Over the approximate nine months of its intrauterine existence, the development of the fetus is supported by the human placenta. This transient organ is central to pregnancy success as it facilitates maternal-fetal exchange, immunological tolerance, and hormone production. Villous trophoblasts mediate placental formation by engaging in a continuous turnover process of proliferation, differentiation, fusion, and apoptosis. In doing so, cytotrophoblasts and syncytiotrophoblasts maintain the integrity of the outer placental lining known as the syncytium. Exposure to drugs, however, can compromise placental establishment, which can in turn adversely impact pregnancy and fetal health. Specifically, cannabis is widely used by women of reproductive age and during pregnancy. While maternal cannabis use is linked to poor outcomes such as preterm birth and neurodevelopmental delays in exposed children, the underlying mechanisms are not well-defined. First, we characterized a functionally relevant cell line to model differentiation and fusion. In a comparison of the BeWo and BeWo b30 cell lines, our findings demonstrated that both models similarly undergo fusion. We then explored the implications of exposure to delta-9- tetrahydrocannabinol (∆9-THC) on the immunological roles of villous trophoblasts. We observed that cytotrophoblast differentiation and fusion were associated with localized inflammation due to elevated interleukin-2 (IL-2) and tumour necrosis factor-alpha (TNF-α) but inhibited interleukin-4 (IL-4) and interleukin-10 (IL-10) production. ∆9-THC exposure impaired this T helper 1/2 cytokine balance through decreased IL-2 and TNF-α as well as increased IL-4 and IL-10 levels. Subsequently, we investigated the effects of ∆9-THC in TNF-α- and IL-10-dominant environments, to represent inflammatory and immunomodulatory microenvironments, respectively. Coincident with inflammation, ∆9-THC attenuated trophoblast fusion and the biosynthesis of steroid hormones, progesterone and cortisol, through perturbed cytochrome P450 regulation. This thesis ultimately lays a foundation for understanding how cannabis use during pregnancy may compromise the fusogenic, immune and endocrine functions of villous trophoblasts in the placenta. / Thesis / Master of Science (MSc) / The human placenta is a pregnancy-specific organ that supports the health of the mother- to-be and fetus. Stem cells known as cytotrophoblasts undergo differentiation and fusion to support the establishment of the syncytium, which creates a boundary that separates the maternal and fetal circulations. In the case of cannabis consumption during pregnancy, its biologically active components can travel to the placenta, cross the syncytium, and enter fetal blood. Our primary objective was to determine how cannabis exposure can impact the formation and maintenance of the syncytium. While maternal use has been linked to short- and long-term consequences for child health, existing research lacks a complete understanding of the underlying mechanisms. We demonstrate that cannabis exposure alters the production of important immune and hormonal factors during cytotrophoblast fusion, which may play a role in mediating poor placental development. Ultimately, it is critical to explore the implications of cannabis use for female reproductive health due to a rising trend in its use.

No presente trabalho investigamos a relevância dos mediadores lipídicos (Leucotrienos) gerados pela enzima 5-Lipoxigenase (5-LO) na susceptibilidade ou resistência de camundongos ao Melanoma experimental com células tumorais B16-F0, utilizando como modelo camundongos produtores de leucotrienos (129_WT) e camundongos geneticamente deficientes \"knockout\" de 5-LO (129_5-LO KO). Primeiramente, verificamos que leucócitos peritoneais provenientes de animais WT implantados com melanoma B16-F0, apresentam aumento da expressão do gene para 5-LO (Alox5). Nossos resultados mostram que animais 5-LO KO, deficientes de 5-LO são mais eficientes no controle da progressão do tumor e apresentam significativo aumento na sobrevivência, quando comparados a animais WT, produtores de 5-LO. A nossa análise do perfil imunológico em células esplênicas indicam que a maior eficiência dos camundongos 5-LO KO no controle do crescimento de células tumorais B16-F0 estariam associados à presença numérica aumentada de neutrófilos (Gr-1+), células apresentadoras de antígeno (I-Ab+) majoritariamente CD19+CD80+ e esplenócitos capacitados para produção de altos níveis de citocinas pró-inflamatórias/efetoras como a IL-6, TNF?, IFN-? e baixos níveis de citocinas regulatórias como IL-10, 15 dias pós-implantação do tumor; a rápida geração da resposta imune polarizada para produção elevada de citocinas Th1 (IFN-?), mas não, citocinas Th2 (IL-10) e presença de maiores números de linfócitos T CD4+ e CD8+ efetoras, expressando o fenótipo CD44high ou CD44highCD62Llow. Ainda, verificamos que a deficiência genética da 5-LO ou a inibição da 5-LO pelo MK886 em células LAK, aumenta significativamente sua atividade citotóxica em células do melanoma B16-F0. Nossos resultados em conjunto, indicam que leucotrienos gerados pela enzima 5-LO, modulam negativamente a geração de resposta imune protetora em camundongos para o Melanoma B16-F0. / In the present work we examine the contribution of 5-lipoxigenase-derived lipid mediators during experimental melanoma (B16-F0) in 5-LO gene knockout (KO) mice and wild-type (WT) mice. The 5-LO KO mice presented delayed tumor growth, lesser tumor volume and delayed mortality. The greater resistance of 5-LO KO mice correlated with the following: High splenic Gr-1+ leukocytes counts, High and dominant presence of splenic IAb+CD19+CD80+ antigen-presenting cells counts and capacity of spleen cell to produce high levels of IL-6, TNF-?, IFN-? and lower levels of IL-10 early after tumor cells implantation; rapid T-cell polarization to secret high quantities of Th1 type cytokine IFN-? and low quantities of Th2 type cytokine IL-10; rapid generation and greater numbers of CD4+ and CD8+ activated T cells expressing CD45RB or CD44 markers; and also CD4+ and CD8+ CD44high or CD44highCD62Llow effector T cells. Herein, IL-2 induced splenic LAK cells from 5-LO KO mice, compared with splenic LAK cells from WT mice, were more efficient at killing B16-F0 melanoma cells. The increased B16-F0 melanoma cells killing activity were also found by treatment of splenic LAK cells from WT mice with a 5-LO activity inhibitor, MK886. Our findings suggest that 5-LO deficiency altered antigen-presenting cells profile, IFN-? and IL-10 production during skin cancer disease favoring the generation of protective immune responses and also provide evidence that 5-LO-derived LTs negatively affect the host survival during experimental B16-F0 melanoma.

