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I6~ Nedical Research Society competitivequantitative RT-PCR, we found inmased GR expression in skeletal muscle in men is associated with resistance to insulinmediated glucose uptake. Using 5'-RACE-PCR (Rapid Amplification of cDNA ends) we have shown that one mechanism for tissuespecific differences in GR is effects upon one or more multiple alternate promoters of the GR gene. Further understanding of tissuespecific variations in GR may offer fundamental insights into the pathophysiology of insulin resistance. Variations in HPA axis activity may be a key mechanism to explain the effects of early life events on later cardiovascular disease and offer potential for novel thempatic strakgies to reduce cardiovascular risk. Y13 INTERFERON7 MEDIATED HOST CELL RESISTANCE TO CRYPTOSPORIDIIUMPARWMINFECTION RCG Pollok, MJG Farthing, M Bajaj-Eliott, I Sanderson, V McDonald. Digestive Diseases Research Centre, St Bartholomew's and Royal London School of Medicine, London, UK. Introduction C . p m is a major cause of diarrhoea world-wide. Interferon y (IFN-y) is known to have a key role in the control of Cparvum infection. However the mechanism of action of IFN-y is unclear. We therefore determined the direct action of IFN-y on intestinal epithelial cells (IECs) in mediating inhibition of infection. We examined the role of the IFN-y receptor (FN-yR) and subsequent cellular metabolism in mediating this action. Methods IEC lines HT29, Caco 2 and H4 were grown on coverslips with or without IFN-y and infected with parasites. Infection quantified by both immunofluorescence assay (FA) and Giemsa staining. Parasite attachment to paraformaldhyde-fixed HT29 cells was quantified by IFA. IFN-yR expression was determined by immunoblotting. Cellular signalling was studied using a selective Janus kinase-2 inhibitor tyrophostin B42.The role of tryptophan and Fe2' in mediating the action of IFN-y was evaluated by exogenous supplementation. Results IFN-y inhibited infection in HT29 cells and Cac0-2 cells in a concentration and time dependent fashion (~%0.001)but failed to inhibit infection in H4 cells. This difference was reflected in IFN-yR expression in the cell lines, with no detectable expression in H4 cells. IFN-y inhibited parasite invasion but not attachment (40.4% f 3.4, ~ ~ 0 . 0 0 3 ) . Both B42 and ferrous sulphate dose dependently r e d d the inhibitory action of IFN-y (max inhib. 41.6% f 3.6, 6 . 0 1 ; and 55.Yh f 4.4, 6 . 0 0 1 rapeCtively). Tryptophan supplementationwas ineffective. Discussion We have demonstrated the key role of enterocyte IFN-yR expression and Janus kinase activity in mediating the inhibitory effects of IFN-y. The inhibitory effect was independent of attachment but dependent on both early host invasion events and cellular Fe2'. We speculate that inhibition of invasion and modulation of cellular Fez' are important mechanisms in IFN-y mediated control of C.parvum infection in Vivo. y14 THE ROLE OF SONIC HEDGEHOG SIGNALLING IN EARLY TOOTH DEVELOPMENT MT COBOURNE*, L SARKAR, S NAYLORt, M SMALLEYt, T DALEt AND PT SHARPE Department of Craniofacial Development, Floor 28, GKT Dental Institute, London SEl 9RT thstitute of Cancer Research, 237 Fulham Road, London SW6 6JB Sonic hedgehog (Shh) expression is highly localised to the epithelium at the future sites of tooth development suggesting a role for this signalling peptide in the initiation of tooth formation. Analysis of Shh 4-mutant embryos identified only a rudimentary first branchial arch, with no expression of early gene markers of odontogenesis. To determine the role of Shh signalling in tooth germ initiation we have therefore used explant culhlres of mandibular arch primordia. Here we show that Shh can induce cell proliferation and that proliferation in the developing tooth germ can be inhibited by antibodies blocking Shh signalling. Blocking Shh signalling at E10.5 results in down-regulation of Ptc and Gli-1 expression and arrest of tooth development. Thus, Shh has an essential role in early tooth bud formation by stimulating localised epithelial cell proliferation. During the initiation of mammalian tooth development boundaries that distinguish oral from dental ectoderm must be formed to correctly position the sites of tooth formation. We describe a reciprocal relationship between the expression of Wnt- 76 in presumptive oral ectoderm and Shh in presumptive dental ectoderm in mouse embryos that mark boundaries between these cells with different developmental fates. Using a murine retrovirus to ectopically express Wnr-76 in presumptive dental ectoderm in mandibular arch explants we show that Shh expression in the ectoderm and Prc expression in the underlying ectomesenchymeare down-regulated and that tooth development is subsequently arrested. This suggests that Wnt-7b acts to repress Shh expression in oral ectoderm, thus maintaining the boundaries between oral and dental ectodermal cells. Implantation of beads soaked in Shh protein into Wnt-76 infected explants resulted in a complete rescue of tooth development, confirming that the repressive action of Wnt-7b specifically effects Shh signalling. (Funded by a MRURCS England Clinical Training Fellowship to MTC). Y15 CD4O-Ligation In Vivo Promotes Activation and Migration of Dendritic Cells and Enhances Resistance to Infection with Mycobacretiurn tuberculosis Stephen Jolles., Ricardo Tascon, Gerry Klaus*. AM Ager', M. Jo Colston Divisions of Cellular Immunology* and Mycobactenal Research, The National Institute for Medical Research, The Ridgeway. Mill Hill, London, NW7 1AA Adaptive immune responses begin after antigen bearing dendritic cells (DCs) traffic from peripheral tissues to lymph nodes where they play a key role in the initiation of specific T-cell responses. Ligation of CD40 is known to be an important signal in the activation and migration of Langerhans cells (LC). Furthermore. the importance of CD40 ligation in the generation of protective immune responses against infectious agents (Leishmania major, Trypansomu cruzi) and tumors has been demonstrated in a number of studies. M.tuberculosis has been shown to use a number of evasion strategies avoid an effective immune response including impairment of antigen presentation and downregulation of CD40 ligand. to We investigated whether there is an impairment of Langerhans cell migration in Mtuberculosis infected mice and whether ligation of CD40 using an anti CD40 MAb could overcome any antigen processinglpresentation defect in Mtuberculosis infected mice and result in increased immunity against M.tuberculosis infection. We have demonstrated that CD40 ligation in vivo results in Langerhans cell migration from the epidermis with virtual clearing of LC by day 7 following antLCD40 mAb. Epidermal LC have a more mature phenotype and dendritic cells accumulate in the draining nodes of anti-CD40 treated mice. M.tuberculosis infected mice were treated with either anti-CD40 or control antibody. The colony counts of h4,tuberculosis in the lungs and spleens showed a 10-100 fold reduction in viable M.tuberculosis. This effect is greater than any other immunological therapy to date (including dendritic cell immunotherapy and DNA vaccination) and suggests potential new approaches in multidrug resistant M.tuberculosis and vaccine design.