Immunopathogenesis of Toxoplasmic encephalitis

University Of Pennsylvania, Philadelphia PA

Investigators

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Abstract

DESCRIPTION (provided by applicant): Infection with the parasite Toxoplasma is of public health importance in the context of maternal-fetal transmission, and is a leading cause of food borne mortality in the US. Approximately 60 million people in this country are chronically infected and reactivation of the latent cyst form of the parasite in patients with defects in T cel function remains a significant cause of morbidity and mortality. As primary infection of immune competent individuals can result in severe disease and T. gondii is easily transmitted, this parasite is a Class B Biodefense pathogen and an NIAID Emerging/Re-emerging Pathogen of concern to human health. Resistance to this parasite in the brain is mediated by CD4+ and CD8+ T cells that produce IFN-?, which activates local cells to control parasite replication. Astrocytes are the most numerous cell populations in the CNS and have been implicated in direct anti-microbial activities as well as coordinating the entry and migration of T cells that respond to infections that affect the brain. The proposed studies focus on the role of the cytokines IFN-? and the type I IFNs in activating astrocytes to control Toxoplasma. Experiments are proposed to identify the pathways downstream of these cytokines that allow human and murine astrocytes to control parasite replication and which coordinate innate and adaptive responses in the CNS. These studies will be complemented by work to understand how a novel nuclear hormone receptor TLX impacts on astrocyte and immune cell function. Together, the approaches proposed will provide new insights into how astrocytes respond to T. gondii, control this pathogen and regulate local effector T cells with the ultimate goal of being able to develop strategies to augment immunity to T. gondii (and other pathogens) within the CNS.