Page 573 - Veterinary Immunology, 10th Edition
P. 573

tuberculosis. Thus mycobacteria that enter the lungs are readily
  VetBooks.ir  phagocytosed by alveolar macrophages that then mount a

               respiratory burst and secrete proinflammatory cytokines. These
               cytokines act on NK cells, triggering IFN-γ production and limited

               macrophage activation. This rapid response can slow mycobacterial
               growth significantly. Nevertheless, these macrophages cannot
               destroy the bacteria by these mechanisms alone. After several days,
               however, recruitment of T cells occurs. The T cells are stimulated by

               mycobacteria-infected dendritic cells secreting IL-12, TNF-α, and
               IFN-α. In response, the Th1 cells secrete more IFN-γ and fully
               activate the macrophages (Table 18.2). In most individuals, this
               activation to the M1 level is sufficient to control the infection.



               TABLE 18.2

               Effects of Cytokines on Macrophage Function


                Cytokine Major Source     Effect
                IL-2    Th1 cell          Activates
                IFN-γ   Th1 cell, NK cell  Activates
                IFN-α/β  Macrophages, T cells  Activates
                TNF-α   Macrophages, Th1 cells Activates
                TNF-β   Th1 cells         Activates
                GM-CSF Many cell types    Activates
                IL-4    Th2 cells         Suppresses
                IL-10   Th2 cells, macrophages Suppresses
                IL-13   Th2 cells         Suppresses
                TGF-β   T cells           Suppresses
                  Cytotoxic T cells generated in cattle infected with M. bovis will
               kill infected macrophages. This cytotoxicity is mediated by both
                                        +
                      +
               WC1  γ/δ and CD8  T cells. Presumably any Mycobacteria released
               are killed by granulysin.



               Delayed Hypersensitivity Reactions

               When certain antigens are injected into the skin of a sensitized

               animal, an inflammatory response, taking many hours to develop,
               may occur at the injection site. This is a T cell–mediated response
               called delayed hypersensitivity. Delayed hypersensitivity reactions
               are classified as type IV hypersensitivity reactions (Chapter 33). An

               important example of a delayed hypersensitivity reaction is the
               tuberculin response, the skin reaction that follows an intradermal
               injection of tuberculin.





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