During. recent symptomatic toxoplasmosis, alterations in quantity and function of mononuclear cellsin peripheral blood were observed. Flow cytofluorometric analysis and differential leukocyte counts revealed increasedabsolute numbers of T8 + cells, Leu 7 + (natural killer/killer) cells, and monocytes. T4+ cells and HLA-DR+ cells were not significantly changed. T4/T8 cell ratios were reversed in symptomatic toxoplasmosis (0.7 ± 0.3) and normal in chronic infection (1.7 ± 0.5). Toxoplasma antigen induced higher numbers of T8 -+-aridTQl + cells in four T cell lines from two individuals with symptomatic infection than in five T cell lines from three individuals with asymptomatic infection. Eight cloned T cell lines produced y interferon in an antigen-specific fashion and in higher amounts when they originated from an asymptomatic subject than from a symptomatic subject. These results indicate that marked alterations in properties of immunoregulatory cells are characteristic of recent symptomatic toxoplasmosis. The transient immune dysfunction may be a major part of the observed disease and/or a feature of successful parasitism.Infection with the coccidian protozoan Toxoplasma gondii causes no illness in most individuals. In about one of five infected individuals, various degrees of fatigue, malaise, fever, and lymph node enlargement are recorded [1]. These subjects recover without residual signs of disease; this distinguishes them from those with documented immune deficiency, in whom toxoplasmosis is often severe and even fatal [2]. It has also been noted that evidence of cellular immune response to toxoplasma antigens is delayed in appearance in some patients, compared with the kinetics of response to other antigens [1,3,4]. In an effort to understand better immune responses during acute symptomatic infection, we examined total T cell subsets and toxoplasma antigen-induced T cell subsets during toxoplasmosis. Informed consent was obtained from all human subjects studied.This work was supported by grant 3.016.-0.84 from the Swiss National Science Foundation.We thank MartinWesp (Ciba-Geigy, Basel, Switzerland) for help with the Cytofluorograph analyses and Danielle Rieder for technical assistance.Please address requests for reprints to Dr. Ivo Sklenar, Institute for Microbiology and Hygiene, University of Basel, Petersplatz 10, CH-4003 Basel, Switzerland.
Subjects and MethodsSubjects. A total of 22 individuals was studied.T cell surface markers of peripheral blood lymphocytes (PBLs) were studied in 19 individuals with use of monoclonal antibodies and a Cytofluorographs' (Ortho Instruments, West Wood, Mass). According to the history of infection by T. gondii, three groups of subjects were defined. Six Iloninfected individuals (mean ± SD age, 29 ± 11 years) were compared with five chronically infected individuals (mean ± SD age, 33 ± 7 years) and eight patients with recent symptomatic toxoplasmosis (mean ± SD age, 26 ± 6 years).The noninfected individuals were negative for IgG antibody to Toxoplasma by the immunofluore...