PMID- 20038536 OWN - NLM STAT- MEDLINE DCOM- 20100326 LR - 20211020 IS - 1098-5522 (Electronic) IS - 0019-9567 (Print) IS - 0019-9567 (Linking) VI - 78 IP - 3 DP - 2010 Mar TI - Associations between mucosal innate and adaptive immune responses and resolution of diarrheal pathogen infections. PG - 1221-8 LID - 10.1128/IAI.00767-09 [doi] AB - The identification of immune response mechanisms that contribute to the control of diarrheal disease in developing countries remains an important priority. We addressed the role of fecal chemokines and cytokines in the resolution of diarrheal Escherichia coli and Giardia lamblia infections. Stools collected from 127 Mexican children 5 to 15 months of age enrolled in a randomized, double-blind, placebo-controlled, vitamin A supplementation trial were screened for enteropathogenic Escherichia coli (EPEC), enterotoxigenic E. coli (ETEC), and Giardia lamblia. Fecal concentrations of tumor necrosis factor alpha (TNF-alpha), monocyte chemoattractant protein-1 (MCP-1), interleukin-4 (IL-4), IL-5, IL-6, IL-8, IL-10, and interferon-gamma (IFN-gamma) were determined. Hazard models incorporating cytokine variables were fit to durations of asymptomatic and symptomatic pathogen infections, controlling for treatment group. Increased levels of TNF-alpha and IL-6 were associated with decreased durations of EPEC infection and increased ETEC durations. Increased IL-4 and IFN-gamma levels were associated with decreased and increased durations, respectively, of both EPEC and ETEC infections. Increased IL-10 levels were associated with increased and decreased durations of asymptomatic and symptomatic EPEC infections, respectively, and increased durations of both asymptomatic and symptomatic ETEC infections. Increased levels of MCP-1, IFN-gamma, IL-4, and IL-5 were associated with increased G. lamblia infection duration, while increased IL-8 levels were associated with decreased durations. Differences in proinflammatory and Treg cytokine levels are associated with differences in the resolution of inflammatory and noninflammatory pathogen infections. FAU - Long, Kurt Z AU - Long KZ AD - Nutrition Environmental Health and Disease and Injury Control Unit, The University of Queensland, School of Population Health, Herston Rd., Herston, Queensland 4006, Australia. k.long@uq.edu.au FAU - Rosado, Jorge L AU - Rosado JL FAU - Santos, Jose Ignacio AU - Santos JI FAU - Haas, Meredith AU - Haas M FAU - Al Mamun, Abdullah AU - Al Mamun A FAU - DuPont, Herbert L AU - DuPont HL FAU - Nanthakumar, Nanda N AU - Nanthakumar NN FAU - Estrada-Garcia, Teresa AU - Estrada-Garcia T LA - eng GR - P30 DK040561/DK/NIDDK NIH HHS/United States GR - P30 DK040561-14/DK/NIDDK NIH HHS/United States GR - K01 DK06142-02/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20091228 PL - United States TA - Infect Immun JT - Infection and immunity JID - 0246127 RN - 0 (Cytokines) RN - 11103-57-4 (Vitamin A) SB - IM MH - Adaptive Immunity MH - Animals MH - Cytokines/analysis MH - Diarrhea/*immunology MH - Enteritis/*immunology MH - Escherichia coli/*immunology MH - Escherichia coli Infections/*immunology MH - Feces/chemistry MH - Giardia lamblia/*immunology MH - Giardiasis/*immunology MH - Humans MH - Immunity, Innate MH - *Immunity, Mucosal MH - Infant MH - Mexico MH - Randomized Controlled Trials as Topic MH - T-Lymphocytes/immunology MH - T-Lymphocytes, Regulatory/immunology MH - Vitamin A/administration & dosage PMC - PMC2825919 EDAT- 2009/12/30 06:00 MHDA- 2010/03/27 06:00 PMCR- 2010/09/01 CRDT- 2009/12/30 06:00 PHST- 2009/12/30 06:00 [entrez] PHST- 2009/12/30 06:00 [pubmed] PHST- 2010/03/27 06:00 [medline] PHST- 2010/09/01 00:00 [pmc-release] AID - IAI.00767-09 [pii] AID - 0767-09 [pii] AID - 10.1128/IAI.00767-09 [doi] PST - ppublish SO - Infect Immun. 2010 Mar;78(3):1221-8. doi: 10.1128/IAI.00767-09. Epub 2009 Dec 28.