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. 2014 Jun 30;5:310. doi: 10.3389/fimmu.2014.00310

Table 1.

Immunoregulatory effects of major known spirochetal lipoproteins.

Spirochetal lipoproteins Endothelial cells Neutrophils Complement Antigen presenting cells: monocytes/macrophages/DCs Lymphocytes
Treponema pallidum: mixture of bacterial lipoproteins of various MW [17 kDA (33), 38 kDA (34), 47 kDA (35)] and related synthetic lipopeptides (22, 30) Activate directly host vascular endothelium which plays important roles in lymphocyte homing and hemostasis (36) NR NR Stimulate macrophage and mDCs function: costimulatory signals (DC-SIGN, CD14) (11, 37, 38) and production of chemokines (CCR5) (39, 40), cytokines such as TNF-a, IL-1 beta, IL-6, and IL-12 (18, 33, 35, 41) through TLRs (42) and mostly TLR2 (43), activated IL-12 p40 promoter (42), NF-KB pathway (37, 38) Up-regulate CCR5 expression on CD4+ T cells (39, 40)
Borrelia burgdorferi: outer-surface protein A (OspA) and B (OspB) and related synthetic lipopeptides (20, 4446) NR OspB inhibits the phagocytosis and oxidative burst of human neutrophils whereas OspA induces the oxidative burst in neutrophils (47) Deactivation of host complement by binding to CFH and FHL-1 (4749) Stimulate macrophage function and production of nitric oxide (42, 50), chemokines (CXCL13) (51), pro-inflammatory (such as TNF-a, IL-1 beta, IL-6, and IL-12) and anti-inflammatory (IL-10) cytokines (18, 35, 41, 44, 5255) through TLRs (28, 42, 44, 45, 56, 57), CD14, and NF-kB activation pathway (37, 38, 44, 45). Also increase chemotaxis of circulating pDCs into skin (11) but do not activate pDCs in vitro and in vivo (58, 59) Induce memory B cell immune responses (60), B cell proliferation and production of cytokines (61) and Th production of cytokines (IFN-γ and IL-6) (62) and chemokines (CXCL13) (51). OspA may bind TLR 2 and 6, activate NFκB and up-regulate costimulatory molecules as well as of MHC class II, leading to stronger T cell activation (6365); Possible molecular mimicry for T helper cells between OspA-1 and LFA-1 (6668). OspA-1 may activate autoreactive T cells against a self-epitope and adaptive immune responses to OspA are implicated in the pathogenesis of antibiotic- refractory Lyme arthritis (68, 69)
Leptospira interrogans LipL32 is the most abundant protein on the outer membrane of Leptospira and is expressed at high levels during infection (2, 7076) LipL32 interacts with endothelial cells contributing to systemic inflammation (7780) NR NR The calcium-binding cluster is crucial for the interaction between LipL32 and TLR2, which then triggers the signaling cascade of inflammatory responses (56, 72, 81) Lipl32 has been used as immunogen for vaccine trials (82, 83)

CFH, complement factor H; FHL-1, factor H-like protein 1; IL, interleukin; kDA, kilodalton; LipL32, 32-kDa lipoprotein of Leptospira; LFA-1, human lymphocyte function associated antigen 1; mDCs, myeloid dendritic cells; MW, molecular weight; NF-kB, NF-kappa B; NR, not reported; OspA, outer-surface protein A; OspB, outer-surface protein B; pDCs, plasmacytoid dendritic cells; TLR, toll-like receptor; Th, T helper; TNF-a, tumor necrosis factor.