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Clinical Immunology

Coexistent Malnutrition Is Associated with Perturbations in Systemic and Antigen-Specific Cytokine Responses in Latent Tuberculosis Infection

Rajamanickam Anuradha, Saravanan Munisankar, Yukthi Bhootra, Nathalla Pavan Kumar, Chandrakumar Dolla, Paul Kumaran, Subash Babu
H. F. Rosenberg, Editor
Rajamanickam Anuradha
aNational Institutes of Health, National Institute for Research in Tuberculosis, International Center for Excellence in Research, Chennai, India
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Saravanan Munisankar
aNational Institutes of Health, National Institute for Research in Tuberculosis, International Center for Excellence in Research, Chennai, India
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Yukthi Bhootra
aNational Institutes of Health, National Institute for Research in Tuberculosis, International Center for Excellence in Research, Chennai, India
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Nathalla Pavan Kumar
aNational Institutes of Health, National Institute for Research in Tuberculosis, International Center for Excellence in Research, Chennai, India
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Chandrakumar Dolla
bNational Institute for Research in Tuberculosis, Chennai, India
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Paul Kumaran
bNational Institute for Research in Tuberculosis, Chennai, India
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Subash Babu
aNational Institutes of Health, National Institute for Research in Tuberculosis, International Center for Excellence in Research, Chennai, India
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H. F. Rosenberg
Roles: Editor
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DOI: 10.1128/CVI.00009-16
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  • FIG 1
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    FIG 1

    Diminished systemic levels of type 1 cytokines and IL-22 in individuals with LBMI. The plasma levels of type 1 (IFN-γ, TNF-α, and IL-2) and type 17 (IL-17A, IL-17F, and IL-22) cytokines in individuals with LBMI (n = 28) or NBMI (n = 28) and LTB were measured by ELISA. The data are presented as scatterplots, with each circle representing a single individual (light gray dots, LBMI; and dark gray dots, NBMI). P values were calculated using the Mann-Whitney test.

  • FIG 2
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    FIG 2

    Elevated systemic levels of type 2 and regulatory cytokines in individuals with LBMI. The plasma levels of type 2 (IL-4, IL-5, and IL-13) and regulatory (IL-10 and TGF-β) cytokines in individuals with LBMI (n = 28) or NBMI (n = 28) and LTB were measured by ELISA. The data are presented as scatterplots, with each circle representing a single individual (light gray dots, LBMI; and dark gray dots, NBMI). P values were calculated using the Mann-Whitney test.

  • FIG 3
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    FIG 3

    Diminished systemic levels of proinflammatory cytokines in individuals with LBMI. The plasma levels of IL-1 family (IL-1α, IL-1β, and IL-18) and other proinflammatory (IL-6, IL-12, and GM-CSF) cytokines in individuals with LBMI (n = 28) or NBMI (n = 28) and LTB were measured by ELISA. The data are presented as scatterplots, with each circle representing a single individual (light gray dots, LBMI; and dark gray dots, NBMI). P values were calculated using the Mann-Whitney test.

  • FIG 4
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    FIG 4

    Diminished TB antigen-stimulated levels of proinflammatory cytokines in individuals with LBMI. The TB antigen-stimulated (A) or mitogen-stimulated (B) levels of IFN-γ, TNF-α, IL-22, IL-6, IL-1α, and IL-1β in whole blood from individuals with LBMI (n = 28) or NBMI (n = 28) and LTB were measured by ELISA. The data are presented as scatterplots, with each circle representing a single individual (light gray dots, LBMI; and dark gray dots, NBMI). P values were calculated using the Mann-Whitney test.

  • FIG 5
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    FIG 5

    Positive and negative relationships between systemic levels of cytokines and BMI values for individuals with LTB. The relationships between the plasma levels of IFN-γ, TNF-α, IL-2, IL-1β, IL-10, and TGF-β and BMI values were examined for all individuals with LTB (n = 56). The data are presented as scatterplots, with each circle representing a single individual. P values were calculated using Spearman rank correlation.

Tables

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  • TABLE 1

    Demographics and biochemical parameters of the study groups

    ParameterValuea
    LBMI group (n = 28)NBMI group (n = 28)
    No. of males/no. of females15/1316/12
    Age (yr)28 (18–60)29 (19–61)
    Body mass index16.98 (12.28–18.44)22 (18.90–24.97)
    Albumin (g/dl)2.8 (2.5–3.2)4.2 (3.7–4.8)
    Random blood glucose (mg/dl)87 (84–113)92.3 (60–129)
    HbA1c (%)5.6 (4.8–6.3)5.7 (4.9–6.1)
    Urea (mg/dl)19.5 (12–34)21.9 (11–42)
    Creatinine (mg/dl)0.78 (0.3–1)0.80 (0.4–1.3)
    ALT (U/liter)17.7 (7–60)22.4 (7–92)
    AST (U/liter)27.8 (16–110)24.7 (11–68)
    • ↵a The values represent geometric means and ranges (except for age, for which medians and ranges are shown, and numbers of males and females).

  • TABLE 2

    Hematological parameters of the study groups

    ParameterValue (GM [range])P valuea
    LBMI group (n = 28)NBMI group (n = 28)
    Hemoglobin (g/dl)12.4 (8.4–16.3)13.51 (9.1–18.6)0.5176
    Red blood cell count (106/liter)4.6 (3.8–6.2)4.85 (3.8–6.4)0.1551
    White blood cell count (103/liter)70 (45–112)77 (49–117)0.3766
    Hematocrit (%)38.75 (27.6–54)40.49 (27.9–58.6)0.3025
    Platelet count (103/liter)286.5 (145–174)264.11 (172–397)0.3425
    Cell concn (cells/ml)
        Neutrophils3,555 (2,246–6,328)4,128 (2,229–6,537)0.0473
        Lymphocytes2,496 (1,582–3,498)2,454 (1,612–4,843)0.5070
        Monocytes410 (25–873)474 (234–963)0.5280
        Eosinophils431 (85–1,575)370 (78–2,817)0.3659
        Basophils53 (18–265)60 (14–379)0.4713
    • ↵a Calculated using the Mann-Whitney test.

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Coexistent Malnutrition Is Associated with Perturbations in Systemic and Antigen-Specific Cytokine Responses in Latent Tuberculosis Infection
Rajamanickam Anuradha, Saravanan Munisankar, Yukthi Bhootra, Nathalla Pavan Kumar, Chandrakumar Dolla, Paul Kumaran, Subash Babu
Clinical and Vaccine Immunology Apr 2016, 23 (4) 339-345; DOI: 10.1128/CVI.00009-16

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Coexistent Malnutrition Is Associated with Perturbations in Systemic and Antigen-Specific Cytokine Responses in Latent Tuberculosis Infection
Rajamanickam Anuradha, Saravanan Munisankar, Yukthi Bhootra, Nathalla Pavan Kumar, Chandrakumar Dolla, Paul Kumaran, Subash Babu
Clinical and Vaccine Immunology Apr 2016, 23 (4) 339-345; DOI: 10.1128/CVI.00009-16
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