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Regulatory T Cells in Human Lymphatic Filariasis: Stronger Functional Activity in Microfilaremics

Identifieur interne : 002742 ( Pmc/Checkpoint ); précédent : 002741; suivant : 002743

Regulatory T Cells in Human Lymphatic Filariasis: Stronger Functional Activity in Microfilaremics

Auteurs : Linda J. Wammes [Pays-Bas, Indonésie] ; Firdaus Hamid [Pays-Bas, Indonésie] ; Aprilianto E. Wiria [Pays-Bas, Indonésie] ; Heri Wibowo [Indonésie] ; Erliyani Sartono [Pays-Bas] ; Rick M. Maizels [Royaume-Uni] ; Hermelijn H. Smits [Pays-Bas] ; Taniawati Supali [Indonésie] ; Maria Yazdanbakhsh [Pays-Bas]

Source :

RBID : PMC:3362610

Abstract

Infection with filarial parasites is associated with T cell hyporesponsiveness, which is thought to be partly mediated by their ability to induce regulatory T cells (Tregs) during human infections. This study investigates the functional capacity of Tregs from different groups of filarial patients to suppress filaria-specific immune responses during human filariasis. Microfilaremic (MF), chronic pathology (CP) and uninfected endemic normal (EN) individuals were selected in an area endemic for Brugia timori in Flores island, Indonesia. PBMC were isolated, CD4CD25hi cells were magnetically depleted and in vitro cytokine production and proliferation in response to B. malayi adult worm antigen (BmA) were determined in total and Treg-depleted PBMC. In MF subjects BmA-specific T and B lymphocyte proliferation as well as IFN-gamma, IL-13 and IL-17 responses were lower compared to EN and CP groups. Depletion of Tregs restored T cell as well as B cell proliferation in MF-positives, while proliferative responses in the other groups were not enhanced. BmA-induced IL-13 production was increased after Treg removal in MF-positives only. Thus, filaria-associated Tregs were demonstrated to be functional in suppressing proliferation and possibly Th2 cytokine responses to BmA. These suppressive effects were only observed in the MF group and not in EN or CP. These findings may be important when considering strategies for filarial treatment and the targeted prevention of filaria-induced lymphedema.


Url:
DOI: 10.1371/journal.pntd.0001655
PubMed: 22666510
PubMed Central: 3362610


Affiliations:


