Malaria primes the innate immune response due to interferon-γ induced enhancement of toll-like receptor expression and function
Open accessAbstract
Malaria-induced sepsis is associated with an intense proinflammatory cytokinemia for which the underlying mechanisms are poorly understood. It has been demonstrated that experimental infection of humans with Plasmodium falciparum primes Toll-like receptor (TLR)-mediated proinflammatory responses. Nevertheless, the relevance of this phenomenon during natural infection and, more importantly, the mechanisms by which malaria mediates TLR hyperresponsiveness are unclear. Here we show that TLR responses are boosted in febrile patients during natural infection with P. falciparum . Microarray analyses demonstrated that an extraordinary percentage of the up-regulated genes, including genes involving TLR signaling, had sites for IFN-inducible transcription factors. To further define the mechanism involved in malaria-mediated “priming,” we infected mice with Plasmodium chabaudi . The human data were remarkably predictive of what we observed in the rodent malaria model. Malaria-induced priming of TLR responses correlated with increased expression of TLR mRNA in a TLR9-, MyD88-, and IFNγ-dependent manner. Acutely infected WT mice were highly susceptible to LPS-induced lethality while TLR9 −/− , IL12 −/− and to a greater extent, IFNγ −/− mice were protected. Our data provide unprecedented evidence that TLR9 and MyD88 are essential to initiate IL12 and IFNγ responses and favor host hyperresponsiveness to TLR agonists resulting in overproduction of proinflammatory cytokines and the sepsis-like symptoms of acute malaria.
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The phenomenon of enhanced TLR responsiveness was also observed in mice infected with Plasmodium chabaudi in a TLR9/IL-12/IFN-gamma-dependent manner.
“This phenomenon was also observed, in a TLR9/IL-12/IFN-␥-dependent manner, in mice infected with Plasmodium chabaudi (50).”
From Into the Eye of the Cytokine Storm (2012) · cites this paper as [50]
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- Authors
- Franklin, B. S., Parroche, P., Ataíde, M. A., Lauw, F., Ropert, C., de Oliveira, R. B., Pereira, D., Tada, M. S., Nogueira, P., da Silva, L. H. P., Bjorkbacka, H., Golenbock, D. T., & Gazzinelli, R. T.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- Immunopathology Laboratory, René Rachou Institute, Fundaçao Oswaldo Cruz, Avenue Augusto de Lima 1715, MG 30190, Belo Horizonte, Brazil;
- Fiocruz Minas (BR)
- Department of Medicine, Division of Infectious Diseases and Immunology, University of Massachusetts Medical School, 364 Plantation Street, Worcester, MA 01605;
- Centro de Pesquisas em Medicina Tropical de Rondônia, 364, Km 4.5, RO 78900, Porto Velho, Brazil;
- Experimental Cardiovascular Research, Lund University, SE-205 02 Malmö, Sweden; and
- Universidade Federal de Minas Gerais (BR)
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2009-04-07
- Volume
- 106
- Issue
- 14
- Pages
- 5789-5794
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC2657593
- OpenAlex
- W1991773233
- Cited by
- 193
- References
- 44
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 6 · 2021: 7 · 2020: 15 · 2019: 14 · 2018: 12 · 2017: 6 · 2016: 10 · 2015: 8 · 2014: 16 · 2013: 17 · 2012: 27
- FWCI
- 8.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- Arca - Repositório Institucional da Fiocruz (submittedVersion, other-oa)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- National Institute of Allergy and Infectious Diseases (R21AI060737)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Inflammasome and immune disorders
- Keywords
- malaria, Plasmodium falciparum, Plasmodium chabaudi, innate immune priming, TLR9, MyD88, interferon-gamma, IL-12, Toll-like receptor signaling, sepsis, inflammatory cytokines, TLR9 knockout mice, febrile malaria
- MeSH terms
- Animals, Fever, Humans, Immunity, Innate, Inflammation, Interferon-gamma, Malaria, Plasmodium falciparum, Transcription Factors, Up-Regulation, Cytokines, Plasmodium chabaudi, Interleukin-12, Sepsis, Gene Expression Profiling, Toll-Like Receptors, Toll-Like Receptor 9, Mice, Myeloid Differentiation Factor 88
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