Visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functions

Immunologically, active visceral leishmaniasis (VL) is characterised by profound immunosuppression, severe systemic inflammatory responses and an impaired capacity to control parasite replication. Neutrophils are highly versatile cells, which play a crucial role in the induction as well as the reso...

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Main Authors: Endalew Yizengaw, Mulusew Getahun, Fitsumbrhan Tajebe, Edward Cruz Cervera, Getnet Mesfin, Emebet Adem, Asrat Hailu, Gert Van der Auwera, Vanessa Yardley, Mulualem Lemma, Ziv Skhedy, Ermias Diro, Arega Yeshanew, Roma Melkamu, Bewketu Mengesha, Manuel Modolell, Markus Munder, Ingrid Muller, Yegnasew Teferi, Pascale Kropf
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-11-01
Series:Frontiers in Immunology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fimmu.2016.00517/full
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author Endalew Yizengaw
Mulusew Getahun
Fitsumbrhan Tajebe
Edward Cruz Cervera
Getnet Mesfin
Emebet Adem
Asrat Hailu
Gert Van der Auwera
Vanessa Yardley
Mulualem Lemma
Ziv Skhedy
Ermias Diro
Arega Yeshanew
Roma Melkamu
Bewketu Mengesha
Manuel Modolell
Markus Munder
Ingrid Muller
Yegnasew Teferi
Pascale Kropf
author_facet Endalew Yizengaw
Mulusew Getahun
Fitsumbrhan Tajebe
Edward Cruz Cervera
Getnet Mesfin
Emebet Adem
Asrat Hailu
Gert Van der Auwera
Vanessa Yardley
Mulualem Lemma
Ziv Skhedy
Ermias Diro
Arega Yeshanew
Roma Melkamu
Bewketu Mengesha
Manuel Modolell
Markus Munder
Ingrid Muller
Yegnasew Teferi
Pascale Kropf
author_sort Endalew Yizengaw
collection DOAJ
description Immunologically, active visceral leishmaniasis (VL) is characterised by profound immunosuppression, severe systemic inflammatory responses and an impaired capacity to control parasite replication. Neutrophils are highly versatile cells, which play a crucial role in the induction as well as the resolution of inflammation, the control of pathogen replication and the regulation of immune responses. Neutrophil functions have been investigated in human cutaneous leishmaniasis, however, their role in human visceral leishmaniasis is poorly understood.In the present study we evaluated the activation status and effector functions of neutrophils in patients with active VL and after successful anti-leishmanial treatment. Our results show that neutrophils are highly activated and have degranulated; high levels of arginase, myeloperoxidase and elastase, all contained in neutrophils’ granules, were found in the plasma of VL patients. In addition, we show that a large proportion of these cells are immature. We also analysed effector functions of neutrophils that are essential for pathogen clearance and show that neutrophils have an impaired capacity to release neutrophil extracellular traps, produce reactive oxygen species and phagocytose bacterial particles, but not Leishmania parasites.Our results suggest that impaired effector functions, increased activation and immaturity of neutrophils play a key role in the pathogenesis of VL.
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spelling doaj.art-0dc483362745420490529fe575be1a0a2022-12-22T03:55:24ZengFrontiers Media S.A.Frontiers in Immunology1664-32242016-11-01710.3389/fimmu.2016.00517230902Visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functionsEndalew Yizengaw0Mulusew Getahun1Fitsumbrhan Tajebe2Edward Cruz Cervera3Getnet Mesfin4Emebet Adem5Asrat Hailu6Gert Van der Auwera7Vanessa Yardley8Mulualem Lemma9Ziv Skhedy10Ermias Diro11Arega Yeshanew12Roma Melkamu13Bewketu Mengesha14Manuel Modolell15Markus Munder16Ingrid Muller17Yegnasew Teferi18Pascale Kropf19University of GondarUniversity of GondarUniversity of GondarImperial College LondonUniversity of GondarUniversity of GondarUniversity of Addis AbabaInstitute of Tropical MedicineLondon School of Hygiene and Tropical MedicineUniversity of GondarUniversity of HasseltUniversity of GondarUniversity of GondarUniversity of GondarUniversity of GondarMax-Planck-Institute for Immunobiology and EpigeneticsUniversity Medical Center MainzImperial College LondonImperial College LondonImperial College LondonImmunologically, active visceral leishmaniasis (VL) is characterised by profound immunosuppression, severe systemic inflammatory responses and an impaired capacity to control parasite replication. Neutrophils are highly versatile cells, which play a crucial role in the induction as well as the resolution of inflammation, the control of pathogen replication and the regulation of immune responses. Neutrophil functions have been investigated in human cutaneous leishmaniasis, however, their role in human visceral leishmaniasis is poorly understood.In the present study we evaluated the activation status and effector functions of neutrophils in patients with active VL and after successful anti-leishmanial treatment. Our results show that neutrophils are highly activated and have degranulated; high levels of arginase, myeloperoxidase and elastase, all contained in neutrophils’ granules, were found in the plasma of VL patients. In addition, we show that a large proportion of these cells are immature. We also analysed effector functions of neutrophils that are essential for pathogen clearance and show that neutrophils have an impaired capacity to release neutrophil extracellular traps, produce reactive oxygen species and phagocytose bacterial particles, but not Leishmania parasites.Our results suggest that impaired effector functions, increased activation and immaturity of neutrophils play a key role in the pathogenesis of VL.http://journal.frontiersin.org/Journal/10.3389/fimmu.2016.00517/fullLeishmaniaNeutrophilsPhagocytosisReactive Oxygen SpeciesVisceral leishmaniasisneutrophil extracellular traps
spellingShingle Endalew Yizengaw
Mulusew Getahun
Fitsumbrhan Tajebe
Edward Cruz Cervera
Getnet Mesfin
Emebet Adem
Asrat Hailu
Gert Van der Auwera
Vanessa Yardley
Mulualem Lemma
Ziv Skhedy
Ermias Diro
Arega Yeshanew
Roma Melkamu
Bewketu Mengesha
Manuel Modolell
Markus Munder
Ingrid Muller
Yegnasew Teferi
Pascale Kropf
Visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functions
Frontiers in Immunology
Leishmania
Neutrophils
Phagocytosis
Reactive Oxygen Species
Visceral leishmaniasis
neutrophil extracellular traps
title Visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functions
title_full Visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functions
title_fullStr Visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functions
title_full_unstemmed Visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functions
title_short Visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functions
title_sort visceral leishmaniasis patients display altered composition and maturity of neutrophils as well as impaired neutrophil effector functions
topic Leishmania
Neutrophils
Phagocytosis
Reactive Oxygen Species
Visceral leishmaniasis
neutrophil extracellular traps
url http://journal.frontiersin.org/Journal/10.3389/fimmu.2016.00517/full
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