51. The immunomicrotope of Leishmania control and persistence.
- Author
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Bogdan, Christian, Islam, Noor-A-Kasida, Barinberg, David, Soulat, Didier, Schleicher, Ulrike, and Rai, Baplu
- Subjects
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T helper cells , *SAND flies , *MACROPHAGE activation , *LEISHMANIASIS , *LEISHMANIA - Abstract
Oxygen and arginine availability, and the tonicity and acidity in the tissue, have a major impact on type 2 nitric oxide synthase (NOS2) activity in situ. Commensal microbiota of the skin is critical for the induction of protective immune responses to Leishmania , but it also contributes to tissue pathology, depending on the context. During both the acute and persistent phases of infection, Leishmania parasites retreat into hematopoietic as well as non-hematopoietic host cells that function as safe replicative niches. Leishmania is an intracellular protozoan transmitted by sand fly vectors; it causes cutaneous, mucocutaneous, or visceral disease. Its growth and survival are impeded by type 1 T helper cell responses, which entail interferon (IFN)-γ-mediated macrophage activation. Leishmania partially escapes this host defense by triggering immune cell and cytokine responses that favor parasite replication rather than killing. Novel methods for in situ analyses have revealed that the pathways of immune control and microbial evasion are strongly influenced by the tissue context, the micro milieu factors, and the metabolism at the site of infection, which we collectively term the 'immunomicrotope'. Understanding the components and the impact of the immunomicrotope will enable the development of novel strategies for the treatment of chronic leishmaniasis. Leishmania is an intracellular protozoan transmitted by sand fly vectors; it causes cutaneous, mucocutaneous, or visceral disease. Its growth and survival are impeded by type 1 T helper cell responses, which entail interferon (IFN)-γ-mediated macrophage activation. Leishmania partially escapes this host defense by triggering immune cell and cytokine responses that favor parasite replication rather than killing. Novel methods for in situ analyses have revealed that the pathways of immune control and microbial evasion are strongly influenced by the tissue context, the micro milieu factors, and metabolism at the site of infection, which we collectively term the 'immunomicrotope'. Understanding the components and the impact of the immunomicrotope will enable the development of novel strategies for the treatment of chronic leishmaniasis. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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