Therapeutic blockade of PD-L1 and LAG-3 rapidly clears established blood-stage Plasmodium infection

NS Butler, J Moebius, LL Pewe, B Traore… - Nature …, 2012 - nature.com
NS Butler, J Moebius, LL Pewe, B Traore, OK Doumbo, LT Tygrett, TJ Waldschmidt…
Nature immunology, 2012nature.com
Infection of erythrocytes with Plasmodium species induces clinical malaria. Parasite-specific
CD4+ T cells correlate with lower parasite burdens and severity of human malaria and are
needed to control blood-stage infection in mice. However, the characteristics of CD4+ T cells
that determine protection or parasite persistence remain unknown. Here we show that
infection of humans with Plasmodium falciparum resulted in higher expression of the
inhibitory receptor PD-1 associated with T cell dysfunction. In vivo blockade of the PD-1 …
Abstract
Infection of erythrocytes with Plasmodium species induces clinical malaria. Parasite-specific CD4+ T cells correlate with lower parasite burdens and severity of human malaria and are needed to control blood-stage infection in mice. However, the characteristics of CD4+ T cells that determine protection or parasite persistence remain unknown. Here we show that infection of humans with Plasmodium falciparum resulted in higher expression of the inhibitory receptor PD-1 associated with T cell dysfunction. In vivo blockade of the PD-1 ligand PD-L1 and the inhibitory receptor LAG-3 restored CD4+ T cell function, amplified the number of follicular helper T cells and germinal-center B cells and plasmablasts, enhanced protective antibodies and rapidly cleared blood-stage malaria in mice. Thus, chronic malaria drives specific T cell dysfunction, and proper function can be restored by inhibitory therapies to enhance parasite control.
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