Bayat M,  Nowroozi J,  Pakzad P,  Farnia P,  Anoosheh S,  Marashian S M,  et al . Study of TNF-α& IFN-γconcentratin levels of serum in TB patients & control healthy groups by ELISA & evaluation of their polymorphisms by PCR-RFLP.  Iran J Med Microbiol 2010; 3 (4) :15-23
URL: 
http://ijmm.ir/article-1-164-en.html     
                     
                    
                    
                    
					 
					
                 
                
                    
                    
                    
                    1- Department of Microbiology ,Islamic Azad University, Tehran North Branch , kavoshgroup597@yahoo.com
 2- Mycobacterium Research Center (MRC), National Research Institute Of Tuberculosis and Lung Diasease  (NRITLD), Darabad, Tehran 
 3- Department of Microbiology ,Islamic Azad University, Tehran North Branch 
                    
                    
                    Abstract:       (15819 Views)
                    
                    
                    Background & Objectives: Cellular resistance to tuberculosis (TB) infection depends on signals from 
mycobacterium tuberculosis specific T lymphocytes activating mycobacterial killing mechanisms in infected 
macrophages. The network of soluble factors, or cytokines, responsible for these cellular communications 
has been progressively unraveled over the last 3 decades however, new regulatory and effectors cytokines 
continue to be discovered. Infection of a host with a pathogen first result inactivation of cells of the innate 
immune response including effectors molecules including cytokines such as TNF-α and IFN-γ. The aim of 
this study was to investigate the frequency of TNF-α, IFN-γ alleles , evaluating serum concentration of 
TNF-α and IFN-γ and relationship of between susceptibility to TB and TNF-α and IFN-γ gene variations. 
Material & Methods: In this prospective case-control study, 93 patients with smear positive tuberculosis 
selected from Masih Daneshvari Hospital, Tehran, Iran. They were matched with 103 controls without any 
history TB. Genotype of 5 regions of TNF-α and 1 region of IFN-γ were distinguished by PCR-RFLP 
method, and level of serum concentration between case & control groups were evaluated by ELISA method. 
Data were analyzed with Mann-Whitney U & earning the cut off analyzed with ROC curve for ELISA 
method and the results of PCR-RFLP method were analyzed by SPSS, Fisher exact and X2. 
Results: In PCR-RFLP method, the results showed a significant difference at TNF-308 and TNF-857 
between two groups of control and patient (P< 0.05). In ELISA method, a significant difference in IFN-γ
was observed between the groups of control and patient (P <0.05). Also a cut off point as a serologic 
marker between the positive and negative states, for rapid TB examination about IFN-γwas found the cut 
off for IFN-γ was 0.19.
Conclusion: Mutation in TNF-308 and TNF-857 regions were identified significantly, but it was not 
observed in other TNF-α and IFN-γ regions. In this study, ELISA method suggest that mycobacterial 
pathogens are frequently associated with production of cytokines such as IFN-γ and serologic tests 
considering the cut off patients, help us to detect TB in cases that we want to earn results rapidly.
                    
                    
                    
                    
                    
                    Type of Study:  
Original Research Article |
                    Subject: 
                    
Molecular Microbiology  Received: 2013/11/22 | Accepted: 2013/11/22 | ePublished: 2013/11/22