Department of Immunology, College of Basic Medical Sciences, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China.
Department of Clinical Laboratory, Wuxi 9th Affiliated Hospital of Soochow University, No. 999 Liang Xi Road, Binhu District, Wuxi, 214000, China.
BMC Immunol. 2021 Jan 11;22(1):6. doi: 10.1186/s12865-020-00391-8.
It is important to expound the opposite clinical outcomes between children and adulthood for eradicate malaria. There remains unknown about the correlation between adaptive immune response and age-related in malaria.
4 and 8-week-old mice were used to mimic children and adulthood, respectively. Parasitemia and the survival rate were monitored. The proportion and function of Th1 and Th2 cells were detected by FACS. The levels of IFN-γ, IL-4, total IgG, IgG1, IgG2a and Plasmodium yoelii MSP-1-specific IgG were measured by ELISA.
The adult group showed greater resistance to P. yoelii 17XL infection, with lower parasitemia. Compared with 4-week-old mice, the percentage of CD4T-betIFN-γ Th1 cells as well as IFN-γ production were significantly increased on day 5 p.i. in the 8-week-old mice after P. yoelii 17XNL infection. The percentage of CD4GATA3IL-4 Th2 cells and CD4CXCR5 Tfh cells, and IL-4 production in the 8-week-old mice significantly increased on day 5 and day 10 after P. yoelii 17XNL infection. Notably, the levels of total IgG, IgG1, IgG2a and P. yoelii MSP-1-specific IgG were also significantly increased in the 8-week-old mice. PD-1, a marker of exhaustion, was up-regulated on CD4 or activated CD4 T cells in the 8-week-old mice as compared to the 4-week-old group.
Thus, we consider that enhanced cellular and humoral adaptive immunity might contribute to rapid clearance of malaria among adults, likely in a PD-1-dependent manner due to induction of CD4 T cells exhaustion in P. yoelii 17XNL infected 8-week-old mice.
阐述儿童和成年期之间抗疟效果相反的临床结果很重要。适应性免疫反应与疟疾相关的年龄变化之间的相关性尚不清楚。
分别使用 4 周龄和 8 周龄的小鼠来模拟儿童期和成年期。监测寄生虫血症和存活率。通过 FACS 检测 Th1 和 Th2 细胞的比例和功能。通过 ELISA 检测 IFN-γ、IL-4、总 IgG、IgG1、IgG2a 和疟原虫 yoelii MSP-1 特异性 IgG 的水平。
成年组对 P. yoelii 17XL 感染的抵抗力更强,寄生虫血症更低。与 4 周龄小鼠相比,8 周龄小鼠感染 P. yoelii 17XL 后第 5 天,CD4T-betIFN-γ Th1 细胞的比例以及 IFN-γ 的产生显著增加。8 周龄小鼠感染 P. yoelii 17XL 后第 5 天和第 10 天,CD4GATA3IL-4 Th2 细胞和 CD4CXCR5 Tfh 细胞的比例以及 IL-4 的产生显著增加。值得注意的是,8 周龄小鼠的总 IgG、IgG1、IgG2a 和 P. yoelii MSP-1 特异性 IgG 水平也显著增加。与 4 周龄组相比,8 周龄小鼠的 CD4 或活化的 CD4 T 细胞上 PD-1(一种衰竭标志物)上调。
因此,我们认为增强的细胞和体液适应性免疫可能有助于成年人快速清除疟疾,这可能是由于在 P. yoelii 17XL 感染的 8 周龄小鼠中诱导 CD4 T 细胞衰竭导致 PD-1 依赖性。