Recent studies indicate important roles for CTLA-4 engagement in T cells, a
nd for TGF-beta production in the immunopathogenesis of murine kalaazar or
visceral leishmaniasis, but a functional link between these two pathways in
helping intracellular parasite growth is unknown. Here we report that Ag o
r anti-CD3 activation of splenic CD4(+) T cells from visceral leishmaniasis
leads to intense CTLA-4-mediated TGF-beta 1 production, as assessed either
by CTLA-4 blockade or by direct CTLA-4 cross-linkage. Production of TGF-be
ta 1 accounted for the reciprocal regulation of IFN-gamma production by CTL
A-4 engagement. Following CD4(+) T cell activation, intracellular growth of
Leishmania chagasi in cocultured splenic macrophages required both CTLA-4
function and TGF-beta 1 secretion. Cross-linkage of CTLA-4 markedly increas
ed L, chagasi replication in cocultures of infected macrophages and activat
ed CD4(+) T cells, and parasite growth could be completely blocked with neu
tralizing anti-TGF-beta 1 Ab, Exogenous addition of rTGF-beta 1 restored pa
rasite growth in cultures protected from parasitism by CTLA-4 blockade. The
se results indicate that the negative costimulatory receptor CTLA-4 is crit
ically involved in TGF-beta production and in intracellular parasite replic
ation seen in murine kalaazar.