Splenocytes were removed from both CatG-deficient mice and C57BL6

Splenocytes were removed from both CatG-deficient mice and C57BL6 control mice, and cell surface and total expression of MHC II (I-Ab) was analysed by flow cytometry. Levels of surface (Fig. 6d) or total (not shown) I-Ab in B cells, DCs, and resting or activated BMN 673 datasheet macrophages did not differ between CatG-deficient and control mice. Analysis of peritoneal macrophages also revealed no differences in

I-Ab expression between CatG−/− and C57BL6 control mice (data not shown). We concluded that, by several criteria, CatG lacks the ability to modulate steady-state MHC II levels in vivo and in live, cultured APCs. Our findings provide information on the mechanisms by which MHC II molecules resist endosomal proteolysis, a key biochemical requirement for their function in presentation of peptides captured in endocytic compartments. In their native conformation, purified, detergent-solubilized MHC II molecules failed to be degraded by most lysosomal proteases tested (cathepsins D, L, S, H, and B). The resistance of MHC II molecules to these

proteases thus is an inherent property see more of the folded MHC II ectodomains. In contrast, purified MHC II molecules were susceptible to proteolytic attack by CatG at a single cleavage site, which is broadly, but not universally, conserved amongst MHC II molecules. However, using several independent approaches, we were unable to detect any involvement of CatG in the turnover of MHC II molecules embedded in membranes of live APCs. These results

show, on the one hand, that proteolytic resistance of MHC II molecules is not absolute, allowing some scope for regulated turnover; on the other hand, they suggest that the CatG cleavage site is inaccessible in the membrane-embedded native MHC II protein, in vivo. The resistance of MHC II molecules to many endosomal proteases is structurally plausible: the immunoglobulin superfamily domain fold, which is adopted by the membrane-proximal domains, is well known to be highly protease-resistant, and the peptide-loaded antigen-binding groove is highly compact. Initiation of HLA-DR proteolysis by CatG in vitro involved site-specific cleavage between leucine (L) and glutamine (Q) within fx1 and fx2 of the lower loop of the β domain, Monoiodotyrosine which may be one of very few sites with sufficient flexibility to allow proteolytic attack. These findings are reminiscent of previous studies, in which CatG was demonstrated to initiate cleavage within the flexible hinge regions of immunoglobulins.39 The membrane-proximal location of the cleavage site, away from the antigen binding groove, is consistent with our observation that CatG cleaves peptide-loaded MHC II molecules, and that peptide binding is retained by CatG-cleaved DR molecules. The fact that peptide-loaded molecules are substrates for CatG supports the notion that CatG is capable of initiating proteolysis of MHC II molecules in their native conformation.

08% and 0 15% for Cre and 0 004% and 0 01% for FLPe Importantly,

08% and 0.15% for Cre and 0.004% and 0.01% for FLPe. Importantly, these results selleckchem implied that the HD-AdV was preferentially packaged over the helper virus. Ng et al. concluded that this phenomenon could be explained if competition for packaging occurs between the helper virus and the HD-AdV genome (16, 34). Our results here provided experimental support to this hypothesis, namely, the result of the competition assay may explain why some helper virus that still retains the packaging domain is present and competes with HD-AdV: HD-AdV is more abundantly generated than expected. We thank Ms Y. Sato for her excellent technical work and Ms E. Kondo for her excellent secretarial assistance. This work was supported

in part by Grants-in-Aids from the Ministry of Education, Culture, Sports, Science and Technology to Y. K. and to I. S. No competing financial interests exist. “
“The pathway of immune system behaviour can be divided into three modules, each with its own logic and database. The modules are related in that they feed sequentially into each other for function. The modules are (1) the generation of the recognitive repertoire; (2) the sorting of the repertoire by purging it of anti-self; and (3) the coupling of the residue, anti-nonself, appropriately

to the biodestructive and Y-27632 purchase ridding effector functions. While both the generation and sorting of the repertoire have been intensively investigated and are well understood in terms of firm theoretical frameworks, the understanding of Module 3, the Aspartate regulation of effector class, is patchy. This essay is an attempt to define the elements required for an understanding of Module 3 and that leads us to propose the Trauma Model. All free-living organisms have biodestructive and ridding mechanisms to protect themselves against parasitism. In the case of the immune system, the ridding of an infectious agent without harm to the host requires that it respond using selected recognitive elements (paratopes) coupled to an appropriate effector mechanism that is expressed

