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Infection and Immunity, December 1999, p. 6461-6472, Vol. 67, No. 12
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Regulation of Human CD4+ 
T-Cell-Receptor-Positive (TCR+) and 
TCR+ T-Cell Responses to Mycobacterium
tuberculosis by Interleukin-10 and Transforming Growth
Factor
Roxana E.
Rojas,
Kithiganahalli N.
Balaji,
Ahila
Subramanian, and
W. Henry
Boom*
Department of Medicine, Case Western Reserve
University and University Hospitals of Cleveland, Cleveland, Ohio
44106-4984
Received 12 May 1999/Returned for modification 15 June
1999/Accepted 15 September 1999
Mycobacterium tuberculosis is the etiologic agent of
human tuberculosis and is estimated to infect one-third of the world's population. Control of M. tuberculosis requires T cells and
macrophages. T-cell function is modulated by the cytokine environment,
which in mycobacterial infection is a balance of proinflammatory
(interleukin-1 [IL-1], IL-6, IL-8, IL-12, and tumor necrosis factor
alpha) and inhibitory (IL-10 and transforming growth factor
[TGF-
]) cytokines. IL-10 and TGF-
are produced by M. tuberculosis-infected macrophages. The effect of IL-10 and
TGF-
on M. tuberculosis-reactive human CD4+
and 
T cells, the two major human T-cell subsets activated by
M. tuberculosis, was investigated. Both IL-10 and TGF-
inhibited proliferation and gamma interferon production by
CD4+ and 
T cells. IL-10 was a more potent inhibitor
than TGF-
for both T-cell subsets. Combinations of IL-10 and TGF-
did not result in additive or synergistic inhibition. IL-10 inhibited 
and CD4+ T cells directly and inhibited monocyte
antigen-presenting cell (APC) function for CD4+ T cells
and, to a lesser extent, for 
T cells. TGF-
inhibited both
CD4+ and 
T cells directly and had little effect on
APC function for 
and CD4+ T cells. IL-10
down-regulated major histocompatibility complex (MHC) class I, MHC
class II, CD40, B7-1, and B7-2 expression on M. tuberculosis-infected monocytes to a greater extent than TGF-
. Neither cytokine affected the uptake of M. tuberculosis by
monocytes. Thus, IL-10 and TGF-
both inhibited CD4+ and

T cells but differed in the mechanism used to inhibit T-cell
responses to M. tuberculosis.
*
Corresponding author. Mailing address: Division of
Infectious Diseases, Case Western Reserve University, School of
Medicine, BRB 10th Floor, 10900 Euclid Ave., Cleveland, OH 44106-4984. Phone: (216) 368-4844. Fax: (216) 368-2034. E-mail:
whb{at}po.cwru.edu.

Present address: Lymphocyte Cytotoxicity Section, Experimental
Immunology Branch, Division of Basic Sciences, National Cancer
Institute, National Institutes of Health, Bethesda, MD 20892-1360.
Infection and Immunity, December 1999, p. 6461-6472, Vol. 67, No. 12
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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