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Infection and Immunity, February 2000, p. 848-860, Vol. 68, No. 2
0019-9567/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Comparative Analysis of Antibody Responses against
HSP60, Invariant Surface Glycoprotein 70, and Variant Surface
Glycoprotein Reveals a Complex Antigen-Specific Pattern of
Immunoglobulin Isotype Switching during Infection by
Trypanosoma brucei
Magdalena
Radwanska,1,*
Stefan
Magez,2
Alain
Michel,3
Benoît
Stijlemans,2
Maurice
Geuskens,1 and
Etienne
Pays1
Laboratory of Molecular Parasitology, IBMM,
Free University of Brussels ULB, 6041 Gosselies,1 Laboratory of Cellular
Immunology, Flanders Interuniversity Institute for Biotechnology
Free
University of Brussels VUB, 1640 Sint Genesius
Rode,2 and Department of Biological
Chemistry, Faculty of Science, University of Mons-Hainaut, 7000 Mons,3 Belgium
Received 2 July 1999/Returned for modification 31 August
1999/Accepted 28 October 1999
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ABSTRACT |
During Trypanosoma brucei infections, the response
against the variant surface glycoprotein (VSG) of the parasite
represents a major interaction between the mammalian host immune system
and the parasite surface. Since immune recognition of other parasite derived factors also occurs, we examined the humoral host response against trypanosome heat shock protein 60 (HSP60), a conserved antigen
with an autoimmune character. During experimental T. brucei infection in BALB/c mice, the anti-HSP60 response was induced when
parasites differentiated into stumpy forms. This response was
characterized by a stage-specific immunoglobulin isotype switching as
well as by the induction of an autoimmune response. Specific recognition of trypanosome HSP60 was found to occur during the entire
course of infection. Immunoglobulin G2a (IgG2a) and IgG2b antibodies,
induced mainly in a T-cell-independent manner, were observed during the
first peak of parasitemia, whereas IgG1 and IgG3 antibodies were found
at the end of the infection, due to a specific T-cell-mediated
response. Comparative analysis of the kinetics of anti-HSP60,
anti-invariant surface glycoprotein 70 (ISG70), and anti-VSG antibody
responses indicated that the three trypanosome antigens give rise to
specific and independent patterns of immunoglobulin isotype switching.
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INTRODUCTION |
African trypanosomes are
extracellular parasitic protozoa that can be transmitted by the bite of
the tsetse fly. They are the causative agent of human sleeping sickness
and the related cattle disease Nagana. To complete their life cycle in
a mammalian host and to interact with the host immune system, they have
developed a number of specific adaptations. The main parasitic
mechanism involved in host immune system evasion is based on a
continuous antigenic variation of the
glycosylphosphatidylinositol-linked major surface protein variant
surface glycoprotein (VSG). A dense layer of 107 copies of
identical VSG molecules forms a protective coat for the trypanosome,
and a regular switch in the expression of the VSG variants prevents
efficient antibody-mediated parasite elimination (6, 23, 38,
40).
Despite the existence of the VSG, other trypanosome components of a
conserved nature are part of a pronounced interaction between the host
and the parasite. In the present study, we demonstrate that during the
course of infection, the presence of trypanosome heat shock protein 60 (HSP60) is able to cause a significant host humoral immune response
with an autoimmune character.
HSPs are highly conserved molecules produced by both prokaryotic and
eukaryotic cells. Their main role is to preserve cellular functions
under a variety of stress conditions. In particular, for a number of
parasites it has been demonstrated that induction of HSP60 could be
linked to the changing environmental conditions during passage from the
mammalian host to the insect vector (20). Members of the
HSP60 family function as molecular chaperones. They form a group of
proteins that play a major role in folding, unfolding, and
translocation of polypeptides as well as the assembly and disassembly
of protein complexes (15, 16). During several infectious
diseases such as with Mycobacterium tuberculosis,
Chlamydia trachomatis, Toxoplasma gondii,
Trypanosoma cruzi, and Leishmania major, HSP60
molecules are involved in the induction of host immune responses
(13, 15, 16, 26). Due to the conserved nature of the amino
acid sequence, infection-induced responses to pathogen HSPs may result
in a final host response with an anti-self character. Although in
mammalian cells HSP molecules are usually located within the
intracellular compartment, an increasing body of evidence shows that
during a progressing infection HSP60-derived epitopes can be recognized
by the host immune system when expressed on the surface of mammalian
cells (13, 39). In general, since both host cells and
pathogens respond to stress by producing elevated HSP levels, an immune
system recognition of the surface-expressed HSP molecules may be one
part of a more complex interplay between the host and the pathogen.
In Trypanosoma brucei, HSP60 is a 63.7-kDa protein expressed
by both bloodstream and procyclic forms. It has 51.3 and 94.5% amino
acid identity to the mammalian homologue P1 protein and Trypanosoma cruzi HSP60, respectively (5).
Apart from the VSG and HSP molecules, another distinct group of
antigens present on the trypanosome surface consists of several members
of invariant surface glycoproteins (ISGs) (14, 44). Their
invariant nature makes them an interesting tool for serological analyses of the samples from the infected host. ISG70 is much less
abundant than the VSG (5.1 × 104 copies/cell) but is
also distributed over the entire plasma membrane (14). In
contrast to the VSG, ISG70 is not attached to the surface by a
glycosylphosphatidylinositol anchor, so that the release of ISG70 is
related to the elimination of trypanosomes during the infection
(14).
In the present study, we analyzed a recognition of both trypanosome-
and host-specific HSP60 peptides. This study showed that during the
course of experimental T. brucei infections the induction of
an anti-self humoral response takes place. Together with a recent
report about the existence of autoreactive anti-VSG antibodies, these
results pointed to the fact that autoimmune responses may play an
important role in the interplay between the host and the parasite
(21). Moreover, the profiles of immunoglobulin (Ig) isotype
switching produced against HSP60, ISG70, and VSG were found to depend
on both the antigen type and the stage of the infection.
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MATERIALS AND METHODS |
Mice and trypanosomes.
