PMID- 17212767 OWN - NLM STAT- MEDLINE DCOM- 20070220 LR - 20131121 IS - 0300-9475 (Print) IS - 0300-9475 (Linking) VI - 65 IP - 1 DP - 2007 Jan TI - Immunomodulatory role of chloroquine and pyrimethamine in Plasmodium yoelii 17XL infected mice. PG - 54-62 AB - Chloroquine (CLQ) and Pyrimethamine (PYR) are used for the treatment of malaria and some autoimmune diseases; although their mechanism of action is only partially understood, their therapeutic effectiveness in the second case has been attributed to their ability to increase apoptosis of T lymphocytes. In view of the potential for immunomodulation during malaria chemotherapy, we investigated the effects of CLQ and PYR treatment on lymphocyte apoptosis and cytokine expression during infection with blood-stage Plasmodium. This work shows that infection of BALB/c mice with Plasmodium yoelii 17XL (Py17XL) reduced apoptosis in spleen cells but when infected mice were treated with CLQ, apoptosis of B and T lymphocytes increased significantly via a Fas-mRNA expression independent mechanism associated with downregulation of Bcl-2 expression, whereas treatment with PYR increased apoptosis to a lesser extent and only in B lymphocytes. CLQ treatment of Py17XL infected mice upregulated tumour necrosis factor-alpha mRNA expression, while PYR treatment increased interferon-gamma mRNA expression. In infected mice, treatment with CLQ downregulated expression of the anti-inflammatory cytokines, interleukin-10 and transforming growth factor-beta (TGF-beta), while PYR treatment upregulated TGF-beta. Thus, in addition to their anti-malarial effects, both drugs modulate the immune response in malaria by increasing apoptosis and modulating the mRNA expression of cytokines involved in parasite elimination and regulation of inflammatory responses. FAU - Ramos-Avila, A AU - Ramos-Avila A AD - Laboratorio de Inmunologia Molecular, Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autonoma de Mexico, Mexico D.F. FAU - Ventura-Gallegos, J L AU - Ventura-Gallegos JL FAU - Zentella-Dehesa, A AU - Zentella-Dehesa A FAU - Machuca-Rodriguez, C AU - Machuca-Rodriguez C FAU - Moreno-Altamirano, M M AU - Moreno-Altamirano MM FAU - Narvaez, V AU - Narvaez V FAU - Legorreta-Herrera, M AU - Legorreta-Herrera M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Scand J Immunol JT - Scandinavian journal of immunology JID - 0323767 RN - 0 (Cytokines) RN - 0 (Immunologic Factors) RN - 0 (RNA, Messenger) RN - 0 (Reactive Oxygen Species) RN - 886U3H6UFF (Chloroquine) RN - Z3614QOX8W (Pyrimethamine) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Chloroquine/*pharmacology MH - Cytokines/genetics MH - Immunologic Factors/*pharmacology MH - Malaria/*drug therapy/immunology/metabolism MH - Mice MH - Mice, Inbred BALB C MH - *Plasmodium yoelii MH - Pyrimethamine/*pharmacology MH - RNA, Messenger/analysis MH - Reactive Oxygen Species/metabolism EDAT- 2007/01/11 09:00 MHDA- 2007/02/21 09:00 CRDT- 2007/01/11 09:00 PHST- 2007/01/11 09:00 [pubmed] PHST- 2007/02/21 09:00 [medline] PHST- 2007/01/11 09:00 [entrez] AID - SJI1869 [pii] AID - 10.1111/j.1365-3083.2006.01869.x [doi] PST - ppublish SO - Scand J Immunol. 2007 Jan;65(1):54-62. doi: 10.1111/j.1365-3083.2006.01869.x.