HUMAN V-DELTA-2(-DELTA T-CELL TOLERANCE TO FOREIGN ANTIGENS OF TOXOPLASMA-GONDII() GAMMA)

Little is known about the mechanisms involved in human gamma delta T-c ell tolerance to self or to foreign antigens. Patients with congenital toxoplasmosis offer a unique opportunity to examine V delta 2(+) gamm a delta T-cell tolerance. Analysis of gamma delta T cells in patients with congenital toxoplasmosis revealed evidence for anergy of these ce lls with or without clonal V delta 2(+) gamma delta T-cell expansion i n the acute phase of the Toxoplasma infection. T cells in general were unresponsive and did not proliferate upon exposure to mitogens or to Toxoplasma lysate antigens or in response to live Toxoplasma-infected cells when the congenitally infected infants were 1 month of age, and they exhibited selective anergy to Toxoplasma lysate antigens and live Toxoplasma-infected cells when the infants were aged 5 months. During the chronic phase of congenital toxoplasmosis in the patients who wer e more than 1 year of age, the repertoires of the gamma delta T-cell r eceptors were found to be within normal ranges. In addition, in the ch ronic phase, the gamma delta T cells proliferated and secreted gamma-i nterferon in response to exposure to live Toxoplasma-infected cells. B y contrast, alpha beta T cells remained anergic. V delta 2(+) gamma de lta T cells have been considered to undergo extrathymic maturation and thus to be subject to development of peripheral tolerance. Our findin gs indicate that V delta 2(+) gamma delta T-cell tolerance was lost in these infected infants earlier than alpha beta T-cell tolerance. Thes e findings suggest that gamma delta T cells play a role in protection against Toxoplasma gondii in the chronic phase when congenitally infec ted children are more than 1 year of age, especially in those in whom alpha beta T cells continue to exhibit deficits in specific immune res ponses to Toxoplasma antigens.