937/16224