IL-17 and IL-22 are associated with protection against human kala azar caused by Leishmania donovani

被引:225
作者
Pitta, Maira G. R. [2 ,3 ]
Romano, Audrey [2 ,3 ]
Cabantous, Sandrine [2 ,3 ]
Henri, Sandrine [2 ]
Hammad, Awad [4 ]
Kouriba, Bourema [2 ]
Argiro, Laurent [2 ,3 ]
el Kheir, Musa [4 ]
Bucheton, Bruno [2 ]
Mary, Charles [2 ,5 ]
El-Safi, Sayda Hassan [4 ]
Dessein, Alain [1 ,2 ,3 ,4 ]
机构
[1] INSERM, Timone Fac Med, UMR 906, U906, F-13385 Marseille, France
[2] Aix Marseille Univ, Fac Med, UMR 906, Marseille, France
[3] Inst Microbiol Mediterranee, IFR88, Marseille, France
[4] Univ Khartoum, Fac Med, Dept Med Microbiol & Parasitol, Khartoum, Sudan
[5] CHU Timone, Lab Parasitol Mycol, Hop Marseille, Marseille, France
关键词
IL-17-PRODUCING T-CELLS; VISCERAL LEISHMANIASIS; TH17; CELLS; HOST-DEFENSE; AUTOIMMUNE ENCEPHALOMYELITIS; CUTANEOUS LEISHMANIASIS; KLEBSIELLA-PNEUMONIAE; INTERFERON-GAMMA; IMMUNE-RESPONSE; EASTERN SUDAN;
D O I
10.1172/JCI38813
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
IL-17 and IL-22 have been shown to increase protection against certain bacteria and fungal pathogens in experimental models. However, no human studies have demonstrated a crucial role of IL-17 and IL-22 in protection against infections. We show here that Leishmania donovani, which can cause the lethal visceral disease Kala Azar (KA), stimulates the differentiation of Th17 cells, which produce IL-17, IL-22, and IFN-gamma. Analysis of Th1, Th2, and Th17 cytokine responses by cultured PBMCs from individuals in a cohort of subjects who developed KA or were protected against KA during a severe outbreak showed that IL-17 and IL-22 were strongly and independently associated with protection against KA. Our results suggest that, along with Th1 cytokines, IL-17 and IL-22 play complementary roles in human protection against KA, and that a defect in Th17 induction may increase the risk of KA.
引用
收藏
页码:2379 / 2387
页数:9
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