at a carefully monitored magnitude and for a defined time. The problem of the regulation of effector class has not been a central concern of immunologists. For a long time, the reason for this was a vacuum that could only be filled by what would be viewed as speculation. Consequently, discussions about class regulation were shelved while a great deal of descriptive data was gathered, theory-independently, such as the number of distinct effector classes, how they are armed, what is their mechanism of biodestruction and ridding, and what cell types are involved. By the time that much of this became known, interest in class regulation might have surfaced, yet it still lagged and for an unexpected reason. The information surrounding immune responsiveness had become so complex that the crosstalk required for the analysis of class regulation became difficult.

Recently, a community-based study on CKD was performed in Shangha

Recently, a community-based study on CKD was performed in Shanghai in order to obtain prevalence, awareness and associated risk factors of CKD.4 The study was performed in a randomly chosen district in Shanghai. All the participants were tested for kidney damage indicators and high risk factors related to kidney damages. As kidney structure abnormalities were also defined as kidney damages,5 the study performed ultrasonography, which was not included in most screening surveys, in all the participants. The participants with abnormal results received repeated tests 3 months later in order to meet diagnosis criteria of CKD recommended by the Kidney Disease Outcomes Quality Initiative (K-DOQI).5

The study showed that the prevalence of CKD in Shanghai was Venetoclax supplier 11.8%4 which was higher than that in Guangzhou and Taiwan6,7 but lower than that in Beijing.8 Compared with other epidemiological data in Asia, the prevalence of CKD in Shanghai was similar to that in Japan and Singapore.9,10 Despite the high prevalence of CKD in Shanghai, the awareness was low at approximately 8.2%.4 Furthermore, the prevalence of CKD stage 3 was higher than that in other CKD stages among the participants. As patients with early stages of CKD usually had few clinical symptoms, such facts might help to explain the inconsistency of low awareness

and high prevalence of CKD in the current study. Therefore, the study urged PD-1 phosphorylation the necessity of early recognition Unoprostone and awareness of the disease. The study also showed that several clinical variables were associated with CKD, among which hyperuricaemia had the highest odds ratio (OR).4 Though it was not clear whether hyperuricaemia was caused by CKD or elevated levels of uric acid might result in progression of CKD, similar results found by Zhang and colleagues in a Beijing population11 suggested the important role of hyperuricaemia in the progression of CKD in an Asian population. As early detection of CKD was difficult

because of its asymptomatic nature, the study also pointed out the importance of studying disease-related risk factors so as to improve the prognosis. Chronic glomerulonephritis was the leading cause of ESRD in Japan for a long time. Most primary chronic glomerulonephritis is first manifested as asymptomatic proteinuria and/or haematuria. For early detection of glomerulonephritis, urinalysis has been considered one of the best methods. Consequently, to prevent an increase in the number of ESRD patients in Japan, a dip-stick urine examination has been continued under the auspices of local governments and the Ministry of Health, Labour and Welfare of Japan since 1972.12,13Figure 1 shows yearly changes for number of patients starting renal replacement treatment (RRT) in three major primary renal diseases in Japan.

This last phenomenon was also observed when twofold, fourfold or

This last phenomenon was also observed when twofold, fourfold or eightfold lower concentrations of blocking peptides against pNF-κB p65 or pSTAT3 were used (data not shown). To assess the roles of NF-κB p65 and STAT3 in the later processes of cell differentiation (i.e. the final production of Ig), we sought to stimulate purified blood B cells with sCD40L + IL-10 while simultaneously blocking either one or both of the

transcription pathways using specific blocking peptides against pNF-κB p65 or pSTAT3. The pNF-κB p65 blocking peptide led to a modest, but significant, 20% decrease in pNF-κB p65. The anti-pSTAT3 peptide alone had nearly the same effect, resulting in an 18% reduction in pNF-κB p65. Together, the blocking peptides against pNF-κB p65 and pSTAT3 reduced NF-κB p65 phosphorylation ICG-001 manufacturer selleck compound by 28% (Fig. 8b). Reciprocally, the anti-pSTAT3 peptide significantly reduced pSTAT3 by 45% (Fig. 8c), while the anti-pNF-κB p65 peptide reduced it by 30%. Combined, these blocking peptides reduced pSTAT3 by 73%. IgA production was completely inhibited; however, phosphorylation of NF-κB and STAT3 was not blocked completely. These observations were probably due to neo-phosphorylation induced by other stimuli or by the oscillations in NF-κB signalling, as could have been

