51
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Huber VC, Lynch JM, Bucher DJ, Le J, Metzger DW. Fc receptor-mediated phagocytosis makes a significant contribution to clearance of influenza virus infections. JOURNAL OF IMMUNOLOGY (BALTIMORE, MD. : 1950) 2001; 166:7381-8. [PMID: 11390489 DOI: 10.4049/jimmunol.166.12.7381] [Citation(s) in RCA: 276] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Fc receptors for IgG expressed on macrophages and NK cells are important mediators of opsonophagocytosis and Ab-dependent cell-mediated cytotoxicity. Phagocyte-mediated opsonophagocytosis is pivotal for protection against bacteria, but its importance in recovery from infection with intracellular pathogens is unclear. We have now investigated the role of opsonophagocytosis in protection against lethal influenza virus infection by using FcR gamma(-/-) mice. Absence of the FcR gamma-chain did not affect the expression of IFN-gamma and IL-10 in the lungs and spleens after intranasal immunization with an influenza subunit vaccine. Titers of serum and respiratory Abs of the IgM, IgG1, IgG2a, and IgA isotypes in FcR gamma(-/-) mice were similar to levels seen in FcR gamma(+/+) mice. Nevertheless, FcR gamma(-/-) mice were highly susceptible to influenza infection, even in the presence of anti-influenza Abs from immune FcR gamma(+/+) mice. NK cells were not necessary for the observed Ab-mediated viral clearance, but macrophages were found to be capable of actively ingesting opsonized virus particles. We conclude that Fc receptor-mediated phagocytosis plays a pivotal role in clearance of respiratory virus infections.
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MESH Headings
- Animals
- Antibodies, Viral/biosynthesis
- CD3 Complex
- Cell Line
- Cytokines/biosynthesis
- Genetic Predisposition to Disease
- Humans
- Immune Sera/administration & dosage
- Immunization, Passive
- Immunoglobulin Isotypes/biosynthesis
- Influenza A virus/immunology
- Influenza, Human/genetics
- Influenza, Human/immunology
- Influenza, Human/prevention & control
- Influenza, Human/virology
- Injections, Intraperitoneal
- Lung/immunology
- Lung/metabolism
- Macrophages/immunology
- Macrophages/virology
- Mice
- Mice, Inbred BALB C
- Mice, Inbred C57BL
- Mice, Inbred CBA
- Mice, Knockout
- Mice, Transgenic
- Phagocytosis/immunology
- Receptors, Antigen, T-Cell/genetics
- Receptors, Fc/deficiency
- Receptors, Fc/genetics
- Receptors, Fc/physiology
- Spleen/immunology
- Spleen/metabolism
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Affiliation(s)
- V C Huber
- Center for Immunology and Microbial Disease, Albany Medical College, Albany, NY 12208, USA
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52
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Gerber JS, Mosser DM. Stimulatory and inhibitory signals originating from the macrophage Fcgamma receptors. Microbes Infect 2001; 3:131-9. [PMID: 11251299 DOI: 10.1016/s1286-4579(00)01360-5] [Citation(s) in RCA: 61] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The macrophage receptors for the Fc portion of immunoglobulin G (FcgammaR) have long been known to mediate a variety of effector functions that are vital to the adaptive immune response. Recent studies, however, have begun to stress potential regulatory roles that these receptors can play in modulating immune and inflammatory responses. In this article we discuss the activating and inhibitory properties of the individual macrophage FcgammaR and the conditions under which these heterologous responses can occur.
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Affiliation(s)
- J S Gerber
- Department of Microbiology and Immunology, Temple University School of Medicine, 3400 North Broad Street, Philadelphia, PA 19140, USA
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53
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Li JS, Yager E, Reilly M, Freeman C, Reddy GR, Reilly AA, Chu FK, Winslow GM. Outer membrane protein-specific monoclonal antibodies protect SCID mice from fatal infection by the obligate intracellular bacterial pathogen Ehrlichia chaffeensis. JOURNAL OF IMMUNOLOGY (BALTIMORE, MD. : 1950) 2001; 166:1855-62. [PMID: 11160232 DOI: 10.4049/jimmunol.166.3.1855] [Citation(s) in RCA: 81] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Previous studies of Ehrlichia chaffeensis infection in the mouse have demonstrated that passive transfer of polyclonal Abs from resistant immunocompetent mice to susceptible SCID mice ameliorated infection and disease, even when Abs were administered during established infection. To identify particular Abs that could mediate bacterial clearance in vivo, E. chaffeensis-specific mAbs were generated and administered to infected SCID mice. Bacterial infection in the livers was significantly lowered after administration of either of two Abs of different isotypes (IgG2a and IgG3). Moreover, repeated administration of one Ab (Ec56.5; IgG2a) rescued mice from an otherwise lethal infection for at least 5 wk. Both protective Abs recognized the E. chaffeensis major outer membrane protein (OMP)-1g. Further studies revealed that both Abs recognized closely related epitopes within the amino terminus of the first hypervariable region of OMP-1g. Analyses of human sera showed that E. chaffeensis-infected patients also generated serological responses to OMP-1g hypervariable region 1, indicating that humans and mice recognize identical or closely related epitopes. These studies demonstrate that OMP-specific mAbs can mediate bacterial elimination in SCID mice, and indicate that Abs, in the absence of cell-mediated immunity, can play a significant role in host defense during infection by this obligate intracellular bacterium.
