SlideShare a Scribd company logo
7/8/14
IMS BHU (PhD work)
ICGEB
JHMI/URMC
NY BLOOD CENTER
Platelets are Immunological Cells
that influence the T Cells
Kalyan Srivastava, PhD
Falciparum malaria is a
major cause of lethality
Cerebral Malaria (CM) Overview
CM is a severe complication of P. falciparum infection
Endemic in sub-Saharan Africa, Indian subcontinent and South
America
More than a million people die from falciparum infection each year
Majority death is among children less than five
More than 20% of malaria death is due to the CM
impaired consciousness, convulsions and neurological
abnormalities, ataxia and coma
Diagnosis done by retinopathy
Increased serum ET-1, ICAM-1, TNFalpha in pateint
Platelets Play Cruicial Role in Malaria InfectionSevere malaria is
associated with thrombocytopeniaReduced platelet count often first
sign before clinical symptoms
Platelets have been implicated to have central role in cerebral
malaria
Other in part platelet derived molecules such as TGFbeta, PAF, P-
Sel has been reported to high in malaria infection
CXCR3, CCR5 and CCR1in cerrebral malaria
7/8/14
PF4 or CXCL4
PF4 are platelet specific chemokine produced from
Platelet and T Cell to some extent
Implicated in HIT
First ever discovered CXC chemokine
Implicated in viral infection and stroke
Found in alpha granule of platelets
One known receptor is CXCR3
7/8/14
Platelets are activated by iRBC via CD36 on platelets
• Activated platelet result into the pathogenesis of ECM
PF4 Drives the
Development of ECM
PF4 Promotes
Immune
Stimulation and T
Cell Trafficking in
ECM
• Monocytes and platelets both play critical roles in
atherogenesis.
• In later work have shown that PF4, activates monocytes
and results in progression of diseases such as Cerebral
Malaria (CM).
• PF4 mediated KLF4 expression and activation leads to
the Mono/Mac activation
Summary
Platelets have machinery for
antigen presentation
Platelets process the antigen to present it to T Cell
7/8/14
Platelets exposed to antigen
are protective in CM
7/8/14
7/8/14
7/8/14
7/8/14
7/8/14
7/8/14
7/8/14
• CM is a consequence of blood brain
barrier break down
• Plts play imp role
• PF4 plays imp role
• IFNbeta is protective in MS
• Plts participate in Ag presentation
• Plts participate in acute phase response
• Plts participate in transplant rejection
• … all of it via T Cell response.
IFNbeta suppresses ECM
associated inflammation
IFNbeta reduces Tcell
trafficking studied using
flow
IFNbeta is protective in CM
7/8/14
PF4 Stimulates KLF4 Activity
Monocytes are Important in the
Development of ECM
PF4 Mediates KLF4 Expression in ECM
7/8/14
IL-6 was measured by ELISA

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T cell work

  • 1. 7/8/14 IMS BHU (PhD work) ICGEB JHMI/URMC NY BLOOD CENTER Platelets are Immunological Cells that influence the T Cells Kalyan Srivastava, PhD
  • 2. Falciparum malaria is a major cause of lethality
  • 3. Cerebral Malaria (CM) Overview CM is a severe complication of P. falciparum infection Endemic in sub-Saharan Africa, Indian subcontinent and South America More than a million people die from falciparum infection each year Majority death is among children less than five More than 20% of malaria death is due to the CM impaired consciousness, convulsions and neurological abnormalities, ataxia and coma Diagnosis done by retinopathy Increased serum ET-1, ICAM-1, TNFalpha in pateint Platelets Play Cruicial Role in Malaria InfectionSevere malaria is associated with thrombocytopeniaReduced platelet count often first sign before clinical symptoms Platelets have been implicated to have central role in cerebral malaria Other in part platelet derived molecules such as TGFbeta, PAF, P- Sel has been reported to high in malaria infection CXCR3, CCR5 and CCR1in cerrebral malaria
  • 4. 7/8/14 PF4 or CXCL4 PF4 are platelet specific chemokine produced from Platelet and T Cell to some extent Implicated in HIT First ever discovered CXC chemokine Implicated in viral infection and stroke Found in alpha granule of platelets One known receptor is CXCR3
  • 6. Platelets are activated by iRBC via CD36 on platelets
  • 7. • Activated platelet result into the pathogenesis of ECM
  • 9. PF4 Promotes Immune Stimulation and T Cell Trafficking in ECM
  • 10. • Monocytes and platelets both play critical roles in atherogenesis. • In later work have shown that PF4, activates monocytes and results in progression of diseases such as Cerebral Malaria (CM). • PF4 mediated KLF4 expression and activation leads to the Mono/Mac activation
  • 12.
  • 13. Platelets have machinery for antigen presentation
  • 14. Platelets process the antigen to present it to T Cell
  • 16. Platelets exposed to antigen are protective in CM
  • 24. • CM is a consequence of blood brain barrier break down • Plts play imp role • PF4 plays imp role • IFNbeta is protective in MS • Plts participate in Ag presentation • Plts participate in acute phase response • Plts participate in transplant rejection • … all of it via T Cell response.
  • 26. IFNbeta reduces Tcell trafficking studied using flow
  • 28.
  • 31. Monocytes are Important in the Development of ECM
  • 32. PF4 Mediates KLF4 Expression in ECM