Both the pleomorphic AnTat 1.1E clone
from the EATRO 1125 stock of T. brucei and a derived
monomorphic AnTat 1.1 clone were kindly provided by N. Van Meirvenne
(Institute of Tropical Medicine, Antwerp, Belgium). Parasite stabilates
were stored in liquid nitrogen. To obtain parasites for infection
studies, a mouse was infected intraperitoneally with a stabilate volume
containing 50,000 living parasites. On day 3 of the infection, blood
was taken, supplemented with heparin (15 U/ml), and used for infection
of experimental groups of mice. To monitor the course of the
parasitemia, 6- to 8-week old female BALB/c mice and athymic
BALB/cnu/nu mice (Harlan) received an intraperitoneal
injection of fresh blood, containing 5,000 parasites. At time intervals
of 2 or 3 days, the number of parasites present in the blood was
counted under a light microscope and an infectious serum sample was
collected for the antibody titer analyses.
Preparation of trypanosome lysates and soluble VSG.
Trypanosomes were harvested from infected blood by DE52 chromatography
with sterile phosphate-buffered saline (PBS) (pH 8.0) supplemented with
1% glucose for equilibration and elution. After separation, the
parasites were washed and resuspended in sterile PBS. Crude parasite
lysate was obtained by three freeze-thaw cycles in the presence of 1 mM
Pefablock protease inhibitor (Boehringer, Mannheim, Germany) and 0.01 mM E64 (Sigma Chemical Co., St. Louis, Mo.). Soluble VSG was prepared
from DE52-purified parasites by osmotic lysis for 5 min at 37°C at
109 cells/ml in 10 mM sodium phosphate (pH 8.0) containing
0.1 mM N
-p-tosyl-L-lysine
chloromethylketone (TLCK) and 0.1 mM phenylmethylsulfonyl fluoride
(both from Boehringer). The supernatant was passed through a DE52
column equilibrated in 10 mM sodium phosphate (pH 8.0). Soluble VSG was
further purified on a Sephacryl-S200 column (Pharmacia Biotech,
Uppsala, Sweden), dialyzed against water overnight at 4°C, and
freeze-dried. The protein concentration of the trypanosome lysates and
VSG was estimated by using a detergent-compatible protein assay kit
(Bio-Rad Laboratories, Hercules, Calif.) with bovine serum albumin
(BSA) as a standard.
Trypanosome ISG70 (14) was kindly supplied by Paul Voorheis
from Trinity College, Dublin, Ireland.
HSP60 synthesis.
HSP60 peptides were synthesized with an
Applied Biosystems model 431 A peptide synthesizer by Merrifield's
solid-phase Fmoc/TBTU-HOBT method. The reaction was performed on a 0.25 mmol scale. The initial Cys amino acid was esterified (0.5 mmol/g) on a
4-hydroxymethylphenoxy polystyrene-1% DVB resin (Wang resin). The
following side chain protecting groups were used: Asp, Glu, and Thr,
t-butyl; Asn and Gln, trityl; Arg,
2,2,5,7,8-pentamethyl-chroman-6-sulfonyl (Pmc); Lys,
t-butyloxycarbonyl. After synthesis, dried resin-bound
peptides were dissolved in a solution of 40:2:2:1:3 (by vol)
TAE-water-thioanisole-ethanedithiol-phenol (10 ml) and incubated with
continuous shaking for 2 h at room temperature. The peptides were
filtered, washed, and precipitated from solutions by diethyl ether
addition and were dissolved in 10% acetic acid and lyophilized. They
were purified by reverse-phase chromatography on a Vydac
C18 silica gel column (300-Å porosity,17-µm particle
size; 25 by 25 mm) with a linear gradient solvent system. At the end of
the procedure, peptides were additionally checked by both amino acid
sequence analyses and by mass spectrometry. Their homogeneity was
assessed by analytical high-pressure liquid chromatography (Pharmacia
Biotech, Uppsala, Sweden). The peptides were found to be more than 98% pure.
Cloning and purification of T. brucei HSP60.
The
HSP60 cDNA was isolated from a
gt11 library screening by
using serum of infected mice, and the entire HSP60 open
reading frame was subcloned into expression vector p-CAL-nk-EK
(Stratagene). T. brucei HSP60 was expressed as a fusion
protein with a calmodulin binding peptide, in accordance with the
specifications supplied by the Stratagene protocol. After an enzymatic
cleavage, an additional purification step was performed with a
Sephacryl-S200 column (Pharmacia Biotech). The purity of the
recombinant trypanosome HSP60 was verified by Western blot analysis and
Coomassie blue staining. The protein concentration was measured by
using the protein assay kit (Bio-Rad Laboratories) with BSA as a standard.
Quantification of HSP60 in the trypanosome lysate.
A serial
dilution (50 µl/well) of the purified standard HSP60 (30 down to 2.5 µg/ml) and 50 µl of a 1:10 dilution of trypanosome lysate (5 mg/ml)
were blotted onto nitrocellulose filters by using a dot blot transfer
apparatus. The filters were blocked for 1 h with a 1% skim
milk-100 mM Tris-NaCl (pH 8.0) solution at room temperature. After
multiple washes, the filters were incubated overnight at 4°C with
rabbit anti-trypanosome HSP60 polyclonal antibodies (dilution, 1:500).
The washed filters were incubated for 1 h at room temperature with
a secondary anti-rabbit IgG antibody coupled to alkaline phosphatase
(Promega) (dilution, 1:7,500). After several washes, the filters were
stained for 15 min in a developing alkaline phosphatase solution (100 mM Tris-NaCl, 5 mM MgCl2 [pH 9.5]) containing two
substrates: nitroblue tetrazolium (NBT) (Promega) and
5-bromo-4-chloro-3-indolylphosphate (BCIP) (Promega). The trypanosome
HSP60 was quantified with a GS 690 imaging densitometer apparatus
(Bio-Rad Laboratories).
Detection of trypanosome HSP60 with infectious serum by using a
dot blot technique.
Purified trypanosome HSP60 (1 µg) was
spotted onto nitrocellulose filters, which were blocked overnight in
1% skim milk-100mM Tris-NaCl (pH8.0) solution at 4°C. After
multiple washes, a 1:100 dilution of serum samples from different time
points during the infection was added in triplicate to the
nitrocellulose filters and incubated overnight at 4°C. The filters
were washed and incubated for 1 h at room temperature with a
mixture of the secondary goat anti-mouse IgG (Promega) (dilution,
1:7,500) and IgM (Sigma Chemical Co.) (dilution, 1:10,000) polyclonal
antibodies, both coupled to alkaline phosphatase. Finally, the filters
were washed and developed for 15 min by addition of NBT and BCIP
substrates in alkaline phosphatase developing buffer (pH9.5). The
images were analyzed with a Bio-Rad GS690 densitometer.
