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Abstracts (complete list) - Wissenschaft Online

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Bernd Lepenies, Klaus Pfeffer, Michelle Hurchla, Theresa Murphy, Kenneth Murphy,<br />

Juliane Oetzel, Bernhard Fleischer, Thomas Jacobs<br />

B and T lymphocyte attenuator (BTLA) ligation prevents<br />

cerebral malaria during P. berghei ANKA infection<br />

BTLA (CD272) is a coinhibitory receptor that is expressed on T and B cells and dampens<br />

T cell activation. In this study, we analyzed the function of BTLA during infection with P.<br />

berghei ANKA. This strain provokes a strong activation of T cells that is in C57BL/6 mice<br />

associated with a pathology that resembles cerebral malaria in humans. During the<br />

course of infection we found an induction of BTLA in several organs, which was either<br />

due to up-regulation of BTLA expression on activated T cells in the spleen or due to<br />

infiltration of BTLA-expressing T cells into several organs. In the brain we observed a<br />

marked induction of BTLA and its ligand HVEM during cerebral malaria, which was<br />

accompanied by an accumulation of predominantly CD8+ T cells, but also of CD4+ T<br />

cells. Application of an anti-BTLA mAb caused a significantly reduced incidence of<br />

cerebral malaria compared to control Ig. Treatment with this antibody also led to a<br />

decreased number of T cells that sequestered into the brain of P. berghei ANKA-infected<br />

mice. Our findings indicate that BTLA/HVEM interactions are functionally involved in<br />

sequestration of T cells in brain capillaries and that BTLA engagement is of importance<br />

to prevent immunopathology during infection with P. berghei ANKA. This study suggests<br />

that BTLA is a potential target for therapeutic interventions in severe malaria and might<br />

also have implications for the treatment of other inflammatory processes.

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