SUMMARY: The obligate intracellular parasiteLeishmaniamust survive the antimicrobial activities of its host cell, the macrophage, and prevent activation of an effective immune response. In order to do this, it has developed numerous highly successful strategies for manipulating activities, including antigen presentation, nitric oxide and oxygen radical generation, and cytokine production. This is generally the result of interactions betweenLeishmaniacell surface molecules, particularly gp63 and LPG, and less well identified macrophage surface receptors, causing the distortion of specific intracellular signaling cascades. We describe some of the signaling pathways and intermediates that are repressed in infected cells, including JAK/STAT, Ca²⁺-dependent protein kinase C (PKC) isoforms, and mitogen-activated protein kinases (especially ERK1/2), and proteasome-mediated transcription factor degradation. We also discuss protein tyrosine phosphatases (particularly SHP-1), intracellular Ca²⁺, Ca²⁺-independent PKC, ceramide, and the suppressors of cytokine signaling family of repressors, which are all reported to be activated following infection, and the role of parasite-secreted cysteine proteases.

The intraerythrocytic parasite Plasmodium—the causative agent of malaria—produces an inorganic crystal called hemozoin (Hz) during the heme detoxification process, which is released into the circulation during erythrocyte lysis. Hz is rapidly ingested by phagocytes and induces the production of several pro-inflammatory mediators such as interleukin-1β (IL-1β). However, the mechanism regulating Hz recognition and IL-1β maturation has not been identified. Here, we show that Hz induces IL-1β production. Using knockout mice, we showed that Hz-induced IL-1β and inflammation are dependent on NOD-like receptor containing pyrin domain 3 (NLRP3), ASC and caspase-1, but not NLRC4 (NLR containing CARD domain). Furthermore, the absence of NLRP3 or IL-1β augmented survival to malaria caused by P. chabaudi adami DS. Although much has been discovered regarding the NLRP3 inflammasome induction, the mechanism whereby this intracellular multimolecular complex is activated remains unclear. We further demonstrate, using pharmacological and genetic intervention, that the tyrosine kinases Syk and Lyn play a critical role in activation of this inflammasome. These findings not only identify one way by which the immune system is alerted to malarial infection but also are one of the first to suggest a role for tyrosine kinase signaling pathways in regulation of the NLRP3 inflammasome. Malaria is widespread in the tropical and sub-tropical regions of the world, and is responsible for 2–3 million deaths annually. This disease is caused by parasites of the Plasmodium genus. The parasite feeds on the hemoglobin of red blood cells and generates a metabolic waste called hemozoin (Hz). Hz is released into the blood circulation during the rupture of red blood cells, which coincides with the production of many cytokines such as interleukin-1β (IL-1β), responsible in part for the periodic fever that is characteristic of the malaria disease. Here, we investigated how Hz activates macrophages (cells that engulf foreign material) to produce IL-1β. We found that Hz is taken up by macrophages initiating signals such as the tyrosine kinases Syk and Lyn that communicate to intracellular receptors. We also showed that Hz-induced IL-1β production is dependent on activation of the intracellular receptor NLRP3, the adaptor protein ASC and a protease called caspase-1 that cleaves IL-1β, therefore allowing it to be released from the cells. These findings not only identify one way in which the immune system is alerted to malarial infection but also dissect some of the signaling events triggered by Hz in the NLRP3 inflammasome pathway.

Despite several studies describing the secretion of exosomes by Leishmania in vitro, observation of their formation and release in vivo has remained a major challenge. Herein, we show that Leishmania constitutively secretes exosomes within the lumen of the sand fly midgut through a mechanism homologous to the mammalian pathway. Through egestion experiments, we demonstrate that Leishmania exosomes are part of the sand fly inoculum and are co-egested with the parasite during the insect's bite, possibly influencing the host infectious process. Indeed, co-inoculation of mice footpads with L. major plus midgut-isolated or in-vitro-isolated L. major exosomes resulted in a significant increase in footpad swelling. Notably, co-injections produced exacerbated lesions through overinduction of inflammatory cytokines, in particular IL-17a. Our data indicate that Leishmania exosomes are an integral part of the parasite's infectious life cycle, and we propose to add these vesicles to the repertoire of virulence factors associated with vector-transmitted infections.

Several Leishmania surface molecules are known to be important virulence factors. For instance, LPG is recognized as one of the key virulence factor for Leishmania. Interestingly, recent findings permit to believe that the Leishmania GP63 could be also a critical one. GP63 is a metalloprotease found in all Leishmania species under different forms going from membrane-bound to extracellularly secreted ones. Even before parasite entries into the host macrophage, GP63 provides parasite resistance to the complement-mediated lysis and facilitate promastigote engulfment by macrophages. Additionally, it has been found that the degradation of proteins from the macrophage extracellular matrix by GP63 could confer protection to promastigotes, as well as amastigotes, during their initial interaction with the host cell. More recently, GP63 has been observed to rapidly enter within the host macrophage -in part via lipid raft microdomains- and to be pivotal for the subversion of host innate immune response. For instance, it has been found to be responsible for the activation of negative regulatory mechanisms involving activation of protein tyrosine phosphatases (PTPs; SHP-1, PTP1B and TCPTP) that lead to the alteration of several key signalling pathways utilizing JAK and MAP kinases family members, as well as the pivotal IRAK-1 kinase for toll like-dependent signalling. In addition, it has been recently reported that inactivation of some transcription factors such as AP-1 occurs directly in the nuclear environment of the infected cells, and to involve the cleavage and degradation of c-jun and c-fos family members by GP63. Altogether, this signalling inactivation under the mediation of GP63 concurs to inhibit important antimicrobial actions usually under the regulation of the innate immune response, and therefore favouring the survival and propagation of the parasite once into its host intracellular environment.

With more than 12 million people affected worldwide, 2 million new cases occurring per year, and the rapid emergence of drug resistance and treatment failure, leishmaniasis is an infectious disease for which research on drug and vaccine development, host-pathogen, and vector-parasite interactions are current international priorities. Upon Leishmania-macrophage interaction, activation of the protein tyrosine phosphatase (PTP) SHP-1 rapidly leads to the down-regulation of Janus kinase and mitogen-activated protein kinase signaling, resulting in the attenuation of host innate inflammatory responses and of various microbicidal macrophage functions. We report that, in addition to SHP-1, the PTPs PTP1B and TCPTP are activated and posttranslationally modified in infected macrophages, and we identify an essential role for PTP1B in the in vivo progression of Leishmania infection. The mechanism underlying PTP modulation involves the proteolytic activity of the Leishmania surface protease GP63. Access of GP63 to macrophage PTP1B, TCPTP, and SHP-1 is mediated in part by a lipid raft–dependent mechanism, resulting in PTP cleavage and stimulation of phosphatase activity. Collectively, our data present a mechanism of cleavage-dependent activation of macrophage PTPs by an obligate intracellular pathogen and show that internalization of GP63, a key Leishmania virulence factor, into host macrophages is a strategy the parasite uses to interact and survive within its host.