Immunodetection of anti-HSP60, anti-VSG, and anti-ISG70 responses
in ELISA.
The titers and isotype pattern of the specific antibody
response against total HSP60, HSP60-derived peptides, VSG, and ISG70 were determined by specific enzyme-linked immunosorbent assays (ELISAs). ELISA plates (Nunc) were coated overnight at 4°C with 5 µg of the trypanosome-derived antigens per ml. The plates were washed
three times with PBS supplemented with 0.05% Tween 20 (Polylab Biochemicals) and further blocked for 1 h at room temperature with
1% skim milk solution in PBS. After three washes, serial dilutions of
the individual infectious serum samples were added in triplicate to the
plates and incubated for 1 h at room temperature. The washed
plates were incubated for another 1 h at room temperature with a
series of secondary antibodies: either anti-mouse IgG2a or IgG1
(Serotec) or anti-mouse IgM (Sigma Chemical Co.) coupled to alkaline
phosphatase or anti-mouse IgG3 or IgG2b (Serotec) coupled to
horseradish peroxidase. After 1 h of incubation, the plates were
washed and incubated with the substrates, respectively 4-nitrophenylphosphate, disodium salt hexahydrate (NBT) (Acros Organics) for alkaline phosphatase and 3,3',5,5-tetramethylbenzidine (TMB) (Sigma Chemical Co.) for horseradish peroxidase. The alkaline phosphatase-containing plates were left to develop for 30 min, and the
optical density was measured at 405 and 690 nm to subtract nonspecific
absorption. The horseradish peroxidase-containing plates were left to
develop for 15 min, and the reaction was stopped by addition of 1 M
H2SO4. The optical density was measured at 450 and 690 nm.
Serum titers were determined by comparing the OD values of serum
samples from infected mice with those of control noninfected
serum
samples. End titer dilutions were determined as the highest
serum
dilution from infected mice that gave a similar OD value
to the average
control.
Immunodetection of trypanosome antigens by infectious serum in
Western blotting.
The purified trypanosome HSP60 and VSG as well
as total parasite lysates, were run under reducing conditions on sodium
dodecyl sulfate-polyacrylamide gel electrophoresis gels (10%
polyacrylamide) and blotted onto the nitrocellulose filters by
electrotransfer for 1 h at 100 V. The filters were blocked
overnight in 1% skim milk-100 mM Tris-NaCl (pH 8) solution at 4°C.
The washed filters were incubated overnight at 4°C with a 1:200
dilution of serum collected during the chronic phase of infection.
After the washings, secondary anti-mouse IgG (Promega) and anti-mouse
IgM (Sigma Chemical Co.) polyclonal antibodies, both coupled to
alkaline phosphatase, were added for a 1-h incubation at room
temperature. After the last wash, the filters were developed by the
addition of NBT and BCIP substrates in alkaline phosphatase buffer.
Electron microscopy.
AnTat 1.1E bloodstream parasites were
harvested from the blood of infected mice at the first peak of
parasitemia. The parasites were fixed for 20 min in 3.5%
paraformaldehyde-0.5% glutaraldehyde in PBS. After methanol
dehydration, the parasites were embedded in Lowicryl polymerized under
a UV light at
20°C. Ultrathin sections were collected on
carbon-Formvar-coated copper grids and blocked in 10% normal goat
serum (Sigma Chemical Co.) diluted in PBS solution containing 1% BSA.
Rabbit anti-HSP60 polyclonal antibody (1:40 dilution in 1% BSA) was
added for 1 h of incubation at room temperature. After three
washes in PBS-BSA solution containing 0.05% Tween 20 (Polylab
Biochemicals), secondary goat anti-rabbit IgG coupled to 15-nm gold
particles (GAR15; British BioCell) (1:100 dilution in PBS-1% BSA) was
added for another 1 h of incubation at room temperature. After
three washes, sections were stained with uranyl acetate and lead
citrate and images were observed in a AEI 6B electron microscope at 60 kV.
Immunofluorescence microscopy.
The trypanosomes were
resuspended at a density of 106 cells/ml in PBS buffer and
fixed by addition of 3.5% paraformaldehyde and 0.5% glutaraldehyde
for 15 min at room temperature. They were permeabilized in 0.1% Triton
X-100 (Sigma Chemical Co.) for another 15 min at room temperature.
After two washes with PBS buffer, neutralizing 0.1 M glycine solution
was added and the mixture was incubated for 15 min at room temperature.
After three additional washes, 20 µl of parasite suspension was
placed onto poly-L-lysine (1 mg/ml) (Sigma Chemical
Co.)-coated coverslips and left to adhere for 30 min at room
temperature. After several washes with PBS, the parasite-coated
coverslips were blocked by the addition of 1% BSA-PBS solution for
1 h at room temperature. After repetitive washes, mouse anti-HSP60
antibody or rabbit anti-ATP synthase antibody, or both antibodies
together, were added for an additional 1 h of incubation at room
temperature. Anti-mitochondrial ATP synthase rabbit antibody from
Crithidia fasciculata, which showed cross-reactivity with
the ATP synthase
subunit of T. brucei, was a kind gift
from R. Benne (Amsterdam) (24). After washes, the presence
of ATP synthase was revealed with a secondary anti-rabbit Texas
red-coupled antibody (Amersham) (1:100 dilution), while the HSP60
distribution was demonstrated by using an anti-mouse fluorescein
isothiocyanate (FITC) (Amersham) (1:100 dilution)-coupled antibody for
a 1-h incubation at room temperature. After a last wash, Vectashield
mounting medium (Vector Laboratories) containing 100 ng of
4',6-diamino-2-phenylindole (DAPI) (Sigma Chemical Co.) was added to
the parasite-containing coverslips. The images were recorded with a
charge-coupled device camera connected to a Zeiss Axioscope microscope
and were processed with ISIS 3 software.
Intracellular flow cytometry analysis.
The trypanosomes were
resuspended at a density of 106 cells/ml in PBS buffer and
fixed by addition of 3.5% paraformaldehyde and 0.5% glutaraldehyde
for 15 min at room temperature. They were permeabilized in 0.1% Triton
X-100 for another 15 min at room temperature. After two washes with PBS
buffer, neutralizing 0.1 M glycine solution was added and the mixture
was incubated for 15 min at room temperature. After two washes with
PBS, parasite aliquots were incubated for 30 min on ice with rabbit
polyclonal anti-HSP60. The samples were washed twice in PBS and further
incubated for 30 min on ice with a secondary sheep anti-rabbit
FITC-coupled antibody (ICN). The samples were washed twice in PBS and
analyzed on a Ventage SI apparatus (Beckton Dickinson).
 |
RESULTS |
Quantification and cellular distribution of the HSP60 in T. brucei.
