Abstract

Helminths are distinct from microbial pathogens in both size and complexity, and are the likely evolutionary driving force for type 2 immunity. CD4+ helper T cells can both coordinate worm clearance and prevent immunopathology, but issues of T cell antigen specificity in the context of helminth-induced Th2 and T regulatory cell (Treg) responses have not been addressed. Herein, we generated a novel transgenic line of the gastrointestinal nematode Strongyloides ratti expressing the immunodominant CD4+ T cell epitope 2W1S as a fusion protein with green fluorescent protein (GFP) and FLAG peptide in order to track and study helminth-specific CD4+ T cells. C57BL/6 mice infected with this stable transgenic line (termed Hulk) underwent a dose-dependent expansion of activated CD44hiCD11ahi 2W1S-specific CD4+ T cells, preferentially in the lung parenchyma. Transcriptional profiling of 2W1S-specific CD4+ T cells isolated from mice infected with either Hulk or the enteric bacterial pathogen Salmonella expressing 2W1S revealed that pathogen context exerted a dominant influence over CD4+ T cell phenotype. Interestingly, Hulk-elicited 2W1S-specific CD4+ T cells exhibited both Th2 and Treg phenotypes and expressed high levels of the EGFR ligand amphiregulin, which differed greatly from the phenotype of 2W1S-specific CD4+ T cells elicited by 2W1S-expressing Salmonella. While immunization with 2W1S peptide did not enhance clearance of Hulk infection, immunization did increase total amphiregulin production as well as the number of amphiregulin-expressing CD3+ cells in the lung following Hulk infection. Altogether, this new model system elucidates effector as well as immunosuppressive and wound reparative roles of helminth-specific CD4+ T cells. This report establishes a new resource for studying the nature and function of helminth-specific T cells.

Highlights

  • Parasitic helminth infections, including infections with soil-transmitted gastrointestinal (GI) nematodes, persist chronically and affect billions of individuals across the globe [1]

  • Whether Th2 and/or T regulatory cell (Treg) subsets recognize helminth antigens is a question of great relevance to vaccine development, but no tools previously existed to identify and study endogenous helminth-specific CD4+ T cells

  • Our studies reveal that 2W1S-specific CD4+ T cells become both Th2s and Tregs in the lungs of infected mice and potentially serve protective and/or suppressive roles during Hulk infection

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Summary

Introduction

Parasitic helminth infections, including infections with soil-transmitted gastrointestinal (GI) nematodes, persist chronically and affect billions of individuals across the globe [1]. GI nematode infection induces considerable host tissue damage at sites of infection, including the respiratory and GI tracts. In tandem with IL-4Rα-dependent goblet cell hyperplasia and smooth muscle hypercontractility, these mechanisms drive the “weep and sweep” response that expels worms from the intestinal tract [10,18]. Overall, this complexity suggests that the corresponding CD4+ T cell response must be phenotypically diverse to coordinate clearance of GI nematodes, but whether Th2 cells need to be specific for helminthderived antigens in order to drive these protective responses remains unknown

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