A paradigm for bacterial disease pathogenesis and the role of Th1
versus Th2 responsiveness has evolved from numerous studies using a
mouse leishmaniasis model.
28 Data using this model,
although not directly applicable to a pseudomonal infection, are
thought provoking, in that they indicated that the cytokines produced
against the parasite during the primary infection controlled
differentiation of CD4
+ T lymphocytes and the
quality of the subsequent immune response.
28 According to
this paradigm, CD4
+ Th1 (type 1) cell-mediated
immunity confers protection against parasitic infection, whereas the
development of a CD4
+ Th2 (type 2) humoral immune
response is associated with disease progression.
28 In
BALB/c mice,
Leishmania major infection causes a progressive
disease that ultimately results in death, with the predominant
expression of IL-4 and relatively little IFN-γ production being
detected. Parasitic infection in other strains of mice such as B10.D2,
C3H, C57BL/6, C57BL/10, and 129 produces self-healing lesions
associated with a strong Th1-cell–mediated immune response with
production of high levels of IFN-γ and other inflammatory
cytokines.
3 In contrast, in the ocular model of infection
used in a previous study
2 and in the work reported herein
using the extracellular pathogen,
P. aeruginosa, a Th1-type
of inflammatory response eventually may contribute to a decrease in the
number of viable bacteria in the cornea, but the price the susceptible
host pays is dissolution of the corneal stroma and blindness. The
corneas of Th2 responder mice such as the BALB/c had not been tested
before for T-cell subset infiltration into the cornea. Therefore,
immunostaining was used to spatially and temporally test for the
presence of CD4
+ and CD8
+ T
cells in the corneas of BALB/c mice, as had been done previously in B6
mice.
2 Because B6 mice have been described genetically as
Th1 “driven” and BALB/c mice as Th2 “driven” to many
antigens,
6 determining if CD4
+ or
CD8
+ T cells were present in BALB/c corneas was
done as a logical first step before testing for specific type 1 or type
2 cytokine profiles in the cornea. B10.D2 and BL10 corneas were used
for immunostaining, and as reported before,
2 for B6 mice,
CD4
+ and CD8
+ T cells were
first detected in the corneas of both (B10.D2 data shown) these Th1
responder strains of mice at 3 days p.i.; by 5 and 7 days p.i.
immunopositively stained cells were increased and activated, based on
positive staining for IL-2R. In another murine model of disease induced
by infection with
Toxoplasma gondii, 29 the
presence of CD4
+ T cells in B6 mice also has been
demonstrated at early times after infection and has been shown to
predispose these mice to rapid ileal necrosis and death within 7 days
p.i. Quite surprisingly, the corneas of BALB/c or BALB/cBy mice did not
express positive immunostaining for either CD4 or CD8 T-cell surface
markers after infection, despite several repetitions of this experiment
using a sensitive immunostaining technique. In combination, the
immunostaining and the DTH data strongly suggest that resistant BALB/c
(Th2 responder) mice lack a CD4
+ Th1-type of
T-cell response to ocular
P. aeruginosa challenge. Although
the mechanism of resistance in Th2 responder mice is not yet fully
understood, the data presented herein are provocative and warrant
further testing of the hypothesis that Th2-responsive mice, when
compared with Th1 responder strains, regulate the inflammatory cellular
infiltrate more efficiently. Specifically, resistance may be achieved
by the ability of Th2 responder mice to downregulate the inflammatory
response, resulting in less stromal damage and destruction of the
corneal stroma.