Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis.

Cytokines play an important role in the pathogenesis of pulmonary tuberculosis (PTB)--Type 2 diabetes mellitus co-morbidity. However, the cytokine interactions that characterize PTB coincident with pre-diabetes (PDM) are not known.To identify the influence of coincident PDM on cytokine levels in PTB...

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Main Authors: Nathella Pavan Kumar, Vaithilingam V Banurekha, Dina Nair, Rathinam Sridhar, Hardy Kornfeld, Thomas B Nutman, Subash Babu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4230980?pdf=render
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author Nathella Pavan Kumar
Vaithilingam V Banurekha
Dina Nair
Rathinam Sridhar
Hardy Kornfeld
Thomas B Nutman
Subash Babu
author_facet Nathella Pavan Kumar
Vaithilingam V Banurekha
Dina Nair
Rathinam Sridhar
Hardy Kornfeld
Thomas B Nutman
Subash Babu
author_sort Nathella Pavan Kumar
collection DOAJ
description Cytokines play an important role in the pathogenesis of pulmonary tuberculosis (PTB)--Type 2 diabetes mellitus co-morbidity. However, the cytokine interactions that characterize PTB coincident with pre-diabetes (PDM) are not known.To identify the influence of coincident PDM on cytokine levels in PTB, we examined circulating levels of a panel of cytokines in the plasma of individuals with TB-PDM and compared them with those without PDM (TB-NDM).TB-PDM is characterized by elevated circulating levels of Type 1 (IFNγ, TNFα and IL-2), Type 17 (IL-17A and IL-17F) and other pro-inflammatory (IL-1β, IFNβ and GM-CSF) cytokines. TB-PDM is also characterized by increased systemic levels of Type 2 (IL-5) and regulatory (IL-10 and TGFβ) cytokines. Moreover, TB antigen stimulated whole blood also showed increased levels of pro-inflammatory (IFNγ, TNFα and IL-1β) cytokines as well. However, the cytokines did not exhibit any significant correlation with HbA1C levels or with bacterial burdens.Our data reveal that pre-diabetes in PTB individuals is characterized by heightened cytokine responsiveness, indicating that a balanced pro and anti - inflammatory cytokine milieu is a feature of pre-diabetes--TB co-morbidity.
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spelling doaj.art-679198dba2334b009d91f5ddb5934b9d2022-12-21T23:00:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01911e11210810.1371/journal.pone.0112108Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis.Nathella Pavan KumarVaithilingam V BanurekhaDina NairRathinam SridharHardy KornfeldThomas B NutmanSubash BabuCytokines play an important role in the pathogenesis of pulmonary tuberculosis (PTB)--Type 2 diabetes mellitus co-morbidity. However, the cytokine interactions that characterize PTB coincident with pre-diabetes (PDM) are not known.To identify the influence of coincident PDM on cytokine levels in PTB, we examined circulating levels of a panel of cytokines in the plasma of individuals with TB-PDM and compared them with those without PDM (TB-NDM).TB-PDM is characterized by elevated circulating levels of Type 1 (IFNγ, TNFα and IL-2), Type 17 (IL-17A and IL-17F) and other pro-inflammatory (IL-1β, IFNβ and GM-CSF) cytokines. TB-PDM is also characterized by increased systemic levels of Type 2 (IL-5) and regulatory (IL-10 and TGFβ) cytokines. Moreover, TB antigen stimulated whole blood also showed increased levels of pro-inflammatory (IFNγ, TNFα and IL-1β) cytokines as well. However, the cytokines did not exhibit any significant correlation with HbA1C levels or with bacterial burdens.Our data reveal that pre-diabetes in PTB individuals is characterized by heightened cytokine responsiveness, indicating that a balanced pro and anti - inflammatory cytokine milieu is a feature of pre-diabetes--TB co-morbidity.http://europepmc.org/articles/PMC4230980?pdf=render
spellingShingle Nathella Pavan Kumar
Vaithilingam V Banurekha
Dina Nair
Rathinam Sridhar
Hardy Kornfeld
Thomas B Nutman
Subash Babu
Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis.
PLoS ONE
title Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis.
title_full Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis.
title_fullStr Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis.
title_full_unstemmed Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis.
title_short Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis.
title_sort coincident pre diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis
url http://europepmc.org/articles/PMC4230980?pdf=render
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