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Impaired in vitro T-cell responses in patients with community acquired pneumonia.

Abstract
To evaluate the status of the cellular immune response of patients with community acquired pneumonia (CAP), 8 CAP cases were studied for their in vitro T-cell responses to concanavalin A (Con A), tuberculin, and candidin, as well as levels of major T-cell populations in peripheral blood. Assessment on admission revealed that CAP patients had significantly decreased responses to both antigen and mitogen driven lymphocyte proliferation when compared to age and sex matched controls. Studies performed upon 1 week of antibiotic treatment made evident, in turn, that clinical improvement was accompanied by a reestablishment of the in vitro responses to tuberculin and candidin, whereas the lymphoproliferation induced by Con A remained decreased as in its first evaluation. Data from admission and day 7 of treatment showed no significant differences as to the levels of peripheral T-cell subsets when compared to those of healthy controls. Our results indicate that CAP coincides with reduced in vitro T-cell responses to antigen and mitogen stimulation.
AuthorsM L Bay, R D Mahuad, L A Urízar, J C Morini, O A Bottassol
JournalJournal of investigational allergology & clinical immunology (J Investig Allergol Clin Immunol) 1997 Jan-Feb Vol. 7 Issue 1 Pg. 62-4 ISSN: 1018-9068 [Print] Spain
PMID9093937 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-Bacterial Agents
  • Macrolides
  • Penicillins
  • Tuberculin
  • Concanavalin A
  • candidin
  • Amoxicillin
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Amoxicillin (therapeutic use)
  • Animals
  • Anti-Bacterial Agents (pharmacology)
  • Community-Acquired Infections (drug therapy, immunology)
  • Concanavalin A (pharmacology)
  • Female
  • Humans
  • Lymphocyte Activation
  • Macrolides
  • Male
  • Middle Aged
  • Penicillins (therapeutic use)
  • Pneumonia, Bacterial (drug therapy, immunology)
  • Rats
  • T-Lymphocyte Subsets (immunology)
  • T-Lymphocytes (immunology)
  • Tuberculin (pharmacology)

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