PMID- 30266573 OWN - NLM STAT- MEDLINE DCOM- 20181121 LR - 20181121 IS - 1090-2449 (Electronic) IS - 0014-4894 (Linking) VI - 195 DP - 2018 Dec TI - Prophylactic treatment of L-Arg improves malaria outcomes by regulating host immune responses during Plasmodium yoelii 17XL infection. PG - 1-7 LID - S0014-4894(17)30256-4 [pii] LID - 10.1016/j.exppara.2018.09.013 [doi] AB - L-arginine (L-Arg), the precursor of nitric oxide (NO), plays multiple, important roles in nutrient metabolism and immune regulation. Hypoargininemia is one of the distinctive features of malaria patients in endemic areas. To understand the immunoregulatory function of L-Arg in malaria, we investigated the effects of L-Arg, pre- or/and post-treatment, on the cellular/humoral immune response during Plasmodium yoelii 17XL (P.y17XL) infection in DBA/2 mice. Populations of splenic CD4(+)T-bet(+)IFN-gamma(+) T cells (Th1), F4/80(+) macrophages, CD4(+)GATA-3(+)IL-4(+) T cells (Th2), B220(+)CD138(+) plasmacytes and antibody-producing cells (IgG(+)/IgG1(+)-plasma cells) were assessed by flow cytometry. Pro-inflammatory cytokines and antibodies (IgG and IgG1) were quantified by immunoassays. We found that treatment with L-Arg significantly decreased parasitemia and shortened disease duration. Prophylactic treatment with L-Arg promotes an enhanced Th1 cell response during the early stages of P.y17XL infection, and treatment with L-Arg in the course of infection facilitates the later humoral immune response. Our findings suggest that treatment with L-Arg may decrease parasite burden and control the host's susceptibility to parasite synchronously by regulating host immune responses against P.y17XL, producing better outcomes for malaria infection. This implies that the supplementation of L-Arg may be a promising adjunctive therapy to reduce malaria-associated mortality in endemic areas. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Wang, Qiubo AU - Wang Q AD - Department of Immunology, College of Basic Medical Sciences, China Medical University, Shenyang, Liaoning Province, PR China. FAU - Feng, Yonghui AU - Feng Y AD - Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, PR China. FAU - Sun, Xiaodan AU - Sun X AD - Department of Immunology, College of Basic Medical Sciences, China Medical University, Shenyang, Liaoning Province, PR China. FAU - Pang, Wei AU - Pang W AD - Department of Immunology, College of Basic Medical Sciences, China Medical University, Shenyang, Liaoning Province, PR China. FAU - Fu, Weixin AU - Fu W AD - Science Experiment Center of China Medical University, Shenyang, Liaoning Province, PR China. Electronic address: wxfu@cmu.edu.cn. FAU - Cao, Yaming AU - Cao Y AD - Department of Immunology, College of Basic Medical Sciences, China Medical University, Shenyang, Liaoning Province, PR China. Electronic address: ymcao@cmu.edu.cn. LA - eng PT - Journal Article DEP - 20180925 PL - United States TA - Exp Parasitol JT - Experimental parasitology JID - 0370713 RN - 0 (Antibodies, Protozoan) RN - 0 (Immunoglobulin G) RN - 31C4KY9ESH (Nitric Oxide) RN - 82115-62-6 (Interferon-gamma) RN - 94ZLA3W45F (Arginine) SB - IM MH - Animals MH - Antibodies, Protozoan/biosynthesis/immunology MH - Antibody-Producing Cells/drug effects/immunology MH - Arginine/blood/*therapeutic use MH - Flow Cytometry MH - Immunoglobulin G/biosynthesis/blood MH - Interferon-gamma/metabolism MH - Malaria/*drug therapy/immunology/prevention & control MH - Mice MH - Mice, Inbred DBA MH - Nitric Oxide/metabolism MH - Parasitemia/drug therapy/prevention & control MH - Plasmodium yoelii/*immunology MH - Th1 Cells/drug effects/immunology MH - Th2 Cells/cytology/drug effects/immunology OTO - NOTNLM OT - Antibody OT - L-arginine OT - Malaria OT - P.y17XL OT - Th1/Th2 responses EDAT- 2018/09/30 06:00 MHDA- 2018/11/22 06:00 CRDT- 2018/09/30 06:00 PHST- 2017/05/23 00:00 [received] PHST- 2018/02/23 00:00 [revised] PHST- 2018/09/20 00:00 [accepted] PHST- 2018/09/30 06:00 [pubmed] PHST- 2018/11/22 06:00 [medline] PHST- 2018/09/30 06:00 [entrez] AID - S0014-4894(17)30256-4 [pii] AID - 10.1016/j.exppara.2018.09.013 [doi] PST - ppublish SO - Exp Parasitol. 2018 Dec;195:1-7. doi: 10.1016/j.exppara.2018.09.013. Epub 2018 Sep 25.