Neglected parasitic diseases, which overlap with known diseases of poverty,cost over 30 million disability-adjusted life years (DALY) and are a massive
economic burden for developing countries (Hotez et al., 2014). Toxoplasma gondii
is the causative agent of toxoplasmosis, termed a "neglected parasitic diseases"
and is a major source of foodborne mortality according to the Center for Disease
Control and Prevention (CDC). T. gondii is a globally distributed parasite that
infects 30% of the entire human population and no protective vaccine exists for
this pathogen. T. gondii has a wide range of virulence; from non-virulent strains
endemic to western Europe and North America to highly virulent and genetically
diverse strains in South America which are known to evade immunological memory.
The overarching goal of my thesis is to find host immunological mechanisms
responsible for immunity to virulent T. gondii strains.
First, attempts were made to reverse T cell exhaustion that we demonstrated
occurs in chronically infected mice given a virulent secondary challenge, but a
variety of checkpoint blockade therapies failed to provide immunity to challenge,
suggesting alternative immunological mechanisms are required for immunity to
secondary infection. We then used an unbiased forward genetic screen to test for
survival against virulent secondary infections, and discovered 4 genomic loci associated
with immunity. The immunity locus on chromosome 7 encompassed the gene
Nfkbid which encodes the protein IkBNS, an atypical regulator of NF-kB signaling
required for B-1 cell development. We found that mice without Nfkbid (bumble)
could survive primary infection with a low virulent strain, but were susceptible to
secondary infections with virulent strains. T. gondii-specific T cell responses for
both CD4s and CD8s were intact in bumble mice. However, antibody responses to
T. gondii were found to be deficient in bumble mice, specifically parasite-specific
IgM was completely abrogated and all parasite-specific IgG isotypes were reduced.
Using a series of adoptive transfer and mouse chimera strategies, we were able
to make two major observations: (1) B-2 cells are responsible for the majority of
high avidity T. gondii-specific antibody response and (2) B-1 cells are required for full immunity to T. gondii infection. In addition, humoral responses were found
to be largely enhanced in resistant mice, with greater activation and class-switch
recombination found in both the B-1 and B-2 B cell compartments. Finally, we
present further evidence that the GPI-anchor of T. gondii may be a favored moiety
by antibodies to recognize T. gondii parasite antigen. Together, our data suggests
that, in addition to T cells, the anti-T. gondii immune response must be "layered"
by both B-1 and B-2 B cells, to generate protective immunity and that Nfkbid is
central to the immunological memory responses against T. gondii.