Tuberculosis in Adults and Children

Tuberculosis in Adults and Children
Author: Dorothee Heemskerk
Publisher: Springer
Total Pages: 71
Release: 2015-07-17
Genre: Medical
ISBN: 3319191322

This work contains updated and clinically relevant information about tuberculosis. It is aimed at providing a succinct overview of history and disease epidemiology, clinical presentation and the most recent scientific developments in the field of tuberculosis research, with an emphasis on diagnosis and treatment. It may serve as a practical resource for students, clinicians and researchers who work in the field of infectious diseases.

Understanding the Host Immune Response Against Mycobacterium tuberculosis Infection

Understanding the Host Immune Response Against Mycobacterium tuberculosis Infection
Author: Vishwanath Venketaraman
Publisher: Springer
Total Pages: 149
Release: 2018-09-26
Genre: Medical
ISBN: 3319973673

According to the World Health Organization, approximately one third of the world’s population is latently infected with Mycobacterium tuberculosis (M. tb [LTBI]), of whom about 9 million have active tuberculosis (TB). It is estimated that approximately 2 million individuals die each year from active TB. An estimated 14.4% of these individuals have HIV and M. tb co-infection. TB has long been known to be one of the leading causes of death in HIV-infected individuals. Recent evidence now indicates that individuals with type 2 diabetes, the elderly, and chronic smokers are also increasingly susceptible to TB infection, the ability of their immune system to fight off active TB infection having been compromised by their condition. This book therefore aims to provide a detailed review of recent advances in the research that involves characterizing the host’s immune responses against TB infection in conditions such as HIV, diabetes, chronic cigarette smoking and aging, and strategies to restore favorable immune responses against this deadly pathogen.

The New Paradigm of Immunity to Tuberculosis

The New Paradigm of Immunity to Tuberculosis
Author: Maziar Divangahi
Publisher: Springer Science & Business Media
Total Pages: 295
Release: 2013-03-12
Genre: Medical
ISBN: 1461461111

This book illustrates the intimate relationship between alveolar macrophages and Mycobacterium tuberculosis (M.tb.), and the former’s role in both innate and adaptive immunity against M.tb. It covers research done over the last decade. It also explores the role of macrophage death following infection with M.tb. in determining whether successful immunity is stimulated, or whether clinical disease develops; furthermore, the function of host lipid mediators in macrophage death modality are addressed. The book also illustrates how the balance between prostaglandins and lipoxins determines whether infected macrophages undergo apoptosis or necrosis, which is the ultimate factor in the outcome of infection. Finally, it is a synthesis of the authors’ recent studies and the studies of others to offer a new understanding of immunity to tuberculosis.

Tuberculosis and the Tubercle Bacillus

Tuberculosis and the Tubercle Bacillus
Author: William R. Jacobs, Jr.
Publisher: John Wiley & Sons
Total Pages: 1379
Release: 2017-09-01
Genre: Medical
ISBN: 1683673050

Can today's innovative practices and molecular tools tame this ancient disease? One third of the world's population is infected with tuberculosis (TB), with about 10 million new cases annually. To combat TB and its agent, Mycobacterium tuberculosis, the World Health Organization launched The End TB Strategy, which aims to slash the suffering and cost of TB by 2035. This makes the second edition of Tuberculosis and the Tubercle Bacillus, edited by Jacobs, McShane, Mizrahi, and Orme, an extremely valuable resource for scientists and clinicians. The editors have gathered their colleagues from around the world to present the latest on the molecular biology of M. tuberculosis and related species, the host-pathogen interactions that enable invasion, and the host's immune response to M. tuberculosis infection. The basic, clinical, and translational research presented in this book supports the goals of WHO's End TB Strategy by driving toward the development of effective vaccines, rapid molecular diagnostics, and anti-TB drugs. Creating an effective tuberculosis vaccine. Understand the innate and adaptive immune response to M. tuberculosis infection, its study in established animal models, and how this information is being used to develop new vaccines against TB. Formulating new antituberculosis drugs. Learn the challenges and methods for evaluating new drugs in preclinical trials with a focus on drugs that work against "persisters" and those that act on the electron transport complex and ATP synthase of M. tuberculosis. Overcoming the challenges of diagnosing tuberculosis. Review new diagnostic tools that are simple, rapid, affordable, specific, sensitive, and safe, including molecular-based diagnostic methods such as GeneXpert MTB/RIF. Using molecular, genomic, and bioinformatics tools to understand the biology and evolution of Mycobacterium. Explore current research on the molecular mechanisms that M. tuberculosis uses to evade the immune system, enter a state of nonreplicating persistence, and become reactivated. The second edition of Tuberculosis and the Tubercle Bacillus presents the latest research on a microorganism that is exquisitely well adapted to its human host. This pathogen continues to confound scientists, clinicians, and public health specialists, who will all find much valuable information in this comprehensive set of reviews.