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Affiliation(s)
- J S Li
- Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY 12201, USA
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54
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Pastore Y, Lajaunias F, Kuroki A, Moll T, Kikuchi S, Izui S. An experimental model of cryoglobulin-associated vasculitis in mice. SPRINGER SEMINARS IN IMMUNOPATHOLOGY 2001; 23:315-29. [PMID: 11591105 DOI: 10.1007/s002810100075] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Y Pastore
- Department of Pathology, University of Geneva, 1211 Geneva 4, Switzerland
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55
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Harris SL, Park MK, Nahm MH, Diamond B. Peptide mimic of phosphorylcholine, a dominant epitope found on Streptococcus pneumoniae. Infect Immun 2000; 68:5778-84. [PMID: 10992485 PMCID: PMC101537 DOI: 10.1128/iai.68.10.5778-5784.2000] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Even in the age of antibiotics, Streptococcus pneumoniae causes significant morbidity, especially in the young, the elderly, and the immunocompromised. While a carbohydrate-based vaccine exists, it is poorly immunogenic in the at-risk populations. In mice, antibodies directed against phosphorylcholine (PC), an epitope present on the cell wall C polysaccharide of all pneumococcal serotypes, protect against infection. However, PC itself is a poor vaccine candidate. We report here peptide mimics of PC based on the anti-idiotypic interaction of T15 anti-PC antibodies. T15 antibodies, the dominant and protective idiotype induced in mice by PC immunization, self-associate via a 24-amino-acid region in the PC binding site (ASRNKANDYTTEYSASVKGRFIVS; peptide 1). Peptide 1 has been shown to bind in the PC binding site. We demonstrated that amino acid sequences derived from peptide 1 starting at amino acid 9, 11, or 13 inhibit PC binding. Therefore, we immunized mice with bovine serum albumin (BSA) conjugates of peptide 1 or either of two selected 12-mers. The 12-mer peptides were not immunogenic. Mice immunized with peptide 1-BSA developed an anti-PC response consisting mainly immunoglobulin G1 and expressed the T15 heavy chain. Nonetheless, neither BALB/c nor CBA/N mice were protected from lethal pneumococcal infections by immunization with peptide 1-BSA. Preliminary data suggest that peptide 1-BSA is not able to elicit the canonical T15 light chain, explaining the absence of protection. This idiotype-derived mimotope of PC is a useful tool for understanding immunologic cross-reactivity and learning to design T-cell-dependent vaccines for S. pneumoniae.
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Affiliation(s)
- S L Harris
- Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, New York 10461, USA
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56
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Abstract
Infection with Listeria monocytogenes is a well studied model for understanding host resistance to intracellular bacteria. Recent advances in the study of Listeria have carefully quantitated the response of CD8(+) T cells to infection and analyzed the effector functions of these cells in vivo. A surprising role for antibody in mediating resistance to Listeria has also recently emerged, providing new insight into the mechanisms of host defense.
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Affiliation(s)
- B T Edelson
- Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO 63110, USA
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57
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Affiliation(s)
- T S Harrison
- Department of Infectious Diseases, St. George's Hospital Medical School, London, U.K
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58
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Vukovic P, Hogarth PM, Barnes N, Kaslow DC, Good MF. Immunoglobulin G3 antibodies specific for the 19-kilodalton carboxyl-terminal fragment of Plasmodium yoelii merozoite surface protein 1 transfer protection to mice deficient in Fc-gammaRI receptors. Infect Immun 2000; 68:3019-22. [PMID: 10769007 PMCID: PMC97522 DOI: 10.1128/iai.68.5.3019-3022.2000] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Merozoite surface protein 1 (MSP-1(19)) is a leading malaria vaccine candidate. Specific antibodies contribute to immunity; binding to macrophages is believed to represent the main action of malaria antibodies. We show that an MSP-1(19)-specific immunoglobulin G3 (IgG3) monoclonal antibody can passively transfer protection to mice deficient in the alpha chain of Fc-gammaRI whose macrophages cannot bind IgG3.
