Abstract

Experimental cerebral malaria (ECM) is characterized by a strong immune response, with leukocyte recruitment, blood-brain barrier breakdown and hemorrhage in the central nervous system. Phosphatidylinositol 3-kinase γ (PI3Kγ) is central in signaling diverse cellular functions. Using PI3Kγ-deficient mice (PI3Kγ-/-) and a specific PI3Kγ inhibitor, we investigated the relevance of PI3Kγ for the outcome and the neuroinflammatory process triggered by Plasmodium berghei ANKA (PbA) infection. Infected PI3Kγ-/- mice had greater survival despite similar parasitemia levels in comparison with infected wild type mice. Histopathological analysis demonstrated reduced hemorrhage, leukocyte accumulation and vascular obstruction in the brain of infected PI3Kγ-/- mice. PI3Kγ deficiency also presented lower microglial activation (Iba-1+ reactive microglia) and T cell cytotoxicity (Granzyme B expression) in the brain. Additionally, on day 6 post-infection, CD3+CD8+ T cells were significantly reduced in the brain of infected PI3Kγ-/- mice when compared to infected wild type mice. Furthermore, expression of CD44 in CD8+ T cell population in the brain tissue and levels of phospho-IkB-α in the whole brain were also markedly lower in infected PI3Kγ-/- mice when compared with infected wild type mice. Finally, AS605240, a specific PI3Kγ inhibitor, significantly delayed lethality in infected wild type mice. In brief, our results indicate a pivotal role for PI3Kγ in the pathogenesis of ECM.

Highlights

  • Cerebral malaria (CM) is a severe neurological syndrome in humans, resulting from Plasmodium falciparum infection

  • The role of Phosphatidylinositol 3-kinase γ (PI3Kγ) during Plasmodium berghei ANKA (PbA) infection was assessed by investigating survival, Experimental cerebral malaria (ECM) incidence and parasitemia in infected WT and PI3Kγ-/- mice

  • To determine histopathological changes during ECM, we examined the brains of infected mice on day 6 p.i., when mice presented characteristic neurological symptoms of ECM (Fig. 1A)

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Summary

Introduction

Cerebral malaria (CM) is a severe neurological syndrome in humans, resulting from Plasmodium falciparum infection. Despite significant developments in the area, there are several aspects of the pathogenesis of CM that remain incompletely understood [1, 2]. Many animal models have been developed to elucidate the inflammatory and/or immunological mechanisms. Role of PI3Kγ in the Pathogenesis of ECM

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