Table 1. Summary of the impact of therapeutic intervention for intracellular and extracellular acute respiratory pathogensa.
Intracellular pathogens | Extracellular pathogens | |||
---|---|---|---|---|
Intervention/treatment | Pathogen clearance | Immunopathology | Pathogen clearance | Immunopathology |
Apoptosis | ||||
OX40 blockade | ↔ | ↓ | ↔ | ↓ |
4-1BB blockade | ↓ | ?a | ? | ? |
ICOS blockade | ↓ | ↓ | ? | ? |
CTLA-4-Ig | ↓ | ↓ | ? | ? |
Caspase inhibitors | ? | ? | ↑ | ? |
Migration | ||||
Anti-MIP-2 | ↔ | ↓ | ? | ↓ |
Met-RANTES | ↔ | ↓ | ? | ? |
MCP-1 | ↔ | ↓ | ? | ? |
CCR1 antagonism | ? | ↓ | ? | ? |
Innate modulation | ||||
Prior infection | ↔ | ↓ | ↓ | ↓ |
Nitric oxide | ? | ? | ↑ | ? |
Antioxidants | ? | ↓ | ? | ? |
Free-radical scavengers | ↔ | ↓ | ? | ? |
NF-κB inhibition | ↔ | ↓ | ↓ | ? |
Cytokine modulation | ||||
IFN-α | ↑ | ↓ | ? | ? |
IL-1Ra | ? | ? | ↓ | ↔ |
Anti-IL-12 | ? | ↓ | ↓ | ? |
Anti-TNF | ↔ | ↓ | ↓ | ? |
Anti-IFN-γ | ↓ | ↓ | ↓ | ? |
Anti-IL-10 | ? | ↓ | ↑ | ↓ |
TGF-β | ↓ | ↓ | ↓ | ↓ |
CTLA, cytotoxic T lymphocyte antigen; IFN, interferon; Ig, immunoglobulin; IL, interleukin; IL-1Ra, IL-1-receptor antagonist; MIP, macrophage inflammatory protein; NF-κB, nuclear factor-κB; TGF, transforming growth factor; TNF, tumor-necrosis factor.
aThe effect of immune manipulation conforms to general observations for the majority of intracellular or extracellular pathogens. Specific organisms may vary. ? The outcome of this manipulation is currently unknown.