HSPs are responsible for maintaining cellular functions
under a variety of stress conditions related to a progressing
infection. Besides their function as chaperones, they seem to be
involved in induction of host immune response (15, 16).
Here, HSP60 expression and anti-trypanosome HSP60 responses were
analyzed during experimental trypanosome infections.
Pleomorphic bloodstream forms of
T. brucei can cause a
relative chronic infection in BALB/c mice. After intraperitoneal
injection
of 5,000 parasites, the first peak of parasitemia reaches a
maximal
density of 3 × 10
8 trypanosomes/ml within 5 days (Table
1). After this peak, the
parasite load drops below the 10
6/ml detection limit within
3 days. Low parasite densities are
maintained until day 11 of
infection, after which parasite numbers
begin to rise again, resulting
in the further appearance of multiple
parasitemia peaks until a final
increase in parasite numbers results
in the death of the host around
day 35. Monomorphic bloodstream
forms of
T. brucei cause
acute infection in BALB/c mice. After
intraperitoneal injection of
5,000 parasites, exponential proliferation
takes place and a lethal
peak of parasitemia (>8 × 10
8 trypanosomes/ml blood)
occurs within 5 days (data not shown).
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TABLE 1.
Evolution of pleomorphic parasitemia in BALB/c and
BALB/cnu/nu athymic mice infected intraperitoneally with
5,000 T. brucei AnTat 1.1E parasites
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Dot blot densitometric analysis was used to analyze the kinetics of the
total anti-HSP60 antibody response in serum collected
at different time
points during a pleomorphic AnTat 1.1E infection
in BALB/c mice. The
results presented in Fig.
1 indicated
that
total levels of anti-trypanosome HSP60 antibodies were most
pronounced
toward the end of the infection. Nitrocellulose-blotted
trypanosome
HSP60 was specifically recognized only by the serum of
infected
mice and not by the serum collected from noninfected control
mice
(data not shown).

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FIG. 1.
Kinetics of anti-HSP60 antibody responses during
experimental pleomorphic infection of BALB/c mice with T. brucei AnTat 1.1E. Serum samples were isolated from infected mice
on the days indicated, and a densitometric dot blot analysis was
performed with 1 µg of purified trypanosome HSP60 per datum point.
Density quantification is expressed as absorbense units per square
millimeter. Values are presented as mean optical density (O.D.) of
three measurements and standard deviation.
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To study the role of HSP60 in trypanosome-host interaction, the amount
of trypanosome HSP60, its cellular distribution, and
its availability
as a possible parasite antigen were analyzed.
As shown in Fig.
2a (lane 3), the serum from BALB/c mice
infected
with the
T. brucei AnTat 1.1E clone recognized a
complex pattern
of components in a total trypanosome lysate. These
components
included the major surface antigen, the VSG, and the
trypanosome
HSP60 (lanes 4 and 5, respectively). The amount of HSP60
present
in the trypanosome lysate prepared from peak-stage pleomorphic
DE52 purified parasites was estimated by a dot blot technique
combined
with an imaging densitometric analysis. The results presented
in Fig.
2b indicate that 25 µg of total lysate contained between
0.125 and
0.25 µg of HSP60 (2.5 and 5 µg/ml). This result suggested
that in
the analyzed parasite lysate, HSP60 is at least 10 times
less abundant
that VSG, since it has been estimated before that
VSG represents 10%
of the total trypanosome protein content (
6).

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FIG. 2.
(a) Western blot analysis of T. brucei AnTat
1.1E soluble extracts immunostained with the infectious serum isolated
from BALB/c mice during the chronic phase of pleomorphic infection.
Lane 1 shows the molecular weight (MW) markers (in thousands), and lane
2 shows the background detection of a total trypanosome extract by the
serum from non-infected mice. Lanes 3, 4, and 5 respectively contain
total trypanosome extract, purified VSG, and purified trypanosome
HSP60, stained with serum isolated from infected mice. (b)
Quantification of the trypanosome HSP60 by the dot blot technique. A
serial dilution of purified HSP60 (50 µl) was used to obtain a
standard for densitometric analysis; 25 µg of total trypanosome
extract was spotted per dot.
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To evaluate the expression of HSP60 in trypanosomes throughout the
whole course of an experimental infection, parasites were
isolated at
different time points and analyzed by intracellular
flow cytometry. The
results presented in Fig.
3 show that
expression
of HSP60 is upregulated in peak-stage parasites. This
upregulation
coincided with the occurrence of short stumpy forms of
trypanosomes.
On day 3 of infection (Fig.
3a), the vast majority of the
parasites
were long slender forms (
24), expressing low
levels of HSP60.
On day 4 of infection (Fig.
3b), the long slender
population was
reduced to 25% and a short stumpy population,
expressing high
levels of HSP60, became dominant. On day 5 of infection
(Fig.
3c), more than 90% of the parasites had differentiated into
short
stumpy forms expressing high HSP60 levels. On day 12 of infection
(Fig.
3d), a first increase of parasitemia was measured after
the
clearance of the first infection peak. The parasite population
occurred
as homogeneous long slender trypanosomes, expressing
low levels of
HSP60. On day 35 (Fig.
3e), the final peak of parasitemia
was reached.
This population consisted of a mix of long slender
and short stumpy
forms, expressing low and high levels of HSP60,
respectively. Blood
isolated on day 5 of a monomorphic experimental
infection contained
only long slender parasites. Expression of
HSP60 remained low in this
trypanosome population (Fig.
3f).

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FIG. 3.
Intracellular flow cytometry analyses of HSP60
expression in pleomorphic and monomorphic trypanosomes. (a to e)
Expression of HSP60 in pleomorphic AnTat 1.1E trypanosomes was measured
on days 3 (a), 4 (b), 5 (c), 12 (d), and 35 (e) of an experimental
T. brucei infection in BALB/c mice. (f) HSP60 expression in
monomorphic AnTat 1.1 trypanosomes was analyzed on day 5 of
infection.
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To localize cellular distribution of trypanosome HSP60, ultrathin
sections of pleomorphic AnTat1.1E trypanosomes isolated
on the first
peak of parasitemia were analyzed by transmission
electron microscopy.
