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Alveolar macrophages shape tuberculosis susceptibility by delaying protective immunity - PubMed

4 hours ago
  • #tuberculosis
  • #alveolar macrophages
  • #immune response
  • Alveolar macrophages (AMs) delay CD4+ T cell priming in tuberculosis by retaining Mycobacterium tuberculosis (Mtb) in the alveolar lumen.
  • Susceptible C3HeB/FeJ mice show more pronounced defects due to reduced IL-1β and GM-CSF production, impairing AM migration to lung parenchyma.
  • Targeting AMs accelerates adaptive immune response but fails to control bacteria long-term due to neutrophil interference with CD4+ T cells.
  • Sequential depletion of AMs and neutrophils restores CD4+ T cell function and improves infection control.
  • The study highlights a bottleneck in tuberculosis immunity and suggests combined strategies may be needed for sustained control.