Trypanosomes. Flashcards
Tryp interactions with the immune system.
Evasion of humoral response.
Evasion of innate response.
Modulating the immune system.
Types of tryp
T b gambiense (west, chronic), T b rhodesiense (east, acute), T. cruzi.
Tryps - evading the humoral response.
T. b. –> Antigenic variation.
T. c. –> sequestration and mucin glycoproteins.
Different forms of HAT
- Slender forms establish parasitaemia
* Stumpy forms are important for transmission.
Evasion of humoral response T. cruzi sequestration.
Sequestered inside cells as amastigotes. Released after transformation to bloodstream trypomastigotes.
Evasion of humoral response T cruzi mucin glycoproteins.
Over 800 genes coding for these. They accept sialic acid residues. Variable mucins are expressed in the human host, and invariant ones in the vector.
Tryp undulating parasitaemia.
VSG changes forces host to mount successive waves of VSG-specific antibodies. Periodic control by antibodies, followed by expansion of different VSG expressing parasites undulating parasitaemia.
Tryp evasion of the innate immune system.
Human trypanolytic factors.
Stumpy cells.
Complement
Human trypanolytic factors
Particles
Mechanism
Which are resistant?
Human trypanolytic factors - particles.
Pore forming, associates with HDL3 particles targeting endocytic pathway. There are two trypanolytic particles, apolipoprotein L1 (ApoL1) and haptoglobin-related protein.
Human trypanolytic factors - mechanism.
Uptake of ApoL1 means entry into endocytic pathway and progressive acidification, leading to its dissociation from LDLs. It then forms pores in the lysosome, and eventually leads to parasite death.
Human trypanolytic factors - resistance.
o Gambiense is constitutively resistant to TLF, by unknown mechanism.
o Rhodesiense is inducibly resistant to TLF.
Rhodesiense inducible resistance to TLF.
Has SRA protein that interacts with TLF, preventing its trafficking or neutralizing its activity. SRA protein is an truncated VSG in endocytic pathway of parasites. Key determinant is N-terminal helix.
Human trypanolytic factors - T b brucei.
Causes nagana in cattle, but not in humans due to TLF.
Human trypanolytic factors - stumpy cells
More resistant to antibody dependent complement mediated killing, and are hence prevalent in peak parasitemia.
Complement
Consider T. b. and T. c.
T. b. and complement
Activate complement, but prevent it proceeding beyond C3 convertase association with the parasite surface.
Rapid turnover of VSG –> rapid turnover of antibodies –> little classical activation.
gp63 important in avoiding lysis.
Turnover of antibodies on surface.
Some do recognise VSG –> complement mediated cell killing and act as opsonins. THis is prevented by restriction of accumulation due to endocytosis at flagellar pocket.
T. c. and complement.
Regulatory molecules
Calreticulin
gp63 homologues.
T. c. complement regulatory molecules.
Complement regulatory protein binds components C3b and C4b and so prevent assembly of active convertase.
T.c. calreticulin.
Prevents activation of classical pathway. Binds C1q preventing antibody binding.
Modulating the immune system
T. b: Trypanokines Molecular decoys Supression of T and B cell responses. T.c. Elevate IL-10 Autoimmunity.
T.b. trypanokines.
TLTF interacts with CD8 molecule on surface of IFNy-secreting cells to induce cytokine production. TLTF only important early in infection, as neutralizing antibodies are then made.
T.b. molecular decoys.
Parasite derived molecules divert host response away from those required for parasite elimination.
T.b. suppression of T and B cell responses. CAUSE.
Due to suppressor T cells and suppressor macrophages. Macrophages can be classically activated or alternatively activated, surprisingly. Can lead to general immune suppression. Mostly described but not explained.
Defects in antigen processing reported. Decrease in co-stim presentation.
T.b. suppression of T and B cell responses.
Cause
Effect.
T.b. suppression of T and B cell responses. EFFECT.
o Production of IL-10, IFN-y and TGFB.
o Suppression of lymphocytic proliferation, probably mostly due to suppressive macrophages.
o Polyclonal B cell activation in murine and bovine models.
T. cruzi interactions with the immune system.
o Elevated IL-10.
o Autoimmunity
T. cruzi autoimmunity.
Severe cardiac pathology. Probably due to crossreactivity of antibodies. E.g. many parasite proteins have a high degree of homology with proteins, so can induce autoimmune responses.
RNA editing in tryps.
Structure of mitochondrial genome.
Process.
Result.