Toxoplasmosis, caused by the obligate intracellular parasite, Toxoplasma gondii, is a major opportunistic infection in patients with AIDS. More than one third of all AIDS patients will suffer from central nervous infection with T. gondii during the course of illness. The incidence of congenital toxoplasma infection approaches 100% in children of mothers seropositive for both HIV and T. gondii. Previous studies in our laboratory and others suggest that T. gondii is able to suppress the immune system in the normal experimental host. However, the immune cells responsible for this, and the mechanism of immunosuppression remains unclear. In this FIRST Award project, I will investigate those parameters of immunosuppression in the experimental mouse model.
My first aim will be to develop an immunosuppressive experimental model of T. gondii infection. The cells responsible for this immune modulation will be identified and their phenotype characterized. These immune cells will then be used in experiments to ascertain whether the suppression can be adoptively transferred into naive mice. Another major aim will be to further understand the mechanism of this immunosuppressive response. In particular, analysis for the expression of specific cytokines known to suppress the immune system win be performed. This includes such cytokines as TGF-beta, IL-10 and macrophage deactivating factor (MDF). Once the cell type and mechanism of immunosuppression are better understood, I will develop and in vitro line or clone of T cells that are responsible for this immunosuppression. These cells can be analyzed for their genetic character as well as their ability to adoptively transfer immunosuppression. The last aim of this proposal will be to determine if a murine acquired immunodeficiency model (MAIDS) for experimental T. gondii infection can be established. Using this model of AIDS, I will try to identify the parasite antigens as well as the cytokine products of immunosuppressive T cells responsible for the accelerated toxoplasma infection in these animals. In particular, the role of CD8+ T cells will be evaluated based on previous observations suggesting the importance of this subset in protection against this obligate intracellular microbe. These studies will enable us to clarify the role of T. gondii mediated immunosuppression in down regulating the already damaged immune system in AIDS patients.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
First Independent Research Support & Transition (FIRST) Awards (R29)
Project #
5R29AI033325-03
Application #
2068320
Study Section
AIDS and Related Research Study Section 5 (ARRE)
Project Start
1992-07-01
Project End
1997-04-30
Budget Start
1994-05-01
Budget End
1995-04-30
Support Year
3
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Dartmouth College
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
041027822
City
Hanover
State
NH
Country
United States
Zip Code
03755
Bhadra, Rajarshi; Cobb, Dustin A; Weiss, Louis M et al. (2013) Psychiatric disorders in toxoplasma seropositive patients--the CD8 connection. Schizophr Bull 39:485-9
Bhadra, Rajarshi; Cobb, Dustin A; Khan, Imtiaz A (2013) Donor CD8+ T cells prevent Toxoplasma gondii de-encystation but fail to rescue the exhausted endogenous CD8+ T cell population. Infect Immun 81:3414-25
Bhadra, Rajarshi; Cobb, Dustin A; Khan, Imtiaz A (2013) CD40 signaling to the rescue: A CD8 exhaustion perspective in chronic infectious diseases. Crit Rev Immunol 33:361-78
Bhadra, Rajarshi; Khan, Imtiaz A (2012) IL-7 and IL-15 do not synergize during CD8 T cell recall response against an obligate intracellular parasite. Microbes Infect 14:1160-8
Bhadra, Rajarshi; Gigley, Jason P; Khan, Imtiaz A (2012) PD-1-mediated attrition of polyfunctional memory CD8+ T cells in chronic toxoplasma infection. J Infect Dis 206:125-34
Bhadra, Rajarshi; Khan, Imtiaz A (2012) Redefining chronic toxoplasmosis--a T cell exhaustion perspective. PLoS Pathog 8:e1002903
Gigley, Jason P; Bhadra, Rajarshi; Moretto, Magali M et al. (2012) T cell exhaustion in protozoan disease. Trends Parasitol 28:377-84
Bhadra, Rajarshi; Gigley, Jason P; Weiss, Louis M et al. (2011) Control of Toxoplasma reactivation by rescue of dysfunctional CD8+ T-cell response via PD-1-PDL-1 blockade. Proc Natl Acad Sci U S A 108:9196-201
Bhadra, Rajarshi; Gigley, Jason P; Khan, Imtiaz A (2011) The CD8 T-cell road to immunotherapy of toxoplasmosis. Immunotherapy 3:789-801
Bhadra, Rajarshi; Gigley, Jason P; Khan, Imtiaz A (2011) Cutting edge: CD40-CD40 ligand pathway plays a critical CD8-intrinsic and -extrinsic role during rescue of exhausted CD8 T cells. J Immunol 187:4421-5

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