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final program.qxd - Parallels Plesk Panel

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PP 2.13<br />

Assessing the Contribution of CD8+ T Cells among TB Case-Contact Cohort Using<br />

Fresh EX-VIVO Elispot Readouts<br />

Lugos MD, Hammond AS, Adegbola RA and Brookes RH<br />

MRC Laboratories, The Gambia<br />

The IFN-γ secreting T cells have been reported to play a central role in protective<br />

immunity against TB. Whilst the role of CD4+ T cells is crucial, recent evidence suggests<br />

IFN-γ secreting CD8+ T cells may also have a key role in control of latent or chronic MTB<br />

infection.<br />

Our objective is to assess the contribution of CD8 + T cells in TB immune response using<br />

ELISPOT readouts from TB Case-Contact cohort.<br />

We employed novel tetrameric antibody cocktail (RosetteSep) to deplete CD8 cells<br />

directly from whole blood. Fresh ex vivo ELISPOT assay was carried out using depleted<br />

and undepleted PBMC from TBCC cohorts to determine the proportion of circulatory<br />

effector T cells. Flow cytometry was used to determine the percentage purity of cells<br />

depleted.<br />

Results show variable drops in PBMC count ranging from 5.26 - 77.14%. Despite this, a<br />

98% depletion success was obtained for CD8+ T cells, while 59.4% enrichment was<br />

observed for the CD4 fragment. Further, we observed a comparable increase in IFN--γ<br />

producing cell frequencies as an indication of enhanced CD4 response. Responder<br />

frequencies of CD8 depleted fraction showed a decreased trend, with those responding to<br />

ESAT-6 having a higher count among cases than contacts.<br />

We therefore conclude that TB cases tend to show more of CD8 immune responses.<br />

Hence, the appearance of CD8+ T cell response could be used as a marker for progression<br />

to disease amongst the infected TB contacts.<br />

“ Focusing FIRST on PEOPLE “ 132 w w w . i s h e i d . c o m

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