磷酸肌醇 3-激酶γ在皮肤利什曼病寄生虫入侵和疾病进展中的关键作用。

Critical role for phosphoinositide 3-kinase gamma in parasite invasion and disease progression of cutaneous leishmaniasis.

机构信息

Department of Microbiology, Davis Heart and Lung Research Institute, The Ohio State University, Columbus, OH 43210, USA.

出版信息

Proc Natl Acad Sci U S A. 2012 Jan 24;109(4):1251-6. doi: 10.1073/pnas.1110339109. Epub 2012 Jan 9.

Abstract

Obligate intracellular pathogens such as Leishmania specifically target host phagocytes for survival and replication. Phosphoinositide 3-kinase γ (PI3Kγ), a member of the class I PI3Ks that is highly expressed by leukocytes, controls cell migration by initiating actin polymerization and cytoskeletal reorganization, which are processes also critical for phagocytosis. In this study, we demonstrate that class IB PI3K, PI3Kγ, plays a critical role in pathogenesis of chronic cutaneous leishmaniasis caused by L. mexicana. Using the isoform-selective PI3Kγ inhibitor, AS-605240 and PI3Kγ gene-deficient mice, we show that selective blockade or deficiency of PI3Kγ significantly enhances resistance against L. mexicana that is associated with a significant suppression of parasite entry into phagocytes and reduction in recruitment of host phagocytes as well as regulatory T cells to the site of infection. Furthermore, we demonstrate that AS-605240 is as effective as the standard antileishmanial drug sodium stibogluconate in treatment of cutaneous leishmaniasis caused by L. mexicana. These findings reveal a unique role for PI3Kγ in Leishmania invasion and establishment of chronic infection, and demonstrate that therapeutic targeting of host pathways involved in establishment of infection may be a viable strategy for treating infections caused by obligate intracellular pathogens such as Leishmania.

摘要

专性细胞内病原体,如利什曼原虫,专门针对宿主吞噬细胞进行生存和复制。磷酸肌醇 3-激酶 γ(PI3Kγ)是白细胞高表达的 I 类 PI3K 的成员,通过启动肌动蛋白聚合和细胞骨架重排来控制细胞迁移,这些过程对于吞噬作用也至关重要。在这项研究中,我们证明了类 IB PI3K,即 PI3Kγ,在由 L. mexicana 引起的慢性皮肤利什曼病发病机制中起着关键作用。使用同工型选择性 PI3Kγ 抑制剂 AS-605240 和 PI3Kγ 基因缺陷小鼠,我们表明选择性阻断或缺乏 PI3Kγ 可显著增强对 L. mexicana 的抵抗力,这与寄生虫进入吞噬细胞的显著抑制以及宿主吞噬细胞和调节性 T 细胞向感染部位的募集减少有关。此外,我们证明 AS-605240 在治疗由 L. mexicana 引起的皮肤利什曼病方面与标准抗利什曼药物葡甲胺锑酸钠一样有效。这些发现揭示了 PI3Kγ 在利什曼原虫入侵和慢性感染建立中的独特作用,并表明针对宿主感染建立途径的治疗靶向可能是治疗专性细胞内病原体(如利什曼原虫)引起的感染的可行策略。

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