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首页> 外文期刊>Proceedings of the National Academy of Sciences of the United States of America >Switch from a type 2 to a type 1 T helper cell response and cure of established Leishmania major infection in mice is induced by combined therapy with interleukin 12 and Pentostam.
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Switch from a type 2 to a type 1 T helper cell response and cure of established Leishmania major infection in mice is induced by combined therapy with interleukin 12 and Pentostam.

机译:通过将白介素12和Pentostam联合治疗,可诱导小鼠从2型T型辅助细胞转换为1型T辅助细胞反应并治愈已建立的利什曼原虫主要感染。

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摘要

Successful treatment in allergic, autoimmune, and infectious diseases often requires altering the nature of a detrimental immune response mediated by a particular CD4+ T helper (Th) cell subset. While several factors contribute to the development of CD4+ Th1 and Th2 cells, the requirements for switching an established response are not understood. Here we use infection with Leishmania major as a model to investigate those requirements. We report that treatment with interleukin 12 (IL-12), in combination with the antimony-based leishmanicidal drug Pentostam, induces healing in L. major-infected mice and that healing is associated with a switch from a Th2 to a Th1 response. The data suggest that decreasing antigen levels may be required for IL-12 to inhibit a Th2 response and enhance a Th1 response. These observations are important for treatment of nonhealing forms of human leishmaniasis and also demonstrate that in a chronic infectious disease an inappropriate Th2 response can be switched to an effectiveTh1 response.
机译:成功地治疗变态反应,自身免疫和传染病通常需要改变由特定CD4 + T辅助(Th)细胞亚群介导的有害免疫反应的性质。尽管有几个因素有助于CD4 + Th1和Th2细胞的发育,但尚未理解转换既定反应的要求。在这里,我们以大利什曼原虫感染为模型来研究这些需求。我们报告说,白介素12(IL-12)与基于锑的利什曼杀菌药Pentostam结合治疗,可在L.major感染的小鼠中诱导愈合,并且该愈合与从Th2反应转变为Th1反应有关。数据表明,IL-12抑制Th2反应并增强Th1反应可能需要降低抗原水平。这些观察对于治疗人类利什曼病的非治愈形式很重要,并且还表明在慢性感染性疾病中,不适当的Th2反应可以转换为有效的Th1反应。

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