Strategy of the Host-Directed Therapy for Tuberculosis: the Importance of Interferon-Gamma in the Pathogenesis and Therapy of Tuberculosis Infection

Author:

Mozhokina G. N.1,Samoylova A. G.1,Abramchenko A. V.1,Romanova M. I.1ORCID,Vasilyeva I. A.1ORCID

Affiliation:

1. National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health

Abstract

The review analyzes of 69 publications and discusses treatment of drug-resistant tuberculosis from the standpoint of the influence on immune mechanisms that limit progression of inflammation and damage to lung tissue. Interferon-gamma is the most significant cytokine in tuberculosis infection pathogenesis. The article describes genotypic and phenotypic features of interferon-gamma production in various clinical forms of pulmonary tuberculosis. It presents the data supporting the therapeutic use of recombinant interferon-gamma and results of its clinical use as adjuvant treatment additionally to chemotherapy. It demonstrates the prospects for immunotherapy with Ingaron, the drug manufactured in Russia, for patients with multiple drug-resistant pulmonary tuberculosis.

Publisher

LLC "Medical Knowledge and Technologies"

Reference69 articles.

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3. Esimova I.E. Molekulyarnyye mekhanizmy disregulyatsii retseptori tsitokin-oposredovannoy aktivatsii T-limfotsitov pri tuberkuleze legkikh. Avtoref. diss. dokt. med. nauk. [Molecular mechanisms of dysregulation of receptor- and cytokine-mediated activation of T-lymphocytes in pulmonary tuberculosis. Synopsis of Doct. Diss.]. Tomsk, 2018. Available: https://search.rsl.ru/ru/record/01008715107 Accessed December 1, 2023.

4. Zakharova M.V., Stakhanov V.A., Mezentseva M.V. Features of the cytokine profile and interferon status of patients with infiltrative pulmonary tuberculosis. Infectious Diseases (Infektsionnye Bolezni), 2011, vol. 9, no. 1, pp. 47-50. (In Russ.)

5. Ivanov A.K., Sologub T.V., Panteleev A.M., Sukhanov D.S., Romantsov M.G., Kovalenko A.L. Comprehensive treatment of HIV-positive tuberculosis patients with cycloferon. Eksper. I Klin Farmakol., 2010, no. 7, pp. 32-35. (In Russ.)

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