Rabbit anti-HSP60 polyclonal antibodies clearly
labeled the
mitochondrion (Fig.
4a). This
localization was in
agreement with the coincident staining of the
mitochondrion with
both anti-HSP60 (FITC staining) and
anti-mitochondrial ATP synthase
(Texas red) antibodies observed in a
double-immunofluorescence
experiment (Fig.
4c to e). Detailed analysis
of electron microscopy
images revealed that HSP60 was also present in
the region of the
kinetoplast (Fig.
4b).

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FIG. 4.
Transmission electron microscopy and immunofluorescence
microscopy analysis of the cellular localization of trypanosome HSP60.
(a and b) Indirect immunogold labeling reveals the presence of HSP60 in
the mitochondrion (m) and around the kinetoplast (k) (ma, maculae
adherentes of the junction complex between the body and the flagellum).
Bar, 0.5 µm. (c to e) Immunofluorescence shows the colocalization of
HSP60 (FITC staining) (c and e) with the mitochondrial marker ATP
synthase (Texas red staining) (d and e) in the mitochondrion. The DAPI
blue fluorescence was used to indicate the nucleus (solid arrows) and
the kinetoplast (arrowheads). Bar, 10 µm.
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Apart from the analysis of peak-stage pleomorphic trypanosomes, which
consisted of a majority population of short stumpy parasites,
the
localization of HSP60 was also performed on long slender parasites
isolated during early-stage pleomorphic infections or peak-stage
monomorphic infections. The obtained data did not show any alteration
in cellular distribution (results not shown) but indicated a reduced
abundance of expressed molecules, confirming the previously described
flow cytometry measurements. No evidence was observed for a surface
localization, indicating that an induction of host humoral response
to
HSP60 must be linked to the occurrence of spontaneously degrading
short
stumpy forms arising at the beginning of the first peak
of
parasitemia.
Humoral responses to the trypanosome HSP60.
To determine
specific titers and patterns of antibody isotypes recognizing the
trypanosomal HSP60, serum was collected on days 4, 5, 6, 7, 10, 20, and
30 of pleomorphic infection and analyzed in an trypanosome
HSP60-specific ELISA. As shown in Fig.
5a, trypanosome HSP60 was recognized as
early as 4 days after infection. IgG2a antibody titers were predominant
and reached peak values on days 5, 6, and 7, encompassing the whole
first peak of parasitemia. The induction of IgG2a was accompanied by an
IgG2b antibody response, however at lower magnitude. Therefore, both
IgG2a and IgG2b antibodies induction was restricted to the first line
of host immune response.

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FIG. 5.
ELISA detection of anti-HSP60 antibody isotype responses
during experimental pleomorphic infection of BALB/c mice with T. brucei AnTat 1.1E parasites. Serial dilutions of serum collected
at various time points of infection were added to trypanosome
HSP60-coated ELISA plates (5 µg/ml), with the starting dilution being
1/25. (a) Detection of IgG2a and IgG2b anti-HSP60 antibodies. (b)
Detection of IgG3, IgG1, and IgM anti-HSP60 antibodies. The
measurements were made with sera from five individual mice, and the
values represent the means of specific end-point serum titers and
standard deviation, with noninfected serum as a background detection
limit.
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A contrasting picture was obtained for the IgG3 and IgG1 antibody
response (Fig.
5b). Both IgG3 and IgG1 titers became detectable
just
after the first peak of parasitemia and progressively increased
toward
the end of infection. Similarly, a maximal IgM response
was recorded
only toward the end of infection. Taken together,
these results showed
that HSP60 is recognized throughout the whole
course of parasitemia,
with a clear pattern of immunoglobulin
isotype switching from early
induction of IgG2a and IgG2b to late
induction of IgG3, IgG1, and IgM.
There was no significant induction
of IgA and IgE antibody levels (data
not
shown).
In contrast to the results obtained during the pleomorphic
T. brucei AnTat 1.1E infection, experimental infections with
monomorphic
T. brucei AnTat 1.1 parasites did not result in
substantial anti-HSP60
antibody induction, as shown in Fig.
6. These results suggest
that short
stumpy form parasites play a key role a in the induction
of anti-HSP60
responses during pleomorphic trypanosome infections.

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FIG. 6.
ELISA detection of anti-HSP60 antibody isotype responses
during experimental monomorphic infection of BALB/c mice with T. brucei AnTat 1.1E parasites. Serial dilutions of serum collected
on day 5 postinfection were added to trypanosome HSP60-coated ELISA
plates (5 µg/ml), with the starting dilution being 1/25. Detection of
IgG2a, IgG2b, IgG3, IgG1, and IgM anti-HSP60 antibodies was performed.
The measurements were made with sera from five individual mice, and the
values represent the means of specific end-point serum titers and
standard deviation, with noninfected serum as a background detection
limit.
|
|
Anti-HSP60 responses in an athymic BALB/cnu/nu
mice.
To be able to estimate the relative importance of the T-cell
mediated response during experimental trypanosome infection, the
T. brucei AnTat 1.1E parasitemia pattern in athymic
BALB/cnu/nu mice was analyzed. First, the results in Table
1 showed no major differences between the parasitemia in these mice and
that in wild-type BALB/c mice. Both the levels of parasitemia and
survival time were similar. As in the wild-type BALB/c-infected mice,
HSP60 recognition was characterized by an early appearance of high
IgG2a and IgG2b antibody titers (Fig.
7a). Although IgG2a antibody induction was predominant, both isotypes were induced equally fast and reached their maximum level at the first peak of the parasitemia. Thus, the
early induction of IgG2a and IgG2b anti-HSP60 response does not require
T-cell help and probably results from a short stumpy form-induced
polyclonal B-cell activation. On the other hand, the results also
suggest that the late-stage anti-HSP60 responses (IgG3, IgG1, and IgM)
require T-cell help, since they were strongly reduced in athymic
BALB/cnu/nu mice (Fig. 7b).

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FIG. 7.
ELISA detection of anti-HSP60 antibody isotype responses
during experimental pleomorphic infection of athymic
BALB/cnu/nu mice with T. brucei AnTat 1.1E
parasites. The conditions are identical to those used in the experiment
in Fig. 5.
|
|
Analyses of the autoimmune character of anti-HSP60 humoral
responses.
