The pathogen recognition sensor, NOD2, is variably expressed in patients with pulmonary tuberculosis

<p style="text-align:justify;"> Background NOD2, an intracellular pathogen recognition sensor, modulates innate defences to muropeptides derived from various bacterial species, including Mycobacterium tuberculosis (MTB). Experimentally, NOD2 attenuates two key putative mycobacteric...

Full description

Bibliographic Details
Main Authors: Lala, S, Dheda, K, Chang, J, Huggett, J, Kim, L, Johnson, M, Rook, G, Keshav, S, Zumla, A
Format: Journal article
Language:English
Published: BioMed Central 2007
_version_ 1797080199217545216
author Lala, S
Dheda, K
Chang, J
Huggett, J
Kim, L
Johnson, M
Rook, G
Keshav, S
Zumla, A
author_facet Lala, S
Dheda, K
Chang, J
Huggett, J
Kim, L
Johnson, M
Rook, G
Keshav, S
Zumla, A
author_sort Lala, S
collection OXFORD
description <p style="text-align:justify;"> Background NOD2, an intracellular pathogen recognition sensor, modulates innate defences to muropeptides derived from various bacterial species, including Mycobacterium tuberculosis (MTB). Experimentally, NOD2 attenuates two key putative mycobactericidal mechanisms. TNF-α synthesis is markedly reduced in MTB-antigen stimulated-mononuclear cells expressing mutant NOD2 proteins. NOD2 agonists also induce resistance to apoptosis, and may thus facilitate the survival of MTB in infected macrophages. To further define a role for NOD2 in disease pathogenesis, we analysed NOD2 transcriptional responses in pulmonary leucocytes and mononuclear cells harvested from patients with pulmonary tuberculosis (PTB).<br/><br/> <b>Methods:</b> We analysed NOD2 mRNA expression by real-time polymerase chain-reaction in alveolar lavage cells obtained from 15 patients with pulmonary tuberculosis and their matched controls. We compared NOD2 transcriptional responses, in peripheral leucocytes, before and after anti-tuberculous treatment in 10 patients. In vitro, we measured NOD2 mRNA levels in MTB-antigen stimulated-mononuclear cells.<br/><br/> <b>Results:</b> No significant differences in NOD2 transcriptional responses were detected in patients and controls. In some patients, however, NOD2 expression was markedly increased and correlated with toll-like-receptor 2 and 4 expression. In whole blood, NOD2 mRNA levels increased significantly after completion of anti-tuberculosis treatment. NOD2 expression levels did not change significantly in mononuclear cells stimulated with mycobacterial antigens in vitro.<br/><br/> <b>Conclusion:</b> There are no characteristic NOD2 transcriptional responses in PTB. Nonetheless, the increased levels of NOD2 expression in some patients with severe tuberculosis, and the increases in expression levels within peripheral leucocytes following treatment merit further studies in selected patient and control populations. </p>
first_indexed 2024-03-07T00:56:42Z
format Journal article
id oxford-uuid:8854017e-0bb8-4406-8378-d162bf866e7e
institution University of Oxford
language English
last_indexed 2024-03-07T00:56:42Z
publishDate 2007
publisher BioMed Central
record_format dspace
spelling oxford-uuid:8854017e-0bb8-4406-8378-d162bf866e7e2022-03-26T22:16:28ZThe pathogen recognition sensor, NOD2, is variably expressed in patients with pulmonary tuberculosisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8854017e-0bb8-4406-8378-d162bf866e7eEnglishSymplectic Elements at OxfordBioMed Central2007Lala, SDheda, KChang, JHuggett, JKim, LJohnson, MRook, GKeshav, SZumla, A <p style="text-align:justify;"> Background NOD2, an intracellular pathogen recognition sensor, modulates innate defences to muropeptides derived from various bacterial species, including Mycobacterium tuberculosis (MTB). Experimentally, NOD2 attenuates two key putative mycobactericidal mechanisms. TNF-α synthesis is markedly reduced in MTB-antigen stimulated-mononuclear cells expressing mutant NOD2 proteins. NOD2 agonists also induce resistance to apoptosis, and may thus facilitate the survival of MTB in infected macrophages. To further define a role for NOD2 in disease pathogenesis, we analysed NOD2 transcriptional responses in pulmonary leucocytes and mononuclear cells harvested from patients with pulmonary tuberculosis (PTB).<br/><br/> <b>Methods:</b> We analysed NOD2 mRNA expression by real-time polymerase chain-reaction in alveolar lavage cells obtained from 15 patients with pulmonary tuberculosis and their matched controls. We compared NOD2 transcriptional responses, in peripheral leucocytes, before and after anti-tuberculous treatment in 10 patients. In vitro, we measured NOD2 mRNA levels in MTB-antigen stimulated-mononuclear cells.<br/><br/> <b>Results:</b> No significant differences in NOD2 transcriptional responses were detected in patients and controls. In some patients, however, NOD2 expression was markedly increased and correlated with toll-like-receptor 2 and 4 expression. In whole blood, NOD2 mRNA levels increased significantly after completion of anti-tuberculosis treatment. NOD2 expression levels did not change significantly in mononuclear cells stimulated with mycobacterial antigens in vitro.<br/><br/> <b>Conclusion:</b> There are no characteristic NOD2 transcriptional responses in PTB. Nonetheless, the increased levels of NOD2 expression in some patients with severe tuberculosis, and the increases in expression levels within peripheral leucocytes following treatment merit further studies in selected patient and control populations. </p>
spellingShingle Lala, S
Dheda, K
Chang, J
Huggett, J
Kim, L
Johnson, M
Rook, G
Keshav, S
Zumla, A
The pathogen recognition sensor, NOD2, is variably expressed in patients with pulmonary tuberculosis
title The pathogen recognition sensor, NOD2, is variably expressed in patients with pulmonary tuberculosis
title_full The pathogen recognition sensor, NOD2, is variably expressed in patients with pulmonary tuberculosis
title_fullStr The pathogen recognition sensor, NOD2, is variably expressed in patients with pulmonary tuberculosis
title_full_unstemmed The pathogen recognition sensor, NOD2, is variably expressed in patients with pulmonary tuberculosis
title_short The pathogen recognition sensor, NOD2, is variably expressed in patients with pulmonary tuberculosis
title_sort pathogen recognition sensor nod2 is variably expressed in patients with pulmonary tuberculosis
work_keys_str_mv AT lalas thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT dhedak thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT changj thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT huggettj thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT kiml thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT johnsonm thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT rookg thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT keshavs thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT zumlaa thepathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT lalas pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT dhedak pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT changj pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT huggettj pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT kiml pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT johnsonm pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT rookg pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT keshavs pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis
AT zumlaa pathogenrecognitionsensornod2isvariablyexpressedinpatientswithpulmonarytuberculosis