Department of Pathology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Department of Pathology, Albert Einstein College of Medicine, Bronx, NY 10461, USA; Department of Medicine, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Microbes Infect. 2018 Oct-Nov;20(9-10):466-476. doi: 10.1016/j.micinf.2017.12.003. Epub 2017 Dec 26.
Tachyzoites of the Apicomplexan Toxoplasma gondii cause acute infection, disseminate widely in their host, and eventually differentiate into a latent encysted form called bradyzoites that are found within tissue cysts. During latent infection, whenever transformation to tachyzoites occurs, any tachyzoites that develop are removed by the immune system. In contrast, cysts containing bradyzoites are sequestered from the immune system. In the absence of an effective immune response released organisms that differentiate into tachyzoites cause acute infection. Tissue cysts, therefore, serve as a reservoir for the reactivation of toxoplasmosis when the host becomes immunocompromised by conditions such as HIV infection, organ transplantation, or due to the impaired immune response that occurs when pathogens are acquired in utero. While tachyzoites and bradyzoites are well defined morphologically, there is no clear consensus on how interconversion occurs or what exact signal(s) mediate this transformation. Advances in research methods have facilitated studies on T. gondii bradyzoites providing important new insights into the biology of latent infection.
刚地弓形虫的速殖子引起急性感染,在宿主中广泛传播,最终分化为潜伏的囊合子形式,称为缓殖子,存在于组织囊肿中。在潜伏感染期间,只要发生向速殖子的转化,免疫系统就会清除任何发育成速殖子的速殖子。相比之下,含有缓殖子的囊肿与免疫系统隔离。在没有有效免疫反应的情况下,分化为速殖子的释放物会导致急性感染。因此,当宿主因 HIV 感染、器官移植或因在子宫内获得病原体时发生的免疫反应受损等情况而免疫功能受损时,组织囊肿成为弓形体病重新激活的储库。虽然速殖子和缓殖子在形态上有明确的定义,但对于转化是如何发生的,或者确切的信号(s)介导这种转化的,目前还没有明确的共识。研究方法的进步促进了对刚地弓形虫缓殖子的研究,为潜伏感染的生物学提供了重要的新见解。