25Control of chronic CNS infection with the parasite Toxoplasma gondii requires an ongoing T cell 26 response in the brain. Immunosuppressive cytokines are also important for preventing lethal 27 immunopathology during chronic infection. To explore the loss of suppressive cytokine exclusively 28 during the chronic phase of infection we blocked IL-10 receptor (IL-10R). Blockade was associated with 29 widespread changes in the inflammatory response, including increased antigen presenting cell (APC) 30 activation, expansion of CD4+ T cells, and increased neutrophil recruitment to the brain, consistent with 31 previous reports. We then sought to identify regulatory mechanisms contributing to IL-10 production, 32 focusing on ICOS (inducible T cell costimulator), a molecule that promotes IL-10 production in many 33 systems. Unexpectedly, ICOS-ligand (ICOSL) blockade led to a local expansion of effector T cells in the 34 inflamed brain without affecting IL-10 production or APC activation. Instead, we found that ICOSL 35 blockade led to changes in T cells associated with their proliferation and survival. Specifically, we 36 observed increased expression of IL-2 associated signaling molecules, including CD25, STAT5 37 phosphorylation, Ki67, and Bcl-2 in T cells in the brain. Interestingly, increases in CD25 and Bcl-2 were 38 not observed following IL-10R blockade. Also unlike IL-10R blockade, ICOSL blockade led to an 39 expansion of both CD8+ and CD4+ T cells in the brain, with no expansion of peripheral T cell 40 populations or neutrophil recruitment to the brain Overall, these results suggest that IL-10 and ICOS 41 differentially regulate T cell responses in the brain during chronic T. gondii infection. 42 45 themselves. The importance of a balanced immune response is apparent in models of infection, where 46 inflammation is required for pathogen control and survival, yet amplified immune responses observed 47 after depletion of regulatory T cells or immunosuppressive cytokines often leads to exacerbated tissue 48 pathology and increased mortality [3-8]. One such immunosuppressive cytokine, IL-10, has been broadly 49 studied in the context of both tissue homeostasis and during infection, and has been shown to play a key 50 role in suppressing many aspects of an immune response. Production of IL-10 during immune responses 51 to infection has been attributed to a wide variety of cell types, including T cells, dendritic cells, 52 macrophages, NK cells, and B cells [9]. IL-10 also acts on a wide range of cell types, with one of its main 53 roles being the downregulation of MHC and costimulatory molecules in antigen presenting cells (APCs), 54 thereby preventing their full activation capacity and limiting T cell responses [10-12]. IL-10 also has 55 direct effects on T cells, limiting IFNγ and IL-2 production, as well as T cell proliferation in vitro [13, 56 14].
57Infection with the eukaryotic parasite Toxoplasma gondii leads to widespread activation of the 58 immune system and systemic inflammation that is required for h...