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Research Group Heussler (Malaria I) - Bernhard-Nocht-Institut für ...

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Medical Microbiology Section<br />

Immunpathways in filarial infection in mice:<br />

old Acquaintances and Surprises<br />

Zusammenfassung:<br />

Verschiedene immunologische Parameter sind <strong>für</strong><br />

die Abwehr von Filarienematoden von großer Bedeutung.<br />

Das Zusammenspiel dieser Parameter wurde<br />

in Studien an gentechnisch veränderten Mäusen<br />

durchgeführt, die zum Teil einen doppelten Defekt in<br />

zwei Genen aufwiesen. Es zeigte sich, dass Zytokine<br />

synergistisch zusammenwirken, die bisher allgemein<br />

nicht im Verdacht standen Synergien miteinander zu<br />

bilden. Auch Immunzellen, von denen bekannt war,<br />

dass sie gegen Viren, Bakterien und Protozoen<br />

wirken, wurden in Zusammenhang mit der Abwehr<br />

von Filarien gebracht. Wichtige Erkenntnisse wurden<br />

über die Rolle der Wolbachien und deren freigesetzte<br />

LPS-ähnliche Produkte <strong>für</strong> den Verlauf der<br />

Immunabwehr gewonnen.<br />

Summary<br />

Different immunological parameters are of great importance<br />

for the defence against filarial infections. The interaction<br />

of these parameters was analysed in studies<br />

with genetic deficient mice. It was shown that cytokines<br />

that were thought to be antagonistic in the mode of action,<br />

rather interact synergistically with each other. Also<br />

immune cells, which are known to be involved in the defence<br />

against viruses, bacteria and protozoa were<br />

demonstrated to be important for defence against filarial<br />

infections. Important results were collected about<br />

Wolbachia and their released LPS-like products for the<br />

immune reaction.<br />

Introduction<br />

Filarial infections are a great problem in tropical countries.<br />

Over 180 million persons are infected with filarial<br />

worms. The immunological defence mechanisms are<br />

not understood in detail, which leads to the survival of<br />

worms for more than 20 years in the host. Our studies<br />

focus on the better understanding of these immune reactions.<br />

Experiments were done with mice which had a<br />

double deficiency of IL-5 and interferon-γ. These mice<br />

were analysed to see if this double deficiency had a<br />

synergistic or antagonistic effect on the course of the<br />

immune reaction. The role of IL-4, IL-4 receptor-α and<br />

IL-5 was analysed in knockout mice in the course of a filarial<br />

infection. Further studies of our group focused on<br />

the role of NK cells, as no role for NK cells was yet<br />

known in the defence against helminth infections. The<br />

important role of endosymbiotic Wolbachia bacteria for<br />

the defence against filarial infections was shown in animal<br />

models.<br />

60<br />

Project Description and Results<br />

Natural killer cells are known to be important for the defence<br />

against virus, bacteria and protozoa. In vivo depletion<br />

of NK cells led to a significantly higher worm<br />

load in mice. These data demonstrated for the first time<br />

that NK cells were involved in the defence mechanism<br />

against helminth parasites (Korten et al., 2002).<br />

Comparison of the immune reaction in IL-4, IL-4 receptor-α<br />

and IL-5 deficient mice demonstrated that IL-5 in<br />

contrast to IL-4 is important for the defence against<br />

adult worms. Only IL-5 KO mice had up to 200 times<br />

more adult worms and a longer persistence of worms<br />

during the chronic phase of the infection. In contrast,<br />

no significant differences in adult worm survival were<br />

observed between IL-4, IL-4 receptor-α and BALB/c<br />

wild-type mice. Both IL-5 and IL-4 knockout mice show<br />

a greatly enhanced microfilaremia and prolonged susceptibility.<br />

These data demonstrate that IL-5 and IL-4 effector<br />

pathways act against different stages of filarial<br />

worms. Deficiency of IL-5 results in effects on the adult<br />

worms and microfilariae, while deficiency of IL-4 and IL-<br />

4 receptor-α has only effects on the microfilariae (Volkmann<br />

et al., 2003).<br />

A prevailing perception is that Th1 and Th2 immune<br />

reactions induce antagonistic immune effector mechanisms.<br />

IL-5 and IFN-γ knockout mice both show a<br />

higher worm load compared to the wild-type. The question<br />

was if IFN-γ/IL-5 double knockout mice have a significantly<br />

higher worm load compared to each single<br />

knockout mice. The results indicate that double deficiency<br />

of IFN-γ and IL-5 act synergistically and leads to<br />

a higher worm load compared to each single knockout.<br />

Our results show that these synergistic effects of these<br />

two cytokines were mediated in part by neutrophils.<br />

Neutrophils are important cells for the containment and<br />

encapsulation process of the worms. An important cytokine<br />

for neurophil activation is TNF-α, which was reduced<br />

in macrophages of KO mice. Furthermore, neutrophils<br />

of IL-5 KO, IFN-γ KO and double deficient mice<br />

were significantly decreased in their chemotactic activity<br />

compared to controls and double deficient mice<br />

show the lowest phagocytic activity (Saeftel et al.,<br />

2003).<br />

Wolbachia are intracellular endobacteria of filarial<br />

worms and their released LPS-like molecules might<br />

play a role in the induction of immune response. By using<br />

the LPS-nonresponsive C3H/HeJ mouse strain it<br />

was shown that these mice develop a higher fertility of<br />

adult worms. This experiment indicates that TLR4 signaling<br />

is involved in the immune reaction that controls<br />

worm fertility and embryogenesis (Pfarr et al., 2003).

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