Abstract

Trypanosoma cruzi calreticulin (TcCRT) is a virulence factor that binds complement C1, thus inhibiting the activation of the classical complement pathway and generating pro-phagocytic signals that increase parasite infectivity. In a previous work, we characterized a clonal cell line lacking one TcCRT allele (TcCRT+/−) and another overexpressing it (TcCRT+), both derived from the attenuated TCC T. cruzi strain. The TcCRT+/− mutant was highly susceptible to killing by the complement machinery and presented a remarkable reduced propagation and differentiation rate both in vitro and in vivo. In this report, we have extended these studies to assess, in a mouse model of disease, the virulence, immunogenicity and safety of the mutant as an experimental vaccine. Balb/c mice were inoculated with TcCRT+/− parasites and followed-up during a 6-month period. Mutant parasites were not detected by sensitive techniques, even after mice immune suppression. Total anti-T. cruzi IgG levels were undetectable in TcCRT+/− inoculated mice and the genetic alteration was stable after long-term infection and it did not revert back to wild type form. Most importantly, immunization with TcCRT+/− parasites induces a highly protective response after challenge with a virulent T. cruzi strain, as evidenced by lower parasite density, mortality, spleen index and tissue inflammatory response. TcCRT+/− clones are restricted in two important properties conferred by TcCRT and indirectly by C1q: their ability to evade the host immune response and their virulence. Therefore, deletion of one copy of the TcCRT gene in the attenuated TCC strain generated a safe and irreversibly gene-deleted live attenuated parasite with high immunoprotective properties. Our results also contribute to endorse the important role of TcCRT as a T. cruzi virulence factor.

Highlights

  • Chagas disease is a neglected tropical ailment caused by the flagellate protozoan Trypanosoma cruzi

  • We genetically manipulated an attenuated strain of T. cruzi as a safety device to rule out the possibility of reversion to the virulent phenotype

  • The genetically modified parasites were highly susceptible to killing by the complement machinery and presented a reduced propagation and differentiation rate

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Summary

Introduction

Chagas disease is a neglected tropical ailment caused by the flagellate protozoan Trypanosoma cruzi. It is estimated that 12–20 million people are infected worldwide causing 10–50,000 deaths/ year [1]. Vector control strategies were not entirely successful mainly due to the inaccessibility and the vast distances that separate endemic areas. Transmission, despite the spraying of insecticides, has been increasing in parts of Argentina, Venezuela and Brazil [2]. The cases of Chagas disease have raised in many parts of South America and have spread globally because of immigration into non-endemic areas in developed countries [3,4,5]. Vaccination to protect the 40–100 million individuals at risk of acquiring this serious disease has not been well developed or entered in human trials

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