expected [32]. These data indicate that there is probably co-operation between Metformin manufacturer the various transcription factor pathways, and in particular, an NF-κB influence on the STAT3 pathway. Furthermore, these results suggest that sCD40L acts first on purified B cells, promptly activating the classical NF-κB pathway and inducing IL-10R expression (experiments and data not shown), which then renders the STAT3 pathway reactive to IL-10 signalling. We aimed

to elucidate some of the molecular pathways involved in providing purified B lymphocytes with the differentiation signals of non-cognate T cell surrogates, i.e. the classical sCD40L/CD40 + IL-10/IL-10R signals, leading to the skewed production of Ig towards IgA. We deliberately excluded from this investigation the addition of exogenous TGF-β, described classically as an IgA differentiation factor in a number of studies, on the basis of preliminary experiments (Fig. 2a and data not shown), having shown that TGF-β antagonized the differentiating role of sCD40L and IL-10 towards IgA class switch in this culture system. However, because these experiments were performed initially by culturing purified B lymphocytes in FCS-containing medium, the possibility that TGF-β eventually present in this serum may have biased our results was considered, as has been described, e.g. for the plasticity of T helper 17 (Th17) responses [33]. TGF-β1 induces IgA switching and secretion in stimulated B lymphocytes in mouse spleen. This has also been shown for IgG2b using mouse spleen B cells.

In addition to GM-CSF and MIP-1β (not measured in healthy volunte

In addition to GM-CSF and MIP-1β (not measured in healthy volunteers after low doses AndoSan™ consumption), in patients with IBD, IL-1β, IL-2, IL-6, IL-17 and G-CSF were detected in reduced concentrations after mushroom intake both among healthy volunteers and patients. Thus, both pro-inflammatory cytokines (IL-1β, IL-6) and chemokines (IL-8, MIP-1β, MCP-1, GM-CSF, G-CSF) were downregulated by AndoSan™ in these patients with IBD. The three cytokines with the most marked reduction in LPS-stimulated blood from these

patients were MIP-1β, IL-1β and IL-6. Chemokine MIP-1β belongs to the family of macrophage inflammatory 1 proteins, which orchestrate acute and chronic inflammatory responses at sites of injury or infection mainly by recruiting pro-inflammatory Selleckchem PLX 4720 cells [32]. selleck inhibitor Recently, an unselective increase in chemokine expression in mucosa has been demonstrated by immunohistochemistry

among patients with UC and CD. Such studied chemokines include MIP1-β, MCP-1 and IL-8 [19], which were reduced in collected blood from patients with UC (MIP1-β, MCP-1) and CD (MIP1-β, IL-8). IL-6 in the intestinal mucosa is synthesized by mononuclear cells [21, 24], and it is elevated in serum in both UC [25] and CD [24]. We observed a considerable decline in this cytokine (Fig. 2B) in patients with UC after consumption of the mushroom extract. Similar to our study (Tables 1–3), increased serum levels of IL-1β are seldom detected [24], but IL-1β levels are elevated [20, 33, 34] in intestinal lesions in both UC and CD. Interestingly, levels of IL-1β in LPS-stimulated blood declined in both diseases, again pointing to a net anti-inflammatory effect of AndoSan™. The hitherto unreported reduction in pleiotropic IL-17 (Fig. 3F) in patients with CD is intriguing [35]. Because IL-17 will both convey a host defensive mechanism to various extracellular bacterial Tenofovir infections and pathogenic involvement in autoimmune disease, a reduced concentration of this cytokine may dampen these inflammatory reactions. The general tendency in patients with UC and CD was that cytokine levels

were either significantly or insignificantly reduced after 12 days of mushroom consumption. Thus, the lack of significant reduction in concentrations especially for cytokines TNF-α, IFN-γ and IL-6 (CD) could be because of the limited number of patients included in each IBD group (type II error). For cytokines IL-4, IL-5, IL-7 and IL-13 in patients with IBD, there were no striking alterations in their concentrations throughout the experimental period. None of the Th2 cytokines (IL-4, -5, -13) potentially relevant for UC seemed to be initially elevated or modulated by AndoSan™, whilst IL-2 was the only Th1 cytokine that was reduced after AndoSan™ ingestion in patients with CD. According to the Th2/Th1 dichotomy [36], one could also have anticipated an inverse increase in Th2 and Th1 cytokines in UC and CD, respectively.