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Affiliation(s)
- P Vukovic
- The Cooperative Research Centre for Vaccine Technology, The Queensland Institute of Medical Research and the Australian Centre for International and Tropical Health and Nutrition, The University of Queensland, Brisbane 4029, Australia
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59
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Fossati-Jimack L, Ioan-Facsinay A, Reininger L, Chicheportiche Y, Watanabe N, Saito T, Hofhuis FMA, Gessner JE, Schiller C, Schmidt RE, Honjo T, Verbeek JS, Izui S. Markedly different pathogenicity of four immunoglobulin G isotype-switch variants of an antierythrocyte autoantibody is based on their capacity to interact in vivo with the low-affinity Fcgamma receptor III. J Exp Med 2000; 191:1293-302. [PMID: 10770797 PMCID: PMC2193130 DOI: 10.1084/jem.191.8.1293] [Citation(s) in RCA: 152] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/1999] [Accepted: 01/28/2000] [Indexed: 12/03/2022] Open
Abstract
Using three different Fcgamma receptor (FcgammaR)-deficient mouse strains, we examined the induction of autoimmune hemolytic anemia by each of the four immunoglobulin (Ig)G isotype-switch variants of a 4C8 IgM antierythrocyte autoantibody and its relation to the contributions of the two FcgammaR, FcgammaRI, and FcgammaRIII, operative in the phagocytosis of opsonized particles. We found that the four IgG isotypes of this antibody displayed striking differences in pathogenicity, which were related to their respective capacity to interact in vivo with the two phagocytic FcgammaRs, defined as follows: IgG2a > IgG2b > IgG3/IgG1 for FcgammaRI, and IgG2a > IgG1 > IgG2b > IgG3 for FcgammaRIII. Accordingly, the IgG2a autoantibody exhibited the highest pathogenicity, approximately 20-100-fold more potent than its IgG1 and IgG2b variants, respectively, while the IgG3 variant, which displays little interaction with these FcgammaRs, was not pathogenic at all. An unexpected critical role of the low-affinity FcgammaRIII was revealed by the use of two different IgG2a anti-red blood cell autoantibodies, which displayed a striking preferential utilization of FcgammaRIII, compared with the high-affinity FcgammaRI. This demonstration of the respective roles in vivo of four different IgG isotypes, and of two phagocytic FcgammaRs, in autoimmune hemolytic anemia highlights the major importance of the regulation of IgG isotype responses in autoantibody-mediated pathology and humoral immunity.
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MESH Headings
- Anemia, Hemolytic, Autoimmune/etiology
- Anemia, Hemolytic, Autoimmune/genetics
- Anemia, Hemolytic, Autoimmune/immunology
- Animals
- Autoantibodies/metabolism
- Base Sequence
- DNA Primers/genetics
- Erythrocytes/immunology
- Genetic Variation
- Immunoglobulin G/genetics
- Immunoglobulin G/metabolism
- Immunoglobulin Isotypes/genetics
- Immunoglobulin Isotypes/metabolism
- Immunoglobulin Switch Region/genetics
- In Vitro Techniques
- Iron/metabolism
- Liver/metabolism
- Liver/pathology
- Mice
- Mice, Inbred BALB C
- Mice, Inbred C57BL
- Mice, Knockout
- Receptors, IgG/metabolism
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Affiliation(s)
| | - Andreea Ioan-Facsinay
- Department of Human and Clinical Genetics, Leiden University Medical Center, 2300 RA Leiden, The Netherlands
| | - Luc Reininger
- Institut National de la Santé et de la Recherche Médicale U 399, F-13385 Marseille, France
| | | | - Norihiko Watanabe
- Department of Molecular Genetics, Chiba University Graduate School of Medicine, Chiba 260, Japan
| | - Takashi Saito
- Department of Molecular Genetics, Chiba University Graduate School of Medicine, Chiba 260, Japan
| | - Frans M. A. Hofhuis
- Department of Immunology, University Hospital Utrecht, 3508 GA Utrecht, The Netherlands
| | - J. Engelbert Gessner
- Department of Clinical Immunology, Hannover Medical School, 30625 Hannover, Germany
| | - Carsten Schiller
