Surfactant protein A promotes attachment of Mycobacterium tuberculosis to alveolar macrophages during infection with human immunodeficiency virus

James F. Downing, Rajamouli Pasula, Jo Rae Wright, Homer Twigg, William J. Martin

Research output: Contribution to journalArticle

113 Citations (Scopus)

Abstract

The incidence of tuberculosis is increasing on a global scale, in part due to its strong association with human immunodeficiency virus (HIV) infection. Attachment of Mycobacterium tuberculosis to its host cell, the alveolar macrophage (AM), is an important early step in the pathogenesis of infection. Bronchoalveolar lavage of HIV-infected individuals demonstrated the presence of a factor which significantly enhances the attachment of tubercle bacilli to AMs 3-fold relative to a normal control population. This factor is surfactant protein A (SP-A). SP-A levels are increased in the lungs of HIV- infected individuals. SP-A levels and attachment of M. tuberculosis to AMs inversely correlate with peripheral blood CD4 lymphocyte counts. Elevated concentrations of SP-A during the progression of HIV infection may represent an important nonimmune risk factor for acquiring tuberculosis, even before significant depletion of CD4 lymphocytes in the peripheral blood occurs.

Original languageEnglish
Pages (from-to)4848-4852
Number of pages5
JournalProceedings of the National Academy of Sciences of the United States of America
Volume92
Issue number11
DOIs
StatePublished - May 23 1995

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Pulmonary Surfactant-Associated Protein A
Alveolar Macrophages
Mycobacterium tuberculosis
HIV
Virus Diseases
Infection
Tuberculosis
Lymphocyte Depletion
Bronchoalveolar Lavage
CD4 Lymphocyte Count
Bacillus
Lung
Incidence
Population

Keywords

  • AIDS

ASJC Scopus subject areas

  • Genetics
  • General

Cite this

Surfactant protein A promotes attachment of Mycobacterium tuberculosis to alveolar macrophages during infection with human immunodeficiency virus. / Downing, James F.; Pasula, Rajamouli; Wright, Jo Rae; Twigg, Homer; Martin, William J.

In: Proceedings of the National Academy of Sciences of the United States of America, Vol. 92, No. 11, 23.05.1995, p. 4848-4852.

Research output: Contribution to journalArticle

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