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CD4+CD25-Foxp3- Th1 cells are the source of IL-10-mediated immune suppression in chronic cutaneous leishmaniasis

by: Charles F Anderson, Mohammed Oukka, Vijay J Kuchroo, David Sacks
J. Exp. Med., Vol. 204, No. 2. (19 February 2007), pp. 285-297.


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Nonhealing forms of leishmaniasis in humans are commonly associated with elevated levels of the deactivating cytokine IL-10, and in the mouse, normally chronic infections can be cleared in the absence of IL-10. Using a Leishmania major strain that produces nonhealing dermal lesions in a T helper type 1 (Th1) cell-polarized setting, we have analyzed the cellular sources of IL-10 and their relative contribution to immune suppression. IL-10 was produced by innate cells, as well as CD4+CD25+Foxp3+ and CD4+CD25-Foxp3- T cells in the chronic lesion. Nonetheless, only IL-10 production by antigen-specific CD4+CD25-Foxp3- T cells, the majority of which also produced IFN-gamma, was necessary for suppression of acquired immunity in Rag-/- reconstituted mice. Surprisingly, Rag-/- mice reconstituted with naive CD4+ T cells depleted of natural T regulatory cells developed more severe infections, associated with elevated levels of IL-10 and, especially, Th2 cytokines in the site. The data demonstrate that IL-10-producing Th1 cells, activated early in a strong inflammatory setting as a mechanism of feedback control, are the principal mediators of T cell-derived IL-10-dependent immune suppression in a chronic intracellular infection. 10.1084/jem.20061886


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