Interferon-gamma and skin test responses of schoolchildren in southeast England to purified protein derivatives from Mycobacterium tuberculosis and other species of mycobacteria

Clin Exp Immunol. 2003 Nov;134(2):285-94. doi: 10.1046/j.1365-2249.2003.02272.

Abstract

The immune responses of schoolchildren in southeast England to Mycobacterium tuberculosis and other species of mycobacteria were studied prior to vaccination with bacille Calmette-Guérin (BCG). Data are presented for tuberculin (Heaf) skin test and interferon-gamma (IFN-gamma) responses to M. tuberculosis purified protein derivative (PPD), and IFN-gamma responses to PPDs from eight other environmental mycobacteria, measured in 424 schoolchildren (13-15 years of age). Responses to M. tuberculosis PPD were detected in 27% of schoolchildren by in vitro IFN-gamma response and in 20% by the Heaf test. IFN-gamma responses were more prevalent to PPDs from species of mycobacteria other than M. tuberculosis, predominantly those of the MAIS complex and M. marinum (45-60% responders). Heaf test and IFN-gamma responses were associated (P<0.001) for M. tuberculosis, MAIS and M. marinum. These findings have implications for appropriate implementation of vaccination against tuberculosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Female
  • Humans
  • Interferon-gamma / biosynthesis*
  • Male
  • Mycobacterium / classification
  • Mycobacterium / immunology
  • Mycobacterium avium Complex / immunology
  • Mycobacterium marinum / immunology
  • Mycobacterium tuberculosis / immunology*
  • Species Specificity
  • Tuberculin / immunology*
  • Tuberculin Test*

Substances

  • Tuberculin
  • Interferon-gamma