1. T cell exhaustion in protozoan disease
- Author
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Rajarshi Bhadra, Magali M. Moretto, Imtiaz A. Khan, and Jason P. Gigley
- Subjects
Protozoan Infections ,biology ,T-Lymphocytes ,T cell ,Toxoplasma gondii ,Disease ,biology.organism_classification ,medicine.disease ,Leishmania ,Virology ,Plasmodium ,Article ,Host-Parasite Interactions ,Infectious Diseases ,Immune system ,medicine.anatomical_structure ,Immunity ,Protozoan infection ,parasitic diseases ,Immunology ,medicine ,Humans ,Parasitology - Abstract
Protozoan parasites cause severe morbidity and mortality in humans worldwide, especially in developing countries where access to chemotherapeutic agents is limited. Although parasites initially evoke a robust immune response, subsequent immunity fails to clear infection, ultimately leading to the chronic stage. This enigmatic situation was initially addressed in chronic viral models, where T cells lose their function, a phenomenon referred to as 'exhaustion'. However, recent studies demonstrate that this paradigm can be extended to protozoan diseases as well, although with notable differences. These studies have revealed that T cell responses generated against Toxoplasma gondii, Plasmodium sp., and Leishmania sp. can become dysfunctional. This review discusses T cell exhaustion in parasitic infection, mechanisms of development, and a possible role in disease outcome.
- Published
- 2012
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