TY - JOUR KW - CD4-Positive T-Lymphocytes KW - Dendritic Cells KW - Dinitrochlorobenzene KW - Foam Cells KW - Granuloma KW - HLA-DR Antigens KW - Humans KW - Hypersensitivity, Delayed KW - Immunity, Cellular KW - Immunohistochemistry KW - Interferon-gamma KW - Keratinocytes KW - Leprosy, lepromatous KW - Leprosy, Tuberculoid KW - Macrophages KW - Receptors, Interleukin-2 KW - T-Lymphocytes, Helper-Inducer KW - T-Lymphocytes, Regulatory AU - Volc-Platzer B AU - Kremsner P AU - Stemberger H AU - Wiedermann G AB -
Immunohistological studies of tuberculoid leprosy lesions (TT-lesions) showed a dense, well organized granuloma consisting of a central area with epitheloid and giant cells containing interferon-gamma (IFN-Gamma) and CD3+, CD4+ T helper/inducer (Th/i) cells, a considerable proportion of which expressed the interleukin-2-receptor (IL-2 R). This central area was surrounded by round cells which consisted mainly of CD3+/CD8+ T cytotoxic/suppressor (Tc/s) lymphocytes. The overlying keratinocytes (KC) were strongly positive for HLA-DR antigens on the surface, indicating high intralesional IFN-Gamma activity. In contrast, lepromatous leprosy lesions (LL-lesions) showed a disorganized infiltrate composed by foamy cells and round cells, the latter mainly expressing the CD3+/CD8+ phenotype. IFN-Gamma activity could not be detected within the lesions. The KC overlying the infiltrate were consistently negative for HLA/DR reactivity pointing to a defective intralesional IFN-Gamma production in LL patients. Two out of four patients with LL leprosy could be sensitized with dinitrochlorobenzene (DNCB). The eliciting of DNCB skin reactions within the LL-lesion led to the recruitment of new infiltrating cells; the resulting infiltrate resembled a local reversal towards the tuberculoid pole of leprosy.
BT - Zentralblatt fur Bakteriologie : international journal of medical microbiology C1 - http://www.ncbi.nlm.nih.gov/pubmed/1972881?dopt=Abstract DA - 1990 Apr DO - 10.1016/s0934-8840(11)80047-2 IS - 4 J2 - Zentralbl. Bakteriol. LA - eng N2 -Immunohistological studies of tuberculoid leprosy lesions (TT-lesions) showed a dense, well organized granuloma consisting of a central area with epitheloid and giant cells containing interferon-gamma (IFN-Gamma) and CD3+, CD4+ T helper/inducer (Th/i) cells, a considerable proportion of which expressed the interleukin-2-receptor (IL-2 R). This central area was surrounded by round cells which consisted mainly of CD3+/CD8+ T cytotoxic/suppressor (Tc/s) lymphocytes. The overlying keratinocytes (KC) were strongly positive for HLA-DR antigens on the surface, indicating high intralesional IFN-Gamma activity. In contrast, lepromatous leprosy lesions (LL-lesions) showed a disorganized infiltrate composed by foamy cells and round cells, the latter mainly expressing the CD3+/CD8+ phenotype. IFN-Gamma activity could not be detected within the lesions. The KC overlying the infiltrate were consistently negative for HLA/DR reactivity pointing to a defective intralesional IFN-Gamma production in LL patients. Two out of four patients with LL leprosy could be sensitized with dinitrochlorobenzene (DNCB). The eliciting of DNCB skin reactions within the LL-lesion led to the recruitment of new infiltrating cells; the resulting infiltrate resembled a local reversal towards the tuberculoid pole of leprosy.
PY - 1990 SP - 458 EP - 66 T2 - Zentralblatt fur Bakteriologie : international journal of medical microbiology TI - Restoration of defective cytokine activity within lepromatous leprosy lesions. VL - 272 SN - 0934-8840 ER -