Trypanosome and host HSP60 have high sequence identity,
suggesting the possible induction of self-recognition and autoantibody formation. This hypothesis was evaluated by monitoring the antibody response to trypanosome-derived and mouse-derived HSP60 peptides. By
sequence alignment, two distinct regions with minimal homology (amino
acids 152 to 171 and 368 to 387) were identified (Table 2). These trypanosome-specific peptides
were used for the detection of an anti-HSP60 antibody response during
the course of a T. brucei infection. The infection-related
recognition of the trypanosome-specific peptides was compared to the
recognition of host-specific HSP60 peptides from the same region of
minimal homology. End-point antibody titers against two
trypanosome-derived peptides and two host-derived peptides were
determined at the level of both early-induced IgG2a response and
late-induced IgG3 antibody response. IgG2a antibodies recognizing both
trypanosome- and host-derived HSP60 peptides were induced with similar
kinetics (Fig. 8). Moreover, the kinetics of peptide-specific IgG2a antibody induction were similar to the antibody induction pattern measured for the whole trypanosome HSP60
molecule (Fig. 5a). Further, elevated IgG3 isotype responses were also
recorded by using both trypanosome- and host-specific HSP60 peptides.
However, antibody titers against host-specific peptides were slightly
reduced compared to titers detected against the specific trypanosome
peptides (Fig. 9). Again, the kinetics of
peptide-specific IgG3 antibody induction were similar to those of the
antibody induction pattern recorded for the whole-trypanosome HSP60
molecule (Fig. 5b). In both cases, a significant increase in antibody
titers in serum started to occur around day 10.
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|
TABLE 2.
Amino acid sequence alignment of trypanosome and mouse
HSP60 within the selected region of minimal sequence homology
|
|

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FIG. 8.
ELISA detection of IgG2a anti-HSP60 antibody isotype
responses during experimental pleomorphic infection of BALB/c mice with
T. brucei AnTat 1.1E parasites. The screening was performed
on synthetic trypanosome HSP60 peptides (pep 1, pep 2) (a) and
synthetic mouse HSP60 peptides (pep 1, pep 2) (5 µg/ml) (b) with
serial dilutions of serum collected at various time points of
infection; the starting serum dilution was 1/25. Measurements were made
with the sera collected from 5 individual mice, and the values
represents the means of specific end-point serum titers and standard
deviation, calculated with noninfected serum as a background detection
limit.
|
|

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FIG. 9.
ELISA detection of IgG3 anti-HSP60 antibody isotype
responses during experimental pleomorphic infection of BALB/c mice with
T. brucei AnTat 1.1E parasites. The conditions are identical
to those used in the experiment in Fig. 8.
|
|
To reevaluate the T-cell dependency of the observed anti-HSP60-peptide
responses, antibody titers were determined in the serum
of
T. brucei-infected BALB/c
nu/nu mice. The results in Fig.
10a indicate that these mice mounted
an
early IgG2a responses that was not significantly different
from the
response observed in wild-type infected BALB/c mice (Fig.
8). This
confirms the T-cell-independent nature of the early-stage
anti-HSP60
response. Furthermore, the results in Fig.
10b show
that
T. brucei-infected BALB/c
nu/nu lack the late-stage IgG3
anti-HSP60 peptide response that was
observed in wild-type infected
BALB/c mice. This confirms the
T-cell-dependent nature of the
late-stage anti-HSP60 response.

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FIG. 10.
ELISA detection of IgG2a (a) and IgG3 (b) anti-HSP60
antibody isotype responses during experimental pleomorphic infection of
athymic BALB/cnu/nu mice with T. brucei AnTat
1.1E parasites. The screening was performed with synthetic trypanosome
HSP60 peptide (Tryp-pep1) and synthetic mouse HSP60 peptide
(Mouse-pep1). Serial dilutions of serum collected at various time
points of infection were tested; the starting serum dilution was 1/25.
Measurements were made with the sera collected from five individual
mice, and the values represent the means of specific end-point serum
titers and standard deviation, calculated with noninfected serum as a
background detection limit.
|
|
Together, the results indicate that during experimental
T. brucei infection, an immune response is generated against
trypanosome-derived
HSP60 epitopes and that an autoreactive recognition
of host-derived
HSP60 epitopes occurs simultaneously. The observation
that the
early-stage IgG2a response has a T-cell-independent nature
explains
the fact that in
T. brucei-infected wild-type
BALB/c mice, responses
generated to both trypanosome- and
mouse-specifice HSP60-derived
peptides can occur with similar kinetics
and magnitude. The late-stage
T-cell-dependent nature of the anti-HSP60
responses could explain
why trypanosome-specific anti-HSP60-peptide
IgG3 responses are
higher in magnitude than are autoreactive
mouse-specific IgG3
responses.
Comparison between the anti-HSP60 response and the responses to
ISG70 and VSG.
To compare the antibody isotype pattern observed
against HSP60 with the isotype pattern of antibodies directed against
an ISG, the anti-ISG70 response was analyzed during the T. brucei infection. Only IgG2a and IgM antibodies were induced, and
both were maximal during the late phase of the infection. IgG2b, IgG3, and IgG1 anti-ISG70 antibody titers were detectable but remained low
during the whole course of infection (Fig.
11). In athymic BALB/cnu/nu
mice, anti-ISG70 antibody titers remained minimal during the whole
course of infection (results not shown). Therefore, in contrast to the
anti-HSP60 humoral response, anti-ISG70 antibody induction requires the
involvement of a specific T-cell compartment.

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FIG. 11.
ELISA detection of anti-ISG70 antibody isotype
responses during experimental pleomorphic infection of BALB/c mice with
T. brucei AnTat 1.1E parasites. The screening was performed
on trypanosome ISG70 (5 µg/ml). The conditions are identical to those
used in the experiment in Fig. 5.
|
|
To link the results obtained above with previous reports on antibody
isotype switching during trypanosome infections, the
pattern of
anti-VSG antibody isotype induction in both wild-type
and athymic
BALB/c
nu/nu mice was determined. Infection of wild-type
mice with
T. brucei AnTat 1.1E led to a rapid anti-VSG
response. High IgG2a and intermediate
IgG2b levels (Fig.
12a), as well as high IgG3 and IgM
responses
combined with low IgG1 antibody titers (Fig.
12b), were
recorded
with a maximum around day 10 of infection. As shown in Fig.