As relações bidirecionais entre o Sistema Nervoso e o Sistema Imune são relevantes para a manutenção da homeostase do organismo. Estudos realizados em nosso laboratório mostraram que 14 dias de coabitação com um conspecífico doente (injetado com células do tumor de Ehrlich-TAE) produziu mudanças comportamentais, endócrinas e imunológicas. Este estudo analisa os efeitos da convivência com um animal portador de tumor de Ehrlich em camundongos OVA sensibilizados e desafiados sobre a resposta alérgica pulmonar. Pares de camundongos machos foram separados em três grupos: naïve, controle e experimental. Os animais do grupo naïve não foram manipulados sendo utilizados para a avaliação de parâmetros basais. Um animal de cada par dos grupos experimental e controle foi imunizado com OVA. No dia D(0), os animais imunizados receberam uma dose reforço de OVA. No dia D(0) os camundongos do grupo experimental que não foram manipulados foram inoculados com 5x106 células de tumor de Ehrlich; seus companheiros de gaiola moradia foram designados CAD (companheiro do animal doente). Os camundongos não perturbados de cada par do grupo controle foram tratados (i.p.) em D(0) com 0,9% de NaCl, sendo designados CAS (companheiro do animal saudável). O desafio intranasal com OVA foi realizado nos camundongos CAS e CAD nos dias D(12) e D(13); colheram-se o sangue e os tecidos no dia D(14). Em comparação com o grupo CAS, os camundongos do grupo CAD apresentaram 14 dias após a coabitação: (1) aumento do número de eosinófilos e neutrófilos no LBA, (2) diminuição na contagem de células da medula óssea, (3) aumento do níveis de IL-4 e IL-5 e diminuição de IL-10 e INF-ϒ no sobrenadante do LBA, (4) aumento dos níveis de IgG1-OVA, diminuição dos níveis de IgG2a-OVA e nenhuma alteração na IgE-OVA no sangue periférico, (5) aumento na expressão de ICAM-1, VCAM-1 e L-selectina em granulócitos do LBA, (6) diminuição da reatividade da traquéia à metacolina in vitro, (7) aumento da desgranulação de mastócitos, (8) nenhuma alteração nos níveis plasmáticos de corticosterona, (9) aumento dos níveis de adrenalina e noradrenalina plasmáticas, (10) diminuição no tempo de permanência e entradas nos braços abertos do labirinto em cruz elevado, (11) diminuição da expressão de IL-6 no PVN e (12) diminuição da expressão de C-fos no PFC. Estes resultados mostram que a convivência forçada com um animal portador de um tumor ascitico de Ehrlich exacerba a inflamação alérgica pulmonar de camundongos. Eles foram discutidos como decorrentes da estimulação do Sistema Nervoso Autônomo Simpático (SNS) pelo estresse psicológico gerado pela coabitação com o parceiro doente, via liberação de adrenalina e noradrenalina e consequente mudança no perfil de citocinas Th1/Th2 para uma resposta do tipo Th2. Esta alteração seria, provavelmente, um dos mecanismos responsáveis pelo aumento do recrutamento celular para as vias aéreas dos camundongos do grupo CAD. / The bidirectional relationship between the nervous system and the imune system is relevant for homeostatic organism maintenance. Studies from our laboratory showed that 14 days of cohabitation with a sick conspecific (injected with Ehrlich tumor cells-TAE) produced behavioral, endocrinological and immunological changes. This study analyzes the effects of cohabitation with an Ehrlich tumor-bearing animal on ovalbumin (OVA)-induced lung inflammatory response in mice. Pairs of male mice were separate into three groups: naïve, control and experimental. Animals of the naïve group were kept undisturbed being used for assessment of basal parameters. One animal of each experimental and control pair of mice was immunized with OVA. On D(0), these OVA-immunized animals received an OVA booster. At this day (D(0)) the experimental mice that were kept undisturbed were inoculated with 5x106 Ehrlich tumor cells; their immunized cage-mates were then referred as to CSP(companion of sick partner). The undisturbed mice of each control pair were i.p. treated on D(0) with 0.9% NaCl; their sensitized cage-mate were subsequently referred as CHP (companion of health partner). The intranasal OVA challenge was performed on CSP and CHP mice on D(12) and D(13); blood and tissue collection were performed on D (14). Fourteen days after cohabitation, in comparison to the CHP mice, the CSP mice displayed the following: (1) an increased number of eosinophils and neutrophils in the BAL, (2) a decreased bone marrow cell count, (3) increased levels of IL-4 and IL-5 and decreased levels of IL-10 and INF-ϒ in the BAL supernatant, (4) increased levels of IgG1-OVA, decreased levels of IgG2a-OVA and no changes in OVA-specific IgE in the peripheral blood, (5) increased expression of ICAM-1, VCAM-1 and L-selectin in the BAL granulocytes, (6) decreased tracheal reactivity to metacholine measured in vitro , (7) increased mast cell degranulation, (8) no changes in plasma corticosterone levels (9) increased levels of plasmatic adrenaline and noradrenaline, (10) decreased time and % of entries on open arms of elevated plus maze, (11) decreased expression of IL-6 on PVN and (12) decreased expression of C-fos on PFC. These results suggest that cohabitation with an Ehrlich tumor bearing mice exacerbates allergic lung inflammatory response in mice. Most probably, the changes observed in CSP mice are a consequence of the psychological stress induced by forced cohabitation with the sick partner. Strong involvement of the sympathetic nervous system through adrenaline and noradrenaline release and a shift of the Th1/Th2 cytokine profile toward a Th2 response were considered to be the mechanisms underlying the cell recruitment to the animal´s airways.

