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Publication : Fluctuations of Spleen Cytokine and Blood Lactate, Importance of Cellular Immunity in Host Defense Against Blood Stage Malaria <i>Plasmodium yoelii</i>.

First Author  Imai T Year  2019
Journal  Front Immunol Volume  10
Pages  2207 PubMed ID  31608052
Mgi Jnum  J:284581 Mgi Id  MGI:6378034
Doi  10.3389/fimmu.2019.02207 Citation  Imai T, et al. (2019) Fluctuations of Spleen Cytokine and Blood Lactate, Importance of Cellular Immunity in Host Defense Against Blood Stage Malaria Plasmodium yoelii. Front Immunol 10:2207
abstractText  Our previous studies of protective immunity and pathology against blood stage malaria parasites have shown that not only CD4(+) T cells, but also CD8(+) T cells and macrophages, are important for host defense against blood stage malaria infection. Furthermore, we found that Plasmodium yoelii 17XNL (PyNL) parasitizes erythroblasts, the red blood cell (RBC) precursor cells, which then express MHC class I molecules. In the present study, we analyzed spleen cytokine production. In CD8(+) T cell-depleted mice, IL-10 production in early stage infection was increased over two-fold relative to infected control animals and IL-10(+) CD3(-) cells were increased, whereas IFN-gamma production in the late stage of infection was decreased. At day 16 after PyNL infection, CD8(+) T cells produced more IFN-gamma than CD4(+) T cells. We evaluated the involvement of the immunoproteasome in induction of immune CD8(+) T cells, and the role of Fas in protection against PyNL both of which are downstream of IFN-gamma. In cell transfer experiments, at least the single molecules LMP7, LMP2, and PA28 are not essential for CD8(+) T cell induction. The Fas mutant LPR mouse was weaker in resistance to PyNL infection than WT mice, and 20% of the animals died. LPR-derived parasitized erythroid cells exhibited less externalization of phosphatidylserine (PS), and phagocytosis by macrophages was impaired. Furthermore, we tried to identify the cause of death in malaria infection. Blood lactate concentration was increased in the CD8(+) T cell-depleted PyNL-infected group at day 19 (around peak parasitemia) to similar levels as day 7 after infection with a lethal strain of Py. When we injected mice with lactate at day 4 and 6 of PyNL infection, all mice died at day 8 despite demonstrating low parasitemia, suggesting that hyperlactatemia is one of the causes of death in CD8(+) T cell-depleted PyNL-infected mice. We conclude that CD8(+) T cells might control cytokine production to some extent and regulate hyperparasitemia and hyperlactatemia in protection against blood stage malaria parasites.
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