PMID- 1972881 OWN - NLM STAT- MEDLINE DCOM- 19900808 LR - 20201209 IS - 0934-8840 (Print) IS - 0934-8840 (Linking) VI - 272 IP - 4 DP - 1990 Apr TI - Restoration of defective cytokine activity within lepromatous leprosy lesions. PG - 458-66 AB - Immunohistological studies of tuberculoid leprosy lesions (TT-lesions) showed a dense, well organized granuloma consisting of a central area with epitheloid and giant cells containing interferon-gamma (IFN-Gamma) and CD3+, CD4+ T helper/inducer (Th/i) cells, a considerable proportion of which expressed the interleukin-2-receptor (IL-2 R). This central area was surrounded by round cells which consisted mainly of CD3+/CD8+ T cytotoxic/suppressor (Tc/s) lymphocytes. The overlying keratinocytes (KC) were strongly positive for HLA-DR antigens on the surface, indicating high intralesional IFN-Gamma activity. In contrast, lepromatous leprosy lesions (LL-lesions) showed a disorganized infiltrate composed by foamy cells and round cells, the latter mainly expressing the CD3+/CD8+ phenotype. IFN-Gamma activity could not be detected within the lesions. The KC overlying the infiltrate were consistently negative for HLA/DR reactivity pointing to a defective intralesional IFN-Gamma production in LL patients. Two out of four patients with LL leprosy could be sensitized with dinitrochlorobenzene (DNCB). The eliciting of DNCB skin reactions within the LL-lesion led to the recruitment of new infiltrating cells; the resulting infiltrate resembled a local reversal towards the tuberculoid pole of leprosy. FAU - Volc-Platzer, B AU - Volc-Platzer B AD - Univ. Hautklinik, Wien. FAU - Kremsner, P AU - Kremsner P FAU - Stemberger, H AU - Stemberger H FAU - Wiedermann, G AU - Wiedermann G LA - eng PT - Journal Article PL - Germany TA - Zentralbl Bakteriol JT - Zentralblatt fur Bakteriologie : international journal of medical microbiology JID - 9203851 RN - 0 (Dinitrochlorobenzene) RN - 0 (HLA-DR Antigens) RN - 0 (Receptors, Interleukin-2) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - CD4-Positive T-Lymphocytes/immunology MH - Dendritic Cells/immunology MH - Dinitrochlorobenzene/pharmacology MH - Foam Cells/immunology MH - Granuloma/immunology/pathology MH - HLA-DR Antigens/*analysis MH - Humans MH - Hypersensitivity, Delayed MH - Immunity, Cellular MH - Immunohistochemistry MH - Interferon-gamma/*analysis MH - Keratinocytes/*immunology MH - Leprosy, Lepromatous/*immunology/pathology MH - Leprosy, Tuberculoid/immunology/pathology MH - Macrophages/immunology MH - Receptors, Interleukin-2/*analysis MH - T-Lymphocytes, Helper-Inducer/immunology MH - T-Lymphocytes, Regulatory/immunology EDAT- 1990/04/01 00:00 MHDA- 2000/05/11 00:00 CRDT- 1990/04/01 00:00 PHST- 1990/04/01 00:00 [pubmed] PHST- 2000/05/11 00:00 [medline] PHST- 1990/04/01 00:00 [entrez] AID - 10.1016/s0934-8840(11)80047-2 [doi] PST - ppublish SO - Zentralbl Bakteriol. 1990 Apr;272(4):458-66. doi: 10.1016/s0934-8840(11)80047-2.