Die von T-Helfer (Th) -Zellen produzierten Zytokine spielen eine entscheidende Rolle bei der Einleitung, der Aufrechterhaltung und der Regulation von Immunantworten. Bei der Untersuchung von Immunantworten hat sich eine vereinfachte Einteilung der Th-Zellen in zwei Klassen als hilfreich erwiesen: Th1 und Th2. Stabil differenziell exprimierte Oberflächenmoleküle werden benötigt, um lebende Th1- und Th2-Zellen identifizieren, auf Einzelzellebene charakterisieren und möglicherweise die von ihnen erzeugten Immunantworten modulieren zu können. Auf der Suche nach solchen Molekülen wurde in Zusammenarbeit mit der Firma Millennium Pharmaceuticals das Oberflächenmolekül TIM-3 entdeckt. Die Ergebnisse der vorliegenden Arbeit belegen, dass TIM-3 nicht nur von CD4+ Th-Zellen, sondern auch von CD8+ T-Zellen, gamma/delta-T-Zellen, sowie einigen Makrophagen und der Mehrheit der dendritischen Zellen in der Milz von Mäusen auf der Zelloberfläche exprimiert wird. Die Expression von TIM-3 auf Th-Zellen ist klar mit einem aktivierten Phänotyp assoziiert. TIM-3 wird unter polarisierenden Bedingungen in vitro im Vergleich zu Th2-Zellen bevorzugt, jedoch nicht ausschließlich von Th1-Zellen exprimiert. Erstmals wurde auf Einzelzellebene die Zytokinproduktion TIM-3 exprimierender Th-Zellen untersucht. Die Analyse von Th0-Zellen, welche unter nichtpolarisierenden Bedingungen in vitro hergestellt wurden, ergab keine bevorzugte Produktion von Th1-Zytokinen und keine verminderte Expression von Th2-Zytokinen durch TIM-3 exprimierende Th-Zellen. Aufgrund der in dieser Arbeit erhaltenen Ergebnisse erlaubt die Expression von TIM-3 allein daher nicht die Identifizierung von Th1-Zellen. Nach einer Infektion mit Toxoplasma gondii lag jedoch eine bevorzugte Assoziation zwischen der Expression von TIM-3 und der pathogenspezifischen Produktion von Interferon (IFN)-gamma, Interleukin (IL)-2 und Tumor Nekrose Faktor (TNF)-alpha vor. Somit korreliert die TIM-3 Expression auf Th-Zellen nur unter bestimmten Bedingungen mit einem Th1-Phänotyp. / The cytokines that are produced by T helper (Th) cells are decisive for the initiation, the maintenance and the regulation of immune responses. A simplified classification of Th cells has proven to be useful for the analysis of immune responses: Th1 and Th2. Stably and differentially expressed surface molecules are required for the identification of live Th1- and Th2-cells, their characterisation at the single cell level and the possible modulation of the immune responses that they induce. On the search for such molecules the surface molecule TIM-3 was discovered in collaboration with Millennium Pharmaceuticals. The present work shows that TIM-3 protein is not only expressed on the cell surface by CD4+ Th cells but also by CD8+ T cells and gamma/delta T cells as well as by some macrophages and the majority of the dendritic cells in the murine spleen. TIM-3 expression on Th cells is clearly associated with an activated phenotype. Under polarising conditions in vitro TIM-3 is expressed preferentially albeit not exclusively by Th1 cells compared to Th2 cells. For the first time, the cytokine production of TIM-3 expressing Th cells has been analysed at the single cell level. The analysis of Th0 cells, generated under non-polarising conditions in vitro showed no preferential production of Th1-cytokines and no diminished production of Th2-cytokines by TIM-3 expressing Th-cells. The results obtained in this work lead to the conclusion that expression of TIM-3 does not permit the identification of Th1-cells. However upon infection with Toxoplasma gondii a positive association between the expression of TIM-3 and the pathogen-specific production of Interferon (IFN)-gamma, Interleukin (IL)-2 and Tumor Necrosis Factor (TNF)-alpha was observed. Therefore the expression of TIM-3 on Th-cells only correlates under specific conditions with a Th1-phenotype.

CD4+ T-Helferzellen (Th) entwickeln sich zu Th1 und Th2 Zellen, die nach ihrer Funktion und Zytokinexpression eingeteilt werden. Die differentielle Induktion von Th Zellen, die Th1 oder Th2 Zytokine exprimieren, ist der Schlüssel zur Regulation von Immunantworten bei Infektionskrankheiten, Allergien und Autoimmunerkrankungen. Daher können stabil exprimierte Oberflächenmoleküle, die spezifisch für die funktionell unterschiedlichen Th Zellen sind, von besonderer Bedeutung für die Analyse und selektive funktionelle Modulation von Th Subtypen sein und erlauben es neue therapeutische Strategien für die Behandlung von allergischen und Autoimmunerkrankungen zu etablieren. TIM-3 wurde kürzlich identifiziert als ein Molekül, welches selektiv auf der Oberfläche von Th1 Zellen exprimiert wird und welches möglicherweise eine Rolle bei der Induktion von Autoimmunerkrankungen spielt. Um monoklonale Antikörper gegen humanes TIM-3 zu produzieren, wurde die humane TIM-3 cDNA von in vitro generierten dendritischen Zellen kloniert. Der extrazelluläre Teil des Gens wurde in den prokaryotischen Expressionsvektor pQE100S insertiert und in E.coli BL21(DE3) exprimiert. Die gesamte codierende Sequenz wurde in den eukaryotischen Expressionsvektor pIRES2EGFP subkloniert und auf der Oberfläche von Säugetierzellen exprimiert. Stabile Transfektanten der CHO-K1 und HEK293 Zelllinie wurde etabliert. Die Balb/c Mäuse wurden mit löslichem und unlöslichem rekombinanten humanem TIM-3 sowie mit stabilen Transfektanten für humanes TIM-3 immunisiert. Milzzellen dieser Tiere wurden mit der Myelomzelllinie P3 X 63 Ag8.653 fusioniert. Die entwickelten Hybridome wurden im ELISA und mittels FACS auf Spezifität gegen humanes TIM-3 hin untersucht. Ein Klon der generierten Hybridome war positiv im ELISA zeigte jedoch kein Signal gegen TIM-3 auf der Oberfläche von Zellen. / CD4+ T helper (Th) cells develop into effector Th1 and Th2 cells, which are frequently categorized according to their function and cytokine expression. The differential induction of Th cells expressing Th1 or Th2 cytokines is key to the regulation of immune responses by infectious diseases, allergies and autoimmnune diseases. Thus, stably expressed surface molecules, significant for functionally different types of Th cells could be of utmost importance for the analysis and selective functional modulation of Th subsets and provide new therapeutic strategies for the trestment of allergic or autoimmune diseases. TIM-3 was recently identified as a molecule that is selectively expressed on the surface of Th1 cells and that may have a role in the induction of autoimmune disease. To produce monoclonal antibody of human TIM-3, the human TIM-3 cDNA was cloned from in vitro generated dendritic cells. The extracellular domain of human TIM-3 was inserted into prokaryotic expression vector pQE100S and expressed in E.coli BL21(DE3). The whole coding region was subcloned into eukaryotic expression vector pIRES2EGFP and expressed on the surface of mammalian cells. The stable transfectants of CHO-K1 and HEK-293 cell line was established. The BALB/c mice were immunized with soluble and insoluble recombinant human TIM-3 and also with stable transfectants. Splenocytes were fused with P3 X 63 Ag8.653 myeloma cells. The generated hybridomas were tested in ELISA and FACS for specificity against human TIM-3. A generated clone was positive in ELISA but did not respond to the TIM-3 molecule on the cell surface.

