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Enhanced Lesional Foxp3 Expression and Peripheral Anergic Lymphocytes Indicate a Role for Regulatory T Cells in Indian Post-Kala-Azar Dermal Leishmaniasis
by
Sadhu, Soumi
, Ganguly, Sudipto
, Gonju, Debananda
, Chatterjee, Uttara
, Saha, Bibhuti
, Chatterjee, Mitali
, Das, Nilay K.
, Modak, Dolanchampa
, Guha, Subhashish Kamal
, Barbhuiya, Joyashree N.
, Chaduvula, Mehervani
, Mallik, Sudeshna
, Rahman, Mehebubar
, Goswami, Rama P.
, Mukhopadhyay, Debanjan
, Pramanik, Netai
in
Adult
/ Antigens, Protozoan - immunology
/ Biological and medical sciences
/ CD28 Antigens - metabolism
/ CD3 Complex - metabolism
/ CD8 Antigens - metabolism
/ CD8-Positive T-Lymphocytes - parasitology
/ CD8-Positive T-Lymphocytes - physiology
/ Dermatology
/ Dermis - immunology
/ Dermis - parasitology
/ Dermis - pathology
/ Female
/ Forkhead Transcription Factors - genetics
/ Forkhead Transcription Factors - immunology
/ Forkhead Transcription Factors - metabolism
/ Human protozoal diseases
/ Humans
/ India
/ Infectious diseases
/ Interferon-gamma - metabolism
/ Interleukin-10 - metabolism
/ Leishmania donovani - immunology
/ Leishmaniasis, Cutaneous - immunology
/ Leishmaniasis, Cutaneous - pathology
/ Leishmaniasis, Cutaneous - physiopathology
/ Leishmaniasis, Visceral - immunology
/ Leishmaniasis, Visceral - pathology
/ Leishmaniasis, Visceral - physiopathology
/ Leshmaniasis
/ Male
/ Medical sciences
/ Membrane Proteins - metabolism
/ Middle Aged
/ Parasitic diseases
/ Protozoal diseases
/ RNA, Messenger - metabolism
/ T-Lymphocytes, Regulatory - parasitology
/ T-Lymphocytes, Regulatory - physiology
2010
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Enhanced Lesional Foxp3 Expression and Peripheral Anergic Lymphocytes Indicate a Role for Regulatory T Cells in Indian Post-Kala-Azar Dermal Leishmaniasis
by
Sadhu, Soumi
, Ganguly, Sudipto
, Gonju, Debananda
, Chatterjee, Uttara
, Saha, Bibhuti
, Chatterjee, Mitali
, Das, Nilay K.
, Modak, Dolanchampa
, Guha, Subhashish Kamal
, Barbhuiya, Joyashree N.
, Chaduvula, Mehervani
, Mallik, Sudeshna
, Rahman, Mehebubar
, Goswami, Rama P.
, Mukhopadhyay, Debanjan
, Pramanik, Netai
in
Adult
/ Antigens, Protozoan - immunology
/ Biological and medical sciences
/ CD28 Antigens - metabolism
/ CD3 Complex - metabolism
/ CD8 Antigens - metabolism
/ CD8-Positive T-Lymphocytes - parasitology
/ CD8-Positive T-Lymphocytes - physiology
/ Dermatology
/ Dermis - immunology
/ Dermis - parasitology
/ Dermis - pathology
/ Female
/ Forkhead Transcription Factors - genetics
/ Forkhead Transcription Factors - immunology
/ Forkhead Transcription Factors - metabolism
/ Human protozoal diseases
/ Humans
/ India
/ Infectious diseases
/ Interferon-gamma - metabolism
/ Interleukin-10 - metabolism
/ Leishmania donovani - immunology
/ Leishmaniasis, Cutaneous - immunology
/ Leishmaniasis, Cutaneous - pathology
/ Leishmaniasis, Cutaneous - physiopathology
/ Leishmaniasis, Visceral - immunology
/ Leishmaniasis, Visceral - pathology
/ Leishmaniasis, Visceral - physiopathology
/ Leshmaniasis
/ Male
/ Medical sciences
/ Membrane Proteins - metabolism
/ Middle Aged
/ Parasitic diseases
/ Protozoal diseases
/ RNA, Messenger - metabolism
/ T-Lymphocytes, Regulatory - parasitology
/ T-Lymphocytes, Regulatory - physiology
2010
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Enhanced Lesional Foxp3 Expression and Peripheral Anergic Lymphocytes Indicate a Role for Regulatory T Cells in Indian Post-Kala-Azar Dermal Leishmaniasis
by
Sadhu, Soumi
, Ganguly, Sudipto
, Gonju, Debananda
, Chatterjee, Uttara
, Saha, Bibhuti
, Chatterjee, Mitali
, Das, Nilay K.
