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* Department of Medicine, University of Sydney, NSW 2006, Australia;
Centenary Institute of Cancer Medicine and Cell Biology, Locked Bag No. 6, Newtown, NSW 2042, Australia; and
Peptech Ltd. North Ryde, New South Wales 2113, Australia
Correspondence: Dr. Helen Briscoe, Department of Medicine, Blackburn Building DO6, University of Sydney, NSW 2006, Australia. E-mail: hbriscoe{at}med.usyd.edu.au
Tumor necrosis factor (TNF) is required to control mycobacterial
infections, but its therapeutic value is limited by its in
vivo instability and toxicity. The efficacy of a nontoxic
TNF-mimetic peptide (TNF7080) was tested in mice infected
with Mycobacterium bovis bacillus Calmette-Guerin (BCG).
In vitro TNF7080 and recombinant human TNF
(hTNF) acted with interferon gamma (IFN-
) to reduce bacterial
replication and to induce synthesis of bactericidal nitric oxide (NO)
in BCG-infected, bone marrow-derived murine macrophages. The
dose-dependent inhibitory effect on bacterial replication was blocked
by neutralizing anti-IFN-
and anti-hTNF mAbs. Further,
n-monomethyl-L-arginine (n-MMA) and a
soluble TNF-receptor I (TNFRI-IgG) blocked bacterial growth and
NO synthesis. Therefore, the peptide acted with IFN-
via induction
of NO synthase and signaled through TNFRI receptors. Concomitant
in vivo treatment with TNF7080 or hTNF
prevented reactivation of chronic BCG infection in mice depleted of
CD4+ T cells by injecting anti-CD4 antibodies. Granuloma
number and bacterial load were comparable in treated, T cell-depleted
mice and in chronically infected, intact animals. Thus,
TNF7080 and hTNF can modulate recrudescent BCG infection
in CD4+ T cell-deficient mice.
Key Words: mycobacteria cytokine nitric oxide granuloma macrophages
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