As relações bidirecionais entre o Sistema Nervoso e o Sistema Imune são relevantes para a manutenção da homeostase do organismo. Estudos realizados em nosso laboratório mostraram que 14 dias de coabitação com um conspecífico doente (injetado com células do tumor de Ehrlich-TAE) produziu mudanças comportamentais, endócrinas e imunológicas. Este estudo analisa os efeitos da convivência com um animal portador de tumor de Ehrlich em camundongos OVA sensibilizados e desafiados sobre a resposta alérgica pulmonar. Pares de camundongos machos foram separados em três grupos: naïve, controle e experimental. Os animais do grupo naïve não foram manipulados sendo utilizados para a avaliação de parâmetros basais. Um animal de cada par dos grupos experimental e controle foi imunizado com OVA. No dia D(0), os animais imunizados receberam uma dose reforço de OVA. No dia D(0) os camundongos do grupo experimental que não foram manipulados foram inoculados com 5x106 células de tumor de Ehrlich; seus companheiros de gaiola moradia foram designados CAD (companheiro do animal doente). Os camundongos não perturbados de cada par do grupo controle foram tratados (i.p.) em D(0) com 0,9% de NaCl, sendo designados CAS (companheiro do animal saudável). O desafio intranasal com OVA foi realizado nos camundongos CAS e CAD nos dias D(12) e D(13); colheram-se o sangue e os tecidos no dia D(14). Em comparação com o grupo CAS, os camundongos do grupo CAD apresentaram 14 dias após a coabitação: (1) aumento do número de eosinófilos e neutrófilos no LBA, (2) diminuição na contagem de células da medula óssea, (3) aumento do níveis de IL-4 e IL-5 e diminuição de IL-10 e INF-ϒ no sobrenadante do LBA, (4) aumento dos níveis de IgG1-OVA, diminuição dos níveis de IgG2a-OVA e nenhuma alteração na IgE-OVA no sangue periférico, (5) aumento na expressão de ICAM-1, VCAM-1 e L-selectina em granulócitos do LBA, (6) diminuição da reatividade da traquéia à metacolina in vitro, (7) aumento da desgranulação de mastócitos, (8) nenhuma alteração nos níveis plasmáticos de corticosterona, (9) aumento dos níveis de adrenalina e noradrenalina plasmáticas, (10) diminuição no tempo de permanência e entradas nos braços abertos do labirinto em cruz elevado, (11) diminuição da expressão de IL-6 no PVN e (12) diminuição da expressão de C-fos no PFC. Estes resultados mostram que a convivência forçada com um animal portador de um tumor ascitico de Ehrlich exacerba a inflamação alérgica pulmonar de camundongos. Eles foram discutidos como decorrentes da estimulação do Sistema Nervoso Autônomo Simpático (SNS) pelo estresse psicológico gerado pela coabitação com o parceiro doente, via liberação de adrenalina e noradrenalina e consequente mudança no perfil de citocinas Th1/Th2 para uma resposta do tipo Th2. Esta alteração seria, provavelmente, um dos mecanismos responsáveis pelo aumento do recrutamento celular para as vias aéreas dos camundongos do grupo CAD. / The bidirectional relationship between the nervous system and the imune system is relevant for homeostatic organism maintenance. Studies from our laboratory showed that 14 days of cohabitation with a sick conspecific (injected with Ehrlich tumor cells-TAE) produced behavioral, endocrinological and immunological changes. This study analyzes the effects of cohabitation with an Ehrlich tumor-bearing animal on ovalbumin (OVA)-induced lung inflammatory response in mice. Pairs of male mice were separate into three groups: naïve, control and experimental. Animals of the naïve group were kept undisturbed being used for assessment of basal parameters. One animal of each experimental and control pair of mice was immunized with OVA. On D(0), these OVA-immunized animals received an OVA booster. At this day (D(0)) the experimental mice that were kept undisturbed were inoculated with 5x106 Ehrlich tumor cells; their immunized cage-mates were then referred as to CSP(companion of sick partner). The undisturbed mice of each control pair were i.p. treated on D(0) with 0.9% NaCl; their sensitized cage-mate were subsequently referred as CHP (companion of health partner). The intranasal OVA challenge was performed on CSP and CHP mice on D(12) and D(13); blood and tissue collection were performed on D (14). Fourteen days after cohabitation, in comparison to the CHP mice, the CSP mice displayed the following: (1) an increased number of eosinophils and neutrophils in the BAL, (2) a decreased bone marrow cell count, (3) increased levels of IL-4 and IL-5 and decreased levels of IL-10 and INF-ϒ in the BAL supernatant, (4) increased levels of IgG1-OVA, decreased levels of IgG2a-OVA and no changes in OVA-specific IgE in the peripheral blood, (5) increased expression of ICAM-1, VCAM-1 and L-selectin in the BAL granulocytes, (6) decreased tracheal reactivity to metacholine measured in vitro , (7) increased mast cell degranulation, (8) no changes in plasma corticosterone levels (9) increased levels of plasmatic adrenaline and noradrenaline, (10) decreased time and % of entries on open arms of elevated plus maze, (11) decreased expression of IL-6 on PVN and (12) decreased expression of C-fos on PFC. These results suggest that cohabitation with an Ehrlich tumor bearing mice exacerbates allergic lung inflammatory response in mice. Most probably, the changes observed in CSP mice are a consequence of the psychological stress induced by forced cohabitation with the sick partner. Strong involvement of the sympathetic nervous system through adrenaline and noradrenaline release and a shift of the Th1/Th2 cytokine profile toward a Th2 response were considered to be the mechanisms underlying the cell recruitment to the animal´s airways.

