Abstract
The levels of soluble CD4 (sCD4), sCD8 and beta 2-microglobulin (beta 2-M) were measured in sera from patients with visceral leishmaniasis during the course of infection. Levels of sCD4, sCD8 and beta 2-M were raised significantly above levels in normal sera and returned to the normal range after recovery. The decrease in the levels of sCD8 was related to a reduction of anaemia, leukopenia and thrombocytopenia. In contrast, sCD4 levels fluctuated during the period of infection. beta 2-M returned within normal range more rapidly than sCD8 secretion. Our results suggest that T cells are activated during infection, and that it is also possible that the raised levels of these soluble molecules play a role in the impairment of protective immunity.
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- Anabwani G. M., Bryceson A. D. Visceral leishmaniasis in Kenyan children. Indian Pediatr. 1982 Oct;19(10):819–822. [PubMed] [Google Scholar]
- Barral-Netto M., Barral A., Santos S. B., Carvalho E. M., Badaro R., Rocha H., Reed S. G., Johnson W. D., Jr Soluble IL-2 receptor as an agent of serum-mediated suppression in human visceral leishmaniasis. J Immunol. 1991 Jul 1;147(1):281–284. [PubMed] [Google Scholar]
- Carvalho E. M., Badaró R., Reed S. G., Jones T. C., Johnson W. D., Jr Absence of gamma interferon and interleukin 2 production during active visceral leishmaniasis. J Clin Invest. 1985 Dec;76(6):2066–2069. doi: 10.1172/JCI112209. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carvalho E. M., Teixeira R. S., Johnson W. D., Jr Cell-mediated immunity in American visceral leishmaniasis: reversible immunosuppression during acute infection. Infect Immun. 1981 Aug;33(2):498–500. doi: 10.1128/iai.33.2.498-500.1981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cillari E., Liew F. Y., Lo Campo P., Milano S., Mansueto S., Salerno A. Suppression of IL-2 production by cryopreserved peripheral blood mononuclear cells from patients with active visceral leishmaniasis in Sicily. J Immunol. 1988 Apr 15;140(8):2721–2726. [PubMed] [Google Scholar]
- Cillari E., Milano S., Dieli M., Maltese E., Di Rosa S., Mansueto S., Salerno A., Liew F. Y. Reduction in the number of UCHL-1+ cells and IL-2 production in the peripheral blood of patients with visceral leishmaniasis. J Immunol. 1991 Feb 1;146(3):1026–1030. [PubMed] [Google Scholar]
- Emmrich F. Cross-linking of CD4 and CD8 with the T-cell receptor complex: quaternary complex formation and T-cell repertoire selection. Immunol Today. 1988 Oct;9(10):296–300. doi: 10.1016/0167-5699(88)91320-5. [DOI] [PubMed] [Google Scholar]
- Font J., Coca A., Molina R., Ballesta A., Cardellach F., Ingelmo M., Balague A., Balcells A. Serum beta 2-microglobulin as a marker of activity in systemic lupus erythematosus. Scand J Rheumatol. 1986;15(2):201–205. doi: 10.3109/03009748609102089. [DOI] [PubMed] [Google Scholar]
- Fujimoto J., Levy S., Levy R. Spontaneous release of the Leu-2 (T8) molecule from human T cells. J Exp Med. 1983 Sep 1;158(3):752–766. doi: 10.1084/jem.158.3.752. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Furukawa S., Matsubara T., Tsuji K., Motohashi T., Okumura K., Yabuta K. Serum soluble CD4 and CD8 levels in Kawasaki disease. Clin Exp Immunol. 1991 Oct;86(1):134–139. doi: 10.1111/j.1365-2249.1991.tb05785.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Galvão-Castro B., Sá Ferreira J. A., Marzochi K. F., Marzochi M. C., Coutinho S. G., Lambert P. H. Polyclonal B cell activation, circulating immune complexes and autoimmunity in human american visceral leishmaniasis. Clin Exp Immunol. 1984 Apr;56(1):58–66. [PMC free article] [PubMed] [Google Scholar]
- Gay D., Maddon P., Sekaly R., Talle M. A., Godfrey M., Long E., Goldstein G., Chess L., Axel R., Kappler J. Functional interaction between human T-cell protein CD4 and the major histocompatibility complex HLA-DR antigen. Nature. 1987 Aug 13;328(6131):626–629. doi: 10.1038/328626a0. [DOI] [PubMed] [Google Scholar]
