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Microbiology and Tumorbiology Center, Karolinska Institute, Stockholm, Sweden
Infection with Chlamydia pneumoniae is a common
cause of acute respiratory disease in man and is also associated with
atherosclerotic cardiovascular disorder. Herein, we have compared
bacterial load and immune parameters of C.
pneumoniae-infected mice genomically lacking T cell
coreceptors, cytokine receptors, or cytotoxic effector molecules. A
protective role for CD8+ cells is shown by the enhanced
severity of infection of CD8-/- or
TAP-1-/-/ß2-microglobulin -/-
mice. CD8+ cells hindered a parasite growth-promoting role
of CD4+ T cells, as indicated by the higher sensitivity to
early infection of CD8-/- than
CD4-/-/CD8-/- mice, which was further
confirmed in experiments in which SCID mice were reconstituted with
either CD4+ or CD4+ plus CD8+ T
cells. Interestingly, CD4+ T cells played a dual role,
detrimental early (14 and 24 days) after infection but protective at
later time points (60 days after infection). The CD8+ T
cell protection was perforin independent. The early deleterious role of
CD4+ in the absence of CD8+ T cells was
associated with enhanced IL-4 and IL-10 mRNA levels and delayed IFN-
mRNA accumulation in lungs. In line with this,
IFN-
R-/- (but not TNFRp55 -/-) mice
showed dramatically increased susceptibility to C.
pneumoniae, linked to reduced inducible nitric oxide synthase
(iNOS) mRNA accumulation, but not to diminished levels of specific Abs.
The increased susceptibility of iNOS-/- mice indicates a
protective role for iNOS activity during infection with C.
pneumoniae. The higher sensitivity of IFN-
R-/-
mice to C. pneumoniae compared with that of SCID or
recombination-activating gene-1-/- mice suggested a
relevant protective role of IFN-
-dependent innate mechanisms of
protection.
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