No presente trabalho investigamos a relevância dos mediadores lipídicos (Leucotrienos) gerados pela enzima 5-Lipoxigenase (5-LO) na susceptibilidade ou resistência de camundongos ao Melanoma experimental com células tumorais B16-F0, utilizando como modelo camundongos produtores de leucotrienos (129_WT) e camundongos geneticamente deficientes \"knockout\" de 5-LO (129_5-LO KO). Primeiramente, verificamos que leucócitos peritoneais provenientes de animais WT implantados com melanoma B16-F0, apresentam aumento da expressão do gene para 5-LO (Alox5). Nossos resultados mostram que animais 5-LO KO, deficientes de 5-LO são mais eficientes no controle da progressão do tumor e apresentam significativo aumento na sobrevivência, quando comparados a animais WT, produtores de 5-LO. A nossa análise do perfil imunológico em células esplênicas indicam que a maior eficiência dos camundongos 5-LO KO no controle do crescimento de células tumorais B16-F0 estariam associados à presença numérica aumentada de neutrófilos (Gr-1+), células apresentadoras de antígeno (I-Ab+) majoritariamente CD19+CD80+ e esplenócitos capacitados para produção de altos níveis de citocinas pró-inflamatórias/efetoras como a IL-6, TNF?, IFN-? e baixos níveis de citocinas regulatórias como IL-10, 15 dias pós-implantação do tumor; a rápida geração da resposta imune polarizada para produção elevada de citocinas Th1 (IFN-?), mas não, citocinas Th2 (IL-10) e presença de maiores números de linfócitos T CD4+ e CD8+ efetoras, expressando o fenótipo CD44high ou CD44highCD62Llow. Ainda, verificamos que a deficiência genética da 5-LO ou a inibição da 5-LO pelo MK886 em células LAK, aumenta significativamente sua atividade citotóxica em células do melanoma B16-F0. Nossos resultados em conjunto, indicam que leucotrienos gerados pela enzima 5-LO, modulam negativamente a geração de resposta imune protetora em camundongos para o Melanoma B16-F0. / In the present work we examine the contribution of 5-lipoxigenase-derived lipid mediators during experimental melanoma (B16-F0) in 5-LO gene knockout (KO) mice and wild-type (WT) mice. The 5-LO KO mice presented delayed tumor growth, lesser tumor volume and delayed mortality. The greater resistance of 5-LO KO mice correlated with the following: High splenic Gr-1+ leukocytes counts, High and dominant presence of splenic IAb+CD19+CD80+ antigen-presenting cells counts and capacity of spleen cell to produce high levels of IL-6, TNF-?, IFN-? and lower levels of IL-10 early after tumor cells implantation; rapid T-cell polarization to secret high quantities of Th1 type cytokine IFN-? and low quantities of Th2 type cytokine IL-10; rapid generation and greater numbers of CD4+ and CD8+ activated T cells expressing CD45RB or CD44 markers; and also CD4+ and CD8+ CD44high or CD44highCD62Llow effector T cells. Herein, IL-2 induced splenic LAK cells from 5-LO KO mice, compared with splenic LAK cells from WT mice, were more efficient at killing B16-F0 melanoma cells. The increased B16-F0 melanoma cells killing activity were also found by treatment of splenic LAK cells from WT mice with a 5-LO activity inhibitor, MK886. Our findings suggest that 5-LO deficiency altered antigen-presenting cells profile, IFN-? and IL-10 production during skin cancer disease favoring the generation of protective immune responses and also provide evidence that 5-LO-derived LTs negatively affect the host survival during experimental B16-F0 melanoma.

Zielstellung: Ziel dieser kumulativen Dissertationsarbeit war die vergleichende Untersuchung der Wirtsantwort in verschiedenen Mauslinien nach Infektion mit Streptobacillus (S.) moniliformis und Rodentibacter (R.) pneumotropicus mit Anzeigeparametern für die Klinik, die Pathologie und die Immunantwort. Es sollten neue erregerspezifische enzyme-linked immunosorbent assays (ELISA) evaluiert und durch die Bestimmung der Immunglobulin G (IgG)-Subklassen mausstammspezifische Unterschiede in der Immunantwort aufgezeigt werden. Darüber hinaus waren Sentinelsysteme zu bewerten. Material und Methoden: Es wurden BALB/c und C57BL/6-Mäuse intranasal mit S. moniliformis- oder R. pneumotropicus infiziert und mit Kontaktsentinels vergesellschaftet. Zusätzlich wurde benutzte Einstreu der Infektionskäfige auf Käfige mit nichtinfizierten CD1-Mäusen (Einstreu-Sentinels) übertragen. Die Infektionsgruppen wurden über 4 Wochen, die Sentinels mindestens 7 Wochen alle 12 Stunden klinisch untersucht und die Verläufe dokumentiert. Am Ende der Experimente bzw. bei Erreichen spezifischer Abbruchkriterien wurden die Mäuse tierschutzgerecht euthanasiert und definierte Organproben für pathohistologische und bakteriologische Untersuchungen gewonnen. Die Erreger wurden dabei massenspektrometrisch sowie mittels polymerase chain reaction (PCR) differenziert und in Proben des Respirationstraktes quantitativ erfasst. Erregerspezifische Antikörper wurden in tracheonasaler Spülflüssigkeit und im Serum in eigens etablierten ELISA‘s auf Basis von Ganzzellextrakten bestimmt. Weiterhin erfolgte die Messung des Verhältnisses der IgG-Subtypen IgG1 und IgG2 im ELISA. Ergebnisse: Der Infektionsversuch mit S. moniliformis bestätigte mit einer Mortalität von 75% die bekannte hohe Infektionsanfälligkeit der C57BL/6-Mäuse im Gegensatz zu BALB/c, die keine Krankheitsanzeichen entwickelten. Die wichtigsten pathologischen Manifestationen waren eitrig-nekrotisierende Lymphadenitiden und Pneumonien in Verbindung mit der Reisolation des Infektionsstammes. Mithilfe des etablierten ELISA‘s gelang der Nachweis erregerspezifischer IgG-Antikörper im Serum der Tiere beider Linien. Bei den Kontaktsentinels konnte, bis auf eine Ausnahme, weder kulturell, noch serologisch eine Infektion nachgewiesen werden. Gleiches gilt für alle Einstreu-Sentinels. Molekularbiologisch wurde aber Erreger-DNA in den Lungen der Sentinels festgestellt. Die Infektion mit einem R. pneumotropicus Stamm, welcher genotypisch positiv für alle drei bekannten RTX-Toxine dieses Erregers war, führte zu einer unerwartet hohen Morbidität und Mortalität in beiden Mauslinien. In frühzeitig euthanasierten