To assess the phosphorylated status of the tau protein recognized

To assess the phosphorylated status of the tau protein recognized by PHF-1, we performed double labelling, combining PHF-1 in green colour and thiazin red (TR) in red colour (Figure 3a, in colour scale yellow colour represents equal contribution of both markers). TR is an analogue of naphthol-based azo structures whose functional

characteristic is to bind β-pleated sheet structures [34]. None surprisingly, well defined NFTs detected by PHF-1 were found in a fibrillar state as revealed by the yellow tonality (Figure 3c). Similar results were observed in additional pathology like NFTs in earlier state were coexisting events were found, named phosphorylation and TR labelling (Figure 3b). Interestingly, some early aggregates labelled by PHF-1 were found with little fibrillar structure, as revealed

by the intense green tonality (Figure 3a, white arrows). Note CDK inhibitor drugs that the presence of nuclei reveals the early state of the NFT-like structure (Figure 3a, blue). Overall, PHF-1 marker is able to detect the classical NFT structure in fibrillar conformation, but more importantly is also capable of detecting early phospho aggregates that are not yet in fibrillar conformation. Our group previously Ivacaftor cell line reported that cleavage of tau protein is sequential starting by the carboxyl terminus, with cleavage at D421 being an early event and cleavage at E391 occurring latter in AD [8, 24, 32]. Taking advantage of this finding, we wanted to evaluate if phosphorylation Unoprostone of tau protein was present in coexistence with both cleavage events (Figure 4Ai,Aii), and more importantly, if phosphorylation suffers any changes during the tau abnormal processing. In this regard we found coexistence of phosphorylation at site Ser396 with either, D421 or E391 truncated tau (Figure 4c blue arrow and stars, and 4f arrows and stars). Some NFT pathology was found with nothing but phosphorylation at site Ser396 (Figure 4a,c white arrows). Interestingly,

some NFT pathology (population A) showed an elevated level of phosphorylation at site Ser396 with lowest levels of E391 truncated tau (Figure 4d–f white arrow), while, some others (population B) showed an increased level of E391 truncated tau with lowest levels of phosphorylation at site Ser396 (Figure 4d–f blue arrows). Relative expression analysis confirmed the two populations; one with significantly elevated presence of phosphorylation (Figure 4B,D, population A) and the other with significantly elevated presence of cleavage at E391 (Figure 4C,D, population B). Further analysis of both cleavage events (D421 and E391) revealed that almost all the structures containing truncated tau also comprised phosphorylated tau (Figure 4E). In summary, phosphorylation of tau protein appears as single event and remains during early and advanced proteolytic events.

Glomerular NEP levels were correlated inversely with glomeruloscl

Glomerular NEP levels were correlated inversely with glomerulosclerosis and proteinuria measured at the time of biopsy. Tubular NEP levels were associated inversely with interstitial fibrosis. Incubation of proximal tubular cells with MPA led to a dose- and time-dependent increase of NEP gene expression. For the first time, these data suggested that MPA treatment may modulate this enzyme directly,

contributing to the slow-down of the chronic glomerular progression and tubulointerstitial damage [105]. Additionally, a few other studies using in vitro and animal models have identified, using specifically designed microarray platforms, some genes Decitabine price with putative relevance to efficacy and toxicity of immunosuppressive drugs used in nephrology. However, none of the results obtained by these studies has been confirmed in a clinical setting. Interestingly, high-throughput genomic screening technologies have been used to identify biomarkers associated with immunological tolerance in renal transplant patients. It is well known that long-term allograft survival requires lifelong immunosuppression, but recipients

rarely display spontaneous ‘operational tolerance’ with stable graft function in the absence of immunosuppression [106]. The lack of biological markers of this phenomenon precludes identification BVD-523 concentration of potentially tolerant patients in which immunosuppression could be tapered or interrupted early. Therefore, the objective of all these

