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Antagonizing Deactivating Cytokines to Enhance Host Defense and Chemotherapy in Experimental Visceral Leishmaniasis

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Journal Infect Immun
Date 2005 Jun 24
PMID 15972476
Citations 37
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Abstract

In experimental visceral leishmaniasis, inhibition of interleukin 10 (IL-10) signaling enhances Th1-cell-associated responses, promoting gamma interferon (IFN-gamma) secretion, granuloma assembly, macrophage activation with substantial liver parasite killing, and synergy with pentavalent antimony (Sb) chemotherapy. To determine if inhibiting other suppressive cytokines has similar therapeutic potential, Leishmania donovani-infected BALB/c mice were injected with anti-IL-4 monoclonal antibody or receptor fusion antagonists of IL-13 or transforming growth factor beta (TGF-beta). Targeting IL-13 or TGF-beta enabled inhibition of L. donovani replication but little parasite killing; anti-IL-4 had no effect. None of the three antagonists promoted IFN-gamma production, granuloma maturation, or Sb efficacy. Excess IL-13 and TGF-beta exacerbated liver infection; however, effects were transient. Among IL-10, IL-4, IL-13, and TGF-beta, cytokines capable of disabling Th1-cell mechanisms (including those which support chemotherapy), IL-10 appears to be the appropriate target for therapeutic inhibition in visceral L. donovani infection.

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References
1.
Alexander J, Brombacher F, McGachy H, McKenzie A, Walker W, Christine Carter K . An essential role for IL-13 in maintaining a non-healing response following Leishmania mexicana infection. Eur J Immunol. 2002; 32(10):2923-33. DOI: 10.1002/1521-4141(2002010)32:10<2923::AID-IMMU2923>3.0.CO;2-E. View

2.
Sundar S, Reed S, Sharma S, Mehrotra A, Murray H . Circulating T helper 1 (Th1) cell- and Th2 cell-associated cytokines in Indian patients with visceral leishmaniasis. Am J Trop Med Hyg. 1997; 56(5):522-5. DOI: 10.4269/ajtmh.1997.56.522. View

3.
Lehmann J, Enssle K, Lehmann I, Emmendorfer A, Lohmann-Matthes M . The capacity to produce IFN-gamma rather than the presence of interleukin-4 determines the resistance and the degree of susceptibility to Leishmania donovani infection in mice. J Interferon Cytokine Res. 2000; 20(1):63-77. DOI: 10.1089/107999000312748. View

4.
Escobar P, Yardley V, Croft S . Activities of hexadecylphosphocholine (miltefosine), AmBisome, and sodium stibogluconate (Pentostam) against Leishmania donovani in immunodeficient scid mice. Antimicrob Agents Chemother. 2001; 45(6):1872-5. PMC: 90560. DOI: 10.1128/AAC.45.6.1872-1875.2001. View

5.
Murray H . Tissue granuloma structure-function in experimental visceral leishmaniasis. Int J Exp Pathol. 2001; 82(5):249-67. PMC: 2517779. DOI: 10.1046/j.1365-2613.2001.00199.x. View