Tieren beider Linien konnten katarrhalisch-eitrige bis nekrotisierende Bronchopneumonien sowie eine Dissemination des Belastungsstammes in zahlreiche innere Organe nachgewiesen werden. In überlebenden Tieren beider Linien wurde eine deutliche Kolonisation respiratorischer Schleimhäute mit dem Belastungsstamm trotz z.T. hoher mukosaler IgA-Spiegel und Serokonversion im Blut nachgewiesen. Überlebende C57BL/6 Mäuse zeigten eine signifikant niedrigere Bakterienlast in inneren Organen als BALB/c Mäuse. In allen Kontaktsentinels, aber nicht in einem einzigen Einstreu-Sentinel, konnte kulturell und indirekt serologisch eine Infektion mit R. pneumotropicus nachgewiesen werden. Die Bestimmung der IgG-Subklassen in den Seren der C57BL/6-Mäuse beider Infektionsstudien ergab eine Verschiebung des Verhältnisses IgG2/IgG1 von unter 0,8 vor zu über 1,6 nach Infektion. Dies weist auf eine T-Helferzell (Th) 1-dominierte Immunantwort hin. BALB/c-Mäuse behielten dagegen ein Verhältnis unter 0,8 auch nach der Infektion bei, sodass auf eine Th2- Antwort zu schließen war. Schlussfolgerungen: Sowohl für S. moniliformis als auch für R. pneumotropicus konnten Tiermodelle mit diversen Anzeigeparametern etabliert werden, welche für Folgestudien zur Pathogenese oder Immunprophylaxe genutzt werden können. Für beide Erreger wurden neue sensitive und spezifische ELISA-Protokolle in die Diagnostik eingeführt. Kontaktsentinels, aber nicht Einstreu-Sentinels, sind gut geeignet, um R. pneumotropicus-Infektionen nachzuweisen. Die beobachtete stammspezifische Klinik, Pathologie und Immunantwort der C57BL/6-Mäuse nach experimenteller S. moniliformis-Infektion sprach für eine pathologische Th1-Immunantwort. Im Gegensatz dazu war im R. pneumotropicus – Infektionsversuch die Th1-Immunantwort der C57BL/6-Mäuse mit einer effektiveren Reduktion des Erregers in inneren Organen assoziiert. Die unerwartet hohe Morbidität und Mortalität im R. pneumotropicus –Infektionsversuch weist auf eine besonders hohe Virulenz des eingesetzten Stammes hin, sodass in dieser Arbeit erstmalig ein septikämischer Verlauf in Wildtyp-Mäusen nach intranasaler R. pneumotropicus-Infektion nachgewiesen werden konnte.:Inhaltsverzeichnis (I) Abkürzungsverzeichnis (III) 1 Einleitung (1) 2 Literatur (3) 2.1 Streptobacillus moniliformis (3) 2.1.1 Allgemeine Charakteristika (3) 2.1.2 Differenzierung von Streptobacillus spp.(4) 2.1.3 Serologische Methoden zum indirekten Nachweis einer Streptobacillus moniliformis - Infektion (5) 2.1.4 Epidemiologie der durch Streptobacillus moniliformis hervorgerufenen Zoonose (6) 2.1.5 Klinik und Pathologie der Streptobacillus moniliformis-Infektion bei Nagetieren (8) 2.1.6 Klinik und Pathologie der Streptobacillus moniliformis-Infektion in Menschen und anderen Nebenwirten (9) 2.1.7 Pathogenese und Virulenzfaktoren (10) 2.1.8 Prävalenz in Nagern (11) 2.1.9 Sanierung Streptobacillus moniliformis infizierter Nagetierbestände und Prävention (12) 2.2 Rodentibacter (R.) pneumotropicus und heylii (Pasteurella (P.) pneumotropica Biotyp Jawetz und Heyl) (14) 2.2.1 Allgemeine Charakteristika (14) 2.2.2 Ursprüngliche Einteilung in Biotypen und Reklassifikation zu Rodentibacter spp. (14) 2.2.3 Differenzierung von Rodentibacter spp. (15) 2.2.4 Serologische Methoden zum indirekten Nachweis einer Rodentibacter- Infektion (15) 2.2.5 Übertragung (15) 2.2.6 Klinik und Pathologien der Rodentibacter-Infektion in Nagern (16) 2.2.7 Pathogenese und Virulenzfaktoren (18) 2.2.8 Prävalenz (19) 2.2.9 Sanierung Rodentibacter pneumotropicus infizierter Nagetierbestände und Prävention (20) 2.3 Mäuse als Versuchstiere (22) 2.3.1 Inzucht-Stämme (22) 2.3.1.1 Merkmale, Verwendung und Historie der BALB/c-Wildtypmäuse (22) 2.3.1.2 Merkmale, Verwendung und Historie der C57BL/6-Wildtypmäuse (23) 2.3.1.3 Unterschiede der Immunreaktionen in C57BL/6- und der BALB/c- Mäusen (23) 2.3.2 Auszucht-Stämme (24) 2.3.2.1 Merkmale, Verwendung und Historie der CD1-Wildtypmäuse (24) 2.4 Gesundheitsmonitoring in Labortierhaltungen (25) 2.4.1 Empfehlungen der Federation of Laboratory Animal Science Associations (FELASA) (25) 2.4.2 Sentinelsysteme für das Gesundheitsmonitoring in Labormausbeständen (26) 3 Publikationen (28) 3.1 Fornefett J, Krause J, Klose K, Fingas F, Hassert R, Eisenberg T, Grunwald T, Müller U, Schrödl W, Baums CG. Comparative analysis of clinics, pathologies and immune responses in BALB/c and C57BL/6J mice infected with Streptobacillus moniliformis. Microbes and Infection. 2018;20(2):101-110 (28) 3.2 Fornefett J, Krause J, Klose K, Fingas F, Hassert R, Benga L, Grunwald T, Müller U, Schrödl W, Baums CG. Comparative analysis of humoral immune responses and pathologies of BALB/c and C57BL/6 wildtype mice experimentally infected with a highly virulent Rodentibacter pneumotropicus (Pasteurella pneumotropica) strain. BMC Microbiology. 2018;18(1):45 (39) 4 Übergreifende Diskussion (51) 5 Zusammenfassung (59) 6 Summary (61) 7 Literaturverzeichnis (63) 7.1 Fachliteratur (63) 7.2 Internet (76) 7.3 Gesetzestexte (78) Anhang (79) i Ergänzende Abbildungen (79) ii Ergänzendes Material zu 3.1 “Comparative analysis of clinics, pathologies and immune responses in BALB/c and C57BL/6J mice infected with Streptobacillus moniliformis” (81) iii Ergänzendes Material zu 3.2 “Comparative analysis of humoral immune responses and pathologies of BALB/c and C57BL/6 wildtype mice experimentally infected with a highly virulent Rodentibacter pneumotropicus (Pasteurella pneumotropica) strain” (83) Liste mit weiteren Veröffentlichungen Danksagung / Objective: Aim of this cumulative doctoral thesis was the comparative analysis of the host response in different mice strains infected with Streptobacillus (S.) moniliformis and Rodentibacter (R.) pneumotropicus with readout parameters for clinics, pathology and immune response. New pathogen specific enzyme linked immunosorbent assay’s (ELISA) were evaluated. Differentiation of immunoglobulin (Ig) G subclasses was conducted to reveal differences in the immune response between the two mice strains. Furthermore, sentinel systems were assessed. Materials and methods: