15The murine innate immune response against Toxoplasma gondii is predominated by the 16 interaction of TLR11/12 with Toxoplasma profilin. However, mice lacking Tlr11 or 17 humans, who do not have functional TLR11 or TLR12, still elicit a strong innate immune 18 93 and GRA24 drive the classical activation of macrophages (M1) via the activation of 94 NFκB and p38 MAPK (35, 37, 38). By contrast, the polymorphic kinase ROP16 from 95 type I and type III strains drives the alternative activation of macrophages (M2) via the 96 phosphorylation of the STAT6 and STAT3 transcription factors (37, 39, 40). It is likely 97 that the deliberate activation of the immune response by Toxoplasma effectors is a 98 strategy to limit its virulence thereby promoting the survival of its host and the formation 99 of tissue cysts, which are the only stages in the intermediate host that are orally 100 infectious.
101Given the large impact of GRA15 and GRA24 on macrophage gene expression 102 and production of IL12 and IL1β, it seems surprising that their in vivo effect on parasite 103 virulence is relatively minor (31, 35). Mice infected with type II Δgra15 or Δgra24 104 parasites had elevated parasite numbers early after infection, but as the infection 105 progressed, parasite burden and host susceptibility were no different from those 106 following wild-type type II strain infections (31, 35, 41). Increased type II Δgra15 early 107 parasite burdens were associated with decreased IL12 and IFNγ levels 2 days after 108 infection (31). Similar results were obtained after infection of mice with the Δgra24 strain 109 (35). Possibly, the effects of GRA15 and GRA24 in these studies were masked by 110 profilin: as the infection progresses and parasites lyse out of host cells, PAMPS, such 111 as profilin, are released and activate TLR11/12. At this stage, IL12/IL1β and subsequent 112 IFNγ production are probably no longer dependent on GRA15 and GRA24. However, 113 humans and many animals do not have functional TLR11/12 or IFNγ-inducible IRGs 114 (17), and therefore Toxoplasma virulence of a particular strain in mice might not 115 correlate with virulence in other species. In Tlr11 -/mice, neutrophils are the main 116 producers of IFNγ with a minor role of NK and T cells (42). The production of IFNγ by 117 neutrophils is dependent on IL1β and TNFα, but not on IL12 (42). In addition, IL18 118 secreted upon inflammasome activation plays a key role in the IFNγ response from 119 CD4 + T cells and the subsequent disease outcome in Tlr11 -/mice (43). Thus, GRA15 120 and GRA24, by inducing IL1β, IL18, TNFα and IL12, might play an important role in the 121 production of IFNγ in hosts lacking TLR11. Herein, we tested this hypothesis by 122 infecting Tlr11 -/mice with wild-type, Δgra15, Δgra24 and Δgra15/24 parasites. Our data 123 indicate that although parasites that do not express GRA15 and/or GRA24 induced 124 significantly less inflammatory cytokines, a significant increase in virulence compared to 125 wild-type was only observed after subcutaneous infecti...