4.3 Article

Indoleamine 2,3-dioxygenase activity as a potential biomarker of immune suppression during visceral leishmaniasis

Journal

INNATE IMMUNITY
Volume 19, Issue 6, Pages 564-568

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/1753425912473170

Keywords

Indoleamine 2; 3-dioxygenase; immune reconstitution syndrome; visceral leishmaniasis; Leishmania; HLA-G; immune response

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Leishmania parasites induce an immunomodulation by subverting the host immune response towards a CD4(+) Th2 lymphocytic cell response that favors parasite persistence. Here, we report that after successful treatment of visceral leishmaniasis due to Leishmania infantum, an immune reconstitution syndrome revealing hip septic arthritis was associated with a switch from Th2 towards a Th1 cytokine profile, and a decrease in the level of immunomodulating factors, such as soluble HLA-G and indoleamine 2,3-dioxygenase (IDO) activity. We then measured IDO activity in a cohort of 39 patients and uninfected control subjects. Results showed significantly enhanced IDO activity in patients with visceral Leishmania infection, compared with uninfected control subjects (P<0.001), but also compared with treated patients (P<0.05). A decrease in IDO activity could constitute a relevant biomarker for the restoration of the immune response during visceral leishmaniasis.

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