PLoS Pathogens · 2012 · 68 citations · 77 references
Veterinary MedicineImmunologyNeuroscienceHost-pathogen InteractionsInnate ImmunityNeuroimmunologyHost-parasite Immune InteractionsImmune Responses To InfectionInnate Immune Responses To ParasitesInnate Immunity To ParasitesProtozoal InfectionsProtozoan Host-parasite InteractionsCellular Immune Response To ParasitesHost Immune Response ModulationMacrophage Activation By ProtozoaParasite Clearance MechanismsParasitic Infection ImmunityPathogen ClearanceTh1 Immune ResponseToxoplasmosis Pathogenesis
Chronic infections represent a continuous battle between the host's immune system and pathogen replication. Many protozoan parasites have evolved a cyst lifecycle stage that provides it with increased protection from environmental degradation as well as endogenous host mechanisms of attack. In the case of Toxoplasma gondii, these cysts are predominantly found in the immune protected brain making clearance of the parasite more difficult and resulting in a lifelong infection. Currently, little is known about the nature of the immune response stimulated by the presence of these cysts or how they are able to propagate. Here we establish a novel chitinase-dependent mechanism of cyst control in the infected brain. Despite a dominant Th1 immune response during Toxoplasma infection there exists a population of alternatively activated macrophages (AAMØ) in the infected CNS. These cells are capable of cyst lysis via the production of AMCase as revealed by live imaging, and this chitinase is necessary for protective immunity within the CNS. These data demonstrate chitinase activity in the brain in response to a protozoan pathogen and provide a novel mechanism to facilitate cyst clearance during chronic infections.
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Michael Stein, Satish Keshav, Nicholas Harris et al. · The Journal of Experimental Medicine · 1992 · 1.9K citations · Full text
Frank A. W. Verreck, Tjitske de Boer, Dennis M. L. Langenberg et al. · Proceedings of the National Academy of Sciences · 2004 · 966 citations · Full text