- Ho M., Koech D. K., Iha D. W., Bryceson A. D. Immunosuppression in Kenyan visceral leishmaniasis. Clin Exp Immunol. 1983 Feb;51(2):207–214. [PMC free article] [PubMed] [Google Scholar]
- Hurley T. R., Luo K., Sefton B. M. Activators of protein kinase C induce dissociation of CD4, but not CD8, from p56lck. Science. 1989 Jul 28;245(4916):407–409. doi: 10.1126/science.2787934. [DOI] [PubMed] [Google Scholar]
- Mansueto S., Miceli M. D., Quartararo P. Counterimmunoelectrophoresis (CIEP) and ELISA tests in the diagnosis of canine leishmaniasis. Ann Trop Med Parasitol. 1982 Apr;76(2):229–231. doi: 10.1080/00034983.1982.11687532. [DOI] [PubMed] [Google Scholar]
- McElrath M. J., Murray H. W., Cohn Z. A. The dynamics of granuloma formation in experimental visceral leishmaniasis. J Exp Med. 1988 Jun 1;167(6):1927–1937. doi: 10.1084/jem.167.6.1927. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Norment A. M., Salter R. D., Parham P., Engelhard V. H., Littman D. R. Cell-cell adhesion mediated by CD8 and MHC class I molecules. Nature. 1988 Nov 3;336(6194):79–81. doi: 10.1038/336079a0. [DOI] [PubMed] [Google Scholar]
- North M. E., Spickett G. P., Webster A. D., Farrant J. Raised serum levels of CD8, CD25 and beta 2-microglobulin in common variable immunodeficiency. Clin Exp Immunol. 1991 Nov;86(2):252–255. doi: 10.1111/j.1365-2249.1991.tb05805.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reddy M. M., Lange M., Grieco M. H. Elevated soluble CD8 levels in sera of human immunodeficiency virus-infected populations. J Clin Microbiol. 1989 Feb;27(2):257–260. doi: 10.1128/jcm.27.2.257-260.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reddy M. M., Vodian M., Grieco M. H. Elevated levels of CD4 antigen in sera of human immunodeficiency virus-infected populations. J Clin Microbiol. 1990 Aug;28(8):1744–1746. doi: 10.1128/jcm.28.8.1744-1746.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rubin L. A., Nelson D. L. The soluble interleukin-2 receptor: biology, function, and clinical application. Ann Intern Med. 1990 Oct 15;113(8):619–627. doi: 10.7326/0003-4819-113-8-619. [DOI] [PubMed] [Google Scholar]
- Sacks D. L., Lal S. L., Shrivastava S. N., Blackwell J., Neva F. A. An analysis of T cell responsiveness in Indian kala-azar. J Immunol. 1987 Feb 1;138(3):908–913. [PubMed] [Google Scholar]
- Stern J. J., Oca M. J., Rubin B. Y., Anderson S. L., Murray H. W. Role of L3T4+ and LyT-2+ cells in experimental visceral leishmaniasis. J Immunol. 1988 Jun 1;140(11):3971–3977. [PubMed] [Google Scholar]
- Symons J. A., Wood N. C., di Giovine F. S., Duff G. W. Soluble CD8 in patients with rheumatic diseases. Clin Exp Immunol. 1990 Jun;80(3):354–359. doi: 10.1111/j.1365-2249.1990.tb03292.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tomkinson B. E., Brown M. C., Ip S. H., Carrabis S., Sullivan J. L. Soluble CD8 during T cell activation. J Immunol. 1989 Apr 1;142(7):2230–2236. [PubMed] [Google Scholar]
- Vitale G., Reina G., Mansueto S., Malta R., Gambino G., Mocciaro C., D'Agostino R., Dieli M., Cillari E. The significance of serum soluble IL-2 receptor as a marker for active visceral leishmaniasis in Sicilian patients. Clin Exp Immunol. 1992 Nov;90(2):219–222. doi: 10.1111/j.1365-2249.1992.tb07932.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wejstål R., Norkrans G., Weiland O., Schvarcz R., Fuchs D., Wachter H., Fryden A., Glaumann H. Lymphocyte subsets and beta 2-microglobulin expression in chronic hepatitis C/non-A, non-B. Effects of interferon-alpha treatment. Clin Exp Immunol. 1992 Mar;87(3):340–345. doi: 10.1111/j.1365-2249.1992.tb02999.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wyler D. J. Circulating factor from a kala-azar patient suppresses in vitro antileishmanial T cell proliferation. Trans R Soc Trop Med Hyg. 1982;76(3):304–306. doi: 10.1016/0035-9203(82)90174-2. [DOI] [PubMed] [Google Scholar]