Tuberculosis (TB) is the leading cause of death due to an infectious agent, but only a small fraction of those infected develop the disease. Cytokines are involved in the mediation and regulation of immunity, and their secretion patterns may reflect the infection status. To increase our understanding of immune response to
M
.
tuberculosis
infection, we conducted a cross-sectional study investigating
M
.
tuberculosis
infection status and comparing the release profiles of cytokines GM-CSF, IFN-γ, IL-1β, IL-10, IL-12 (p70), IL-2, IL-4, IL-5, IL-6, IL-8, TNF-α, in community controls (CCs) and healthy healthcare workers (HCWs) highly exposed to TB. Among HCWs and CCs, the probability of latent
M
.
tuberculosis
(LTB
+
) infection was respectively 5.4 (p = 0.002) and 3.4 (p = 0.006) times higher in men than women. The odds ratio of LTB infection was 4 times higher among HCWs in direct contact with active TB patients than other HCW (p = 0.01). Whole blood supernatant cytokine responses to
M
.
tuberculosis
antigens showed differential pro-inflammatory responses between HCWs and CCs. CCs
LTB−
had higher IL-1β responses than HCWs
LTB−
(p = 0.002). HCWs
LTB+
had significantly higher IL-8 responses to
M
.
tuberculosis
antigens than HCWs
LTB−
(p = 0.003) and CCs
LTB−
(p = 0.015). HCWs
LTB+/−
showed weak but positive TNF-α responses to
M
.
tuberculosis
antigen stimulation compared to CCs
LTB+/−
(p ≤ 0.015). Looking at T-helper (1 and 2) responses, HCWs
LTB+
and CCs
LTB+
had significantly higher IFN-γ and IL-2 responses compared to HCWs
LTB−
and CCs
LTB−
(p < [0.0001–0.003]). Also, TB antigen induced IL-5 secretion was significantly higher in HCWs
LTB+
and CCs
LTB+
than in non-infected CCs
LTB−
(p < [0.005–0.04]).
M
.
tuberculosis
antigen specific responses in HCWs
LTB+
varied based on active TB exposure gradient. HCWs
LTB+
who were highly exposed to active TB (≥3 hours per day) had significantly higher IFN-γ and IL-8 responses (p ≤ 0.02) than HCWs
LTB+
not in direct contact with active TB patients. HCWs
LTB+
working with active TB patients for 5 to 31 years had a significantly enhanced secretion of proinflammatory cytokines (GM-CSF, IFN-γ, IL-1β, IL-2, IL-6, IL-8, IL-12p70, TNF-α) compared to HCWs
LTB−
(p < [0.0001–0.01]). Secretion of anti-inflammatory/T...