TY - JOUR KW - Cell Separation KW - Erythema Nodosum KW - Humans KW - Leprosy, lepromatous KW - Leukocytes, Mononuclear KW - Mycobacterium leprae KW - Tumor Necrosis Factor-alpha AU - Santos D O AU - Suffys P N AU - Bonifacio K AU - Marques M A AU - Sarno E N AB -

The production of tumor necrosis factor (TNF) by Mycobacterium leprae-stimulated phagocyte cells, isolated from lepromatous leprosy patients (LL) and normal individuals, was evaluated, using the highly TNF-sensitive mouse fibrosarcoma cell line WEHI164cl13. Mononuclear cells, isolated from all individuals studied, showed a low level of spontaneous TNF production, except for patients undergoing erythema nodosum leprosum (ENL), in which we found significantly higher levels of TNF. Addition of M. leprae to the phagocyte cell culture enhanced TNF production in all groups studied, except in the group with untreated leprosy patients. Strongest M. leprae-induced TNF release was found in mononuclear cell cultures derived from ENL patients. Patients in the postreactional state showed significantly higher TNF levels than healthy controls. These findings support the idea that TNF plays a key role in the complex symptomatology of ENL.

BT - Clinical immunology and immunopathology C1 - http://www.ncbi.nlm.nih.gov/pubmed/8500267?dopt=Abstract DA - 1993 Jun DO - 10.1006/clin.1993.1065 IS - 3 Pt 1 J2 - Clin. Immunol. Immunopathol. LA - eng N2 -

The production of tumor necrosis factor (TNF) by Mycobacterium leprae-stimulated phagocyte cells, isolated from lepromatous leprosy patients (LL) and normal individuals, was evaluated, using the highly TNF-sensitive mouse fibrosarcoma cell line WEHI164cl13. Mononuclear cells, isolated from all individuals studied, showed a low level of spontaneous TNF production, except for patients undergoing erythema nodosum leprosum (ENL), in which we found significantly higher levels of TNF. Addition of M. leprae to the phagocyte cell culture enhanced TNF production in all groups studied, except in the group with untreated leprosy patients. Strongest M. leprae-induced TNF release was found in mononuclear cell cultures derived from ENL patients. Patients in the postreactional state showed significantly higher TNF levels than healthy controls. These findings support the idea that TNF plays a key role in the complex symptomatology of ENL.

PY - 1993 SP - 199 EP - 203 T2 - Clinical immunology and immunopathology TI - In vitro tumor necrosis factor production by mononuclear cells from lepromatous leprosy patients and from patients with erythema nodosum leprosum. VL - 67 SN - 0090-1229 ER -