Abstract

Depending on Leishmania species and the presence/absence of virulence factors, Leishmania extracellular vesicles (EVs) can differently stimulate host immune cells. This work is aimed at characterizing and evaluating the protective role of EVs released by Leishmania amazonensis promastigotes under different maintenance conditions. Initially, using a control strain, we standardized 26°C as the best release temperature to obtain EVs with a potential protective role in the experimental leishmaniasis model. Then, long-term (LT-P) promastigotes of L. amazonensis were obtained after long-term in vitro culture (100 in vitro passages). In vivo-derived (IVD-P) promastigotes of L. amazonensis were selected after 3 consecutive experimental infections in BALB/c mice. Those strains developed similar lesion sizes except for IVD-P at 8 weeks post infection. No differences in EV production were detected in both strains. However, the presence of LPG between LT-P and IVD-P EVs was different. Groups of mice immunized with EVs emulsified in the adjuvant and challenged with IVD-P parasites showed decreased lesion size and parasitic load compared with the nonimmunized groups. The immunization regimen with two doses showed high IFN-γ and IgG2a titers in challenged mice with either IVD-P or LT-P EVs. IL-4 and IL-10 were detected in immunized mice, suggesting a mixed Th1/Th2 profile. EVs released by either IVD-P or LT-P induced a partial protective effect in an immunization model. Thus, our results uncover a potential protective role of EVs from L. amazonensis for cutaneous leishmaniasis. Moreover, long-term maintenance under in vitro conditions did not seem to affect EV release and their immunization properties in mice.

Highlights

  • Leishmaniasis is a neglected disease distributed in tropical and subtropical regions, especially in developing countries [1]

  • extracellular vesicles (EVs) Obtained from L. amazonensis Promastigotes Incubated at Different Temperatures Showed Partial Protection in Immunized BALB/c Mice

  • BALB/c mice were immunized with 2 doses of EVs from L. amazonensis

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Summary

Introduction

Leishmaniasis is a neglected disease distributed in tropical and subtropical regions, especially in developing countries [1]. It is estimated that 700,000 to 1 million new cases and 26,000 to 65,000 deaths annually are due to infection by the parasite [1]. The cutaneous form is the most common among leishmaniasis, with most cases reported in the Americas, Mediterranean region, Middle East, and Central Asia [1, 2]. Macrophages are important cells in response to Leishmania infection [4]. Activated macrophages (M1) are able to destroy Leishmania parasites since they exhibit high microbicidal capacity with the production of high levels of reactive oxygen species (ROS) and nitric

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