PMID- 9105097 OWN - NLM STAT- MEDLINE DCOM- 19970507 LR - 20041117 IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 155 IP - 4 DP - 1997 Apr TI - Elevated chemokine levels in bronchoalveolar lavage fluid of tuberculosis patients. PG - 1474-7 AB - In pulmonary tuberculosis, the proportion of lymphocytes, particularly that of CD4+ T lymphocytes, was increased in bronchoalveolar lavage fluid (BALF), reflecting their protective role against mycobacterial infections. In order to elucidate the mechanisms of lymphocyte accumulation in lungs, we measured the levels of chemokines with potent lymphocyte chemotactic activities, including interleukin-8 (IL-8), monocyte chemoattractant protein-1 (MCP-1), and, regulated on activation, normal T-cell expressed and secreted (RANTES) present in BALF from patients with pulmonary tuberculosis in acute (n = 10) and convalescent phases (n = 6), as well as normal subjects (n = 10). During the acute phase of the disease, the proportions of lymphocytes and neutrophils were increased, as reported in previous studies. The levels of IL-8, MCP-1, and RANTES in the acute phase of pulmonary tuberculosis were also markedly elevated as compared with those of normal subjects. MCP-1 and RANTES, but not IL-8 levels present in BALF, decreased in the convalescent phase. Moreover, the concentration of RANTES correlated significantly with the absolute number of CD4+ cells in BALF. These data suggest that chemotactic cytokines are differentially produced and participate in the host response to Mycobacterium tuberculosis infection. FAU - Kurashima, K AU - Kurashima K AD - Third Department of Internal Medicine, School of Medicine, Kanazawa University, Japan. FAU - Mukaida, N AU - Mukaida N FAU - Fujimura, M AU - Fujimura M FAU - Yasui, M AU - Yasui M FAU - Nakazumi, Y AU - Nakazumi Y FAU - Matsuda, T AU - Matsuda T FAU - Matsushima, K AU - Matsushima K LA - eng PT - Journal Article PL - United States TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 RN - 0 (Chemokines) SB - IM MH - Bronchoalveolar Lavage Fluid/*chemistry/cytology MH - CD4 Lymphocyte Count MH - Case-Control Studies MH - Cell Count MH - Chemokines/*analysis MH - Humans MH - Lymphocytes/cytology MH - Mycobacterium tuberculosis/immunology MH - Neutrophils/cytology MH - Tuberculosis, Pulmonary/diagnosis/immunology/*metabolism EDAT- 1997/04/01 00:00 MHDA- 1997/04/01 00:01 CRDT- 1997/04/01 00:00 PHST- 1997/04/01 00:00 [pubmed] PHST- 1997/04/01 00:01 [medline] PHST- 1997/04/01 00:00 [entrez] AID - 10.1164/ajrccm.155.4.9105097 [doi] PST - ppublish SO - Am J Respir Crit Care Med. 1997 Apr;155(4):1474-7. doi: 10.1164/ajrccm.155.4.9105097.