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HOME > ÇÐȸ°£Ç๰ >
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Interaction between macrophage and Mycobacterium leprae in the skin lesion : an ultrastructural study |
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Young Hoon Seo, Hae Young Choi, Sang Nae Cho#, Yong Ma Hah, Young Hoon Ko, and Joo Deuk Kim# |
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Institute for Leprosy Research, KLCA, Anyang, Dept. of Microbiology, College of Medicine, yonsei University, Seoul, Korea# |
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1993 |
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26 |
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Interaction between Mycobacterium leprae and macrophage in the skin lesions of a lepromatous leprosy case was investigated at the electron microscopic level. Skin biopsies of a lepromatous leprosy patient, be-fore and after the multi drug treatement, were extensively studied. In the non-treated skin lesion, more than 50% of bacilli were look alive. Another half of the bacilli were aggregated with electro leucent material, which were probably the glycolipid produced by bacilli. The aggregated bacilli did not look active. Remarkably, most of the bacilli were free in the cytoplasm without any phagosomal membrane structure around the bacilli aggregate. Some bacilli were even free at the intercellular space. Dividing bacilli month treatment showed dramatic changes in their structure within the macrophages. Almost all the bacilli were defined within a membranous structure which were fused with lysosomes. These bacilli did not look active. These observations suggested that M. leprae may have ability to evade the phagosome nd multiply in the cytoplasm. The multi drug treatment may destroy this ability. |
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