The Role of Tumor Necrosis Factor-alpha (TNF-[alpha]) in Host Resistance to Experimental Pulmonary Tuberculosis

The Role of Tumor Necrosis Factor-alpha (TNF-[alpha]) in Host Resistance to Experimental Pulmonary Tuberculosis
Author: Todd Michael Lasco
Publisher:
Total Pages: 260
Release: 2002
Genre:
ISBN:

ABSTRACT: The purpose of this study was to examine the role of TNF-[alpha] in host immunity using an experimental model of pulmonary tuberculosis. In this study, we focused on three leukocyte-rich guinea pig cell populations, bronchoalveolar lavage (BAL) cells, resident peritoneal cells (PC), and splenocytes (SPC). Each cell population was stimulated with either live attenuated M. tuberculosis H37Ra, or live/heat-killed virulent M. tuberculosis H37Rv (MOI 1:100). Each cell population was determined to proliferate in response to heat-killed virulent H37Rv, whereas no measurable proliferative response could be detected upon stimulation with live mycobacteria. Additionally, this proliferative capacity was enhanced significantly upon prior vaccination with M. bovis BCG in the case of SPC and PC populations. Accordingly, in a parallel set of experiments we found a strong positive correlation between bioactive TNF-[alpha] production and prior vaccination with BCG. Although, this same correlation was not detected at the mRNA level, we determined this to be purely antigen-specific process, whereby a non-specific stimulus, lipopolysaccharide (LPS), failed to induce this effect on BAL-cells, SPC, and PC populations stimulated with M. tuberculosis PPD, we determined that upon prior aerosol challenge with M. tuberculosis H37Rv, the opposite was true. That is, BAL-cells, SPC an PC obtained from non-vaccinated counterparts. Furthermore, both recombinant guinea pig TNF-[alpha] (rgpTNF-[alpha]) and polyclonal rabbit anti- rgpTNF-[alpha] reagents were developed and utilized to modulate TNF-[alpha] availability in a series of in vitro and in vivo experiments. We determined that the in vitro effect of TNF-[alpha] on PPD-induced T-cell proliferation is highly dependent on the concentration of TNF-[alpha]. While PPD-induced proliferation from SPC correlated with persistent levels of TNF-[alpha] in the supernatant, further addition of TNF-[alpha] (with rgpTNF-[alpha]) suppressed this proliferative effect, whereby neutralization (with anti-rgpTNF-[alpha]) led to a hyperproliferative response in SPC. Lastly, the administration of anti-rgpTNF-[alpha] to M. tuberculosis-infected guinea pigs did not affect mycobacterial replication in the tissues; however, pronounced splenomegaly developed in BCG-vaccinated guinea pigs, and interestingly, a dramatic influx of plasma cells into the pulmonary granulomas was also observed.

Disease Control Priorities, Third Edition (Volume 6)

Disease Control Priorities, Third Edition (Volume 6)
Author: King K. Holmes
Publisher: World Bank Publications
Total Pages: 1027
Release: 2017-11-06
Genre: Medical
ISBN: 1464805253

Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.

The Role of Tumour Necrosis Factor in Pulmonary Viral Infections

The Role of Tumour Necrosis Factor in Pulmonary Viral Infections
Author: Zahrah Jamal Al Rumaih
Publisher:
Total Pages: 0
Release: 2017
Genre:
ISBN:

Tumour necrosis factor (TNF) is a key inflammatory cytokine. Excessive production of TNF is detrimental and associated with chronic inflammatory disorders and severe immunopathology observed in acute infections. TNF plays an important antimicrobial role in the host response to infection but there is contradicting evidence regarding its role in defence against viral infections. Nonetheless, many viruses counter the host immune response by targeting the TNF pathway, indicating an important role for this cytokine. Ectromelia virus (ECTV) is an orthopoxvirus that encodes a viral TNF receptor (vTNFR), which is homologue to host TNF receptor (R) II (TNFRII). The precise role of ECTV-encoded vTNFR is not known but it may play a role in the pathogenesis of virus infection. We established that TNF plays a critical role in host survival during respiratory ECTV infection by negatively regulating the degree of lung immunopathology. Similar findings were observed during infection with influenza virus (IAV). In both models of viral infection, TNF deficient mice showed increased susceptibility to infection compared to wild type mice (WT). The increased susceptibility was not due to the inability of these mice to control viral replication. Rather, TNF deficiency leads to exacerbated lung pathology. In the ECTV model, the severe immunopathology was associated with dysregulated production of a number of inflammatory cytokines, many of which utilise the STAT3 signalling pathway. Treating the mice with a STAT3 inhibitor revealed an important role for this signalling pathway in regulating lung pathology during ECTV and IAV infections. Our data revealed that although TNF is associated with inflammation, it regulates inflammation and plays an anti-inflammatory role in the host response to infection. TNF is produced as a transmembrane protein (mTNF) then enzymatically cleaved to release the soluble form (sTNF). Both forms of TNF bind host TNFR and vTNFR. mTNF can also act as a ligand for vTNFR and host TNFR to transmit signals from the outside to inside a cell bearing mTNF through a process termed, reverse signalling. We investigated this phenomenon during ECTV and IAV infection using triple mutant (TM) mice that only express mTNF but not sTNF or TNFRs. We found that treatment of TM and WT mice with exogenous sTNFRII attenuated lung inflammation and pathology but had no effect on viral load, indicating that reverse signalling through mTNF dampened the inflammatory response. Intriguingly, combined treatment with sTNFRII and specific antiviral drug significantly reduced viral load and lung pathology. ECTV-encoded vTNFR (CrmD) contains a TNF-binding domain and a chemokine-binding domain termed SECRET. To determine the function of CrmD during ECTV infection, we used mutant viruses lacking either the TNF-binding domain or both domains to infect mice. The data established that the function of CrmD was to dampen inflammation, likely involving reverse signalling through mTNF. Mice infected with deletion mutants lacking one or both domains of CrmD exhibited significantly exaggerated lung pathology associated with increased production of several inflammatory mediators. Together, these data demonstrate the important roles of TNF and TNF-CrmD signalling pathways in regulating the inflammatory response to ECTV infection.

Aetiology of Tuberculosis

Aetiology of Tuberculosis
Author: Robert Koch
Publisher: Legare Street Press
Total Pages: 0
Release: 2022-10-27
Genre: History
ISBN: 9781018153025

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