Cytokine production in NK and NKT cells from Mycobacterium tuberculosis infected patients. Southeast Asian J Trop Med Public Health 38:370-‐375

Abstract. Tuberculosis, a major health problem in developing countries, has re-emerged in recent years in many countries. While it is accepted that various lymphocyte subsets are im-portant responses to mycobacterial infection, the roles of NK and NKT cells in producing cytokines are still unclear. Thus we have evaluated, in Mycobacterium tuberculosis infection, the frequency of cytokine producing cells by flow cytometry. Of 30 individuals examined, 17 had clinical evidence of pulmonary tuberculosis while the rest showed no evidence of infec-tion. Patients had a significantly higher number of IFN-γ and IL-4-producing T cells compared to control subjects, but the ratio of IFN-γ to IL-4-producing T cells was similar in both groups. There were no differences between cytokine profiles of NK cells in patients and control sub-jects. A significant increase in the number of NKT cells was observed in patients. A striking finding was the higher frequency of IL-4-producing NKT cells compared to IFN-γ-producing cells. Moreover, individual NKT cell produced both IFN-γ and IL-4. The preferential type of Th1 or Th2 cells is due to mycobacterial strain, type of antigen presenting cells and stage of dis-ease, all of which can lead to different patterns of cytokine production by variety of lymphocyte subsets