1984
DOI: 10.1038/308194a0
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Lymphocyte suppression in leprosy induced by unique M. leprae glycolipid

Abstract: Leprosy remains a significant medical and social problem in many developing countries. The varied forms of the disease form a spectrum. At one pole, tuberculoid leprosy, patients develop high levels of cell-mediated immunity which results in the killing and clearing of bacilli in the tissues. At the lepromatous pole, patients exhibit a selective immunological unresponsiveness to antigens of Mycobacterium leprae so that the organisms inexorably multiply in the skin. We have suggested that in lepromatous leprosy… Show more

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Cited by 198 publications
(93 citation statements)
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“…Defective IFN-␥ mediated activation has been reported in mouse macrophages heavily infected with live M. leprae (21,22). Possible inhibitory molecules present in the cell wall of M. leprae include phenolic glycolipid 1 (PGL-1) (23,24). PGL-1 has been implicated in dampening the allogeneic response caused by M. leprae-infected DCs (18).…”
Section: Discussionmentioning
confidence: 99%
“…Defective IFN-␥ mediated activation has been reported in mouse macrophages heavily infected with live M. leprae (21,22). Possible inhibitory molecules present in the cell wall of M. leprae include phenolic glycolipid 1 (PGL-1) (23,24). PGL-1 has been implicated in dampening the allogeneic response caused by M. leprae-infected DCs (18).…”
Section: Discussionmentioning
confidence: 99%
“…It has been implicated in several processes at different steps of the infection cycle: tropism for Schwann cells or phagocytes; the resistance of the leprosy bacillus to intracellular killing; and immunomodulatory activities (18,50,14). However, analysis of the contribution of PGL-1 to the pathogenicity of M. leprae has been hampered by the failure of the bacterium to grow on laboratory media and its extremely slow growth in animal model.…”
Section: Discussionmentioning
confidence: 99%
“…The observation that p-HBAD are present in the culture fluids of all the strains of M. tuberculosis examined raises the question of their role in virulence of the tubercle bacillus. These compounds are properly located to interact with host cells and contain the oligosaccharide moiety of PGL, which seems to be essential for the various acitivities found for the PGL of M. leprae (18,50,14). Once again the best way to address this question will be the generation and characterization of M. tuberculosis mutants devoid of p-HBAD.…”
Section: Discussionmentioning
confidence: 99%
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“…However, there are three reports on increased number of T regulatory cells in leprosy patients [15][16][17], two of them reported increased T regulatory cells in lepromatous leprosy patients and one reported increased T regulatory cells in tuberculoid leprosy patients. PGL-1 is M. leprae specific lipid which has been reported to be immunosuppressive [18] and highest rate of leprosy cases was detected in PGL-1 seropositive BCG unvaccinated contacts [19], therefore, we designed the present study to evaluate the percentage of T regulatory cells in different categories of leprosy patients and healthy controls to delineate their role in T cell suppression in leprosy. Further, frequency of T regulatory cells was detected in PBMCs after stimulation with M. leprae antigens to evaluate role of these antigens, especially PGL-1 in the induction of T regulatory cells.…”
Section: Introductionmentioning
confidence: 99%