Anthrax Bug Blocks Immune
System
July 16, 2003



(Photo: AP)

Anything that impairs the
function of dendritic cells is really hitting at the
Achilles' heel of the immune system. That is exactly
what anthrax lethal toxin appears to do.
Bali Pulendran of Emory University
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(AP) The anthrax bug swiftly disarms the sentinels of
the body's immune system, hampering their ability to defend
against the potentially lethal bioterrorism agent, a new
federal study shows.
The results suggest medical treatment to boost the immune
system at the earliest stages of infection could counteract
the toxin that anthrax produces in its initial attack.
Antibiotics, like Cipro, could be used in concert to kill the
bacteria themselves.
The federally supported study began in the months following
the 2001 anthrax attacks that killed five.
In those attacks, which remain unsolved, one of the first
victims was sick for days before he was seen by doctors, who
suspected a case of the flu. His white blood count, a sign of
bacterial infection, was only slightly elevated. That suggests
the anthrax bacteria were able to fly under the watchful radar
of his immune system and proliferate.
As the 2001 anthrax crisis spread, physicians wondered how the
weaponized bug was working. In the new study using mice,
researchers at Emory University in Atlanta, the Centers for
Disease Control and Prevention and the National Institutes of
Health, provide some fundamental answers: They found that
anthrax toxin targets front-line immune agents called
dendritic cells. Once the bacteria disarm the dendritic cells,
they can evade the immune system's other defenders and spread
unchecked.
Details appear in this week's issue of the journal Nature.
Anything that impairs the function of dendritic cells is
really hitting at the Achilles' heel of the immune system.
That is exactly what anthrax lethal toxin appears to do, said
principal author Bali Pulendran of Emory University.
A previous study in the journal Science last year used test
tube experiments to show that anthrax also inhibits and
destroys large white blood cells called macrophages. The
immune system deploys those cells to fend off microbes.
That presumably would also allow the anthrax bacteria to
spread, again unhindered by the immune system.
Together, the two studies show anthrax relies on multiple
mechanisms to disrupt the body's ability to stave off
infection, Pulendran said.
Michael Karin of the University of California, San Diego, and
lead author of the Science study, said it was both
interesting and curious that anthrax relied on different
strategies to attack different immune agents.
What is important in the new work is they show that the
bacterium can actually inhibit the activation of dendritic
cells without killing them, said Karin, who was not connected
with the Nature study.
A Maryland company gained approval from the Food and Drug
Administration last month to begin human tests of a drug that
blocks the toxin. And the recent deciphering of the genetic
makeup of anthrax likely will lead to other drugs and vaccines
to thwart the germ.
Understanding of the toxin's effect on the immune system also
could lead to beneficial uses for the toxin. Pulendran said
new drugs might be developed to aid those suffering from
autoimmune diseases, severe allergies or who risk organ
rejection following transplant surgery.
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