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The local immune response to intraocular Toxoplasma re-challenge: less pathology and better parasite control through Treg/Th1/Th2 induction.

Abstract
Ocular toxoplasmosis is a major cause of blindness world-wide. Ocular involvement is frequently seen following congenital infection. Many of these infections are quiescent but pose a life-time risk of reactivation. However, the physiopathology of ocular toxoplasmosis reactivation is largely unexplored. We previously developed a Swiss-Webster outbred mouse model for congenital toxoplasmosis by neonatal injection of Toxoplasma gondii cysts. We also used a mouse model of direct intraocular infection to show a deleterious local T helper 17 type response upon primary infection. In the present study, our two models were combined to study intravitreal re-challenge of neonatally infected mice, as an approximate model of reactivation, in comparison with a primary ocular infection. Using BioPlex proteomic assays in aqueous humour and reverse transcription-PCR for T helper cell transcription factors, we observed diminished T helper 17 type reaction in reinfection, compared with primary infection. In contrast, T helper 2 and T regulatory responses were enhanced. Interestingly, this was also true for T helper 1 markers such as IFN-γ, which was paralleled by better parasite control. Secretion of IL-27, a central cytokine for shifting the immune response from T helper 17 to T helper 1, was also greatly enhanced. We observed a similar protective immune reaction pattern in the eye upon reinfection with the virulent RH strain, with the notable exception of IFN-γ. In summary, our results show that the balance is shifted from T helper 17 to a less pathogenic but more effective anti-parasite Treg/T helper 1/T helper 2 pattern in a reactivation setting.
AuthorsArnaud Sauer, Elise Rochet, Ibtissem Lahmar, Julie Brunet, Marcela Sabou, Tristan Bourcier, Ermanno Candolfi, Alexander W Pfaff
JournalInternational journal for parasitology (Int J Parasitol) Vol. 43 Issue 9 Pg. 721-8 (Aug 2013) ISSN: 1879-0135 [Electronic] England
PMID23702129 (Publication Type: Journal Article)
CopyrightCopyright © 2013 Australian Society for Parasitology Inc. Published by Elsevier Ltd. All rights reserved.
Topics
  • Animals
  • Animals, Newborn
  • Eye Diseases (immunology, parasitology)
  • Mice
  • T-Lymphocytes, Regulatory (physiology)
  • Th1 Cells (physiology)
  • Th2 Cells (physiology)
  • Toxoplasma (classification)
  • Toxoplasmosis, Animal (immunology)

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