Higher IL-8 Response to <i>Mycobacterium tuberculosis</i>Antigens in Women above 40 Years

Objective: Circulating levels of sex hormones vary with age. Moreover, there is emerging evidence supporting that sex hormones have an influence on the immune response of women. Here, we investigated age-associated levels of sex hormones and Mycobacterium tuberculosis (Mtb) specific cytokines response in women. Design: Using immunoassay methods, we have measured and compared secretion levels of E2, P4 and Mtb specific secretion of 11 cytokines including Granulocyte-macrophage colony-stimulating factor (GM-CSF), Interferon gamma (IFN-γ), Interleukin 1 beta (IL-1β), IL-10, IL-12 (p70), IL-2, IL-4, IL-5, IL-6, IL-8, and Tumor necrosis factor (TNF-α) in forty-two (42) HIV-negative females. Results: Estradiol (E2) and progesterone (P4) levels were significantly higher in younger women irrespective of their LTB status (p < [0.0001 - 0.05]). Mtb IL-8 specific response was significantly higher in women above 40 years old than in women under 40 years old. Conclusion: In premenopausal women, there is an increase in the pro-inflammatory cytokine IL-8 secretion in response to Mtb-antigen. This observation suggests an underlying link between the pro-inflammatory cytokine and age associated hormonal changes, which may have implications on the course of tuberculosis infection women.