Human monocytic ehrlichiosis is an emerging tick-borne disease caused by the rickettsia Ehrlichia chaffeensis. To examine the role of helper T cells in host resistance to this macrophage-tropic bacterium, we assessed E. chaffeensis infections in three mouse strains with differing functional levels of helper T cells. Human monocytic ehrlichiosis, an emerging tick-borne disease with influenza-like symptoms, is caused by the macrophage/monocyte-tropic intracellular rickettsial agent Ehrlichia chaffeensis (11,19,30). E. chaffeensis also infects a wide range of vertebrate hosts which include white-tailed deer, dogs, goats, and coyotes (4,12,13,15,25,26). Human monocytic ehrlichiosis can cause a severe, potentially fatal illness in immunocompromised and elderly people with symptoms such as prolonged fever, renal failure, respiratory distress, seizures, and coma (33, 34).Tick-transmitted Rickettsiales members, including E. chaffeensis, persist in their vertebrate hosts for long periods despite the active host immune response (1,16,36,49). The relationship between E. chaffeensis and its targeted host cells, macrophages and monocytes, is critical because contrary to their natural function these cells fail to clear E. chaffeensis, allowing it to establish persistence by undefined evasion mechanisms. Studies of the murine host have been valuable in mapping the contributions of the host response to E. chaffeensis infections (20,41,46,47). Immunocompetent mice clear E. chaffeensis infection within 16 days (20,46), while the absence of macrophage activation results in a prolonged infection that can last over a month (20,41
MATERIALS AND METHODSMice. (i) C57BL/6J (B6) mice. B6 mice were obtained from the Jackson Laboratory (Bar Harbor, Maine) or from the breeding colony at Kansas State University (KSU). The B6 mouse breeding colony at KSU has been maintained by brother-sister matings for approximately 10 years.(ii) B6.129-Abb tm1 N5F20 (C2D) mice. The C2D mouse strain lacks MHCII. It has been backcrossed to the B6 mouse background and has been brother-sister mated for over 20 generations over the last 9 years at KSU. These mice do not express MHCII and lack CD4 ϩ T cells (Fig. 1) due to natural and manipulated mutagenesis (21). We established that these mice are unable to clear E. chaffeensis after infection (20).(iii) B6.129S6-Cd4 tm1Knw (CD4D) mice. CD4D mice were obtained from the Jackson Laboratory. These mice have a targeted disruption in the CD4 gene. We have confirmed the lack of CD4 ϩ T cells in these mice by flow cytometry (Fig. 1). All mice used in this study at the time of experimental infection were between 8 and 12 weeks old and were of mixed sexes. They were maintained ad libitum on standard lab chow with autoclaved water. Gene-deficient mice were routinely genotyped as described previously to confirm their genetic backgrounds (22,48).E. chaffeensis mouse infections. The E. chaffeensis Arkansas isolate was cultivated in the canine macrophage cell line DH82 as described previously (9). The mouse infections were p...