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Department of Microbiology and Immunology, Temple University School of Medicine, Philadelphia, PA 19140
To determine the role of IL-10 in cutaneous leishmaniasis, we
examined lesion development following Leishmania major
infection of genetically susceptible BALB/c mice lacking IL-10. Whereas
normal BALB/c mice developed progressive nonhealing lesions with
numerous parasites within them, IL-10-/- BALB/c mice
controlled disease progression, and had relatively small lesions with
1000-fold fewer parasites within them by the fifth week of infection.
We also examined a mechanism whereby Leishmania induced
the production of IL-10 from macrophages. We show that surface IgG on
Leishmania amastigotes allows them to ligate Fc
receptors on inflammatory macrophages to preferentially induce the
production of high amounts of IL-10. The IL-10 produced by infected
macrophages prevented macrophage activation and diminished their
production of IL-12 and TNF-
. In vitro survival assays confirmed the
importance of IL-10 in preventing parasite killing by activated
macrophages. Pretreatment of monolayers with either rIL-10 or
supernatants from amastigote-infected macrophages resulted in a
dramatic enhancement in parasite intracellular survival. These studies
indicate that amastigotes of Leishmania use an unusual
and unexpected virulence factor, host IgG. This IgG allows amastigotes
to exploit the antiinflammatory effects of Fc
R ligation to induce
the production of IL-10, which renders macrophages refractory to the
activating effects of IFN-
.
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