The effect of filarial
infections on
malaria-specific immune responses was investigated in Malian villages coendemic for
filariasis (Fil) and
malaria.
Cytokines were measured from plasma and Ag-stimulated whole blood from individuals with Wuchereria bancrofti and/or
Mansonella perstans infections (Fil(+); n = 19) and those without evidence of filarial
infection (Fil(-); n = 19). Plasma levels of
IL-10 (geometric mean [GM], 22.8 vs 10.4) were higher in Fil(+) compared with Fil(-), whereas levels of IFN-inducible
protein (IP)-10 were lower in Fil(+) (GM, 66.3 vs 110.0). Fil(+) had higher levels of spontaneously secreted
IL-10 (GM, 59.3 vs 6.8 pg/ml) and lower levels of
IL-2 (1.0 vs 1.2 pg/ml) than did Fil(-). Although there were no differences in levels of Staphylococcus aureus
enterotoxin B-induced
cytokines between the two groups, Fil(+) mounted lower IL-12p70 (GM, 1.11 vs 3.83 pg/ml; p = 0.007), IFN-gamma (GM, 5.44 vs 23.41 pg/ml; p = 0.009), and IP-10 (GM, 29.43 vs 281.7 pg/ml; p = 0.007) responses following
malaria Ag (MalAg) stimulation compared with Fil(-). In contrast, Fil(+) individuals had a higher MalAg-specific
IL-10 response (GM, 7318 pg/ml vs 3029 pg/ml; p = 0.006) compared with those without filarial
infection. Neutralizing Ab to
IL-10 (but not to
TGFbeta) reversed the down-regulated MalAg-specific IFN-gamma and IP-10 (p < 0.001) responses in Fil(+). Together, these data demonstrate that filarial
infections modulate the Plasmodium falciparum-specific IL-12p70/IFN-gamma secretion pathways known to play a key role in resistance to
malaria and that they do so in an IL-10-dependent manner.