- Department of Clinical Immunology, Hannover Medical School, 30625 Hannover, Germany
| | - Reinhold E. Schmidt
- Department of Clinical Immunology, Hannover Medical School, 30625 Hannover, Germany
| | - Tasuku Honjo
- Department of Medical Chemistry, Kyoto University Graduate School of Medicine, Kyoto 606-8501, Japan
| | - J. Sjef Verbeek
- Department of Human and Clinical Genetics, Leiden University Medical Center, 2300 RA Leiden, The Netherlands
| | - Shozo Izui
- Department of Pathology, University of Geneva, 1211 Geneva 4, Switzerland
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60
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Lovchik JA, Wilder JA, Huffnagle GB, Riblet R, Lyons CR, Lipscomb MF. Ig Heavy Chain Complex-Linked Genes Influence the Immune Response in a Murine Cryptococcal Infection. THE JOURNAL OF IMMUNOLOGY 1999. [DOI: 10.4049/jimmunol.163.7.3907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Abstract
A murine pulmonary infection with Cryptococcus neoformans (Cne) has been used to determine mechanisms regulating effective T cell-mediated immunity in the lungs. In BALB/c and C.B-17 mice, following intratracheal deposition of Cne, the fungus initially grows rapidly and is then progressively cleared from the lungs. Cne clearance in C.B-17 mice requires CD4 and CD8 T cells, IFN-γ, and NO. Clearance in congenic BALB/c mice proceeds more slowly than in C.B-17 mice, even though the only genetic difference between these strains is at the Ig H chain-containing region of chromosome 12. Examination of the pulmonary immune response in the two strains revealed that both cleared lung Cne by T cell-dependent mechanisms and generated equivalent levels of NO. Furthermore, both strains recruited equal numbers of macrophages, lymphocytes, and neutrophils to the lungs, although BALB/c mice recruited higher numbers of eosinophils. Notably, leukocytes isolated from BALB/c lungs during infection secreted lower levels of IFN-γ and higher levels of the Th2 cytokines IL-4 and IL-5 as compared with lung leukocytes from C.B-17 mice. Furthermore, serum levels of IgM, IgG1, IgG2a, and IgG3 anti-Cne Abs generated during infection were significantly greater in BALB/c mice than C.B-17 mice. These data suggest that although both BALB/c and C.B-17 mice clear pulmonary cryptococcosis through T cell-mediated mechanisms, Ig H chain-linked genes in BALB/c mice are associated with a decreased effectiveness of the host response, which we suggest might influence the balance in Th1/Th2 T cell subset development or increase anti-Cne Abs, or both.
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Affiliation(s)
| | | | - Gary B. Huffnagle
- ‡Division of Pulmonary Medicine, University of Michigan Medical School, Ann Arbor, MI; and
| | - Roy Riblet
- §Torrey Pines Institute for Molecular Studies, San Diego, CA 92121
| | - C. Richard Lyons
- †Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87131
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61
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Capo C, Iorgulescu I, Mutillod M, Mege JL, Raoult D. Increases in the levels of Coxiella burnetii-specific immunoglobulin G1 and G3 antibodies in acute Q fever and chronic Q fever. CLINICAL AND DIAGNOSTIC LABORATORY IMMUNOLOGY 1998; 5:814-6. [PMID: 9801340 PMCID: PMC96207 DOI: 10.1128/cdli.5.6.814-816.1998] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
A detailed analysis of the humoral response to Coxiella burnetii may provide insight into the pathogenesis of Q fever, a zoonosis caused by C. burnetii. The subclasses of C. burnetii-specific antibodies were determined by immunofluorescence in 20 patients with acute Q fever and 20 patients with chronic Q fever. Although immunoglobulin G1 (IgG1) and IgG3 antibodies were found in acute and chronic Q fever, neither IgG2 nor IgG4 was detected. The detection of IgG1 and IgG3 antibodies was not due to an increase of the IgG1 and IgG3 subclasses. Moreover, IgG1 and IgG3 antibodies were not correlated, suggesting that they may play different roles in Q fever.
