Phenotypic and Functional Profiles of Antigen-Specific CD4+ and CD8+ T Cells Associated With Infection Control in Patients With Cutaneous Leishmaniasis

Autor: Darién Ledesma, Juan José Infante, Andrés Eduardo Toro Montoya, Adriana Egui, Elena Pérez-Antón, M. Carmen Thomas, Sara M. Robledo, Manuel Carlos López, Iván D. Vélez, Inmaculada Gómez
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
CD4-Positive T-Lymphocytes
paraflagellar rod protein-1
lcsh:QR1-502
Protozoan Proteins
CD8-Positive T-Lymphocytes
lcsh:Microbiology
Granzymes
0302 clinical medicine
Cellular and Infection Microbiology
CD57 Antigens
Cytotoxic T cell
Leishmania infantum
Receptors
Immunologic

CD8+ and CD4+ T-cells
Original Research
Leishmania
biology
Recombinant Proteins
Infectious Diseases
CD4 Antigens
Cytokines
Microbiology (medical)
phenotype
030231 tropical medicine
Immunology
Leishmaniasis
Cutaneous

Antigens
Protozoan

GPI-Linked Proteins
Microbiology
03 medical and health sciences
Interferon-gamma
Immune system
Cutaneous leishmaniasis
Antigens
CD

medicine
Humans
Th1-cytokines
leishmaniasis
Cell Proliferation
Infection Control
business.industry
Perforin
biomarkers
Leishmaniasis
Th1 Cells
medicine.disease
biology.organism_classification
030104 developmental biology
inhibitory receptors
biology.protein
Leukocytes
Mononuclear

business
CD8
Zdroj: Frontiers in Cellular and Infection Microbiology
Frontiers in Cellular and Infection Microbiology, Vol 8 (2018)
ISSN: 2235-2988
DOI: 10.3389/fcimb.2018.00393
Popis: The host immunological response is a key factor determining the pathogenesis of cutaneous leishmaniasis. It is known that a Th1 cellular response is associated with infection control and that antigen-specific memory T cells are necessary for the development of a rapid and strong protective cellular response. The present manuscript reports the analysis of the functional and phenotypic profiles of antigen-specific CD4+ and CD8+ T cells from patients cured of cutaneous leishmaniasis (CL), patients with an active process of cutaneous leishmaniasis, asymptomatic individuals with a positive Montenegro test and healthy donors (HD). Peripheral blood mononuclear cells (PBMCs) from the patients exhibited a lymphoproliferative capacity after stimulation with total soluble protein from either Leishmania panamensis (SLpA) or Leishmania infantum (SLiA) or with a recombinant paraflagellar rod protein-1 (rPFR1). Higher frequencies of antigen-specific TNAIVE cells, mainly following stimulation with rPFR1, were observed in asymptomatic and cured patients than in patients with active cutaneous leishmaniasis, while T cells from patients with active cutaneous leishmaniasis showed a higher percentage of effector memory T cells (TEM for CD4+ T cells and TEMRA for CD8+ T cells). The amount of antigen-specific CD57+/CD8+ TEMRA cells in patients with active cutaneous leishmaniasis was higher than that in cured patients and asymptomatic subjects. Regarding functionality, a more robust multifunctional CD8+ T cell response was detected in cured patients than in those with active cutaneous leishmaniasis. Moreover, cured patients showed a significant increase in the frequency of cells expressing a Th1-type cytotoxic production profile (IFN-γ+/granzyme-B/+perforin+). Patients with an active leishmaniosis process had a significantly higher frequency of CD8+ T cells expressing the inhibitory CD160 and 2B4 receptors than did cured patients. The expression profile observed in cured patients could be indicative of an imbalance toward a CD8+ Th1 response, which could be associated with infection control; consequently, the determination of this profile could be a useful tool for facilitating the clinical follow-up of patients with cutaneous leishmaniasis. The results also suggest a possible exhaustion process of CD8+ T cells associated with the evolution of Leishmania infection.
Databáze: OpenAIRE