Hyperreactive Onchocerciasis is Characterized by a Combination of Th17-Th2 Immune Responses and Reduced Regulatory T Cells
Identifieur interne : 001D02 ( Main/Exploration ); précédent : 001D01; suivant : 001D03Hyperreactive Onchocerciasis is Characterized by a Combination of Th17-Th2 Immune Responses and Reduced Regulatory T Cells
Auteurs : Gnatoulma Katawa [Allemagne, Togo] ; Laura E. Layland [Allemagne] ; Alex Y. Debrah [Ghana] ; Charlotte Von Horn [Allemagne] ; Linda Batsa [Ghana] ; Alexander Kwarteng [Allemagne] ; Sandra Arriens [Allemagne] ; David W. Taylor [Royaume-Uni] ; Sabine Specht [Allemagne] ; Achim Hoerauf [Allemagne] ; Tomabu Adjobimey [Allemagne]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2015.
Abstract
Clinical manifestations in onchocerciasis range from generalized onchocerciasis (GEO) to the rare but severe hyperreactive (HO)/sowda form. Since disease pathogenesis is associated with host inflammatory reactions, we investigated whether Th17 responses could be related to aggravated pathology in HO. Using flow cytometry, filarial-specific cytokine responses and PCR arrays, we compared the immune cell profiles, including Th subsets, in individuals presenting the two polar forms of infection and endemic normals (EN). In addition to elevated frequencies of memory CD4+ T cells, individuals with HO showed accentuated Th17 and Th2 profiles but decreased CD4+CD25hiFoxp3+ regulatory T cells. These profiles included increased IL-17A+, IL-4+, RORC2+ and GATA3+CD4+ T cell populations. Flow cytometry data was further confirmed using a PCR array since Th17-related genes (IL-17 family members, IL-6, IL-1β and IL-22) and Th2-related (IL-4, IL-13, STAT6) genes were all significantly up-regulated in HO individuals. In addition, stronger
Url:
DOI: 10.1371/journal.pntd.0003414
PubMed: 25569210
PubMed Central: 4288720
Affiliations:
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Le document en format XML
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<series><title level="j">PLoS Neglected Tropical Diseases</title>
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<idno type="eISSN">1935-2735</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><p>Clinical manifestations in onchocerciasis range from generalized onchocerciasis (GEO) to the rare but severe hyperreactive (HO)/sowda form. Since disease pathogenesis is associated with host inflammatory reactions, we investigated whether Th17 responses could be related to aggravated pathology in HO. Using flow cytometry, filarial-specific cytokine responses and PCR arrays, we compared the immune cell profiles, including Th subsets, in individuals presenting the two polar forms of infection and endemic normals (EN). In addition to elevated frequencies of memory CD4<sup>+</sup>
T cells, individuals with HO showed accentuated Th17 and Th2 profiles but decreased CD4<sup>+</sup>
CD25<sup>hi</sup>
Foxp3<sup>+</sup>
regulatory T cells. These profiles included increased IL-17A<sup>+</sup>
, IL-4<sup>+</sup>
, RORC2<sup>+</sup>
and GATA3<sup>+</sup>
CD4<sup>+</sup>
T cell populations. Flow cytometry data was further confirmed using a PCR array since Th17-related genes (IL-17 family members, IL-6, IL-1β and IL-22) and Th2-related (IL-4, IL-13, STAT6) genes were all significantly up-regulated in HO individuals. In addition, stronger <italic>Onchocerca volvulus</italic>
-specific Th2 responses, especially IL-13, were observed <italic>in vitro</italic>
in hyperreactive individuals when compared to GEO or EN groups. This study provides initial evidence that elevated frequencies of Th17 and Th2 cells form part of the immune network instigating the development of severe onchocerciasis.</p>
</div>
</front>
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</author>
<author><name sortKey="Omura, S" uniqKey="Omura S">S Omura</name>
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<author><name sortKey="Hoerauf, A" uniqKey="Hoerauf A">A Hoerauf</name>
</author>
<author><name sortKey="Bockarie, M" uniqKey="Bockarie M">M Bockarie</name>
</author>
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</author>
<author><name sortKey="Gentil, K" uniqKey="Gentil K">K Gentil</name>
</author>
<author><name sortKey="Hoerauf, A" uniqKey="Hoerauf A">A Hoerauf</name>
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<author><name sortKey="Pearlman, E" uniqKey="Pearlman E">E Pearlman</name>
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