title: Elevated percentage of perforin positive cells in active pulmonary tuberculosis.
abstract: OBJECTIVE
  Perforin is one of the major effector molecules of cytotoxic cells associated with killing of cells harbouring intracellular bacterial infection. The precise role of perforin positive cells in tuberculosis still remains controversial. The present study was done to determine the number of circulating CD4(+) and CD8(+) perforin positive cells to assess the level of cytotoxic response against Mycobacterium tuberculosis in patients with pulmonary tuberculosis.
  
  
  METHODS
  Intracellular perforin and surface CD4 and CD8 staining of peripheral blood lymphocytes was done using specific monoclonal antibodies and enumerated using flowcytometry.
  
  
  RESULTS
  A significantly decreased total lymphocytes (P<0.01), CD4 (P<0.001) and CD8 (P<0.01) lymphocyte counts in PTB patients was observed compared to normal healthy individuals (NHS). Intracellular perforin staining showed significantly elevated percentages of total (P<0.05) and CD8 (P<0.01) perforin positive cells in PTB patients compared to NHS. However, the absolute counts of total, CD4 and CD8 cells positive for perforin were similar in patients and NHS.
  
  
  CONCLUSIONS
  Our results suggest that during active stage of pulmonary tuberculosis there was an increased percentage of CD8 cells positive for perforin, irrespective of their absolute counts. Further, CD8(+) perforin positive cells may have increased cytolytic activity against M. tuberculosis in active pulmonary tuberculosis.
authors.affiliation: Tuberculosis Research Centre (ICMR), Chennai, India.
authors.forename: D
authors.initials: D
authors.lastname: Nisha Rajeswari
authors.forename: P
authors.initials: P
authors.lastname: Selvaraj
authors.forename: M S
authors.initials: MS
authors.lastname: Jawahar
authors.forename: A R
authors.initials: AR
authors.lastname: Adhilakshmi
authors.forename: M
authors.initials: M
authors.lastname: Vidyarani
authors.forename: P R
authors.initials: PR
authors.lastname: Narayanan
mesh_terms: D000328:Adult; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology / Q000378:metabolism; D018414:CD8-Positive T-Lymphocytes / Q000276:immunology / Q000378:metabolism; D016022:Case-Control Studies; D006801:Humans; D007111:Immunity, Cellular; D008562:Membrane Glycoproteins / Q000276:immunology / Q000378:metabolism*; D009169:Mycobacterium tuberculosis / Q000276:immunology; D054353:Perforin; D052899:Pore Forming Cytotoxic Proteins; D014397:Tuberculosis, Pulmonary / Q000276:immunology / Q000378:metabolism*
chemical_list: D008562:Membrane Glycoproteins; D052899:Pore Forming Cytotoxic Proteins; D054353:Perforin