The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
Eur J Immunol. 2010 Jun;40(6):1674-81. doi: 10.1002/eji.200939265.
Despite extensive evidence that Plasmodium species are capable of stimulating the immune system, the association of malaria with a higher incidence of other infectious diseases and reduced responses to vaccination against unrelated pathogens suggests the existence of immune suppression. Recently, we provided evidence that blood-stage Plasmodium berghei infection leads to suppression of MHC class I-restricted immunity to third party (non-malarial) antigens as a consequence of systemic DC activation. This earlier study did not, however, determine whether reactivity was also impaired to MHC class II-restricted third party antigens or to Plasmodium antigens themselves. Here, we show that while P. berghei-expressed antigens were presented early in infection, there was a rapid decline in presentation within 4 days, paralleling impairment in MHC class I- and II-restricted presentation of third party antigens. This provides important evidence that P. berghei not only causes immunosuppression to subsequently encountered third party antigens, but also rapidly limits the capacity to generate effective parasite-specific immunity.
尽管有大量证据表明疟原虫能够刺激免疫系统,但疟疾与其他传染病发病率更高以及对无关病原体疫苗接种反应降低有关,这表明存在免疫抑制。最近,我们提供的证据表明,血期疟原虫感染会导致树突状细胞(DC)的系统性激活,从而抑制 MHC Ⅰ类限制的对第三方(非疟疾)抗原的免疫反应。然而,这项早期研究并未确定对 MHC Ⅱ类限制的第三方抗原或疟原虫自身抗原的反应是否也受到损害。在这里,我们表明,虽然疟原虫表达的抗原在感染早期被呈递,但在 4 天内呈递迅速下降,与 MHC Ⅰ类和Ⅱ类限制的第三方抗原呈递的损害平行。这为疟原虫不仅导致对随后遇到的第三方抗原的免疫抑制,而且还迅速限制产生有效寄生虫特异性免疫的能力提供了重要证据。