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PMC:3362610

Le document en format XML

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<p>Infection with filarial parasites is associated with T cell hyporesponsiveness, which is thought to be partly mediated by their ability to induce regulatory T cells (Tregs) during human infections. This study investigates the functional capacity of Tregs from different groups of filarial patients to suppress filaria-specific immune responses during human filariasis. Microfilaremic (MF), chronic pathology (CP) and uninfected endemic normal (EN) individuals were selected in an area endemic for
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<italic>in vitro</italic>
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<italic>B. malayi</italic>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">PLoS Negl Trop Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">PLoS Negl Trop Dis</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosntds</journal-id>
<journal-title-group>
<journal-title>PLoS Neglected Tropical Diseases</journal-title>
</journal-title-group>
<issn pub-type="ppub">1935-2727</issn>
<issn pub-type="epub">1935-2735</issn>
<publisher>
<publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">22666510</article-id>
<article-id pub-id-type="pmc">3362610</article-id>
<article-id pub-id-type="publisher-id">PNTD-D-11-01012</article-id>
<article-id pub-id-type="doi">10.1371/journal.pntd.0001655</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v2">
<subject>Medicine</subject>
<subj-group>
<subject>Clinical Immunology</subject>
<subj-group>
<subject>Immune Cells</subject>
<subj-group>
<subject>T Cells</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Immune System</subject>
<subj-group>
<subject>Cytokines</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Immunity</subject>
<subj-group>
<subject>Adaptive Immunity</subject>
<subject>Immune Suppression</subject>
<subject>Immunity to Infections</subject>
<subject>Immunoregulation</subject>
<subject>Inflammation</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Immune Response</subject>
<subject>Immunomodulation</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Infectious Diseases</subject>
<subj-group>
<subject>Neglected Tropical Diseases</subject>
<subj-group>
<subject>Lymphatic Filariasis</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Regulatory T Cells in Human Lymphatic Filariasis: Stronger Functional Activity in Microfilaremics</article-title>
<alt-title alt-title-type="running-head">Treg Activity in Human Filariasis</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Wammes</surname>
<given-names>Linda J.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hamid</surname>
<given-names>Firdaus</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wiria</surname>
<given-names>Aprilianto E.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wibowo</surname>
<given-names>Heri</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sartono</surname>
<given-names>Erliyani</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maizels</surname>
<given-names>Rick M.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Smits</surname>
<given-names>Hermelijn H.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Supali</surname>
<given-names>Taniawati</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yazdanbakhsh</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<addr-line>Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands</addr-line>
</aff>
<aff id="aff2">
<label>2</label>
<addr-line>Department of Parasitology, University of Indonesia, Jakarta, Indonesia</addr-line>
</aff>
<aff id="aff3">
<label>3</label>
<addr-line>Department of Microbiology, Hasanuddin University, Makassar, Indonesia</addr-line>
</aff>
<aff id="aff4">
<label>4</label>
<addr-line>Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Davies</surname>
<given-names>Stephen John</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1">Uniformed Services University, United States of America</aff>
<author-notes>
<corresp id="cor1">* E-mail:
<email>l.j.wammes@lumc.nl</email>
(LJW);
<email>m.yazdanbakhsh@lumc.nl</email>
(MY)</corresp>
<fn fn-type="con">
<p>Conceived and designed the experiments: MY TS RMM ES HW. Performed the experiments: LJW FH AEW. Analyzed the data: LJW HHS. Wrote the paper: LJW. Patient enrollment: HW AEW FH LJW. Review of paper: RMM HHS TS MY.</p>
</fn>
</author-notes>
<pub-date pub-type="collection">
<month>5</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>5</month>
<year>2012</year>
</pub-date>
<volume>6</volume>
<issue>5</issue>
<elocation-id>e1655</elocation-id>
<history>
<date date-type="received">
<day>6</day>
<month>10</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>9</day>
<month>3</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>Wammes et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract>
