PMID- 8125515 OWN - NLM STAT- MEDLINE DCOM- 19940414 LR - 20061115 IS - 0171-2985 (Print) IS - 0171-2985 (Linking) VI - 189 IP - 3-4 DP - 1993 Nov TI - Role of cytokines in tuberculosis. PG - 316-39 AB - Mycobacterium tuberculosis and Mycobacterium bovis are facultative intracellular pathogens which preferentially utilize the macrophage as their host cell. Acquired resistance against mycobacteria depends on T cells which activate antimicrobial macrophage functions via the release of cytokines. The data summarized below suggest an important role for interferon-gamma (IFN-gamma) as well as the B cell-stimulatory factors interleukin-4 (IL-4) and IL-6 in the induction of tuberculostatic macrophage functions. Growth inhibition of mycobacteria by cytokine-stimulated macrophages is mediated by reactive nitrogen intermediates (RNI) derived from L-arginine. Tumor necrosis factor-alpha (TNF-alpha) and IL-10 act as autocrine regulators in the induction of the enzyme NO-synthase. Both cytokines are produced by macrophages stimulated with IFN-gamma and infected with M. bovis. While TNF-alpha mediates activation of the NO-synthase and production of RNI, IL-10 suppresses this enzyme activity. The outcome of mycobacterial infection is probably regulated by a complex network between stimulatory and inhibitory cytokines. FAU - Flesch, I E AU - Flesch IE AD - Department of Immunology, University of Ulm, Germany. FAU - Kaufmann, S H AU - Kaufmann SH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Netherlands TA - Immunobiology JT - Immunobiology JID - 8002742 RN - 0 (Cytokines) SB - IM MH - Animals MH - Cytokines/*physiology MH - Humans MH - Macrophages/enzymology/immunology MH - Mycobacterium tuberculosis/growth & development/immunology MH - Phagocytosis/physiology MH - T-Lymphocytes/immunology MH - Tuberculosis/*immunology/microbiology RF - 120 EDAT- 1993/11/01 00:00 MHDA- 1993/11/01 00:01 CRDT- 1993/11/01 00:00 PHST- 1993/11/01 00:00 [pubmed] PHST- 1993/11/01 00:01 [medline] PHST- 1993/11/01 00:00 [entrez] AID - S0171-2985(11)80364-5 [pii] AID - 10.1016/S0171-2985(11)80364-5 [doi] PST - ppublish SO - Immunobiology. 1993 Nov;189(3-4):316-39. doi: 10.1016/S0171-2985(11)80364-5.