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*
Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892; and
Unité dImmunophysiologie Cellulaire, Institut Pasteur, Paris, France
A model of Leishmania major infection in C57BL/6
mice has been established that combines two main features of natural
transmission: low dose (100 metacyclic promastigotes) and inoculation
into a dermal site (the ear dermis). The evolution of the dermal lesion
could be dissociated into two distinct phases. The initial "silent"
phase, lasting 45 wk, favored establishment of the peak load of
parasites in the dermis in the absence of lesion formation or any overt
histopathologic changes in the site. The second phase corresponds to
the development of a lesion associated with an acute infiltration of
neutrophils, macrophages, and eosinophils into the dermis and was
coincident with the killing of parasites in the site. The onset of
immunity/pathology was correlated with the appearance of cells staining
for IL-12p40 and IFN-
in the epidermal compartment, and an expansion
of T cells capable of producing IFN-
in the draining lymph node.
Parasite growth was not enhanced over the first 4.5 wk in
anti-CD4-treated mice, SCID mice, or C57BL/6 mice deficient in
IL-12p40, IFN-
, CD40 ligand, or inducible NO synthase. These mice
all failed to ultimately control infection in the site, but in some
cases (anti-CD4 treated, IL-12p40-/-,
CD40 ligand-/-, and SCID) high dermal
parasite loads were associated with little or no pathology. These
results extend to a natural infection model a role for Th1 cells in
both acquired resistance and lesion formation, and document the
remarkable avoidance of this response during a prolonged phase of
parasite amplification in the skin.
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