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KMID : 0383820120720030275
Tuberculosis and Respiratory Diseases
2012 Volume.72 No. 3 p.275 ~ p.283
Impaired Expression of MAPK Is Associated with the Downregulation of TNF-¥á, IL-6, and IL-10 in Mycobacterium abscessus Lung Disease
Sim Yun-Su

Kim Su-Young
Kim Eun-Joo
Shin Sung-Jae
Koh Won-Jung
Abstract
Background : Healthy individuals who develop nontuberculous mycobacteria (NTM) lung disease are likely to have specific susceptibility factors which can lead to a NTM infection. The aim of the present study was to investigate the mechanism underlying innate immune responses, including the role of mitogen-activated protein kinase (MAPK), in Mycobacterium abscessus lung disease.

Materials and Methods : Extracellular signal-regulated kinase (ERK1/2) and p38 MAPK expression in monocytes from peripheral blood mononuclear cells were measured by Western blot analysis after stimulation by Mycobacterium avium in five patients with M. abscessus lung disease and seven healthy controls. A M. avium-induced cytokine assay was performed after inhibition of ERK1/2 and p38 MAPK pathways.

Results : Mycobacterium avium induced p38 and ERK1/2 expression in monocytes from healthy controls and subsequently upregulated tumor necrosis factor (TNF)-¥á, interleukin (IL)-6, and IL-10 production. In monocytes from patients with M. abscessus lung disease, however, induction of p38 and ERK1/2 expression, and the production of TNF-¥á, IL-6, and IL-10 were significantly lower.

Conclusion : Decreased activity of MAPK and cytokine secretion in monocytes from patients with M. abscessus lung disease may provide an explanation regarding host susceptibility to these uncommon infections.
KEYWORD
Nontuberculous Mycobacteria, Extracellular Signal-Regulated MAP Kinases, Mitogen-Activated Protein Kinases
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