Couper Kevin N, Blount Daniel G, Hafalla Julius C R, van Rooijen Nico, de Souza J Brian, Riley Eleanor M
Immunology Unit, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
Infect Immun. 2007 Dec;75(12):5806-18. doi: 10.1128/IAI.01005-07. Epub 2007 Oct 8.
In most models of blood-stage malaria infection, proinflammatory immune responses are required for control of infection and elimination of parasites. We hypothesized therefore that the fulminant infections caused in mice by the lethal strain of Plasmodium yoelii (17XL) might be due to failure to activate a sufficient inflammatory response. Here we have compared the adaptive CD4+ T-cell and innate immune response to P. yoelii 17XL with that induced by the self-resolving, nonlethal strain of P. yoelii, 17X(NL). During the first 7 to 9 days of infection, splenic effector CD4+ T-cell responses were similar in mice with lethal and nonlethal infections with similar levels of activation in vivo and equivalent proliferation in vitro following mitogenic stimulation. Nonspecific T-cell hyporesponsiveness was observed at similar levels during both infections and was due, in part, to suppression mediated by CD11b+ cells. Importantly, however, RAG-/- mice were able to control the initial growth phase of nonlethal P. yoelii infection as effectively as wild-type mice, indicating that T cells and/or B cells play little, if any, role in control of the primary peak of parasitemia. Somewhat unexpectedly, we could find no clear role for either NK cells or gamma interferon (IFN-gamma) in controlling primary P. yoelii infection. In contrast, depletion of monocytes/macrophages exacerbated parasite growth and anemia during both lethal and nonlethal acute P. yoelii infections, indicating that there is an IFN-gamma-, NK cell-, and T-cell-independent pathway for induction of effector macrophages during acute malaria infection.
在大多数血液期疟疾感染模型中,控制感染和清除寄生虫需要促炎免疫反应。因此,我们推测,约氏疟原虫致死株(17XL)在小鼠中引起的暴发性感染可能是由于未能激活足够的炎症反应。在这里,我们比较了适应性CD4 + T细胞和先天性免疫对约氏疟原虫17XL的反应与由自限性、非致死性约氏疟原虫株17X(NL)诱导的反应。在感染的前7至9天,致死性和非致死性感染小鼠的脾脏效应CD4 + T细胞反应相似,体内激活水平相似,丝裂原刺激后体外增殖相当。在两种感染过程中均观察到相似水平的非特异性T细胞低反应性,部分原因是CD11b +细胞介导的抑制作用。然而,重要的是,RAG-/-小鼠能够像野生型小鼠一样有效地控制非致死性约氏疟原虫感染的初始生长阶段,这表明T细胞和/或B细胞在控制寄生虫血症的主要峰值中作用很小(如果有作用的话)。有点出乎意料的是,我们发现在控制原发性约氏疟原虫感染方面,NK细胞或γ干扰素(IFN-γ)均无明确作用。相反,在致死性和非致死性急性约氏疟原虫感染期间,单核细胞/巨噬细胞的耗竭加剧了寄生虫生长和贫血,这表明在急性疟疾感染期间存在一条不依赖IFN-γ、NK细胞和T细胞的效应巨噬细胞诱导途径。
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