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Infection and Immunity, August 2004, p. 4385-4392, Vol. 72, No. 8
0019-9567/04/$08.00+0     DOI: 10.1128/IAI.72.8.4385-4392.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Mycobacterium tuberculosis Diverts Alpha Interferon-Induced Monocyte Differentiation from Dendritic Cells into Immunoprivileged Macrophage-Like Host Cells

Sabrina Mariotti, Raffaela Teloni, Elisabetta Iona, Lanfranco Fattorini, Giulia Romagnoli, Maria Cristina Gagliardi, Graziella Orefici, and Roberto Nisini*

Dipartimento di Malattie Infettive, Parassitarie e Immunomediate, Istituto Superiore di Sanitá, 00161 Rome, Italy

Received 13 November 2003/ Returned for modification 25 February 2004/ Accepted 22 April 2004

Dendritic cells (DCs) are critical for initiating a pathogen-specific T-cell response. During chronic infections the pool of tissue DCs must be renewed by recruitment of both circulating DC progenitors and in loco differentiating monocytes. However, the interaction of monocytes with pathogens could affect their differentiation. Mycobacterium tuberculosis has been shown to variably interfere with the generation and function of antigen-presenting cells (APCs). In this study we found that when alpha interferon (IFN-{alpha}) is used as an inductor of monocyte differentiation, M. tuberculosis inhibits the generation of DCs, forcing the generation of immunoprivileged macrophage-like cells instead. Cells derived from M. tuberculosis-infected monocyte-derived macrophages (M. tuberculosis-infected MoM{phi}) retained CD14 without acquiring CD1 molecules and partially expressed B7.2 but did not up-regulate B7.1 and major histocompatibility complex (MHC) class I and II molecules. They synthesized tumor necrosis factor alpha and interleukin-10 (IL-10) but not IL-12. They also showed a reduced ability to induce proliferation and functional polarization of allogeneic T lymphocytes. Thus, in the presence of IFN-{alpha}, M. tuberculosis may hamper the renewal of potent APCs, such as DCs, generating a safe habitat for intracellular growth. M. tuberculosis-infected MoM{phi}, in fact, showed reduced expression of both signal 1 (CD1, MHC classes I and II) and signal 2 (B7.1 and B7.2), which are essential for mycobacterium-specific T-lymphocyte priming and/or activation. These data further suggest that M. tuberculosis has the ability to specifically interfere with monocyte differentiation. This ability may represent an effective M. tuberculosis strategy for eluding immune surveillance and persisting in the host.

* Corresponding author. Mailing address: Dipartimento di Malattie Infettive, Parassitarie e Immunomediate, Istituto Superiore di Sanitá, Viale Regina Elena 299, 00161 Rome, Italy. Phone: 39 06 4990 2659. Fax: 39 06 49387112. E-mail: r.nisini{at}iss.it.

Editor: S. H. E. Kaufmann

Infection and Immunity, August 2004, p. 4385-4392, Vol. 72, No. 8
0019-9567/04/$08.00+0     DOI: 10.1128/IAI.72.8.4385-4392.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.



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