Mycobacterium indicus pranii (Mw) re-establishes host protective immune response in Leishmania donovani infected macrophages: critical role of IL-12

PLoS One. 2012;7(7):e40265. doi: 10.1371/journal.pone.0040265. Epub 2012 Jul 5.

Abstract

Leishmania donovani, a protozoan parasite, causes a strong immunosuppression in a susceptible host and inflicts the fatal disease visceral leishmaniasis. Relatively high toxicity, low therapeutic index, and failure in reinstating host-protective anti-leishmanial immune responses have made anti-leishmanial drugs patient non-compliant and an immuno-modulatory treatment a necessity. Therefore, we have tested the anti-leishmanial efficacy of a combination of a novel immunomodulator, Mycobacterium indicus pranii (Mw), and an anti-leishmanial drug, Amphotericin B (AmpB). We observe that Mw alone or with a suboptimal dose of AmpB offers significant protection against L. donovani infection by activating the macrophages. Our experiments examining the anti-leishmanial activity of Mw alone or with AmpB also indicate a p38MAPK and ERK-1/2 regulated pro-inflammatory responses. The Mw-AmpB combination induced nitric oxide production, restored Th1 response, and significantly reduced parasite burden in wild type macrophages but not in IL-12-deficient macrophages indicating a pivotal role for IL-12 in the induction of host-protection by Mw and AmpB treatments. In addition, we observed that Mw alone or in combination with suboptimal dose of AmpB render protection against L. donovani infection in susceptible BALB/c mice. However, these treatments failed to render protection in IL-12-deficient mice in vivo which added further support that IL-12 played a central role in this chemo immunotherapeutic approach. Thus, we demonstrate a novel chemo-immunotherapeutic approach- Mw and AmpB crosstalk eliminating the parasite-induced immunosuppression and inducing collateral host-protective effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amphotericin B / pharmacology
  • Amphotericin B / therapeutic use
  • Animals
  • Antiprotozoal Agents / pharmacology
  • Antiprotozoal Agents / therapeutic use
  • Cells, Cultured
  • Cytokines / metabolism
  • Cytokines / physiology
  • Immunotherapy
  • Interleukin-12 / metabolism
  • Interleukin-12 / physiology*
  • Leishmania donovani / immunology*
  • Leishmaniasis, Visceral / immunology*
  • Leishmaniasis, Visceral / parasitology
  • Leishmaniasis, Visceral / therapy
  • Liver / parasitology
  • MAP Kinase Signaling System
  • Macrophage Activation
  • Macrophages / immunology
  • Macrophages / parasitology*
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Knockout
  • Nitric Oxide / metabolism
  • Nontuberculous Mycobacteria / immunology*
  • Reactive Oxygen Species / metabolism
  • Spleen / parasitology
  • Th1 Cells / immunology
  • Th1 Cells / metabolism

Substances

  • Antiprotozoal Agents
  • Cytokines
  • Reactive Oxygen Species
  • Interleukin-12
  • Nitric Oxide
  • Amphotericin B