We have previously identified autoantibodies to interferon gamma in patients in northern Thailand who have disseminated nontuberculous mycobacterial infections. We have also shown that blood bank donors do not have these autoantibodies. This last year we have developed the infrastructure in Thailand and Taiwan to execute this project and then completed our entire enrollment in 6 months. All samples are now in Bethesda for anticytokine autoantibody testing. We have confirmed the presence of anti-interferon gamma autoantibodies in the majority of the disseminated nontuberculous infection subjects from the various sites. In parallel with this project in Thailand, we identified a population of patients with anticytokine autoantibodies and thymoma, a form of thymic cancer. We have developed the local laboratory support to obtain appropriate lymphocyte counts and plasma samples and cytokine stimulations and comprehensive anticytokine autoantibody detection through our collaborator, Dr. Peter Burbelo.

Project Start
Project End
Budget Start
Budget End
Support Year
3
Fiscal Year
2010
Total Cost
$55,001
Indirect Cost
City
State
Country
Zip Code
Holland, Steven M; Pierce, Virginia M; Shailam, Randheer et al. (2017) Case 28-2017. A 13-Month-Old Girl with Pneumonia and a 33-Year-Old Woman with Hip Pain. N Engl J Med 377:1077-1091
Marciano, Beatriz E; Holland, Steven M (2017) Primary Immunodeficiency Diseases: Current and Emerging Therapeutics. Front Immunol 8:937
Crum-Cianflone, Nancy F; Lam, Pamela V; Ross-Walker, Sarah et al. (2017) Autoantibodies to Granulocyte-Macrophage Colony-Stimulating Factor Associated With Severe and Unusual Manifestations of Cryptococcus gattii Infections. Open Forum Infect Dis 4:ofx211
Ku, Cheng-Lung; Lin, Chia-Hao; Chang, Su-Wei et al. (2016) Anti-IFN-? autoantibodies are strongly associated with HLA-DR*15:02/16:02 and HLA-DQ*05:01/05:02 across Southeast Asia. J Allergy Clin Immunol 137:945-8.e8
Xie, Yingda L; Chen, Ray Y; Sereti, Irini et al. (2016) Reply to Tham et al. Clin Infect Dis 63:573-4
Xie, Yingda L; Rosen, Lindsey B; Sereti, Irini et al. (2016) Severe Paradoxical Reaction During Treatment of Disseminated Tuberculosis in a Patient With Neutralizing Anti-IFN? Autoantibodies. Clin Infect Dis 62:770-773
Wu, Un-In; Holland, Steven M (2016) A genetic perspective on granulomatous diseases with an emphasis on mycobacterial infections. Semin Immunopathol 38:199-212
Szymanski, Eva P; Leung, Janice M; Fowler, Cedar J et al. (2015) Pulmonary Nontuberculous Mycobacterial Infection. A Multisystem, Multigenic Disease. Am J Respir Crit Care Med 192:618-28
Burbelo, Peter D; Keller, Jason; Wagner, Jason et al. (2015) Serological diagnosis of pulmonary Mycobacterium tuberculosis infection by LIPS using a multiple antigen mixture. BMC Microbiol 15:205
Martinez, Bianca; Browne, Sarah K (2014) Good syndrome, bad problem. Front Oncol 4:307

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