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malaria discussion

The ability of the immune system to control the spread of the pathogen, without causing pathology is crucial. For this to occur exquisite control must be exercised including localized inflammation coupled with systemic 'anergy'. Pathology hinges on a delicate balance between appropriate and inappropriate induction of inflammatory mediators.IL-2 receptor signalling is important in maintaining responsiveness.(26 Powel JD)In vivo anergic T cells appear to remain for prolonged periods of time. (51,52) It appears that they persist for at least one month. (61,62)Jenkin's experiment, using adoptive transfer, observed recovery of reactivity with time. However, unresponsiveness was maintained if the antigen was injected at weekly intervals.It has been postulated that T cell anergy, a state of long-lasting, partial or total unresponsiveness is induced by partial activation. It is the inability of T cells to produce or respond to proliferative signals that may be important in reducing the immune mediated damage to the host. By not responding to proliferative signals, anergic T cells do not produce more profinflammatory cytokines and, therefore, there will be no further exacerbation of the known immun


) TGF-b does not directly act on IFN-g but may antagonize its effects downstream eg. In this study we observed that CD4+ T cell anergy is depressed, although still present, in the absence of CD4+CD25+ T cells. If two independent mechanisms were functioning, removing one would still leave the other. (30Papiernik) Although the activation of CD4+CD25+ T cells is antigen specific, once activated, these cells inhibit CD4+ cells in an antigen independent manner. Genetic differences between parasites may be responsible for differing levels of TGF-b induction. The depletion of the suppressor cells was not 100 percent complete and as such the small population that avoided depletion may initially stimulate T cell anergy. TGF-b also directly feeds back to inhibit both IFN-g and TNF-a production while upregulating IL-10. It has previously been shown that susceptible strains of mice infected with P. Diversion of opinions as to the mechanism of suppression still rages, a possible mechanism may be that different subsets of CD4+CD25+ T cells exist that are programmed to inhibit either by a cell-contact-dependent mechanism or by the secretion of different suppressor cytokines. Mice with disrupted TGF-b genes show enhanced expression of adhesion molecules ICAM-1 and VCAM-1 suggesting TGF-b may play a role in downregulating expression of these adhesion molecules and thus reducing the risk of cerebral malaria. berghei infected mice TGF-b levels dropped at approx day 8.

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