PT - JOURNAL ARTICLE AU - Leemans, Jaklien C. AU - Juffermans, Nicole P. AU - Florquin, Sandrine AU - van Rooijen, Nico AU - Vervoordeldonk, Margriet J. AU - Verbon, Annelies AU - van Deventer, Sander J. H. AU - van der Poll, Tom TI - Depletion of Alveolar Macrophages Exerts Protective Effects in Pulmonary Tuberculosis in Mice AID - 10.4049/jimmunol.166.7.4604 DP - 2001 Apr 01 TA - The Journal of Immunology PG - 4604--4611 VI - 166 IP - 7 4099 - http://www.jimmunol.org/content/166/7/4604.short 4100 - http://www.jimmunol.org/content/166/7/4604.full SO - J. Immunol.2001 Apr 01; 166 AB - Mycobacterium tuberculosis bacilli are intracellular organisms that reside in phagosomes of alveolar macrophages (AMs). To determine the in vivo role of AM depletion in host defense against M. tuberculosis infection, mice with pulmonary tuberculosis induced by intranasal administration of virulent M. tuberculosis were treated intranasally with either liposome-encapsulated dichloromethylene diphosphonate (AM− mice), liposomes, or saline (AM+ mice). AM− mice were completely protected against lethality, which was associated with a reduced outgrowth of mycobacteria in lungs and liver, and a polarized production of type 1 cytokines in lung tissue, and by splenocytes stimulated ex vivo. AM− mice displayed deficient granuloma formation, but were more capable of attraction and activation of T cells into the lung and had increased numbers of pulmonary polymorphonuclear cells. These data demonstrate that depletion of AMs is protective during pulmonary tuberculosis.