Th1 cell-induced anti-mycobacterial immunity is lost during a progressive M
ycobacterium tuberculosis infection in a susceptible host. This study was d
esigned to test the mechanism of the loss of antimycobacterial cell-mediate
d immune response. We demonstrate that M. tuberculosis infection results in
increased Fas expression and decreased Bcl-2 expression in CD4(+) T cells.
When CD4(+) T cells are stimulated in vitro, they show increased apoptosis
and decreased production of IL-2 and interferon-gamma (IFN-gamma) but not
of IL-4. These changes may result in selective apoptosis of Th1-like cells,
leading to the loss of cell-mediated immune response against M. tuberculos
is.