Review Article

Complexity and Controversies over the Cytokine Profiles of T Helper Cell Subpopulations in Tuberculosis

Table 1

T helper cell (Th) subtypes and Th-related soluble mediators in human and experimental tuberculosis.

SpeciesPutative role in tuberculosisReference

T helper subtype
Th1Mouse and human the growth and dispersion of M. tuberculosis [711]

Th2Human in BALF associated with clinical progression[12]
Th2 response in active disease[13, 14]
Mouse progression and reactivation of TB[15]

T regulatoryHuman Treg cells in more severe active disease[16]
reactivation of latent TB[17]
TB-MDR[18]
Mouse Treg cells in the early days of infection protects from severe disease[19]

Th17Human Th17 cells in active TB[20, 21]
Mouse neutrophil accumulation and tissue damage[22, 23]
recruitment of IFN- producing cells[24]
Induce granuloma formation and remain as long-lived memory cells[2527]

Th22Human in healthy M. tuberculosis-exposed individuals[20]
in PBMC culture from patients with active TB[28]
in pleural fluid from patients with active TB [2931]

Th9Human Th9 cells in tuberculous pleural effusion[32]

T helper-related soluble mediator
IFN-HumanMycobacterium-specific production after clinical cure[33]
in active TB patients at the site of infection[3437]
Mouse influx of neutrophils and neutrophil-associated tissue damage[38]
iNOS in infected macrophages[39, 40]
Human and mouse autophagy[41]

NOMouse killing and growth inhibiting of virulent M. tuberculosis [39]

TNF-HumanMycobacterium-specific production after clinical cure[33, 4244]
Mouse and humanMaintenance of the granuloma integrity[4548]

IL-4Human in the blood and BALF in TB patients with severe forms[12, 4953]
Mouse progression and reactivation of TB[15, 54] 
Without any influence in disease susceptibility[55, 56]
Mouse and human autophagic control of intracellular Mycobacterium tuberculosis [57]

IL-10HumanMycobacterium-specific production after clinical cure[33]
in active disease[14, 58, 59]
No difference between active-TB and clinically cured individuals[60]
 Mouse long-term lack of control of inflammatory responses and progression of the disease [61]

IL-17MouseTh1 induction following BCG vaccination[62]

IL-9Human in patients with pulmonary TB[63]
IFN- expression by PBMCs in latent TB[64]

IL-22Human in pleural fluid from patients with active TB[2931]
MouseIL-22 deficiency does not alter the outcome of infection[32, 65]