TY - JOUR KW - Algorithms KW - Cluster Analysis KW - Colony Count, Microbial KW - Cytokines KW - Gene Expression Profiling KW - Gene Expression Regulation KW - Genes, Immunoglobulin KW - Humans KW - Immunity, Cellular KW - Immunity, Innate KW - Leprosy, lepromatous KW - Leprosy, Tuberculoid KW - Macrophages, Alveolar KW - Membrane Glycoproteins KW - Mycobacterium tuberculosis KW - Oligonucleotide Array Sequence Analysis KW - polymerase chain reaction KW - Principal Component Analysis KW - Receptors, Cell Surface KW - Receptors, Immunologic KW - Toll-Like Receptors KW - Up-Regulation AU - Bleharski J AU - Li H AU - Meinken C AU - Graeber T AU - Ochoa M AU - Yamamura M AU - Burdick A AU - Sarno E AU - Wagner M AU - Röllinghoff M AU - Rea T AU - Colonna M AU - Stenger S AU - Bloom B AU - Eisenberg D AU - Modlin RL AB -

Leprosy presents as a clinical and immunological spectrum of disease. With the use of gene expression profiling, we observed that a distinction in gene expression correlates with and accurately classifies the clinical form of the disease. Genes belonging to the leukocyte immunoglobulin-like receptor (LIR) family were significantly up-regulated in lesions of lepromatous patients suffering from the disseminated form of the infection. In functional studies, LIR-7 suppressed innate host defense mechanisms by shifting monocyte production from interleukin-12 toward interleukin-10 and by blocking antimicrobial activity triggered by Toll-like receptors. Gene expression profiles may be useful in defining clinical forms of disease and providing insights into the regulation of immune responses to pathogens.

BT - Science (New York, N.Y.) C1 - http://www.ncbi.nlm.nih.gov/pubmed/12970564?dopt=Abstract CN - BLEHARSKI2003 DA - 2003 Sep 12 DO - 10.1126/science.1087785 IS - 5639 J2 - Science LA - eng N2 -

Leprosy presents as a clinical and immunological spectrum of disease. With the use of gene expression profiling, we observed that a distinction in gene expression correlates with and accurately classifies the clinical form of the disease. Genes belonging to the leukocyte immunoglobulin-like receptor (LIR) family were significantly up-regulated in lesions of lepromatous patients suffering from the disseminated form of the infection. In functional studies, LIR-7 suppressed innate host defense mechanisms by shifting monocyte production from interleukin-12 toward interleukin-10 and by blocking antimicrobial activity triggered by Toll-like receptors. Gene expression profiles may be useful in defining clinical forms of disease and providing insights into the regulation of immune responses to pathogens.

PY - 2003 SP - 1527 EP - 30 T2 - Science (New York, N.Y.) TI - Use of genetic profiling in leprosy to discriminate clinical forms of the disease. VL - 301 SN - 1095-9203 ER -