studies was to identify markers able to identify a tolerant population clearly. Several genes have been suggested as potentially useful predictors of tolerance, including genes involved in immune quiescence, apoptosis and memory T cell response [107]. However, further validation and prospective clinical trials using these selective biological elements are needed. Microarray studies have been performed to identify specific genomic Exoribonuclease fingerprints modulated during acute [108] and chronic [109,110] dialysis therapy. Interestingly, several genes were de-regulated in CKD patients undergoing these renal replacement treatments. Among the genes selected were those encoding for several chemokines with proinflammatory and chemotactic activity [e.g. interleukin (IL)-8, chemokine (C-C motif) receptor 7 (CCR7), tumour necrosis factor (TNF)-α, chemokine (C-X-C motif) receptor 4 (CXCR4)], key regulators of oxidative stress [e.g. v-rel reticuloendotheliosis viral oncogene homologue A (RELA) and glutathione synthetase (GSS)] and those implicated in the mitochondrial oxidative phosphorylation system (e.g. ATP5O, COX6C, COX7C, NDUFS5, NDUFA6, UQCRH, NDUFA1, ATP5J, UQCRB, NDUFB1 and ATP5I).

Decreased growth, motility, and adhesion in concert might have co

Decreased growth, motility, and adhesion in concert might have contributed to the significant increase in the LD50s in mice (Table 1). The expression of other virulence factors of V.

vulnificus such as phospholipase A2 or siderophores might be affected by crp mutation. Vibrio vulnificus crp mutant strain causes cytoskeletal rearrangement (Fig. 4a), which is a hallmark activity of RtxA1 toxin. We found that CRP negatively regulates expression of RtxA1 (Fig. 4b). This explains why severely attenuated crp mutant causes delayed cytotoxicity Vismodegib in vitro while other virulence traits are globally compromised. Although the V. vulnificus CRP mutant can cause cytoskeletal damage to host cells by increasing production of RtxA1 toxin in vitro (Fig. 4), the CRP mutant has impeded growth and a translucent phenotype with decreased capsule production, features which could make it more vulnerable to host defense systems. Taken together, CRP seems to play a dual regulatory role in various virulence traits of V. vulnificus. CRP functions as both a positive and negative effector of gene expression and influences many different cellular process, including motility, adhesion and exotoxins production. Vibrio vulnificus CRP is composed of 210 amino acids and shows high

identities with genes in Vibrio parahaemolyticus, Vibrio cholerae and Escherichia coli. CRP is regarded as an essential catabolite activator protein in a wide spectrum of gram-negative and positive bacteria. CRP homologs from pathogenic eubacteria are involved in the regulation of virulence factors including cholera toxin small molecule library screening and toxin-coregulated pilus in V. cholerae [15], pilus-adhesin in E. coli [35], twitching motility and elastase production in Pseudomonas aeruginosa [36], anaerobic respiration in Shewanella oneidensis [18] and the regulation of luminescence in Vibrio harveyi [17]. The Pseudomonas aeruginosa virulence factor regulator Vfr, a

homolog of E. coli CRP, reportedly regulates quorum sensing [37]. We have used DNA microarray to analyze many genes regulated by V. vulnificus CRP (in preparation). Our proteomic analysis has revealed that V. vulnificus CRP regulates the expression and secretion of several genes related to cell division, protein synthesis, metabolic pathways, heme synthesis and metabolism Progesterone (data not shown). Our results suggest that V. vulnificus CRP protein serves as a very important global regulator. The CRP system is a possible target for the development of new antibacterial agents. Whole genome sequencing and subsequent genome-wide gene expression studies using gene arrays would elucidate the novel virulence genes under the control of the CRP transcriptional regulator system. J.H.R. was supported by a grant (No. RTI05-01-01) from the Regional Technology Innovation Program of the Ministry of Knowledge Economy. Y.R.K. was supported by a Dongshin University research grant (2010).

