Abstract

In a model of experimental cutaneous leishmaniasis, pre-exposure of Leishmania major-resistant mice to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), an aryl hydrocarbon receptor agonist, causes suppression of the protective anti-parasite T helper 1 response while paradoxically also reducing parasite burdens in those animals. In this study, we examined if TCDD exposure could also reduce parasite burdens in L. major-susceptible BALB/c mice. In the highest dose group (160 µg/Kg), TCDD treatment caused a significant reduction of parasite burdens by 10-fold after three weeks while also causing a significant lymphoid atrophy indicating suppression of the non-protective T helper 2 response. A dose-dependent delay of foot lesion progression was also observed such that lesion size in the highest dose group was less than half that of controls after 35 days of infection. Importantly, although TCDD exposure initially reduced disease severity and prolonged the course of disease by as much as three fold in some animals, this effect was transitory and TCDD did not induce resistance to L. major infection. Because TCDD exposure reduced L. major burdens in both resistant and susceptible mice, we hypothesized that TCDD reduces L. major burdens in mice by a mechanism that does not involve adaptive immunity. To test this, severe combined immunodeficient (SCID) mice were used. In mice infected with a moderate number of L. major (10,000), TCDD treatment caused a time- and dose-dependent decrease of parasite burdens by nearly 100-fold after six weeks in the highest dose group (200 µg/Kg). A significant and dose-dependent delay of foot lesion progression was also observed in these animals. These results indicate that TCDD exposure can reduce the severity of leishmanial disease in mice independent of adaptive immunity.

Highlights

  • Leishmaniasis is a disease caused by infection with protozoan parasites of the genus Leishmania

  • We show that L. major burdens were reduced by exposure to TCDD in both BALB/c wild type and severe combined immunodeficient (SCID) mice

  • Relative to control animals, mice in the highest dose group displayed a number of significant hallmark signs of TCDD toxicity: by day 26 post infection, thymus weights were reduced by 57%, the number of lesion draining lymph node cells was reduced by 95%, the percentage of CD4+ cells in lesion-draining lymph nodes was reduced by 44%, and the percentage of those CD4+ cells expressing CD25 was increased nearly two-fold (Table 1)

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Summary

Introduction

Leishmaniasis is a disease caused by infection with protozoan parasites of the genus Leishmania. Natural infection occurs during a blood feeding event by an infected phlebotomine sand fly that will deliver Leishmania promastigotes into the skin of a potential host. Uptake of promastigotes by phagocytic cells can provide a suitable environment for transformation of promastigotes into the amastigote form that is most well adapted to the intracellular environment of the ultimate host cell, the macrophage. Depending on the species of Leishmania and the host’s response, disease can present in various forms from isolated cutaneous lesions to disseminated visceral pathology [2,3,4,5]. Experimental subcutaneous injection of Leishmania into mice can cause disease that mimics many aspects of a natural infection

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