Sacco R E, Hagen M, Donelson J E, Lynch R G
Department of Pathology, University of Iowa College of Medicine, Iowa City 52242.
J Immunol. 1994 Aug 15;153(4):1714-23.
Humans and domestic animals with African trypanosomiasis exhibit abnormalities of immune function characterized by polyclonal lymphocyte activation and, paradoxically, progressive immunodeficiency. Mice infected with Trypanosoma brucei clone IaTat1.2 develop a fulminant parasitemia by day 5 of infection. B lymphocytes isolated from spleens of infected mice display an aberrant activation phenotype manifested by decreased CD23 and surface IgM, increased CD69 and L-selectin, and normal levels of surface IgD, MHC class II, CD32, and transferrin receptor. Kinetic analyses showed that CD23 and surface IgM were continuously down-regulated from day 2 through day 5, whereas MHC class II was elevated on days 2 and 3, but returned to normal levels by day 5, suggesting that CD23 and MHC class II are independently regulated in T. brucei infection. The aberrant activation phenotype of B cells responding in vivo to T. brucei was accompanied by impaired responsiveness of these B cells to mitogenic stimulation in vitro. The pathologic phenotypic and functional properties of B lymphocytes from T. brucei-infected mice can be partially accounted for by the virtual total arrest of B cells in G0/G1A of the cell cycle. The B lymphocyte alterations observed in the present studies provide new insight into the immunopathology of African trypanosomiasis. We propose that terminal infection with T. brucei induces early activation events in host B lymphocytes, but that the activation response becomes aberrant by the development of what seems to be a total block in cell cycle progression.
患有非洲锥虫病的人类和家畜表现出免疫功能异常,其特征为多克隆淋巴细胞激活,而矛盾的是,还伴有进行性免疫缺陷。感染布氏锥虫克隆IaTat1.2的小鼠在感染第5天时会出现暴发性寄生虫血症。从感染小鼠脾脏中分离出的B淋巴细胞表现出异常的激活表型,表现为CD23和表面IgM减少、CD69和L-选择素增加,以及表面IgD、MHC II类分子、CD32和转铁蛋白受体水平正常。动力学分析表明,从第2天到第5天,CD23和表面IgM持续下调,而MHC II类分子在第2天和第3天升高,但在第5天恢复到正常水平,这表明在布氏锥虫感染中,CD23和MHC II类分子是独立调节的。体内对布氏锥虫产生反应的B细胞的异常激活表型伴随着这些B细胞在体外对有丝分裂原刺激的反应性受损。布氏锥虫感染小鼠的B淋巴细胞的病理表型和功能特性可以部分归因于B细胞在细胞周期的G0/G1A期几乎完全停滞。本研究中观察到的B淋巴细胞改变为非洲锥虫病的免疫病理学提供了新的见解。我们提出,布氏锥虫的终末期感染会诱导宿主B淋巴细胞早期激活事件,但由于似乎出现了细胞周期进程的完全阻滞,激活反应变得异常。