BALB/c and C57BL/6 mice were infected intranasally with S. moniliformis or R. pneumotropicus and housed together with contact sentinels. Soiled bedding from infection cages was transmitted to cages with uninfected CD1 mice (bedding sentinels). Infection groups were observed for 4 weeks, sentinels for at least 7 weeks and the clinical course was documented. At the end of the experiments or when predefined termination criteria were reached, animals were humanely killed. Predefined organ samples were collected for pathohistological and bacteriological screenings. Pathogens were differentiated via mass spectrometry and via polymerase chain reaction (PCR). The specific bacterial load was quantified in samples of the respiratory tract. Pathogen-specific antibodies were detected in tracheonasal lavages and sera using newly established ELISAs based on whole cell extracts. Determination of the ratios of the IgG subtypes (IgG1 to IgG2) was conducted using ELISAs. Results: The S. moniliformis experiment confirmed the known high susceptibility of C57BL/6 mice with a mortality of 75%. This was in contrast to BALB/c, which developed no signs of illness. The major pathologies were purulent-necrotizing inflammations of the lymph nodes and the lung associated with detection of the challenge strain. Specific IgG-antibodies were detected in sera of both mice strains by the newly established ELISAs. In contact and bedding sentinels the infection was not detected by culture or indirectly by serology, except for one contact sentinel. However, pathogen DNA was detectable in the lungs of these animals via PCR. The infection with the R. pneumotropicus strain, which is genotypically positive for all 3 known RTX toxins of this pathogen, leaded to an unexpected high morbidity and mortality in both mice strains. In early losses a catharal-purulent to necrotizing bronchopneumonia as well as dissemination of the challenge strain in various inner organs was recorded. Efficient colonization of the respiratory mucosa through the challenge strain was detected in survivors of both lines despite high mucosal IgA levels and seroconversion in the blood. Surviving C57BL/6 mice showed a significant lower bacterial burden in inner organs than BALB/c. All contact sentinels were culturally and serologically positive for R. pneumotropicus infection in contrast to all bedding sentinels. Differentiation of IgG subclasses in sera of C57BL/6 mice of both experiments revealed a shift of the IgG2/IgG1 ratio from 0.8 prior to infection to 1.6 post infection suggesting a T helper (Th) 1-prone immune response. BALB/c mice remained under 0.8 after infection indicating a Th2-prone immune response. Conclusions: New animal models with various readout parameters were established for both S. moniliformis and R. pneumotropicus. These models can be used in future studies on pathogenesis and immunoprophylaxis. Sensitive und specific ELISA-protocols were established for both pathogens. Contact sentinels but not bedding sentinels are appropriate for detection of R. pneumotropicus-infections. The observed distinct clinic, pathology and immune response of C57BL/6 mice experimentally infected with S. moniliformis indicated on the one hand a pathological Th1 immune response. On the other hand, the Th1 response of C57BL/6 mice to R. pneumotropicus infection was associated with a more efficient clearance of the challenge strain in internal organs. The unprecedented high morbidity and mortality in the R. pneumotropicus experiment indicates high virulence of this strain. Accordingly, this work revealed for the first time septicaemia in wildtype mice after intranasal R. pneumotropicus-infection.:Inhaltsverzeichnis (I) Abkürzungsverzeichnis (III) 1 Einleitung (1) 2 Literatur (3) 2.1 Streptobacillus moniliformis (3) 2.1.1 Allgemeine Charakteristika (3) 2.1.2 Differenzierung von Streptobacillus spp.(4) 2.1.3 Serologische Methoden zum indirekten Nachweis einer Streptobacillus moniliformis - Infektion (5) 2.1.4 Epidemiologie der durch Streptobacillus moniliformis hervorgerufenen Zoonose (6) 2.1.5 Klinik und Pathologie der Streptobacillus moniliformis-Infektion bei Nagetieren (8) 2.1.6 Klinik und Pathologie der Streptobacillus moniliformis-Infektion in Menschen und anderen Nebenwirten (9) 2.1.7 Pathogenese und Virulenzfaktoren (10) 2.1.8 Prävalenz in Nagern (11) 2.1.9 Sanierung Streptobacillus moniliformis infizierter Nagetierbestände und Prävention (12) 2.2 Rodentibacter (R.) pneumotropicus und heylii (Pasteurella (P.) pneumotropica Biotyp Jawetz und Heyl) (14) 2.2.1 Allgemeine Charakteristika (14) 2.2.2 Ursprüngliche Einteilung in Biotypen und Reklassifikation zu Rodentibacter spp. (14) 2.2.3 Differenzierung von Rodentibacter spp. (15) 2.2.4 Serologische Methoden zum indirekten Nachweis einer Rodentibacter- Infektion (15) 2.2.5 Übertragung (15) 2.2.6 Klinik und Pathologien der Rodentibacter-Infektion in Nagern (16) 2.2.7 Pathogenese und Virulenzfaktoren (18) 2.2.8 Prävalenz (19) 2.2.9 Sanierung Rodentibacter pneumotropicus infizierter Nagetierbestände und Prävention (20) 2.3 Mäuse als Versuchstiere (22) 2.3.1 Inzucht-Stämme (22) 2.3.1.1 Merkmale, Verwendung und Historie der BALB/c-Wildtypmäuse (22) 2.3.1.2 Merkmale, Verwendung und Historie der C57BL/6-Wildtypmäuse (23) 2.3.1.3 Unterschiede der Immunreaktionen in C57BL/6- und der BALB/c- Mäusen (23) 2.3.2 Auszucht-Stämme (24) 2.3.2.1 Merkmale, Verwendung und Historie der CD1-Wildtypmäuse (24) 2.4 Gesundheitsmonitoring in Labortierhaltungen (25) 2.4.1 Empfehlungen der Federation of Laboratory Animal Science Associations (FELASA) (25) 2.4.2 Sentinelsysteme für das Gesundheitsmonitoring in Labormausbeständen (26) 3 Publikationen (28) 3.1 Fornefett J, Krause J, Klose K, Fingas F, Hassert R, Eisenberg T, Grunwald T, Müller U, Schrödl W, Baums CG. Comparative analysis of clinics, pathologies and immune responses in BALB/c and C57BL/6J mice infected with Streptobacillus moniliformis. Microbes and Infection. 