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Cutaneous leishmaniasis is an infectious disease that is endemic especially in tropical and desert regions with an incidence of 1.5 million cases per year and a prevalence of 12 million people infected worldwide. The infection can be caused by the intracellular parasite Leishmania major. The disease has been studied extensively in the murine model. It has become apparent that the induction of a class of interferon (IFN)--producing CD4+ T helper cells (TH1 cells) that activate macrophages to kill the parasites they harbor is desicive for the establishment of immunity. The redirection of the host’s immune response towards a protective TH1 phenotype will also be the key to an effective vaccine. Dendritic cells (DC) loaded with leishmanial antigens ex vivo were lately described as vaccines against L. major infections. One single recombinant Leishmania antigen, LeIF (Leishmania homologue of eukaryotic ribosomal initiation factor 4a), which was identified as a protein that stimulates DC to secrete interleukin (IL)-12 and discussed as a pattern-associated molecular pattern (PAMP), was found to mediate a protective TH1-dependent effect when used for pulsing of DC. The application of recombinant proteins is tied to many disadvantages, which is why other methods of antigen administration have been developed. RNA electroporation of DC has recently emerged from tumor research as a safe and versatile method of antigen delivery, by which a large number of RNA molecules encoding a specific antigen gains access to the cytosol of DC by an electrical impulse. The present study describes, for the first time, transfection of DC with RNA encoding a molecularly defined parasite antigen. Initially, a standardized protocol for RNA transfection was established, using the enhanced green fluorescent protein (EGFP) as reporter antigen. EGFP-RNA was well translatable in an in vitro translation system, and both a DC cell line (fetal skin-derived DC; FSDC) and murine primary bone marrow-derived DC (BMDC) could be transfected efficiently, with a yield of up to 90% and 75%, respectively. In both cell types, maximal transfection efficiency was attained with 20 µg RNA and could not be further increased with larger amounts of RNA. The level of antigen expression, measured as the mean fluorescence intensity (MFI) by flow cytometry, was directly proportional to the amount of RNA used for transfection. In FSDC, transfection efficiency and MFI were generally higher than in BMDC when the same amounts of RNA were used. Furthermore, the kinetics was shown to be sensitive to treatment with lipopolysaccharide (LPS): the expression peak was higher and was reached sooner, followed by a more rapid decline. In transfection experiments with LeIF, two variants of LeIF-RNA were used: LeIF(fl)-RNA, encoding the complete LeIF sequence, and LeIF(226)-RNA, encoding only the aminoterminal half of the LeIF sequence (226 amino acids), the immunogenic part of LeIF. Only LeIF(fl) was detectable by Western Blot in whole cell lysates of BMDC after LeIF(fl)-RNA transfection, whereas LeIF(226) could never be detected in LeIF(226)-transfected BMDC. However, as both constructs were well translatable in a cell-free system, the failure to detect LeIF(226) in BMDC lysates did not represent a failure in RNA translation, but rather a rapid antigen degradation. It was therefore expected that LeIF(226)-transfected BMDC should nevertheless be able to present LeIF(226)-derived antigenic peptides to T cells from BALB/c mice primed with recombinant LeIF (rLeIF). This hypothesis was confirmed by measuring IFN- production in BMDC-T cell co-incubation assays, showing that rLeIF-pulsed, LeIF(226)- and LeIF(fl)-transfected day 7 BMDC did indeed activate T cells from LeIF-immunized mice in an antigen-specific manner. In contrast, IL-4 was not produced, which was consistent with the fact that T cells found in lymph nodes from LeIF-primed mice are primarily of the TH1 type. In the supernatants of LeIF-transfected BMDC cultures, in contrast to rLeIF-pulsed BMDC, the proinflammatory cytokines IL-1β, IL-6, IL-10 and IL-12 were not detected. This effect was not due to the electroporation procedure, as cytokine production by BMDC electroporated with rLeIF was only partially impaired. Also, the expression levels of CD86 were lower upon LeIF transfection than after pulsing with rLeIF. Thus, LeIF transfection did not induce maturation of DC. In conclusion, LeIF-transfected BMDC may have acted as semi-mature antigen-specific tolerance inducers, with regulatory T cells as responders. The effect of LeIF transfection on the immunostimulatory capacity of BMDC was not significantly increased when day 8 or 9 BMDC were used. However, day 8, and even more day 9 BMDC pulsed with rLeIF mounted a vigorous T cell response. Day 9 BMDC were able to activate naïve T cells. In conclusion, before a strong T cell response against LeIF can be induced, DC need to – besides presenting antigen and expressing co-stimulatory molecules – exhibit a susceptibility to the innate signaling molecule LeIF which is linked to their maturation age. This third signal is provided by extracellular rLeIF, but it is not conveyed – or is suppressed – by intracellular LeIF after LeIF-RNA transfection. Furthermore, electroporation of rLeIF abrogated IL-12 production by BMDC completely, the production of IL-1 was reduced with higher antigen doses, and the production of IL-10 was partially increased. The IL-6 production was unaffected. This altered cytokine profile suggests that LeIF as a PAMP might have a bipartite nature: besides exhibiting the capacity to stimulate IL-12 production upon extracellular presence, thereby enhancing host resistance against L. major, LeIF could also contribute to parasitic host evasion mechanisms from intracellular compartments of DC, possibly by interfering with mitogen-activated protein (MAP) kinase signaling pathways. Thus, the adjuvant properties of LeIF depend both on its mode of delivery (transfection with RNA vs. pulsing with the recombinant protein) and the targeted compartment (extra- vs. intracellular). From this work, it can be summarized that BMDC are well transfectable with a parasite antigen. The antigen is processed and presented, but it is not recognized as a PAMP by DC. Hence, transfection with antigen-encoding mRNA by itself does not convey all necessary signals for the elicitation of a potent immune response.
