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immunology of infectious and parasitic diseases - XXXVII Congress ...

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DEVELOPMENT OF MURINE PLACENTAL MALARIA IS DEPENDENT ON<br />

TLR4/MYD88 PATHWAY.<br />

RENATO BARBOZA 1 ; ARAMYS SILVA DOS REIS 1 ; WESLEY L. FOTORAN 1 ;<br />

LEANDRO GUSTAVO DA SILVA 1 ;GERHARD WUNDERLICH 1 ; NIELS OLSEN<br />

SARAIVA CÂMARA 3 ; SILVIA BEATRIZ BOSCARDIN 1 ; SABRINA EPIPHANIO 2<br />

& CLAUDIO ROMERO FARIAS MARINHO 1<br />

1 Departamento de Parasitologia, ICB, Universidade de São Paulo, São Paulo,<br />

Brasil; 2 Departamento de Imunologia, ICB, Universidade de São Paulo, São<br />

Paulo, Brasil; 3 Departamento de Ciências Biológicas, Universidade Federal de<br />

São Paulo, Diadema, Brasil.<br />

Introduction: Toll like receptors (TLR) are components <strong>of</strong> innate immune<br />

system that recognize pathogens through distinct molecular patterns.<br />

Recruitment <strong>of</strong> MyD88 is a common pathway <strong>of</strong> TLR signaling, which leads to<br />

induction <strong>of</strong> NF-kB-dependent inflammatory cytokine production. It has been<br />

described that TLR4 recognize components <strong>of</strong> Plasmodium sp. <strong>and</strong> affect the<br />

host immune response. Despite the fact that the activation <strong>of</strong> innate immune<br />

system by Plasmodium sp. during pregnancy can result in a range <strong>of</strong><br />

complications affecting both mother <strong>and</strong> fetus, the aim <strong>of</strong> this work was to<br />

evaluate the effects <strong>of</strong> TLR4/MyD88 pathway on the development <strong>of</strong> placental<br />

malaria (PM). Methods & Results: Initially, to ascertain if TLR4 could<br />

recognize P. berghei NK65 infected red blood cells (iRBC), COS-7 cells were<br />

co-transfected with mouse CD14 <strong>and</strong> TLR4. For luciferase reporter assay, cells<br />

were also co-transfected with ELAM-1-firefly luciferase <strong>and</strong> beta-actin-Renilla<br />

luciferase plasmids. Our results showed that iRBC were able to activate TLR4.<br />

To verify the effects <strong>of</strong> TLR activation, we infected pregnant TLR4 -/- , MyD88 -/-<br />

<strong>and</strong> C57BL/6 (WT) mice with P. berghei NK65 on the 13th gestational day.<br />

Histopathological analysis <strong>of</strong> the placentas showed a decrease <strong>of</strong> vascular<br />

spaces in WT infected mice when compared with placentas from non-infected<br />

mice (39.444.75 vs. 48.134.57 % <strong>of</strong> vascular space, respectively). On the<br />

other h<strong>and</strong>, placentas from infected <strong>and</strong> non-infected <strong>of</strong> both strains TLR4 <strong>and</strong><br />

MyD88 did not present differences when compared with the control. As the<br />

reduction <strong>of</strong> vascular space can be a consequence <strong>of</strong> inflammatory processes,<br />

our next step was to analyze the placental expression <strong>of</strong> IL-6, TNF-alpha <strong>and</strong><br />

IP-10 mRNA. Our results show that only WT infected mice presented an<br />

increase in the expression <strong>of</strong> these cytokines as compared with TLR4 -/- <strong>and</strong><br />

MyD88 -/- mice. Conclusion: In summary, this study illustrates the importance <strong>of</strong><br />

a severe inflammatory response in the development <strong>of</strong> PM pathogenesis via<br />

TLR4/MyD88 signaling <strong>and</strong>, additionally, indicates the TLR4 <strong>and</strong> adaptor<br />

protein MyD88 as potential targets for therapeutics intervention.

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