Analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the INFIR cohort in India.

<h4>Background</h4>The ILEP Nerve Function Impairment in Reaction (INFIR) is a cohort study designed to identify predictors of reactions and nerve function impairment (NFI) in leprosy.<h4>Aim of the study</h4>Antibodies to mycobacteria, nerve components and serum cytokine wer...

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Main Authors: Rupendra Jadhav, Lavanya Suneetha, Ravindra Kamble, Vidyagouri Shinde, Karuna Devi, Meher Vani Chaduvula, Renuka Raju, Sujai Suneetha, Peter G Nicholls, Wim H van Brakel, Diana N J Lockwood
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2011-03-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0000977&type=printable
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author Rupendra Jadhav
Lavanya Suneetha
Ravindra Kamble
Vidyagouri Shinde
Karuna Devi
Meher Vani Chaduvula
Renuka Raju
Sujai Suneetha
Peter G Nicholls
Wim H van Brakel
Diana N J Lockwood
author_facet Rupendra Jadhav
Lavanya Suneetha
Ravindra Kamble
Vidyagouri Shinde
Karuna Devi
Meher Vani Chaduvula
Renuka Raju
Sujai Suneetha
Peter G Nicholls
Wim H van Brakel
Diana N J Lockwood
author_sort Rupendra Jadhav
collection DOAJ
description <h4>Background</h4>The ILEP Nerve Function Impairment in Reaction (INFIR) is a cohort study designed to identify predictors of reactions and nerve function impairment (NFI) in leprosy.<h4>Aim of the study</h4>Antibodies to mycobacteria, nerve components and serum cytokine were measured as potential markers for their possible association with reactions and NFI.<h4>Patients and methods</h4>303 newly diagnosed leprosy patients from two centres in North India were enrolled. Antibodies to PGL-1, LAM (IgG1 and IgG3), ceramide, S100 and TNFα levels were measured using ELISA techniques.<h4>Results</h4>S-100, PGL IgG and IgM antibody levels were lowest in patients with BT leprosy and highest in patients with lepromatous leprosy. LAM IgG1 and LAM IgG3 antibody levels were highest in patients with BL leprosy. Ceramide antibody levels were not correlated with type of leprosy. Levels of all the antibodies tested and TNF α were lowest in patients with only skin reaction. PGL IgM antibody levels were elevated in patients with skin reactions and NFI. Old sensory NFI is associated with significant elevation of PGL IgG, LAM IgG and S100 antibody levels.<h4>Conclusion</h4>These results reveal that the antibody response to mycobacterial antigens, nerve antigens and cytokines are in a dynamic flux and could collectively contribute to NFI in leprosy. The association of multiple markers with old NFI may indicate the contribution of different pathological processes.
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spelling doaj-art-e0e5157db4f84d4a95be01d03e7b15422025-08-20T02:33:12ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352011-03-0153e97710.1371/journal.pntd.0000977Analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the INFIR cohort in India.Rupendra JadhavLavanya SuneethaRavindra KambleVidyagouri ShindeKaruna DeviMeher Vani ChaduvulaRenuka RajuSujai SuneethaPeter G NichollsWim H van BrakelDiana N J Lockwood<h4>Background</h4>The ILEP Nerve Function Impairment in Reaction (INFIR) is a cohort study designed to identify predictors of reactions and nerve function impairment (NFI) in leprosy.<h4>Aim of the study</h4>Antibodies to mycobacteria, nerve components and serum cytokine were measured as potential markers for their possible association with reactions and NFI.<h4>Patients and methods</h4>303 newly diagnosed leprosy patients from two centres in North India were enrolled. Antibodies to PGL-1, LAM (IgG1 and IgG3), ceramide, S100 and TNFα levels were measured using ELISA techniques.<h4>Results</h4>S-100, PGL IgG and IgM antibody levels were lowest in patients with BT leprosy and highest in patients with lepromatous leprosy. LAM IgG1 and LAM IgG3 antibody levels were highest in patients with BL leprosy. Ceramide antibody levels were not correlated with type of leprosy. Levels of all the antibodies tested and TNF α were lowest in patients with only skin reaction. PGL IgM antibody levels were elevated in patients with skin reactions and NFI. Old sensory NFI is associated with significant elevation of PGL IgG, LAM IgG and S100 antibody levels.<h4>Conclusion</h4>These results reveal that the antibody response to mycobacterial antigens, nerve antigens and cytokines are in a dynamic flux and could collectively contribute to NFI in leprosy. The association of multiple markers with old NFI may indicate the contribution of different pathological processes.https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0000977&type=printable
spellingShingle Rupendra Jadhav
Lavanya Suneetha
Ravindra Kamble
Vidyagouri Shinde
Karuna Devi
Meher Vani Chaduvula
Renuka Raju
Sujai Suneetha
Peter G Nicholls
Wim H van Brakel
Diana N J Lockwood
Analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the INFIR cohort in India.
PLoS Neglected Tropical Diseases
title Analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the INFIR cohort in India.
title_full Analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the INFIR cohort in India.
title_fullStr Analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the INFIR cohort in India.
title_full_unstemmed Analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the INFIR cohort in India.
title_short Analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the INFIR cohort in India.
title_sort analysis of antibody and cytokine markers for leprosy nerve damage and reactions in the infir cohort in india
url https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0000977&type=printable
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