Differential expression of interferon-gamma and interferon-gamma-inducing cytokines in Thai patients with scrub typhus or leptospirosis

Wirongrong Chierakul, Maaike de Fost, Yupin Suputtamongkol, Roongreung Limpaiboon, Arjen Dondorp, Nicholas J. White, Tom van der Poll

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Abstract

Interferon (IFN)-gamma plays an important role in the induction of a type 1 immune response against intracellular pathogens. We compared the plasma levels of IFN-gamma and IFN-gamma-inducing cytokines in adult Thai patients with scrub typhus, caused by the obligate intracellular bacterium Orientia tsutsugamushi, and leptospirosis, caused by extracellular Leptospira interrogans. IFN-gamma, interleukin (IL)-18, and IL-15 levels were elevated only in patients with scrub typhus, whereas IL-12p40 and tumor necrosis factor-alpha concentrations were elevated in both patient groups, although more so in scrub typhus. These data suggest a role for a cell-mediated immune response in host defense against O. tsutsugamushi. (C) 2004 Elsevier Inc. All rights reserved
Original languageEnglish
Pages (from-to)140-144
JournalClinical immunology (Orlando, Fla.)
Volume113
Issue number2
DOIs
Publication statusPublished - 2004

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