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An NLRP3 inflammasome–triggered Th2-biased adaptive immune response promotes leishmaniasis
Journal article   Open access   Peer reviewed

An NLRP3 inflammasome–triggered Th2-biased adaptive immune response promotes leishmaniasis

Prajwal Gurung, Rajendra Karki, Peter Vogel, Makiko Watanabe, Mark Bix, Mohamed Lamkanfi and Thirumala-Devi Kanneganti
The Journal of clinical investigation, Vol.125(3), pp.1329-1338
03/02/2015
DOI: 10.1172/JCI79526
PMCID: PMC4362229
PMID: 25689249
url
https://doi.org/10.1172/JCI79526View
Published (Version of record) Open Access

Abstract

Leishmaniasis is a major tropical disease that can present with cutaneous, mucocutaneous, or visceral manifestation and affects millions of individuals, causing substantial morbidity and mortality in third-world countries. The development of a Th1-adaptive immune response is associated with resistance to developing Leishmania major ( L. major ) infection. Inflammasomes are key components of the innate immune system that contribute to host defense against bacterial and viral pathogens; however, their role in regulating adaptive immunity during infection with protozoan parasites is less studied. Here, we demonstrated that the NLRP3 inflammasome balances Th1/Th2 responses during leishmaniasis. Mice lacking the inflammasome components NLRP3, ASC, or caspase 1 on a Leishmania -susceptible BALB/c background exhibited defective IL-1β and IL-18 production at the infection site and were resistant to cutaneous L. major infection. Moreover, we determined that production of IL-18 propagates disease in susceptible BALB/c mice by promoting the Th2 cytokine IL-4, and neutralization of IL-18 in these animals reduced L. major titers and footpad swelling. In conclusion, our results indicate that activation of the NLRP3 inflammasome is detrimental during leishmaniasis and suggest that IL-18 neutralization has potential as a therapeutic strategy to treat leishmaniasis patients.

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