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Affiliation(s)
- C Capo
- Unité des Rickettsies, Université de la Méditerranée, CNRS UPRESA 6020, Faculté de Médecine, 13385 Marseille Cedex 05, France
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62
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Hazenbos WLW, Heijnen IAFM, Meyer D, Hofhuis FMA, Renardel de Lavalette C, Schmidt RE, Capel PJA, van de Winkel JGJ, Gessner JE, van den Berg TK, Verbeek JS. Murine IgG1 Complexes Trigger Immune Effector Functions Predominantly via FcγRIII (CD16). THE JOURNAL OF IMMUNOLOGY 1998. [DOI: 10.4049/jimmunol.161.6.3026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Abstract
Previously, we have demonstrated that phagocytosis of IgG1-coated particles by macrophages in vitro is impaired by deletion of FcγRIII in mice, suggesting that IgG1 may interact preferentially with FcγRIII. In the present study, the biologic relevance of this observation was addressed by triggering various effector functions of the immune system in FcγRIII−/− mice, using panels of mAbs of different IgG subclasses. Both binding and phagocytosis of IgG1-coated sheep or human erythrocytes by FcγRIII−/− macrophages in vitro were strongly impaired, indicating that the impaired ingestion of complexed IgG1 by FcγRIII−/−macrophages is due to a defect in binding. An in vivo consequence of the defective phagocytosis was observed by resistance of FcγRIII-deficient mice to experimental autoimmune hemolytic anemia, as shown by a lack of IgG1-mediated erythrophagocytosis in vivo by liver macrophages. Furthermore, trapping of soluble IgG1-containing immune complexes by follicular dendritic cells in mesenteric lymph nodes from FcγRIII−/− mice was abolished. Whole blood from FcγRIII−/− mice was unable to induce lysis of tumor cells in the presence of IgG1 antitumor Abs. Finally, IgG1 mAbs proved unable to mount a passive cutaneous anaphylaxis in FcγRIII−/− mice. Together, these results demonstrate that IgG1 complexes, either in particulate or in soluble form, trigger in vitro and in vivo immune effector functions in mice predominantly via FcγRIII.
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Affiliation(s)
| | | | - Dirk Meyer
- ‡Department of Clinical Immunology, Medical School Hannover, Hannover, Germany; and
| | | | | | - Reinhold E. Schmidt
- ‡Department of Clinical Immunology, Medical School Hannover, Hannover, Germany; and
| | | | - Jan G. J. van de Winkel
- *Department of Immunology and
- †Medarex Europe, University Hospital Utrecht, Utrecht, The Netherlands
| | - J. Engelbert Gessner
- ‡Department of Clinical Immunology, Medical School Hannover, Hannover, Germany; and
| | - Timo K. van den Berg
- §Department of Cell Biology and Immunology, Free University, Amsterdam, The Netherlands
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63
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Rotman HL, Daly TM, Clynes R, Long CA. Fc Receptors Are Not Required for Antibody-Mediated Protection Against Lethal Malaria Challenge in a Mouse Model. THE JOURNAL OF IMMUNOLOGY 1998. [DOI: 10.4049/jimmunol.161.4.1908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Abstract
The mechanisms by which Abs mediate protection during blood-stage malaria infections is controversial, with some evidence pointing to the direct effect of Abs on parasite invasion and growth, while other studies suggest that Abs act in cooperation with monocytes to achieve parasite inhibition. To determine whether the effector phase of protection in vivo to the rodent parasite Plasmodium yoelii yoelii requires Fc receptor bearing cells, we passively transferred immune sera into FcR γ-chain knockout mice. Inflammatory macrophages from these knockout mice were unable to mediate phagocytosis or Ab-dependent cell-mediated cytotoxicity (ADCC) through FcγRI, FcγRII, or FcγRIII. Passive transfer of either P. y. yoelii hyperimmune sera or anti-GST-PYC2 sera directed to the major merozoite surface protein (MSP-1) of this parasite enabled both BALB/cByJ mice and FcR γ-chain-deficient mice to resist lethal P. y. yoelii 17XL (Py17XL) challenge. mAb302, a protective IgG3 Ab, also passively protected both strains of mice. Most of these samples contain Ab isotypes that would not be able to protect mice if their protective effects required Ab-dependent cell-mediated cytotoxicity. These results establish that, in this infection, protection is directly mediated by Abs and does not require the participation of Fc receptors.
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Affiliation(s)
- Harris L. Rotman
- *Department of Microbiology and Immunology, Allegheny University of the Health Sciences, Philadelphia, PA 19129; and
| | - Thomas M. Daly
- *Department of Microbiology and Immunology, Allegheny University of the Health Sciences, Philadelphia, PA 19129; and
| | - Raphael Clynes
- †Laboratory of Molecular Genetics and Immunology, The Rockefeller University, New York, NY 10021
| | - Carole A. Long
- *Department of Microbiology and Immunology, Allegheny University of the Health Sciences, Philadelphia, PA 19129; and
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64
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Vecchiarelli A, Casadevall A. Antibody-mediated effects against Cryptococcus neoformans: evidence for interdependency and collaboration between humoral and cellular immunity. RESEARCH IN IMMUNOLOGY 1998; 149:321-33; discussion 500-3. [PMID: 9720950 DOI: 10.1016/s0923-2494(98)80756-6] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- A Vecchiarelli
- Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Italy
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