<p>Infection with filarial parasites is associated with T cell hyporesponsiveness, which is thought to be partly mediated by their ability to induce regulatory T cells (Tregs) during human infections. This study investigates the functional capacity of Tregs from different groups of filarial patients to suppress filaria-specific immune responses during human filariasis. Microfilaremic (MF), chronic pathology (CP) and uninfected endemic normal (EN) individuals were selected in an area endemic for
<italic>Brugia timori</italic>
in Flores island, Indonesia. PBMC were isolated, CD4CD25
<sup>hi</sup>
cells were magnetically depleted and
<italic>in vitro</italic>
cytokine production and proliferation in response to
<italic>B. malayi</italic>
adult worm antigen (BmA) were determined in total and Treg-depleted PBMC. In MF subjects BmA-specific T and B lymphocyte proliferation as well as IFN-gamma, IL-13 and IL-17 responses were lower compared to EN and CP groups. Depletion of Tregs restored T cell as well as B cell proliferation in MF-positives, while proliferative responses in the other groups were not enhanced. BmA-induced IL-13 production was increased after Treg removal in MF-positives only. Thus, filaria-associated Tregs were demonstrated to be functional in suppressing proliferation and possibly Th2 cytokine responses to BmA. These suppressive effects were only observed in the MF group and not in EN or CP. These findings may be important when considering strategies for filarial treatment and the targeted prevention of filaria-induced lymphedema.</p>
</abstract>
<abstract abstract-type="summary">
<title>Author Summary</title>
<p>Lymphatic filariasis is a neglected disease still prominent in low-resource settings and is very disabling when it progresses to chronic pathology caused by lymphedema. Until now, studies on the contribution of Tregs to lymphocyte hyporesponsiveness in human filariasis have focused on frequency and phenotypic characteristics of these cells. We have looked at the functional consequence of the presence of Tregs in filaria-specific immune responses during different stages of human lymphatic filariasis. Proliferation of not only T cells, but also B cells, was decreased in patients with microfilaremia compared to uninfected individuals and chronic pathology (lymphedema) patients. The suppressed lymphocyte proliferative responses were increased after
<italic>in vitro</italic>
removal of Tregs in the microfilaria-positive group only, indicating the presence of filaria-specific functional Tregs in microfilaremic patients which are not as active in subjects with chronic pathology or without infection. Th2 cytokine responses were specifically enhanced in microfilaremics as well after Treg depletion, suggesting Treg-associated suppression of filaria-specific Th2 responses. Taken together, filaria-specific Treg contribute to immune modulation during microfilaremia and might need to be considered in therapeutic strategies to prevent chronic pathology induced by filarial infection.</p>
</abstract>
<counts>
<page-count count="9"></page-count>
</counts>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Indonésie</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Hollande-Méridionale</li>
<li>Écosse</li>
</region>
<settlement>
<li>Leyde</li>
<li>Édimbourg</li>
</settlement>
<orgName>
<li>Université d'Édimbourg</li>
</orgName>
</list>
<tree>
<country name="Pays-Bas">
<region name="Hollande-Méridionale">
<name sortKey="Wammes, Linda J" sort="Wammes, Linda J" uniqKey="Wammes L" first="Linda J." last="Wammes">Linda J. Wammes</name>
</region>
<name sortKey="Hamid, Firdaus" sort="Hamid, Firdaus" uniqKey="Hamid F" first="Firdaus" last="Hamid">Firdaus Hamid</name>
<name sortKey="Sartono, Erliyani" sort="Sartono, Erliyani" uniqKey="Sartono E" first="Erliyani" last="Sartono">Erliyani Sartono</name>
<name sortKey="Smits, Hermelijn H" sort="Smits, Hermelijn H" uniqKey="Smits H" first="Hermelijn H." last="Smits">Hermelijn H. Smits</name>
<name sortKey="Wiria, Aprilianto E" sort="Wiria, Aprilianto E" uniqKey="Wiria A" first="Aprilianto E." last="Wiria">Aprilianto E. Wiria</name>
<name sortKey="Yazdanbakhsh, Maria" sort="Yazdanbakhsh, Maria" uniqKey="Yazdanbakhsh M" first="Maria" last="Yazdanbakhsh">Maria Yazdanbakhsh</name>
</country>
<country name="Indonésie">
<noRegion>
<name sortKey="Wammes, Linda J" sort="Wammes, Linda J" uniqKey="Wammes L" first="Linda J." last="Wammes">Linda J. Wammes</name>
</noRegion>
<name sortKey="Hamid, Firdaus" sort="Hamid, Firdaus" uniqKey="Hamid F" first="Firdaus" last="Hamid">Firdaus Hamid</name>
<name sortKey="Supali, Taniawati" sort="Supali, Taniawati" uniqKey="Supali T" first="Taniawati" last="Supali">Taniawati Supali</name>
<name sortKey="Wibowo, Heri" sort="Wibowo, Heri" uniqKey="Wibowo H" first="Heri" last="Wibowo">Heri Wibowo</name>
<name sortKey="Wiria, Aprilianto E" sort="Wiria, Aprilianto E" uniqKey="Wiria A" first="Aprilianto E." last="Wiria">Aprilianto E. Wiria</name>
</country>
<country name="Royaume-Uni">
<region name="Écosse">
<name sortKey="Maizels, Rick M" sort="Maizels, Rick M" uniqKey="Maizels R" first="Rick M." last="Maizels">Rick M. Maizels</name>
</region>
</country>
</tree>
</affiliations>
</record>

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