Immune elimination of Leishmania major in mice: implications for immune memory, vaccination, and reactivation disease

J Immunol. 2001 Dec 15;167(12):6967-74. doi: 10.4049/jimmunol.167.12.6967.

Abstract

Infection of susceptible BALB/c mice with a large, moderate, or low number of Leishmania major parasites respectively results in progressive disease, the formation of substantial but stable lesions, denoted as borderline disease, and the absence of a visible lesion. Infection with a low number of parasites results over the long term in either subclinical infections or an asymptomatic state. Subclinical mice produce a predominant Th1 response and are resistant to challenge, in contrast to their asymptomatic counterparts. Statistical and other evidence suggest that the asymptomatic state can arise from a subclinical state following parasite clearance, with consequent loss of resistance. Cell transfer studies demonstrate unequivocally that immune cells from subclinical mice can protect naive mice against a pathogenic challenge and can clear the parasite, leaving the mice susceptible to a rechallenge infection. This susceptibility is associated with the disappearance of both parasite-specific effector and memory T cells from secondary lymphoid organs. These findings have implications for vaccination, maintenance of memory, and prevention of reactivation disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adoptive Transfer
  • Animals
  • Antibodies, Protozoan / biosynthesis
  • Immunologic Memory*
  • Interferon-gamma / biosynthesis
  • Interleukin-4 / biosynthesis
  • Kinetics
  • Leishmania major / immunology*
  • Leishmaniasis, Cutaneous / diagnosis
  • Leishmaniasis, Cutaneous / immunology*
  • Leishmaniasis, Cutaneous / parasitology
  • Leishmaniasis, Cutaneous / prevention & control
  • Lymph Nodes / immunology
  • Malaria Vaccines*
  • Mice
  • Mice, Inbred BALB C
  • Recurrence
  • Spleen / immunology
  • T-Lymphocytes, Helper-Inducer / immunology*
  • T-Lymphocytes, Helper-Inducer / transplantation
  • Th1 Cells / immunology
  • Th2 Cells / immunology

Substances

  • Antibodies, Protozoan
  • Malaria Vaccines
  • Interleukin-4
  • Interferon-gamma