Compared with healthy tuberculin reactors, Mycobacterium tuberculosis-
stimulated peripheral blood mononuclear cells from tuberculosis patien
ts had diminished production and mRNA expression of the Th1 cytokines
gamma interferon and interleukin 2 (IL-2), with no change in productio
n and mRNA expression for the Th2 cytokines IL-4, IL-10, and IL-13. Th
ese results were confirmed by evaluation of T cells and CD4(+) cells.
At the level of systemic T cells, development of tuberculosis is assoc
iated with diminished Th1 but not enhanced Th2 responses.