, Modak, Dolanchampa
, Guha, Subhashish Kamal
, Barbhuiya, Joyashree N.
, Chaduvula, Mehervani
, Mallik, Sudeshna
, Rahman, Mehebubar
, Goswami, Rama P.
, Mukhopadhyay, Debanjan
, Pramanik, Netai
in
Adult
/ Antigens, Protozoan - immunology
/ Biological and medical sciences
/ CD28 Antigens - metabolism
/ CD3 Complex - metabolism
/ CD8 Antigens - metabolism
/ CD8-Positive T-Lymphocytes - parasitology
/ CD8-Positive T-Lymphocytes - physiology
/ Dermatology
/ Dermis - immunology
/ Dermis - parasitology
/ Dermis - pathology
/ Female
/ Forkhead Transcription Factors - genetics
/ Forkhead Transcription Factors - immunology
/ Forkhead Transcription Factors - metabolism
/ Human protozoal diseases
/ Humans
/ India
/ Infectious diseases
/ Interferon-gamma - metabolism
/ Interleukin-10 - metabolism
/ Leishmania donovani - immunology
/ Leishmaniasis, Cutaneous - immunology
/ Leishmaniasis, Cutaneous - pathology
/ Leishmaniasis, Cutaneous - physiopathology
/ Leishmaniasis, Visceral - immunology
/ Leishmaniasis, Visceral - pathology
/ Leishmaniasis, Visceral - physiopathology
/ Leshmaniasis
/ Male
/ Medical sciences
/ Membrane Proteins - metabolism
/ Middle Aged
/ Parasitic diseases
/ Protozoal diseases
/ RNA, Messenger - metabolism
/ T-Lymphocytes, Regulatory - parasitology
/ T-Lymphocytes, Regulatory - physiology
2010
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Enhanced Lesional Foxp3 Expression and Peripheral Anergic Lymphocytes Indicate a Role for Regulatory T Cells in Indian Post-Kala-Azar Dermal Leishmaniasis
Journal Article
Enhanced Lesional Foxp3 Expression and Peripheral Anergic Lymphocytes Indicate a Role for Regulatory T Cells in Indian Post-Kala-Azar Dermal Leishmaniasis
2010
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Overview
Indian post-kala-azar dermal leishmaniasis (PKDL) is a low-frequency (5–10%) dermal sequela of visceral leishmaniasis (VL) caused by Leishmania donovani; importantly, affected individuals are speculated to be parasite reservoirs. Insight into its immunopathogenesis could translate into rational immunomodulatory therapeutic approaches against leishmaniases. In patients with PKDL (n=21), peripheral lymphocytes were analyzed for surface markers, intracellular cytokines, and lymphoproliferative responses using flow cytometry. In lesional tissue biopsies (n=12), expression of counter-regulatory cytokines (IFN-γ and IL-10) and the T-regulatory transcription factor forkhead box protein 3 (Foxp3) was analyzed using reverse transcriptase-PCR, along with immunohistochemical detection (n=8) of CD3 and Foxp3 positivity. In patients with PKDL, circulating CD8+CD28− and antigen-induced IL-10+CD3+ lymphocytes were increased and receded with treatment. CD8+ lymphocytes showed impaired proliferative responses to L. donovani antigen (LDA) and phytohemagglutinin, which were reinstated after treatment. At presentation, the upregulated lesional IFN-γ and IL-10 messenger RNA (mRNA), Foxp3 mRNA, and protein were curtailed after treatment. In Indian patients with PKDL, increased frequency of the CD8+CD28− phenotype, enhanced antigen-specific IL-10 production, and accompanying anergy of circulating lymphocytes suggest their regulatory nature. Furthermore, the concomitantly elevated lesional expression of Foxp3 suggests their possible recruitment into the lesional site, which would sustain disease pathology.
Publisher
Elsevier Inc,Nature Publishing Group,Elsevier Limited
Subject
/ Antigens, Protozoan - immunology
/ Biological and medical sciences
/ CD8-Positive T-Lymphocytes - parasitology
/ CD8-Positive T-Lymphocytes - physiology
/ Female
/ Forkhead Transcription Factors - genetics
/ Forkhead Transcription Factors - immunology
/ Forkhead Transcription Factors - metabolism
/ Humans
/ India
/ Interferon-gamma - metabolism
/ Leishmania donovani - immunology
/ Leishmaniasis, Cutaneous - immunology
/ Leishmaniasis, Cutaneous - pathology
/ Leishmaniasis, Cutaneous - physiopathology
/ Leishmaniasis, Visceral - immunology
/ Leishmaniasis, Visceral - pathology
/ Leishmaniasis, Visceral - physiopathology
/ Male
/ Membrane Proteins - metabolism
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