In
Leishmania amazonensis, kinetoplastid membrane protein-11 (KMP-11) expression increases during meta-cyclogenesis and is higher in amastigotes than in promastigotes, suggesting a role for this
protein in the
infection of the mammalian host. We show that the addition of KMP-11 exacerbates L. amazonensis
infection in peritoneal macrophages from BALB/c mice by increasing
interleukin (IL)-10 secretion and
arginase activity while reducing
nitric oxide (NO) production. The doses of KMP-11, the
IL-10 levels and the intracellular amastigote loads were strongly, positively and significantly correlated. The increase in parasite load induced by KMP-11 was inhibited by anti-KMP-11 or anti-IL-10 neutralising
antibodies, but not by isotype controls. The neutralising
antibodies, but not the isotype controls, were also able to significantly decrease the parasite load in macrophages cultured without the addition of KMP-11, demonstrating that KMP-11-induced exacerbation of the
infection is not dependent on the addition of exogenous KMP-11 and that the
protein naturally expressed by the parasite is able to promote it. In this study, the exacerbating effect of KMP-11 on macrophage
infection with Leishmania is for the first time demonstrated, implicating it as a
virulence factor in L. amazonensis. The stimulation of
IL-10 production and
arginase activity and the inhibition of NO synthesis are likely involved in this effect.