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Differential induction of cellular responses by live and dead Leishmania promastigotes in healthy donors

Susanne NylénMicrobiology and Tumour Biology Centre, Karolinska Institutet and Swedish Institute for Infectious Disease Control, Stockholm, SwedenU MörtbergMicrobiology and Tumour Biology Centre, Karolinska Institutet and Swedish Institute for Infectious Disease Control, Stockholm, SwedenDmitri A KovalenkoIsaev Institute of Medical Parasitology, Samarkand, UzbekistanIman SattiInstitute of Endemic Diseases, University of Khartoum, Khartoum, SudanKarin EngströmMicrobiology and Tumour Biology Centre, Karolinska Institutet and Swedish Institute for Infectious Disease Control, Stockholm, SwedenMoiz BakhietDivision of Infectious Disease, Karolinska Institutet, Huddinge Hospital, Huddinge, SwedenHannah AkuffoMicrobiology and Tumour Biology Centre, Karolinska Institutet and Swedish Institute for Infectious Disease Control, Stockholm, Sweden
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Abstract

The most effective protection against human leishmaniasis has been achieved following vaccination with live promastigotes. Killed promastigotes + BCG can protect, albeit to a lower degree. To explore what mechanisms may be involved in these differences, the ability of live and dead promastigotes to induce immune responses were evaluated in vitro. The data showed that live and dead promastigotes differ in their ability to induce proliferation and cytokine production. Cytokine gene expression of Th1 related cytokines (IL-12, IFNgamma and TNFalpha) in adult PBMC was more evident to live than to heat killed promastigotes. This was coupled with significantly higher number of IFNgamma secreting cells induced by live than killed promastigotes. However, alpha-IL-12 antibodies did not block the IFNgamma response induced by live promastigotes. Proliferative responses were variable. In contrast to adult PBMC no IFNgamma secreting MNC could be detected in cord blood. However, in these cells the live promastigotes consistently induced higher proliferative response compared to dead. Implications of these findings are discussed.

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