13 athymic BALB/c
nu/nu mice
responded to the
T. brucei infection by the rapid
predominant
induction of specific IgG2a antibodies and low levels of
specific
IgG3 antibodies. Only low levels of IgG2b, IgG1, and IgM
anti-VSG
antibodies could be detected in the serum of these mice,
showing
that the majority of the anti-VSG response in BALB/c mice was
T-cell dependent.

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FIG. 12.
ELISA detection of anti-VSG antibody isotype responses
during experimental pleomorphic infection of BALB/c mice with T. brucei AnTat 1.1E parasites. The screening was performed on
purified trypanosome VSG (5 µg/ml). The conditions are identical to
those used in the experiment in Fig. 5.
|
|

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FIG. 13.
ELISA detection of anti-VSG antibody isotype responses
during experimental pleomorphic infection of athymic
BALB/cnu/nu mice with T. brucei AnTat 1.1E
parasites. The screening was performed on purified trypanosome VSG (5 µg/ml). The conditions are identical to those used in the experiment
in Fig. 5.
|
|
Taken together, these results indicated that experimental pleomorphic
infection with
T. brucei leads to complex antibody isotype
switching which is antigen
specific.
 |
DISCUSSION |
Experimental T. brucei infections in BALB/c mice are
characterized by the appearance of several peaks of parasitemia
followed by repeated elimination of parasites in the liver and lymphoid tissue of the host (1, 41). It has been proposed that
antibody-mediated killing of parasites by macrophages (3, 9,
17), spontaneous short stumpy form trypanosome degradation
(4, 31), cytokine-induced toxicity (18), and
direct NO action (12) are the main effector mechanisms that
finally lead to the typical repeating pattern of infection. Continuous
antigenic variation of the VSG is obviously a major mechanism involved
in this process, since it allows an efficient evasion from host immune
responses. However, the VSG cannot be considered the unique parasite
component crucial for the interplay with the host, since other
trypanosome molecules appear to be involved in the induction of host
cytokines and the development of immunosuppression (8, 37).
Despite a general downregulation of both interleukin-2 (IL-2) and its
receptor expression, it would nevertheless appear that the host
maintains a specific T-cell-dependent antibody response throughout the
whole course of infection (8, 29, 30, 36). In this study we
characterized the induction of a humoral response against the
trypanosome HSP60, a molecule with a high degree of sequence identity
to that of the host, and compared this response with those induced
against two other parasite antigens, ISG70 and variant VSG. We
concluded that the three antigens lead to specific and independent
profiles of immunoglobulin isotype switching including both
T-cell-dependent and T-cell-independent mechanisms.
During the course of a T. brucei infection, the host immune
system is confronted with the presence of parasite-derived HSP60, due
to the regular trypanosome elimination during the progressing disease.
The results presented here have shown that HSP60 expression is
significantly upregulated in the spontaneously degenerating short
stumpy form trypanosomes. This event might be an evolutionary parasite
adaptation to be able to cope with sudden changes in environmental
stress during the passage from the mammalian host to the insect vector.
During pleomorphic trypanosome infections in BALB/c mice, a high
induction of antibodies recognizing trypanosome HSP60 occurred as
rapidly as the induction of antibodies against the VSG surface coat. In
contrast, anti-HSP60 antibody responses were minimal in monomorphic
infections, where no parasite differentiation from long slender forms
to short stumpy forms takes place. In wild-type BALB/c mice, the
antibody response against HSP60 occurred in two distinct phases. During
the first days of infection, HSP60 recognition was marked by the
appearance of a high IgG2a antibody titer, accompanied by moderate
IgG2b levels. In contrast, during the late phase of infection, it was
limited to a clear induction of IgG3 and IgG1 isotypes. IgM response
occurred throughout the whole infection, although its maximal level was
recorded just before the end of the parasitemia. It is important to
mention here that, as demonstrated before (22), serum from
uninfected mice contains significant levels of IgM antibodies that
recognize trypanosome components. In the context of trypanosome HSP60
recognition, our results indicate that at the beginning of a
trypanosome infection, the difference between the levels of these IgM
antibodies and infection-induced IgM antibodies is very low. At the end
of the infection, however, a clear increase in IgM antibody titers was
observed. In athymic BALB/cnu/nu mice, the humoral response
to HSP60 during the first peak of infection consisted mainly of IgG2a
and IgG2b. Only low levels of IgM, IgG1, and IgG3 antibodies were
observed in the late phase. Therefore, a T-cell-independent recognition
of HSP60 was dominant during the early phase of parasitemia and a
T-cell-dependent response was mounted afterward.
Since trypanosome HSP60 shows homology to its host counterpart, HSP60
recognition was analyzed in the context of a possible anti-host HSP60
autoimmune recognition. The use of both trypanosome- and host-specific
HSP60 peptides allowed us to confirm this hypothesis, since a clear
infection-induced production of both IgG2a and IgG3 antibodies against
these molecules could be demonstrated. Similar to the responses to the
complete trypanosome HSP60, IgG2a anti-trypanosome and anti-host
peptide recognition was associated with the early stage of the
infection and was generally T-cell independent. The presence of the
spontaneously degenerating short stumpy population is crucial for this
response, since monomorphic parasite infections failed to induce it.
Moreover, the response was shown to be antigen specific, since the
kinetics of anti-HSP60 antibody induction was clearly distinct from the
kinetics of induction of antibodies against the other parasite
molecules tested. In contrast to the observed IgG2a response, the IgG3
anti-HSP60 response was associated with the late stage of infection and
was T-cell dependent. This was observed at the level of the responses
generated to the whole trypanosome molecule, as well as at the level of
responses to both trypanosome-derived and host-derived HSP60 peptides.
As such, the results indicate a mixed nature of both anti-trypanosome
and anti-host antibody responses.
Although HSP60 molecules are usually not present on the cellular
surface, an increasing body of evidence shows that during parasitic
infection, host macrophages are able to express HSP60-derived epitopes
on their surface when stressed by high gamma interferon (IFN-
)
concentrations (13, 35). In this case, host cells expressing
HSP60-derived epitopes can become a target for CD8+ subsets
of T cells, leading to autolysis (28, 35). Since a rapid
induction of IFN-
production is one of the features accompanying T. brucei infection (8), the appearance of
self-reactive anti-HSP60 antibodies could possibly lead to the
recognition and lysis of HSP60-expressing macrophages during the
progressing infection.