Recently, new serodiagnostic assays as Candida albicans germ-tube

Recently, new serodiagnostic assays as Candida albicans germ-tube antibodies or (1,3)-β-d-glucan detection and molecular techniques PLX3397 datasheet for the detection of fungal-specific DNA have been developed with controversial results in critical care setting. One of the main features in diagnosis is the evaluation of risk factor for infection, which will identify patients in need of preemptive or empirical treatment. Clinical scores were built from those risk factors. For these reasons, an approach to the new diagnosis tools in the clinical mycology laboratory

and an analysis of the new prediction rules and its application situations has been made. Currently, the combination of prediction rules and non-culture microbiological tools could be the clue for improving the diagnosis and prognosis of invasive fungal infections

in critically ill patients. “
“Carbapenems are broad-spectrum antibiotics increasingly used for the treatment of severe infections. We evaluated the effects of four carbapenems given as monotherapies or in combination with amikacin on the level of gastrointestinal colonisation by Candida albicans in a previously established mouse model. Adult male Crl : CD1 ABT-263 cell line (ICR) BR mice were fed chow containing C. albicans or regular chow. The mice fed with Candida chow had their gut colonised by the yeast. Both groups were subsequently given imipenem, meropenem, ertapenem, doripenem or their combination with amikacin or normal saline subcutaneously for 10 days. Stool cultures were performed immediately before, at the end and 1 week after discontinuation of treatment. Candida-colonised mice treated with the antibiotics had higher counts of the yeast in their stools than control C. albicans-colonised animals treated with saline. All four carbapenems

and their combination with amikacin caused a significant increase in C. albicans concentration. Mice fed regular chow and treated with the study antibiotics or saline did not have any Candida in their stools. Dissemination of Candida was not detected in any animal. These data suggest that carbapenems and carbapenem plus amikacin induce substantial increases in the murine intestinal concentration of C. albicans. “
“After experiencing an unusually high number selleck chemical of Microsporum (M.) audouinii infections at our hospital within only a few weeks, we began to investigate and control an outbreak in Munich, Germany. Main goals of our health management were to treat infected persons, identify extent and form of transmission and to prevent new infections. We analysed data from structured interviews with patients and mycological cultures of swabs taken of patients and investigated involved public facilities. Outbreak management included antifungal treatment of patients, decontamination of affected facilities, the introduction of a temporary kindergarten ban for M.

6E) As before, IL-23 was not detected in culture supernatants (d

6E). As before, IL-23 was not detected in culture supernatants (data not shown in the figure). There LY294002 manufacturer is growing evidence that Th17 cells may be critical for host defense against extracellular infections especially at mucosal surfaces 17, 18. Th17 cells have also been implicated in the control of growth of intracellular

pathogens, such as Mycobacterium tuberculosis19. With regards to Leishmania, Th17 cells have been associated with the resolution of human kala-azar 20 and American cutaneous leishmaniasis 21. Here we propose that vaccination with Lm/CpG modifies the immunological features of leishmanial infection in the resistant C57BL/6 mice by enhancing early inflammatory responses (IL-6, IL-12, TNF-α), which in turn leads to de novo expansion of not only Th1, but also Th17 cells; these two populations selleck inhibitor seem to be required for vaccine protection and early containment of parasite growth. Remarkably, Th17 generation appears to be specifically associated to vaccination with live parasites (has not been observed with recombinant vaccines or dead parasites) and requires the addition of CpG DNA. The apparent protective role of Th17 cells in our model disagrees with the results published by Lopez Kostka et al. 22 using the susceptible BALB/c strain. These authors proposed that Th17 cells promote disease progression via sustained IL-23

production by infected DC. However in our system, we were never able to detect IL-23 Ketotifen in culture supernatants from ears of lymph nodes of vaccinated mice. We have indeed performed Lm/CpG vaccinations of BALB/c mice, and achieved the same level of almost complete protection (our unpublished data). Interestingly, Th17 responses did not clearly develop in these vaccinated BALB/c mice. We hypothesized then that the addition of CpG DNA to the live challenge strongly biased the susceptible mouse towards IL-12-, but not IL-23-driven responses. Further studies need to be carried out to define the importance of mouse

genetics in the development and establishment of Th17 responses in the context of leishmanial infections. Result disparity could be also due to strain-related mechanisms. Anderson et al. 23 has developed a model of non-healing leishmaniasis in the resistant mouse using a particular parasite strain. In their model, IL-23 is also required to promote Th17 establishment and progression of disease. Again, the role that strain differences may play in the differential generation of inflammatory responses, in particular in Th17 development, needs to be further characterized. Unlike in those models, Th17 cells do not establish in the skin of Lm/CpG-vaccinated mice. While the initial immune response of Lm/CpG vaccination is characterized by Th17 and Th1 cells, we discovered that there is a third, later phase dominated by development of Treg and establishment of a chronic infection 24.