CD4+ Lymphocytes and Gamma Interferon Predominate in Local Immune Responses in Early Experimental Syphilis

BT Leader, C Godornes, WC VanVoorhis… - Infection and …, 2007 - Am Soc Microbiol
BT Leader, C Godornes, WC VanVoorhis, SA Lukehart
Infection and immunity, 2007Am Soc Microbiol
The clearance of Treponema pallidum subsp. pallidum from early syphilis lesions involves
infiltration of a large number of mononuclear cells and is characteristic of a cell-mediated
immune response. In the present study, we sought to determine the relative abundance of
different T-lymphocyte populations and Th1/Th2-associated cytokines present in testicular
lesions following experimental infection with the Chicago strain of T. pallidum. Using flow
cytometry, we examined the proportion of CD4+ and CD8+ T cells present throughout the …
Abstract
The clearance of Treponema pallidum subsp. pallidum from early syphilis lesions involves infiltration of a large number of mononuclear cells and is characteristic of a cell-mediated immune response. In the present study, we sought to determine the relative abundance of different T-lymphocyte populations and Th1/Th2-associated cytokines present in testicular lesions following experimental infection with the Chicago strain of T. pallidum. Using flow cytometry, we examined the proportion of CD4+ and CD8+ T cells present throughout the progression and resolution of primary syphilis in the rabbit model. We related these findings to the results of real-time reverse transcription-PCR quantification of treponemal and cytokine mRNA levels. Treponemal mRNA levels reached peak values on day 18 postinfection, coincident with an initial peak in the level of T cells, which were primarily CD4+ T cells. T-cell levels increased again during resolution of orchitis, and there was an increased proportion of CD8+ T cells. The maximum gamma interferon (IFN-γ) and interleukin-10 (IL-10) mRNA levels were observed on days 11 and 18, respectively, while only negligible amounts of IL-4 and IL-2 were detected throughout the infection. In addition to showing the temporal relationship between treponemal burden and T-cell responses during lesion progression, our results also demonstrate that the composition of the T-cell population changes during lesion resolution. The presence of the mRNA for IFN-γ, but not IL-4, is consistent with cytokine expression in human syphilis and provides further support for the hypothesis that there is a Th1 predominance during the early immune response to T. pallidum.
American Society for Microbiology