Garnica Margoth Ramos, Silva João Santana, de Andrade Junior Heitor Franco
Lab. Protozoologia, lnstituto de Medicina Tropical de São Paulo, Universidade de São Paulo, Av. Dr.E.C. Aguiar 470, 05403-000, SP, São Paulo, Brazil.
Immunol Lett. 2003 Oct 31;89(2-3):133-42. doi: 10.1016/j.imlet.2003.05.001.
Malaria, a major endemic tropical disease, is caused by the infection of blood cells by Plasmodium protozoa. Most patients control their parasitemia by a not fully understood spleen-dependent mechanism. SDF-1alpha is a chemokine produced by stromal cells such as reticular spleen cells. Nitric oxide (NO) has several immune functions, including killing of intracellular pathogens and its function in malaria is debated. We have previously shown that SDF-1alpha production peaks during the ascending parasitemia in Plasmodium chabaudi infection and its supplementation in lethal models could reduce the parasitemia. In the present study, we analyzed SDF-1 production by spleen cells as related to NO metabolism in the P. chabaudi rodent malaria model using IFN-gamma; TNFR and iNOS-knockout mice or iNOS-blocked, L-NAME- or aminoguanidine-treated mice. Parasitemia and production of SDF-1alpha and SDF-1beta were determined by RT-PCR. In vitro NO production by spleen adherent cells was also tested. The data showed that parasitemia was less intense in both iNOS(-/-) or NO-inhibited mice than in controls, with increased and long-lasting production of SDF-1alpha mRNA. In the absence of cytokines involved in the final regulation of NO production by effector cells, as is the case for TNFR(-/-) and GKO mice, the infection progressed in an uncontrolled manner regardless of SDF-1alpha production, suggesting that these cytokines must be involved in the control of parasitemia after the SDF-1alpha dependent process. The SDF-1beta isoform was constitutive in all experiments, with elevated levels only clearly seen in TNFR(-/-) mice. We conclude that SDF-1 is involved in the promotion of parasitemia control in malaria, and excessive NO could affect its production.
疟疾是一种主要的热带地方病,由疟原虫感染血细胞所致。大多数患者通过一种尚未完全明了的依赖脾脏的机制来控制其寄生虫血症。基质细胞衍生因子-1α(SDF-1α)是由诸如脾网状细胞等基质细胞产生的一种趋化因子。一氧化氮(NO)具有多种免疫功能,包括杀灭细胞内病原体,其在疟疾中的作用存在争议。我们先前已表明,在查巴迪疟原虫感染中,寄生虫血症上升期间SDF-1α的产生达到峰值,在致死模型中补充SDF-1α可降低寄生虫血症。在本研究中,我们在查巴迪疟原虫啮齿动物疟疾模型中,使用干扰素-γ、肿瘤坏死因子受体(TNFR)和诱导型一氧化氮合酶(iNOS)基因敲除小鼠,或用iNOS抑制剂L- NAME或氨基胍处理的小鼠,分析了与NO代谢相关的脾细胞SDF-1的产生。通过逆转录聚合酶链反应(RT-PCR)测定寄生虫血症以及SDF-1α和SDF-1β的产生。还检测了脾贴壁细胞的体外NO产生情况。数据显示,iNOS基因敲除小鼠或NO受抑制的小鼠的寄生虫血症均不如对照组严重,且SDF-1α信使核糖核酸(mRNA)的产生增加且持续时间延长。在效应细胞最终调控NO产生所涉及的细胞因子缺失的情况下,如TNFR基因敲除小鼠和γ干扰素基因敲除(GKO)小鼠,无论SDF-1α的产生情况如何,感染均以不受控制的方式进展,这表明这些细胞因子必定在依赖SDF-1α的过程之后参与寄生虫血症的控制。在所有实验中,SDF-1β亚型均为组成性表达,仅在TNFR基因敲除小鼠中明显可见其水平升高。我们得出结论,SDF-1参与促进疟疾中寄生虫血症的控制,过量的NO可能影响其产生。