2009
DOI: 10.1128/iai.00503-08
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Human Polymorphonuclear Neutrophil Responses to Burkholderia pseudomallei in Healthy and Diabetic Subjects

Abstract: The major predisposing factor for melioidosis is diabetes mellitus, but no immunological mechanisms have been investigated to explain this. In this study, polymorphonuclear neutrophil (PMN) responses to Burkholderia pseudomallei, the causative agent of melioidosis, in healthy and diabetic Thai subjects were determined by flow cytometry. The results showed that B. pseudomallei displayed reduced uptake by PMNs compared to Salmonella enterica serovar Typhimurium and Escherichia coli. Additionally, intracellular s… Show more

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Cited by 113 publications
(153 citation statements)
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“…Our previous studies and those of others in diabetes mellitus patients have described defects in PMN phagocytosis, migration, and oxidative burst responses to kill B. pseudomallei (28), as well as reductions in proinflammatory cytokines (40) and dysfunction in Th1 cell responses to B. pseudomallei infection (41). We report in this article that increased PD-L1 expression on B. pseudomallei-infected PMNs correlated with increasing T cell dysfunction in type 2 diabetic patients.…”
Section: Discussionsupporting
confidence: 59%
See 1 more Smart Citation
“…Our previous studies and those of others in diabetes mellitus patients have described defects in PMN phagocytosis, migration, and oxidative burst responses to kill B. pseudomallei (28), as well as reductions in proinflammatory cytokines (40) and dysfunction in Th1 cell responses to B. pseudomallei infection (41). We report in this article that increased PD-L1 expression on B. pseudomallei-infected PMNs correlated with increasing T cell dysfunction in type 2 diabetic patients.…”
Section: Discussionsupporting
confidence: 59%
“…Human PMNs, PBMCs, and CD4 + T cells were isolated from heparinanticoagulated venous blood from healthy and diabetic subjects using the previously reported criteria and methods (28). In brief, PMNs were isolated by 3% Dextran T-500 sedimentation (Amersham) and separated by Ficoll-Hypaque density gradient centrifugation (Sigma Aldrich), PBMCs were collected, followed by hypotonic lysis to removed RBCs, and also isolated by Ficoll-Hypaque density gradient centrifugation.…”
Section: Isolation Of Peripheral Blood Populationsmentioning
confidence: 99%
“…Human PMNs were isolated from fresh heparinized venous blood from healthy and diabetic subjects using the previously reported criteria and methods (6). Permission was obtained from the Khon Kaen University Ethics Committee for Human Research, number HE470506.…”
Section: Pmn Isolationmentioning
confidence: 99%
“…Previously, we reported the impairment of cellular functions in PMNs from human subjects with diabetes mellitus (6). PMNs from diabetic subjects were therefore compared to PMNs from healthy subjects for their ability to release extracellular DNA in response to PMA stimulation or B. pseudomallei infection.…”
Section: Net Formation Induced By B Pseudomalleimentioning
confidence: 99%
“…The strong association between type 2 diabetes and melioidosis presents a unique opportunity to identify, in diabetes, susceptibility factors to infection and disease. No studies have explored the mechanism for increased susceptibility to melioidosis in diabetic patients except for a recent report that found neutrophils isolated from diabetic individuals to be defective in chemotaxis, phagocytosis, and apoptosis toward B. pseudomallei (11).…”
Section: Introductionmentioning
confidence: 99%