Given that in other parasitic infections members of the HSP70 and HSP90
families are also able to induce a significant autoimmune response, we
do not exclude the possibility that T. brucei-related anti-HSP60 antibody induction is part of a larger array of an anti-HSP
recognition. In other parasitic infections, the induction of anti-HSP
antibodies has been associated with the occurrence of autoimmune
disorders accompanied by HSP-related pathology (15, 16, 43).
In this context, it has even been shown that the induction of anti-VSG
antibody responses originates partly from a self-reactive compartment
(21, 23). Moreover, trypanosomiasis-related induction of
autoantibodies was noted for other host-derived components such as DNA
(7), cytoskeleton (22), neurofilament-associated proteins (2), calmodulin (27), and thyroglobulin
(7).
In contrast to the high anti-HSP60 antibody levels, humoral responses
to the specific ISG70 were weaker. Only low levels of IgG2a and IgM
were detected, and the levels reached a maximum toward the end of
pleomorphic infection. The low anti-ISG70 antibody titers could be
explained by the marked predominance of antibody response against the
VSG and HSP60 rather than by the limited immunogenicity of the ISG70
protein itself, since mice or rabbits immunized with ISG70 alone were
able to generate specific antibodies (14). The minimal
anti-ISG70 antibody induction obtained in athymic
BALB/cnu/nu mice suggests that the immune response to this
antigen requires the involvement of T cells. It is possible that the
mechanisms involved in the differential induction of high polyclonal
antibody induction against homologous determinants and the low,
T-cell-restricted antibody response to trypanosome-specific
determinants evolved as a part of the trypanosome immune escape mechanism.
To gain a more general insight into the pattern of trypanosome-induced
antibody isotypes, the anti-VSG immunoglobulin isotypes were analyzed
as well. The experimental pleomorphic infection of BALB/c mice with
T. brucei AnTat 1.1E gave rise to the simultaneous appearance of IgG2a, IgG2b, IgG3, IgG1, and IgM antibodies, which reached maximal titers when the parasite load fell below the detection limit just after the first peak of infection. IgG2a, IgG3, and IgG2b
antibody production was predominant, while IgG1 and IgM responses were
induced at lower levels. These patterns were similar in general to the
previously described anti-VSG responses in T. rhodesiense-infected C57BL/6 mice (30). However, a
marked difference occurred in the magnitudes of anti-VSG responses,
which appeared to be significantly higher in the T. brucei
BALB/c infection model (30). This difference may be due to
an enhanced capability of BALB/c mice to maintain a polyclonal B-cell
antibody response. Another difference was observed in athymic mice.
While infection of BALB/cnu/nu mice gave rise to a
pronounced IgG2a response and a low IgG3 response, infection in
C57BL/6nu/nu mice led to elevated IgG3 and IgM antibody
titers (30). Thus, VSG triggers both T-cell-dependent and
T-cell-independent antibody responses, with isotype patterns that may
depend upon the mouse strain used and the parasite model studied
(25).
In in vitro B-cell activation assays, as well as during a number of
parasitic infections, the local cytokine environment appears to
determine the nature of immunoglobulin isotypes (10, 11, 33,
42). While IFN-
seems to be responsible for a combined induction of the IgG2a and IgG3 antibodies, IL-4 may trigger the switching IgE and IgG1, whereas transforming growth factor
may be
involved in the induction of IgA and IgG2b (33). Since T cells are considered to play a crucial role in isotype switching, a
link is often made between Th1/Th2 cytokine patterns and the appearance
of isotype profiles. However, cytokines themselves are insufficient to
trigger an Ig switch in resting B cells. An additional stimulation is
required by a B-cell activator, an antigen receptor cross-linker, or an
activated T cell. In the absence of T cells, immunoglobulin isotype
switching events can occur as well. For instance in athymic mice, NK
cells can be the source of IFN-
, while IL-4 can be secreted by the
activated mast cells and transforming growth factor
production can
be linked to macrophage and B-cell stimulation (32-34).
During experimental T. brucei infections in BALB/c mice, the
observed antibody isotype pattern was complex and could not be easily
related to a distinct Th1 or Th2 T-cell response, especially when
circulating antibody titers against different trypanosomal antigens
were determined. For example, when trypanosome-induced anti-VSG
responses were analyzed, both IgG2a and IgG3 isotype antibodies were
detected throughout the course of the infection. However, when
anti-HSP60 responses were studied, IgG2a isotype induction was observed
in the absence of an IgG3 response, although both isotypes are
considered to occur due to a IFN-
-driven response. Moreover, the
anti-ISG70 responses consisted mainly of IgG2a isotypes, and IgG3 was
not detectable. Along these lines, it is relevant to add that although
an early IgG2b isotype response to HSP60 was found to be mainly T-cell independent, the early IgG2b anti-VSG response was induced in a
T-cell-dependent manner. Finally, although most isotype patterns observed would suggest an overall Th1-like antibody response, the
induction of early-stage anti-VSG IgG1 antibodies as well as late-stage
anti-HSP60 IgG1 antibodies should be considered to be IL-4 mediated,
confirming the complexity of the humoral anti-trypanosome response.
Therefore, it would appear that during the course of a T. brucei infection, several switch factors and B-cell activation
pathways can determine the humoral response. One of the possible
explanations for this observation is that these responses result from
mixed anti-parasite and anti-host immune reactions.
 |
ACKNOWLEDGMENTS |
Work presented here was financed by the Belgian FRSM and FRC-IM;
a research contact with the Communaute Francaise de Belgique; the
Interuniversity Poles of Attraction Program
Belgian State, Prime
Minister's Office
Federal Office for Scientific, Technical and
Cultural Affairs; and the Agreement for Collaborative Research between
ILRI (Nairobi) and Belgian Research Centers. M.R. was supported by a
WHO TDR contract. S.M. is a Postdoctoral Fellow of the Foundation for
Scientific Research-Flanders (FWO). A.M. and M.G. are senior research
associates of the National Foundation for Scientific Research (FNRS).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Laboratory of
Molecular Parasitology, IBMM, Free University of Brussels, Rue des
Professeurs Jeener et Brachet 12, 6041 Gosselies, Belgium. Phone:
32-2-650.97.59. Fax: 32-2-650.97.50. E-mail:
mradwans{at}dbm.ulb.ac.be.
Editor:
J. M. Mansfield
 |
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Infection and Immunity, February 2000, p. 848-860, Vol. 68, No. 2
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Copyright © 2000, American Society for Microbiology. All rights reserved.
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