2009
DOI: 10.1111/j.1399-0039.2009.01301.x
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Evasion and subversion of antigen presentation by Mycobacterium tuberculosis

Abstract: Mycobacterium tuberculosis is one of the most successful of human pathogens and has acquired the ability to establish latent or progressive infection and persist even in the presence of a fully functioning immune system. The ability of M. tuberculosis to avoid immune-mediated clearance is likely to reflect a highly evolved and coordinated program of immune evasion strategies, including some that interfere with antigen presentation to prevent or alter the quality of T-cell responses. Here, we review an extensiv… Show more

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Cited by 131 publications
(121 citation statements)
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“…It is well known that one of the mechanisms developed by M. tuberculosis to elude the immune system is by interfering with MHC class II molecule expression and with the activation of infected APC (11). Interestingly, D-Mtb caused a reduction of the MHC class II molecule expression on APC, but the extent of reduction was comparable to that caused by R-Mtb (Fig.…”
Section: D-mtb and R-mtb Similarly Activate Human Apcmentioning
confidence: 83%
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“…It is well known that one of the mechanisms developed by M. tuberculosis to elude the immune system is by interfering with MHC class II molecule expression and with the activation of infected APC (11). Interestingly, D-Mtb caused a reduction of the MHC class II molecule expression on APC, but the extent of reduction was comparable to that caused by R-Mtb (Fig.…”
Section: D-mtb and R-mtb Similarly Activate Human Apcmentioning
confidence: 83%
“…Even though the physical location of bacilli during LTBI remains poorly understood (9, 49, 50), it is conceivable that dormant bacteria reside in cells, which have a scarce ability to act as APC, but behave as an M. tuberculosis reservoir instead. It may be thought that R-Mtb shifts to dormancy within infected macrophages after having subverted their antimicrobial and APC potential (11). Additionally, M. tuberculosis may reside within subverted or foamy macrophages in mature granulomas (51,52), where T cells are physically separated from infected cells by a fibrous wall or caseum that limits APC/lymphocyte interactions (4).…”
Section: Discussionmentioning
confidence: 99%
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“…This hyperconservation suggests that these epitopes may act as decoys, diverting the immune response from recognizing more relevant MTB proteins and thereby favoring MTB persistence (4). However, the immunological consequence of the conservation of MTB sequences across other species of the Mycobacteria genus has received less attention at the level of the specific epitopes.…”
mentioning
confidence: 99%
“…In spite of macrophages being the first cells to encounter the tuberculosis pathogens and their capacity to phagocyte and destroy bacteria, mycobacteria may reside/ replicate within their phagosome (Baena & Porcelli 2009, Behar et al 2010. Therefore, the main cell type correlated with resistance after TB infection is the CD4 lymphocytes.…”
Section: Discussionmentioning
confidence: 99%