PMID- 12472673 OWN - NLM STAT- MEDLINE DCOM- 20030110 LR - 20190818 IS - 0300-9475 (Print) IS - 0300-9475 (Linking) VI - 56 IP - 6 DP - 2002 Dec TI - IL-18 production in human pulmonary and pleural tuberculosis. PG - 611-8 AB - Interleukin-18 (IL-18) has multiple important pro-inflammatory effects, including the induction of interferon-gamma (IFN-gamma) in various diseases. In this study, we investigated the IL-18-producing activities in human pulmonary and pleural tuberculosis (TB) in response to purified protein derivative (PPD) antigen (Ag) from Mycobacterium tuberculosis. The most significant IL-18 production was found in chronic refractory TB (CRTB) patients. However, IFN-gamma production in CRTB patients was significantly less than that in healthy tuberculin reactors or in patients with tuberculous pleurisy (TBP). Elevated levels of both IL-18 and IFN-gamma were found in pleural fluids from TBP patients. In vitro production of IL-18 was dramatically decreased following an 18 h stimulation with PPD. However, IFN-gamma was markedly increased in pleural mononuclear cells from TBP patients after in vitro stimulation with PPD. The mesothelial cell type was the main source of pro-IL-18 in pleural cells from TBP patients, suggesting an important role for these cells in TBP. Taken together, these data indicate that IL-18 is elevated in peripheral blood mononuclear cells from CRTB patients, as well as at the site of TBP, indicating a possible role for IL-18 in both protective immunity and pathologic responses in human TB. FAU - Song, C-H AU - Song CH AD - Department of Microbiology, College of Medicine, Chungnam National University, Taejon, Korea. FAU - Lee, J-S AU - Lee JS FAU - Nam, H-H AU - Nam HH FAU - Kim, J-M AU - Kim JM FAU - Suhr, J-W AU - Suhr JW FAU - Jung, S-S AU - Jung SS FAU - Na, M-J AU - Na MJ FAU - Paik, T-H AU - Paik TH FAU - Kim, H-J AU - Kim HJ FAU - Park, J-K AU - Park JK FAU - Jo, E-K AU - Jo EK LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Scand J Immunol JT - Scandinavian journal of immunology JID - 0323767 RN - 0 (Interleukin-18) RN - 0 (Protein Precursors) RN - 0 (RNA, Messenger) RN - 0 (Tuberculin) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Cells, Cultured MH - Epithelium/immunology MH - Humans MH - Interferon-gamma/biosynthesis MH - Interleukin-18/*biosynthesis/genetics MH - Leukocytes, Mononuclear/immunology MH - Pleural Effusion/immunology MH - Pleurisy/immunology MH - Protein Precursors/biosynthesis/genetics MH - RNA, Messenger/biosynthesis MH - Tuberculin/immunology MH - Tuberculosis, Pleural/*immunology/pathology MH - Tuberculosis, Pulmonary/*immunology MH - Up-Regulation EDAT- 2002/12/11 04:00 MHDA- 2003/01/11 04:00 CRDT- 2002/12/11 04:00 PHST- 2002/12/11 04:00 [pubmed] PHST- 2003/01/11 04:00 [medline] PHST- 2002/12/11 04:00 [entrez] AID - 1143 [pii] AID - 10.1046/j.1365-3083.2002.01143.x [doi] PST - ppublish SO - Scand J Immunol. 2002 Dec;56(6):611-8. doi: 10.1046/j.1365-3083.2002.01143.x.