PMID- 31844885 OWN - NLM STAT- MEDLINE DCOM- 20210401 LR - 20210401 IS - 1537-6613 (Electronic) IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 222 IP - 12 DP - 2020 Nov 13 TI - A Praziquantel Treatment Study of Immune and Transcriptome Profiles in Schistosoma haematobium-Infected Gabonese Schoolchildren. PG - 2103-2113 LID - 10.1093/infdis/jiz641 [doi] AB - BACKGROUND: Although Schistosoma haematobium infection has been reported to be associated with alterations in immune function, in particular immune hyporesponsiveness, there have been only few studies that have used the approach of removing infection by drug treatment to establish this and to understand the underlying molecular mechanisms. METHODS: Schistosoma haematobium-infected schoolchildren were studied before and after praziquantel treatment and compared with uninfected controls. Cellular responses were characterized by cytokine production and flow cytometry, and in a subset of children RNA sequencing (RNA-Seq) transcriptome profiling was performed. RESULTS: Removal of S haematobium infection resulted in increased schistosome-specific cytokine responses that were negatively associated with CD4+CD25+FOXP3+ T-cells and accompanied by increased frequency of effector memory T-cells. Innate responses to Toll like receptor (TLR) ligation decreased with treatment and showed positive association with CD4+CD25+FOXP3+ T-cells. At the transcriptome level, schistosome infection was associated with enrichment in cell adhesion, whereas parasite removal was associated with a more quiescent profile. Further analysis indicated that alteration in cellular energy metabolism was associated with S haematobium infection and that the early growth response genes 2 and 3 (EGR 2 and EGR3), transcription factors that negatively regulate T-cell activation, may play a role in adaptive immune hyporesponsiveness. CONCLUSIONS: Using a longitudinal study design, we found contrasting effects of schistosome infection on innate and adaptive immune responses. Whereas the innate immune system appears more activated, the adaptive immunity is in a hyporesponsive state reflected in alterations in CD4+CD25+FOXP3+ T-cells, cellular metabolism, and transcription factors involved in anergy. CI - (c) The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. FAU - Labuda, Lucja A AU - Labuda LA AD - Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. AD - Centre de Recherches Medicales de Lambarene (CERMEL), Lambarene, Gabon. AD - Institut fur Tropenmedizin, Universitat Tubingen, Tubingen, Germany. FAU - Adegnika, Ayola A AU - Adegnika AA AD - Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. AD - Centre de Recherches Medicales de Lambarene (CERMEL), Lambarene, Gabon. AD - Institut fur Tropenmedizin, Universitat Tubingen, Tubingen, Germany. FAU - Rosa, Bruce A AU - Rosa BA AD - McDonnell Genome Institute, Washington University in St. Louis, St. Louis, Missouri, USA. FAU - Martin, John AU - Martin J AD - McDonnell Genome Institute, Washington University in St. Louis, St. Louis, Missouri, USA. FAU - Ateba-Ngoa, Ulysse AU - Ateba-Ngoa U AD - Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. AD - Centre de Recherches Medicales de Lambarene (CERMEL), Lambarene, Gabon. AD - Institut fur Tropenmedizin, Universitat Tubingen, Tubingen, Germany. FAU - Amoah, Abena Serwaa AU - Amoah AS AD - Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. AD - Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Accra, Ghana. FAU - Lima, Honorine Mbenkep AU - Lima HM AD - Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. AD - Centre de Recherches Medicales de Lambarene (CERMEL), Lambarene, Gabon. AD - Institut fur Tropenmedizin, Universitat Tubingen, Tubingen, Germany. FAU - Meurs, Lynn AU - Meurs L AD - Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium. FAU - Mbow, Moustapha AU - Mbow M AD - Service d'Immunologie du Departement de Pharmacie, FMPO, Universite Cheikh Anta Diop, Fann- Dakar, Senegal. FAU - Manurung, Mikhael D AU - Manurung MD AD - Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Zinsou, Jeannot F AU - Zinsou JF AD - Centre de Recherches Medicales de Lambarene (CERMEL), Lambarene, Gabon. FAU - Smits, Hermelijn H AU - Smits HH AD - Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Kremsner, Peter G AU - Kremsner PG AD - Centre de Recherches Medicales de Lambarene (CERMEL), Lambarene, Gabon. AD - Institut fur Tropenmedizin, Universitat Tubingen, Tubingen, Germany. FAU - Mitreva, Makedonka AU - Mitreva M AD - McDonnell Genome Institute, Washington University in St. Louis, St. Louis, Missouri, USA. AD - Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA. FAU - Yazdanbakhsh, Maria AU - Yazdanbakhsh M AD - Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Anthelmintics) RN - 0 (Cytokines) RN - 6490C9U457 (Praziquantel) SB - IM MH - Adaptive Immunity MH - Animals MH - Anthelmintics/*therapeutic use MH - Child MH - Cytokines/*immunology MH - Female MH - Flow Cytometry MH - Gabon/epidemiology MH - Humans MH - Immunity, Innate MH - Longitudinal Studies MH - Male MH - Praziquantel/*therapeutic use MH - RNA-Seq MH - Schistosomiasis haematobia/drug therapy/*immunology MH - *Transcriptome PMC - PMC7661769 OTO - NOTNLM OT - Schistosoma haematobium OT - CD4+CD25+FOXP3+ T-cells OT - cytokines OT - praziquantel EDAT- 2019/12/18 06:00 MHDA- 2021/04/02 06:00 PMCR- 2019/12/17 CRDT- 2019/12/18 06:00 PHST- 2019/08/01 00:00 [received] PHST- 2019/12/15 00:00 [accepted] PHST- 2019/12/18 06:00 [pubmed] PHST- 2021/04/02 06:00 [medline] PHST- 2019/12/18 06:00 [entrez] PHST- 2019/12/17 00:00 [pmc-release] AID - 5679496 [pii] AID - jiz641 [pii] AID - 10.1093/infdis/jiz641 [doi] PST - ppublish SO - J Infect Dis. 2020 Nov 13;222(12):2103-2113. doi: 10.1093/infdis/jiz641.