02044nas a2200181 4500000000100000008004100001653003600042653001200078100001300090700001300103700001300116700001200129700001200141700001600153245013500169520154400304022001401848 2019 d10aErythema nodosum leprosum (ENL)10aleprosy1 aSilva PH1 aSantos L1 aMendes M1 aNery JA1 aSarno E1 aEsquenazi D00aInvolvement of TNF-Producing CD8 Effector Memory T Cells with Immunopathogenesis of Erythema Nodosum Leprosum in Leprosy Patients.3 a
Type 2 reaction (T2R) or (ENL), a sudden episode of acute inflammation predominantly affecting lepromatous leprosy patients (LL), characterized by a reduced cellular immune response. This possibly indicates a close relationship between the onset of T2R and the altered frequency, and functional activity of T lymphocytes, particularly of memory subsets. This study performed ex vivo and in vitro characterizations of T cell blood subpopulations from LL patients with or without T2R. In addition, the evaluation of activity of these subpopulations was performed by analyzing the frequency of these cells producing IFN-γ, TNF, and IL-10 by flow cytometry. Furthermore, the expression of transcription factors, for the differentiation of T cells, were analyzed by quantitative real-time polymerase chain reaction. Our results showed an increased frequency of CD8/TNF effector memory T cells (T) among T2Rs. Moreover, there was evidence of a reduced frequency of CD4 and CD8 IFN-γ-producing cells in T2R, and a reduced expression of and . Finally, a significant and positive correlation between bacillary index (BI) of T2R patients and CD4/TNF and CD4/IFN-γ T cells was observed. Thus, negative correlation between BI and the frequency of CD4/IL-10 T cells was noted. These results suggest that CD8/TNF T are primarily responsible for the transient alteration in the immune response to in ENL patients. Thus, our study will provide a better understanding of pathogenic mechanisms and will lead to new promising therapeutic choices.
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