2018;20(2):101-110 (28) 3.2 Fornefett J, Krause J, Klose K, Fingas F, Hassert R, Benga L, Grunwald T, Müller U, Schrödl W, Baums CG. Comparative analysis of humoral immune responses and pathologies of BALB/c and C57BL/6 wildtype mice experimentally infected with a highly virulent Rodentibacter pneumotropicus (Pasteurella pneumotropica) strain. BMC Microbiology. 2018;18(1):45 (39) 4 Übergreifende Diskussion (51) 5 Zusammenfassung (59) 6 Summary (61) 7 Literaturverzeichnis (63) 7.1 Fachliteratur (63) 7.2 Internet (76) 7.3 Gesetzestexte (78) Anhang (79) i Ergänzende Abbildungen (79) ii Ergänzendes Material zu 3.1 “Comparative analysis of clinics, pathologies and immune responses in BALB/c and C57BL/6J mice infected with Streptobacillus moniliformis” (81) iii Ergänzendes Material zu 3.2 “Comparative analysis of humoral immune responses and pathologies of BALB/c and C57BL/6 wildtype mice experimentally infected with a highly virulent Rodentibacter pneumotropicus (Pasteurella pneumotropica) strain” (83) Liste mit weiteren Veröffentlichungen Danksagung

The socio-economic and geographical distribution of malaria overlaps with that of many parasitic helminths and in these areas co-infections are common. Co-infection with helminths can influence disease outcome causing either exacerbation or amelioration of malaria. Understanding the complex host-parasite interactions that lead to these different disease outcomes is important for the success of control programmes aimed at these parasites. The immune system has evolved diverse types of response (e.g. T-helper 1 (Th1) and T-helper 2 (Th2)) to efficiently combat infection with ‘microparasites’ and helminths respectively. When faced with co-infection however, the need for the host to multitask means it must manage these counter-regulatory responses. In this study a murine model of malaria-hookworm (Plasmodium chabaudi- Nippostrongylus brasiliensis) co-infection was utilised to investigate how changes in T-helper bias affect malaria disease outcome. Antibody isotypes were used as indicators of Th1/Th2 bias and revealed that helminth co-infection reduced the malaria-specific Th1 response. Counter-intuitively this resulted in ‘protection’ from malaria with co-infected mice having reduced peak P. chabaudi parasitaemia and suffering less severe anaemia. In addition to providing a measure of Th1/Th2 bias, analysis of antibody responses revealed the occurrence of cross-reactive antibodies. The potential for these crossreactive antibodies to influence disease outcome was investigated but in this murine model resource-mediated mechanisms of parasite regulation appear to be responsible for the ‘protection’ that co-infection affords. The question of why cross-reactive antibodies are produced has important immunological and ecological implications. Cross-reactive responses may arise through some physiological constraint on the immune mechanisms that usually result in antibody-specificity. However experiments designed to investigate if the specificity of antibodies is constrained by availability of antigen suggest that this is not the case in the model system used here. There is also the possibility that production of cross-reactive antibodies represents an evolutionary optimal strategy for a host faced with unpredictable exposure to a variety of parasites. However a major finding of this study indicates these two taxonomically distinct parasite species share antigens, which in itself is crucial to understanding host-parasite interactions in a co-infection setting. The main findings of this thesis are relevant to co-infection studies in general and the implications for both evolutionary and applied biology are discussed.

Les conséquences immunitaires d'un stress d'origine environnementale sont complexes et encore difficilement prévisibles. Le stress affecte le système immunitaire soit en agissant sur l'immunité innée, en altérant la réactivité inflammatoire, soit en agissant sur l'immunité acquise, en modulant la production de cytokines dites Th1 et Th2. L'environnement social<br />contribue largement au développement et à l'expression de maladies. Dans les espèces sociales, la position sociale occupée dans le groupe module la susceptibilité aux infections mais les supports endocriniens et immunitaires de ces différences de susceptibilité sont ignorés. La remise en cause de l'organisation sociale engendre un stress important dont les conséquences immunitaires sont encore sujettes à controverse.<br />Ce travail de thèse a pour objectifs (1) de décrire l'influence du statut social sur le fonctionnement des systèmes endocrinien et immunitaire, (2) de préciser les effets du stress<br />social sur la production de cytokines et la susceptibilité aux infections et (3) de rechercher des facteurs à l'origine de la variabilité des conséquences immunitaires du stress social.<br />Chez le porcelet, un regroupement après le sevrage élève transitoirement le cortisol salivaire et altère le comportement mais n'affecte pas la réactivité des lymphocytes sanguins.<br />La suite des travaux a utilisé une procédure de défaite sociale chronique chez la souris. Les résultats obtenus mettent en évidence une influence du statut social. En absence de stress, les<br />dominants présentent des niveaux de base de corticostérone et une réponse spécifique à la tuberculine supérieurs aux dominés. Suite à une défaite sociale, les dominants sont plus affectés que les dominés. La défaite sociale augmente la réactivité inflammatoire mais ne modifie pas de façon nette l'équilibre de la production de cytokines de type Th1 et Th2 et n'affecte pas l'immunité spécifique développée contre une infection mycobactérienne. Les conséquences immunitaires de la défaite sociale ne sont observées que lorsque le stress est associé à des combats et à des blessures. Ces travaux montrent que la réponse au stress dépend de l'histoire sociale de l'individu, en particulier de son statut social. De plus, les<br />répercussions immunitaires du stress dépendent aussi de l'histoire immunitaire récente. En effet, une réaction inflammatoire systémique inhibe la libération plasmatique de cytokines<br />inflammatoires en réponse à un stress psychologique ultérieur.