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D with expulsion, this has not been conclusively demonstrated. N. brasiliensis infection studies in experimental murine models are analogous to human hookworm infections [19]. These infections are characterised by IL-4Ra-driven responses which are essential for worm expulsion from the host intestine [13]. Recent helminth infection studies using global or smooth muscle cell-specific IL-4Ra deficient mice showed reduced intestinal contractility, which was concomitant with delayed worm expulsion [20,21]. Furthermore, N. brasiliensis infection resulted in impaired TH2 responses in global IL-4Ra and smooth muscle cell-specificIL-4Ra-Mediated Intestinal HypercontractilityIL-4Ra deficient BALB/c mice and accompanied by delayed goblet cell hyperplasia in these mice [20]. Together, these results indicate that a coordinated TH2 Title Loaded From File response may contribute to smooth muscle cell contraction. In contrast, macrophage/neutrophil-specific IL-4Ra deficient mice, which have impaired IL-4Raactivated alternative macrophages [22?7], developed protective immunity against N. brasiliensis infection accompanied by goblet cell hyperplasia. Our previous studies have shown that the expression of IL-4Ra specifically on CD4+ T cells and macrophage/neutrophils is not required for N. brasiliensis expulsion [24,28]. In this study, we used recently established pan (CD4+, CD8+, NK T and cd) T cellspecific IL-4Ra (iLckcreIL-4Ra2/lox) deficient mice [29] and demonstrated that IL-4Ra expression by T cells is also not required for worm expulsion. Furthermore, we showed evidence that IL-4Ra responsiveness by T cells is needed for IL-4/IL-13mediated intestinal hypercontractility.Methods Ethics StatementAll experiments were approved by the University of Cape Town Animal Ethics Committee (approval number 008/019) and all efforts were made to Title Loaded From File minimize suffering.MiceEight- to 12-week-old mice were obtained from the University of Cape Town specific-pathogen-free animal facility and kept in individually ventilated cages. T cell- (iLckcreIL-4Ra2/lox) IL-4Ra deficient mice were generated as previously described [29] and hemizygous IL-4Ra2/lox mice (littermate control mice) and homozygous IL-4Ra2/2 mice (IL-4Ra KO mice) were used as controls. iLckcreIL-4Ra2/lox mice are described as C.Cg-Il4ratm1Fbb/Il4ratm2FbbTg(Lck-cre), and IL-4Ra2/2 are Il4ratm1Fbb/ Il4ratm1Fbb. All mice used were on a BALB/c background. In addition, BALB/c mice were compared to hemizygous IL-4Ra2/ lox mice and improved iLckcreIL-4Ra2/lox compared with cre Lck IL-4Ra2/lox mice [30].CD4+ T-cells isolated by negative selection using Biomag beads (Qiagen) with a purity of .90 [as previously described 20] were restimulated for 48 h with 20 mg/ml anti-CD3 antibody 1452C11. Supernatants were then collected and stored at 280uC until they were analyzed. Cytokine levels in supernatants and total IgE antibody levels in serum of individual infected animals were determined as previously described [33]. Briefly, flat bottom 96well plates were coated overnight with the appropriate capturing antibody diluted in PBS (IgE clone 84.1C; IL-4 clone 11B11; IL13 clone 38213.11, IFN-g clone An18KL6, IL-17 clone 50101). The plates were then washed and incubated in PBS containing 2 milk for 1 h at 37uC. Following this, the plates were washed, and samples and standards were loaded overnight at 4uC. Appropriate biotinylated secondary antibodies were then added following further washing and incubated overnight at 4uC (IgE clone 23G3; IL-4 clone.D with expulsion, this has not been conclusively demonstrated. N. brasiliensis infection studies in experimental murine models are analogous to human hookworm infections [19]. These infections are characterised by IL-4Ra-driven responses which are essential for worm expulsion from the host intestine [13]. Recent helminth infection studies using global or smooth muscle cell-specific IL-4Ra deficient mice showed reduced intestinal contractility, which was concomitant with delayed worm expulsion [20,21]. Furthermore, N. brasiliensis infection resulted in impaired TH2 responses in global IL-4Ra and smooth muscle cell-specificIL-4Ra-Mediated Intestinal HypercontractilityIL-4Ra deficient BALB/c mice and accompanied by delayed goblet cell hyperplasia in these mice [20]. Together, these results indicate that a coordinated TH2 response may contribute to smooth muscle cell contraction. In contrast, macrophage/neutrophil-specific IL-4Ra deficient mice, which have impaired IL-4Raactivated alternative macrophages [22?7], developed protective immunity against N. brasiliensis infection accompanied by goblet cell hyperplasia. Our previous studies have shown that the expression of IL-4Ra specifically on CD4+ T cells and macrophage/neutrophils is not required for N. brasiliensis expulsion [24,28]. In this study, we used recently established pan (CD4+, CD8+, NK T and cd) T cellspecific IL-4Ra (iLckcreIL-4Ra2/lox) deficient mice [29] and demonstrated that IL-4Ra expression by T cells is also not required for worm expulsion. Furthermore, we showed evidence that IL-4Ra responsiveness by T cells is needed for IL-4/IL-13mediated intestinal hypercontractility.Methods Ethics StatementAll experiments were approved by the University of Cape Town Animal Ethics Committee (approval number 008/019) and all efforts were made to minimize suffering.MiceEight- to 12-week-old mice were obtained from the University of Cape Town specific-pathogen-free animal facility and kept in individually ventilated cages. T cell- (iLckcreIL-4Ra2/lox) IL-4Ra deficient mice were generated as previously described [29] and hemizygous IL-4Ra2/lox mice (littermate control mice) and homozygous IL-4Ra2/2 mice (IL-4Ra KO mice) were used as controls. iLckcreIL-4Ra2/lox mice are described as C.Cg-Il4ratm1Fbb/Il4ratm2FbbTg(Lck-cre), and IL-4Ra2/2 are Il4ratm1Fbb/ Il4ratm1Fbb. All mice used were on a BALB/c background. In addition, BALB/c mice were compared to hemizygous IL-4Ra2/ lox mice and improved iLckcreIL-4Ra2/lox compared with cre Lck IL-4Ra2/lox mice [30].CD4+ T-cells isolated by negative selection using Biomag beads (Qiagen) with a purity of .90 [as previously described 20] were restimulated for 48 h with 20 mg/ml anti-CD3 antibody 1452C11. Supernatants were then collected and stored at 280uC until they were analyzed. Cytokine levels in supernatants and total IgE antibody levels in serum of individual infected animals were determined as previously described [33]. Briefly, flat bottom 96well plates were coated overnight with the appropriate capturing antibody diluted in PBS (IgE clone 84.1C; IL-4 clone 11B11; IL13 clone 38213.11, IFN-g clone An18KL6, IL-17 clone 50101). The plates were then washed and incubated in PBS containing 2 milk for 1 h at 37uC. Following this, the plates were washed, and samples and standards were loaded overnight at 4uC. Appropriate biotinylated secondary antibodies were then added following further washing and incubated overnight at 4uC (IgE clone 23G3; IL-4 clone.

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