Abstract:
Development of an In-vitro Model of the Human Mucosal Immune Response to Cryptosporidium Parvum

Title Development of an In-vitro Model of the Human Mucosal Immune Response to Cryptosporidium Parvum
Recipient

Brett Leav, MD
Assistant Professor of Medicine, Tufts University School of Medicine

Award Date 2004 - Spring

Abstract

Cryptosporidium parvum (Cp) is an enteric, intracellular parasite that causes significant morbidity, particularly among people suffering from AIDS. There is no effective treatment for AIDS-related cryptosporidiosis. It is well established that adaptive cell-mediated immunity is necessary for immunity to Cp. However, even in the absence of adaptive immunity, there appears to be an interferon ???IFN?)-dependent resistance to Cp infection. The mechanism of this immune response as well as the source of this cytokine is unknown. Using a murine model of cryptosporidiosis, we have demonstrated an IFN?-dependent resistance to the parasite 24 hours after infection. We have also shown that intestinal intraepithelial lymphocytes (iIELs) produce IFN? 24 hours after infection with Cp. The iIELs are likely candidates for mediating rapid mucosal immune responses to enteric pathogens by virtue of their location and unique phenotype. The role of iIELs in resistance to Cp infection in humans is not known. In this pilot project, we will develop an in-vitro co-culture model using human iIELs and intestinal epithelial cells in which the function of iIELs can be directly studied. Using samples of human small intestine, we will determine the effect of ex-vivo iIELs on Cp-infected intestinal epithelial cells. We will also determine the phenotype of the iIELs which respond to the Cp-infected epithelial cell. In addition, we will also study the mechanism by which iIELs affect Cp infection in these cells. This model will add to our understanding of human mucosal immune responses to enteric pathogens in conditions characterized by the lack of adaptive immune system.