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Plays a Critical Role in Maintaining Secondary Immunity in the Absence of IFN-

*
Lymphokine Regulation Unit, Laboratory of Clinical Investigation, National Institute of Allergy and Infectious Diseases, and
Veterinary Resources Program, National Center for Research Resources, National Institutes of Health, Bethesda, MD 20892
Primary infection to Histoplasma capsulatum often
results in a self-limited upper respiratory infection in humans;
however, in immunocompromised hosts, disseminated infection can occur
through reactivation of a previous infection. Since disseminated
histoplasmosis has emerged as a difficult clinical entity to treat in
individuals infected with HIV, it was of interest to study the
mechanisms involved in maintaining an effective memory immune response.
It has been previously shown in a murine model of disseminated
histoplasmosis that IL-12, IFN-
, and TNF-
were important factors
in mediating primary protection. To study whether these and other
factors were involved in maintaining a protective immune response
following secondary infection, normal C57BL/6 mice were first infected
with a sublethal dose of H. capsulatum (1 x
105) and then reinfected 3 wk later with a lethal dose of
H. capsulatum (6 x 105). Under these
conditions, all mice developed an effective immune response with
sterilizing immunity. Moreover, normal C57BL/6 mice treated with
neutralizing Abs against either IL-12, TNF-
, or IFN-
, depleted of
neutrophils or treated with aminoguanidine at the time of reinfection,
maintained an effective immune response. The ability of animals to
survive a secondary infection in the absence of IFN-
was verified by
showing that IFN-
-/- mice previously immunized with
H. capsulatum and treated with amphotericin B at the time
of primary infection had prolonged survival following reinfection with
a normally lethal dose. It was further shown that enhancement of
TNF-
production in IFN-
-/- mice was the major
mechanism by which these mice were effective in controlling secondary
infection.
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