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Published online before print March 14, 2005
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Article |
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*Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins;
Division of Pulmonary Biology, Children’s Hospital Research Foundation, University of Cincinnati, Ohio; and
Trudeau Institute, Saranac Lake, New York
@ To whom correspondence should be addressed. E-mail: malba{at}lamar.colostate.edu.
| Abstract |
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Mice lacking expression of granulocyte macrophage-colony stimulating factor knockout (GM-CSF KO) are unable to contain Mycobacterium tuberculosis growth and succumb to infection by 35 days following pulmonary challenge. GM-CSF KO mice do not express normal levels of the inflammatory cytokine tumor necrosis factor
(TNF-
) nor the chemokines, regulated on activation, normal T expressed and secreted (RANTES), macrophage-inflammatory protein-1
(MIP-1
), MIP-1
, and lymphotactin, which are required for recruitment of lymphocytes and expression of a T helper cell type 1 (TH1) response within the lungs. In contrast, transgenic mice overexpressing GM-CSF in the lungs but with a lack of GM-CSF in other organs (GM+) are able to recruit lymphocytes and to express a TH1 response with production of TNF-
and interferon-
in the lungs. However, GM+ mice succumb to infection between 60 and 90 days post-challenge, as they are unable to develop a normal granulomatous response. Although GM+ mice are able to express the chemokine RANTES, they lack the ability to express other inflammatory chemokines such as lymphotactin and MIP-1
. We conclude that GM-CSF is essential to the recruitment of lymphocytes and expression of a TH1 response in the lung, to the generation of a normal mononuclear granuloma, and most importantly, to the containment of M. tuberculosis bacterial growth.
Key Words: GM-CSF cytokines chemokines granuloma
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