Abstract

Macrophage activation of NAD(P)H oxidase (NOX2) and reactive oxygen species (ROS) is suggested to kill Trypanosoma cruzi that causes Chagas disease. However, the role of NOX2 in generation of protective immunity and whether these mechanisms are deregulated in the event of NOX2 deficiency are not known, and examined in this study. Our data showed that C57BL/6 p47phox−/− mice (lack NOX2 activity), as compared to wild-type (WT) mice, succumbed within 30 days post-infection (pi) to low doses of T. cruzi and exhibited inability to control tissue parasites. P47phox−/− bone-marrow and splenic monocytes were not compromised in maturation, phagocytosis and parasite uptake capacity. The deficiency of NOX2 mediated ROS was compensated by higher level of inducible nitric oxide synthase (iNOS) expression, and nitric oxide and inflammatory cytokine (TNF-α, IFN-γ, IL-1β) release by p47phox−/− macrophages as compared to that noted in WT controls infected by T. cruzi. Splenic activation of Th1 CD4+T cells and tissue infiltration of immune cells in T. cruzi infected p47phox−/− mice were comparable to that noted in infected control mice. However, generation and activation of type 1 CD8+T cells was severely compromised in p47phox−/− mice. In comparison, WT mice exhibited a robust T. cruzi-specific CD8+T cell response with type 1 (IFN-γ+TNF-α>IL-4+IL-10), cytolytic effector (CD8+CD107a+IFN-γ+) phenotype. We conclude that NOX2/ROS activity in macrophages signals the development of antigen-specific CD8+T cell response. In the event of NOX2 deficiency, a compromised CD8+T cell response is generated, leading to increased parasite burden, tissue pathogenesis and mortality in chagasic mice.

Highlights

  • Chagas disease is caused by the protozoan Trypanosoma cruzi [1,2]

  • Our study highlights how redox state of innate immune cells alters the adaptive immunity to intracellular pathogens; and suggests that understanding the molecular and cellular mechanisms affected by redox state of immune cells at basal level could be exploited in designing future therapeutic and vaccination strategies against T. cruzi infection and Chagas disease

  • Our data suggested that the NOX2 deficiency was compensated by enhanced levels of inducible nitric oxide synthase (iNOS), nitric oxide, and inflammatory cytokines in macrophages; p47phox2/2 mice were highly susceptible to T. cruzi because of the inability to activate a type 1 CD8+T cell response that is known to be essential for intracellular parasite control

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Summary

Introduction

Chagas disease is caused by the protozoan Trypanosoma cruzi [1,2]. During acute phase of infection, parasites can be found in the circulating blood, and host may develop fever or swelling around the site of inoculation, and rarely, severe inflammation in heart muscle or brain. Several years after exposure to T. cruzi, ,30% of the infected individuals develop clinical symptoms of chronic cardiomyopathy associated with progressive cardiomegaly, arrhythmia, thromboembolic events, and heart failure [3,4]. Both innate and acquired immune responses are required for control of T. cruzi and critical for host survival (reviewed in [5,6]). Macrophages serve as first responders by activation of phagocytic NADPH oxidase, referred as NOX2. The plasma membrane-associated proteins gp91phox and p22phox compose the flavocytochrome-b558 complex that is the major component responsible for enzyme stability and activity. Phosphorylation of cytosolic factors (p47phox, p67phox, and p40phox), and small Rho

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