Analysis of the dynamics of infiltrating CD4(+) T cell subsets in the heart during experimental Trypanosoma cruzi infection

PLoS One. 2013 Jun 11;8(6):e65820. doi: 10.1371/journal.pone.0065820. Print 2013.

Abstract

Chagas disease, caused by the protozoan parasite Trypanosoma cruzi, affects several million people in Latin America. Myocarditis, observed during both the acute and chronic phases of the disease, is characterized by an inflammatory mononuclear cell infiltrate that includes CD4(+) T cells. It is known that Th1 cytokines help to control infection. The role that Treg and Th17 cells may play in disease outcome, however, has not been completely elucidated. We performed a comparative study of the dynamics of CD4(+) T cell subsets after infection with the T. cruzi Y strain during both the acute and chronic phases of the disease using susceptible BALB/c and non-susceptible C57BL/6 mice infected with high or low parasite inocula. During the acute phase, infected C57BL/6 mice showed high levels of CD4(+) T cell infiltration and expression of Th1 cytokines in the heart associated with the presence of Treg cells. In contrast, infected BALB/c mice had a high heart parasite burden, low heart CD4(+) T cell infiltration and low levels of Th1 and inflammatory cytokines, but with an increased presence of Th17 cells. Moreover, an increase in the expression of IL-6 in susceptible mice was associated with lethality upon infection with a high parasite load. Chronically infected BALB/c mice continued to present higher parasite burdens than C57BL/6 mice and also higher levels of IFN-γ, TNF, IL-10 and TGF-β. Thus, the regulation of the Th1 response by Treg cells in the acute phase may play a protective role in non-susceptible mice irrespective of parasite numbers. On the other hand, Th17 cells may protect susceptible mice at low levels of infection, but could, in association with IL-6, be pathogenic at high parasite loads.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CD4-Positive T-Lymphocytes / immunology
  • CD4-Positive T-Lymphocytes / metabolism*
  • Chagas Disease / immunology*
  • Chagas Disease / metabolism*
  • Cytokines / metabolism*
  • Female
  • Flow Cytometry
  • Fluorescent Antibody Technique
  • Interferon-gamma / metabolism
  • Interleukin-10 / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Real-Time Polymerase Chain Reaction
  • Transforming Growth Factor beta / metabolism
  • Trypanosoma cruzi / immunology
  • Trypanosoma cruzi / physiology*

Substances

  • Cytokines
  • Transforming Growth Factor beta
  • Interleukin-10
  • Interferon-gamma

Grants and funding

This work was supported by “Ministerio de Ciencia y Tecnología” (SAF2007-61716; SAF2005-02220); “Fondo de Investigaciones Sanitarias” (PS09/00538); “Red Temática de Investigación en Enfermedades cardiovasculares” (RECAVA RD06/0014/1013); “Red de Investigación de Centros de Enfermedades Tropicales” (RICET RD06/0021/0016); European Union (HEALTH-FE-2008-22303, ChagasEpiNet); “Universidad Autónoma de Madrid” and “Comunidad de Madrid” (CC08-UAM/SAL-4440/08); AECID cooperation with Argentine (A/025417/09) and “Fundación Ramón Areces”. M. Fresno and N. Gironès are professors at the “Biología Molecular” Department (“Universidad Autónoma de Madrid”). C. Sanoja was recipient of a fellowship financed by “Consejo de Desarrollo Científico y Humanístico” de la Universidad Central de Venezuela. S. Carbajosa was recipient of an FPI fellowship financed by Spanish “Ministerio de Ciencia y Tecnología”. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.