Ziel der vorliegenden Arbeit war eine vergleichende Analyse von verschiedenen immunologisch relevanten Parametern im Verlauf einer Masern-Erkrankung bzw. nach einer Masern-Vakzinierung im Hinblick auf ein Verständnis der Ursache für die mit einer Masern-Infektion einhergehende Immunsuppression. Dabei wurden Blutproben von Patienten zu verschiedenen Zeitpunkten nach Auftreten des Exanthems bzw. nach der Impfung untersucht. Zunächst konnte in einer quantitativen Analyse aufgezeigt werden, dass im Rahmen der auftretenden Leukopenie, der prozentuale Anteil distinkter Zelltypen, wie B-, NK-, α/β- und γ/δ-T-Zellen, sowie Monozyten und dendritische Zellen (DCs), sowohl bei Patienten mit akuter Masern-Erkrankung, als auch nach einer Masern-Impfung weitgehend konstant blieb. Für eine Erfassung des Aktivierungsgrades von α/β- und γ/δ-T-Zellen wurde der jeweilige Anteil CD11a-, CD54-, CD69- und CD25-exprimierender CD3-positiver Zellen bei Masernpatienten und Impflingen bestimmt. Dabei ergab sich generell in allen o.g. Untersuchungen für γ/δ-T-Zellen auf der Basis distinkter Aktivierungsmarker ein höherer Prozentsatz positiver Zellen als für α/β-T-Zellen. Es konnte sowohl für α/β-T-Zellen, als auch für γ/δ-T-Zellen ein erhöhter Prozentsatz CD54 (ICAM-1)-exprimierender Zellen und ein deutlich geringerer Anteil CD69-exprimierender α/β-T-Zellen gezeigt werden. Diese Unterschiede blieben über den gesamten Zeitraum (d21 nach Vakzinierung bzw. post Exanthem) erhalten. Desweiteren konnte bei den γ/δ-T-Zellen von Masernpatienten für die CD11a-exprimierenden Zellen eine prozentuale Zunahme festgestellt werden; nicht jedoch bei Impflingen. Den regulatorischen CD4+/CD25+/CTLA-4+ T-Zellen werden suppressive Aktivitäten im Verlauf einer Immunreaktion zugeschrieben. Ein Vergleich der Proben von Masernpatienten in verschiedenen Infektionsstadien ergab, Anzeichen auf zunehmende Aktivität CD4+/CD25+/CTLA-4+ Treg-Zellen. Beim Vergleich der Akutpatienten und Impflinge bei der Produktion von Typ1 IFN im Rahmen der Immunreaktion zeigten die Ergebnisse, dass im Verlauf der Erkrankung die Mengen an Typ1 IFN allmählich abfielen, während sich nach Vakzinierung das Bild uneinheitlich darstellte. Beim Vergleich der Proliferationsfähigkeit der α/β- und der γ/δ-T-Zellen von Masernpatienten und Impflingen zeigte sich im Verlauf der Akuterkrankung eine deutliche Reduktion, während die Ergebnisse der Impflinge weitgehend unverändert bis progredient waren. Für die Ermittlung der Kapazität zur Produktion von inflammatorischen Zytokinen wurden isolierte Monozyten restimuliert und die Produktion von IL-6 mittels ELISA bestimmt. Es zeigte sich, dass die Monozyten von Impflingen im Vergleich zu Kontrollen mit einer erhöhten IL-6 Produktion reagierten. Dagegen war bei den Monozyten von Masern-Patienten die IL-6 Produktion insgesamt supprimiert. Insgesamt zeigen die Befunde, dass eine Reihe von Parametern im Verlauf der Masernerkrankung und nach einer Vakzinierung bemerkenswert unterschiedliche Reaktionsmuster aufweisen.