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The Journal of Immunology, 2004, 172: 7771-7779.
Copyright © 2004 by The American Association of Immunologists

An In Vitro Model for the Lepromatous Leprosy Granuloma: Fate of Mycobacterium leprae from Target Macrophages after Interaction with Normal and Activated Effector Macrophages1

Deanna A. Hagge, Nashone A. Ray, James L. Krahenbuhl and Linda B. Adams2

National Hansen’s Disease Programs, Laboratory Research Branch, Louisiana State University School of Veterinary Medicine, Baton Rouge, LA 70803

The lepromatous leprosy granuloma is a dynamic entity requiring a steady influx of macrophages (M{phi}) for its maintenance. We have developed an in vitro model to study the fate of Mycobacterium leprae in a LL lesion, with and without immunotherapeutic intervention. Target cells, consisting of granuloma M{phi} harvested from the footpads of M. leprae-infected athymic nu/nu mice, were cocultured with normal or IFN-{gamma}-activated (ACT) effector M{phi}. The bacilli were recovered and assessed for viability by radiorespirometry. M. leprae recovered from target M{phi} possessed high metabolic activity, indicating a viable state in this uncultivable organism. M. leprae recovered from target M{phi} incubated with normal effector M{phi} exhibited significantly higher metabolism. In contrast, bacilli recovered from target M{phi} cocultured with ACT effector M{phi} displayed a markedly decreased metabolic activity. Inhibition by ACT M{phi} required an E:T ratio of at least 5:1, a coculture incubation period of 3–5 days, and the production of reactive nitrogen intermediates, but not reactive oxygen intermediates. Neither IFN-{gamma} nor TNF-{alpha} were required during the cocultivation period. However, cell-to-cell contact between the target and effector M{phi} was necessary for augmentation of M. leprae metabolism by normal effector M{phi} as well as for inhibition of M. leprae by ACT effector M{phi}. Conventional fluorescence microscopy and confocal fluorescence microscopy revealed that the bacilli from the target M{phi} were acquired by the effector M{phi}. Thus, the state of M{phi} infiltrating the granuloma may markedly affect the viability of M. leprae residing in M{phi} in the lepromatous lesion.




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