Cerebral malaria is one of the severe complications of Plasmodium falciparum
infection. Studies using a rodent model of Plasmodium berghei ANKA
infection established that CD8(+) T cells are involved in the pathogenesis of
cerebral malaria. However, it is unclear whether and how Plasmodium-specific CD8(+) T cells can be activated during the erythrocyte stage of
malaria infection. We generated recombinant Plasmodium berghei ANKA expressing OVA (OVA-PbA) to investigate the parasite-specific T cell responses during
malaria infection. Using this model system, we demonstrate two types of CD8(+) T cell activations during the
infection with
malaria parasite. Ag (OVA)-specific CD8(+) T cells were activated by TAP-dependent cross-presentation during
infection with OVA-PbA leading to their expression of an activation phenotype and
granzyme B and the development to functional CTL. These highly activated CD8(+) T cells were preferentially sequestered in the brain, although it was unclear whether these cells were involved in the pathogenesis of
cerebral malaria. Activation of OVA-specific CD8(+) T cells in RAG2 knockout TCR-transgenic mice during
infection with OVA-PbA did not have a protective role but rather was pathogenic to the host as shown by their higher
parasitemia and earlier death when compared with RAG2 knockout mice. The OVA-specific CD8(+) T cells, however, were also activated during
infection with wild-type parasites in an Ag-nonspecific manner, although the levels of activation were much lower. This nonspecific activation occurred in a TAP-independent manner, appeared to require NK cells, and was not by itself pathogenic to the host.