bInfection of cattle with Anaplasma marginale fails to prime sustained effector/memory T-cell responses, and high bacterial load may induce antigen-specific CD4 T exhaustion and deletion. We tested the hypothesis that clearance of persistent infection restores the exhausted T-cell response. We show that infection-induced T-cell exhaustion, characterized as loss of antigen-specific proliferation, and gamma interferon (IFN-␥) and tumor necrosis factor alpha (TNF-␣) production are partially restored in cattle following clearance of persistent infection with tetracycline.
For a little over a decade, it has been appreciated that certain chronic infectious diseases and cancers result in a loss of T-cell function that has been termed T-cell exhaustion (reviewed in references 1-5). T-cell exhaustion is a progressive loss of effector T-cell functions, beginning with production of interleukin 2 (IL-2), followed by tumor necrosis factor alpha (TNF-␣), then gamma interferon (IFN-␥), and eventually leading to T-cell death (2). This has been shown to occur for both CD8 and CD4 T cells (5, 6), but the most widely studied examples show a loss of effector CD8 T-cell function during chronic viral infections characterized by a relatively high antigen load (2,3,4,7,8,9). Furthermore, in a noninfection mouse model where CD4 T cells were exposed to persistent antigen (moth cytochrome c), a dose-and time-dependent persistence of antigen beyond the T-cell expansion phase resulted in a dysfunctional memory response. Following removal of the antigen, the T cells regained proliferative capacity (10).Evasion of innate and adaptive immune responses occurs with many pathogenic bacteria that establish chronic infection (11-13). Anaplasma marginale is a tick-borne intraerythrocytic rickettsial pathogen that causes acute bacteremia and anemia, which resolves into a lifelong persistent infection in the ruminant host (14). One well-described strategy of immune escape shared by pathogenic bacteria is antigenic variation (15). During A. marginale infection, variation in the major surface protein 2 (MSP2) enables the bacteria to escape a variant-specific antibody response (16). However, antigenic variation in MSP2 is not sufficient to explain the inability to clear infection. When cattle were immunized with native MSP2 comprised of a complement of variant MSP2s and infected with bacteria expressing the same major MSP2 variants, there was no protection against infection with bacteria expressing these MSP2 variants (17). This occurred even though immunization with native MSP2 induced CD4 proliferative and IFN-␥-secreting T-cell and IgG responses specific for the major MSP2 variant (18).To further explore the failure of MSP2 to protect against infection in the face of variant-specific immune responses, T-cell responses were monitored throughout the course of infection in the MSP2 vaccinees, and it was discovered that near the peak of bacteremia during acute infection, T-cell responses specific for A. marginale, but not other vaccine antigens, were lost...