Boulter N, Hall R
Department of Biology, University of York, UK.
Adv Parasitol. 1999;44:41-97. doi: 10.1016/s0065-308x(08)60230-4.
There are three economically important bovine Theileria species: Theileria annulata, which causes tropical theileriosis and occurs across north Africa and most of central Asia; Theileria parva, which causes East Coast fever and is found in East and Central Africa; and Theileria sergenti, which is predominantly a problem in Japan and Korea. Theileria annulata preferentially infects macrophages in vivo. It is controlled largely by means of live, attenuated vaccines, which are produced by prolonged tissue culture of the schizont-infected cells. The immunity induced in animals, which have either recovered from an infection or have been vaccinated (with an attenuated vaccine), is broad, solid and cell mediated. It is considered that the main effector cells are cytostatic macrophages that produce nitric oxide. Subsidiary roles for bovine leucocyte antigen (BoLA)-restricted, transiently appearing, cytotoxic T cells, and possibly also natural killer (NK) cells, have been identified. Cytokines such as tumour necrosis factor alpha (TNF-alpha) may have important roles, particularly in the induction of pathology. Matrix metalloproteinases have been implicated in the metastatic behaviour of schizont-infected cells. The nature of the protective schizont target antigens remains unknown. Attempts to develop a subunit vaccine have focused upon a sporozoite antigen (SPAG-1) and a merozoite antigen (Tams1). Both SPAG-1 and Tams1 have given partial protection using different delivery systems and adjuvants, but further vaccine development will probably require identification of a range of other antigens, especially from the schizont stage. Theileria parva has a tropism for T cells. Vaccination is currently by the 'infection and treatment' method, which involves challenging with a controlled dose of sporozoite stabilate and the simultaneous administration of long-acting tetracyclines. The immunity thus induced is mediated by BoLA-restricted cytotoxic T cells, which recognize polymorphic schizont antigens. These antigens have not been characterized at the molecular level. However, the polymorphic nature of the target antigens underlies the fact that the immunity is very strain specific--a situation that distinguishes T. parva from T. annulata. Interestingly, it is not possible to produce an attenuated vaccine to T. parva, as T. parva requires up to two orders of magnitude more schizonts in order to achieve transfer to the new host. A suggested reason for this is that the macrophage targets of T. annulata are phagocytes and thus the schizont has a natural, efficient route of entry whilst the preferred host of T. parva is the non-phagocytic T cell. Analysis of the cytotoxic T-cell response has revealed evidence of BoLA haplotype dominance plus competition between parasite epitopes. Subunit vaccination using a recombinant sporozoite antigen (p67) has proved very promising, with levels of protection of the order of 70% being achieved. A proportion of the protected calves exhibits complete sterile immunity. Interestingly, the basis for this immunity is not clear, since there is no correlation between the titre of antibodies that inhibit sporozoite penetration of lymphocytes and protection. Similarly, there is no significant T-cell response that distinguishes the protected and susceptible animals. These data are very encouraging, but other components, particularly those derived from the schizont, need to be identified and characterized. The mild Theileria species of Japan and Korea (termed T. sergenti in the literature) cause fever and severe chronic anaemia. The schizont stage of the life cycle is very rare and the host cell type is not known. The pathology is associated with chronic piroplasm infection. Immunity can be induced by immunizing with crude piroplasm extracts. Serological analysis of immune sera reveals that the immunodominant antigen is a polypeptide of 30-33 kDa, which corresponds to the protective T. annulata polypeptide Tams1. (ABSTRACT T
环形泰勒虫,可引起热带泰勒虫病,分布于北非和中亚大部分地区;小泰勒虫,可引起东海岸热,见于东非和中非;瑟氏泰勒虫,主要在日本和韩国造成问题。环形泰勒虫在体内优先感染巨噬细胞。它主要通过减毒活疫苗来控制,这种疫苗是通过对裂殖体感染的细胞进行长期组织培养生产的。从感染中恢复或接种过(减毒疫苗)的动物所诱导的免疫力广泛、稳固且由细胞介导。据认为主要效应细胞是产生一氧化氮的抑制细胞生长的巨噬细胞。已确定牛白细胞抗原(BoLA)限制的、短暂出现的细胞毒性T细胞以及可能还有自然杀伤(NK)细胞起辅助作用。细胞因子如肿瘤坏死因子α(TNF-α)可能起重要作用,特别是在病理诱导方面。基质金属蛋白酶与裂殖体感染细胞的转移行为有关。保护性裂殖体靶抗原的性质仍然未知。开发亚单位疫苗的尝试集中在一种子孢子抗原(SPAG-1)和一种裂殖子抗原(Tams1)上。使用不同的递送系统和佐剂,SPAG-1和Tams1都提供了部分保护,但进一步的疫苗开发可能需要鉴定一系列其他抗原,特别是来自裂殖体阶段的抗原。小泰勒虫对T细胞有嗜性。目前通过“感染与治疗”方法进行疫苗接种,该方法涉及用控制剂量的子孢子稳定液进行攻击并同时施用长效四环素。由此诱导的免疫力由BoLA限制的细胞毒性T细胞介导,这些细胞识别多态性裂殖体抗原。这些抗原尚未在分子水平上进行表征。然而,靶抗原的多态性是免疫力非常具有菌株特异性这一事实的基础——这种情况将小泰勒虫与环形泰勒虫区分开来。有趣的是,无法生产小泰勒虫的减毒疫苗,因为小泰勒虫需要多达两个数量级的更多裂殖体才能实现向新宿主的转移。对此的一个推测原因是环形泰勒虫的巨噬细胞靶标是吞噬细胞,因此裂殖体有自然、有效的进入途径,而小泰勒虫的首选宿主是非吞噬性T细胞。对细胞毒性T细胞反应的分析揭示了BoLA单倍型优势以及寄生虫表位之间竞争的证据。使用重组子孢子抗原(p67)进行亚单位疫苗接种已证明非常有前景,实现了约70%的保护水平。一部分受保护的小牛表现出完全的无菌免疫力。有趣的是,这种免疫力的基础尚不清楚,因为抑制子孢子穿透淋巴细胞的抗体滴度与保护之间没有相关性。同样,区分受保护和易感动物的显著T细胞反应也不存在。这些数据非常令人鼓舞,但其他成分,特别是那些来自裂殖体的成分,需要进行鉴定和表征。日本和韩国的温和泰勒虫种类(文献中称为瑟氏泰勒虫)可引起发热和严重的慢性贫血。生命周期的裂殖体阶段非常罕见,宿主细胞类型未知。病理与慢性梨形虫感染有关。用粗制梨形虫提取物免疫可诱导免疫力。对免疫血清的血清学分析表明,免疫显性抗原是一种30 - 33 kDa的多肽,它与保护性环形泰勒虫多肽Tams1相对应。