<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2025.1607201</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Red pulp macrophages clear parasites, while marginal metallophilic and marginal zone macrophages support CD4<sup>+</sup> T cell activation during <italic>Plasmodium yoelii</italic> infection</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Falkenstein</surname>
<given-names>Julia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3025177/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ninnemann</surname>
<given-names>Anne</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3011713/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hose</surname>
<given-names>Matthias</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/415379/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Elwy</surname>
<given-names>Abdelrahman</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/643986/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lang</surname>
<given-names>Karl S.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/552946/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Matuschewski</surname>
<given-names>Kai</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/29628/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Buer</surname>
<given-names>Jan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Westendorf</surname>
<given-names>Astrid M.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/508046/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hansen</surname>
<given-names>Wiebke</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/394774/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Institute of Medical Microbiology, University Hospital Essen, University Duisburg-Essen</institution>, <addr-line>Essen</addr-line>,&#xa0;<country>Germany</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Institute of Immunology, Medical Faculty, University of Duisburg-Essen</institution>, <addr-line>Essen</addr-line>,&#xa0;<country>Germany</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Institute of Biology/Faculty for Life Sciences, Molecular Parasitology, Humboldt University Berlin</institution>, <addr-line>Berlin</addr-line>,&#xa0;<country>Germany</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Irene S. Soares, University of S&#xe3;o Paulo, Brazil</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Yuemei Dong, Johns Hopkins University, United States</p>
<p>Jun Huang, Guangzhou Medical University, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Julia Falkenstein, <email xlink:href="mailto:julia.falkenstein@uk-essen.de">julia.falkenstein@uk-essen.de</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>07</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1607201</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>26</day>
<month>06</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Falkenstein, Ninnemann, Hose, Elwy, Lang, Matuschewski, Buer, Westendorf and Hansen</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Falkenstein, Ninnemann, Hose, Elwy, Lang, Matuschewski, Buer, Westendorf and Hansen</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Malaria, caused by the parasite <italic>Plasmodium</italic> spp., remains the most prevalent and dangerous vector-borne infectious disease worldwide. Effective pathogen clearance during malaria hinges on the interplay between adaptive and innate immune responses, especially on T cells, B cells, antigen-presenting cells (APCs) and IFN&#x3b3; response. In a previous study, we demonstrated that dendritic cell (DC) depletion resulted in impaired T cell responses. However, substantial CD4<sup>+</sup> and CD8<sup>+</sup> T cell activation was still detectable, suggesting that other APCs compensate for the lack of DCs. In the present study, we report an increase in splenic marginal zone macrophages (MZM&#x3a6;), and marginal metallophilic macrophages (MMM&#x3a6;) with an altered cytokine profile in DC-deficient mice upon <italic>P. yoelii</italic> infection. Ablation of macrophages by clodronate liposome (CL) application resulted in partially reduced T cell activation, which correlated with elevated parasitemia. To further elucidate the specific role of splenic macrophage subsets we studied <italic>P. yoelli</italic> infections in two transgenic C57BL/6 mouse lines. Treatment of CD169DTR mice with diphtheriatoxin (DT) efficiently depleted MMM&#x3a6; and MZM&#x3a6;, resulting in reduced IFN&#x3b3; production by CD4<sup>+</sup> T cells in <italic>P. yoelii</italic>-infected mice, though parasitemia progression was not modulated. In marked contrast, specific red pulp macrophages (RPM&#x3a6;) depletion in SpiC<sup>flox/flox</sup> x vav1cre mice resulted in elevated parasitemia. In conclusion, our data provide evidence that splenic macrophages located in or at the marginal zone contribute to CD4<sup>+</sup> T cell activation, and that RPM&#x3a6;s are indispensable for clearing of infected red blood cells (iRBCs) during <italic>P. yoelii</italic> infection.</p>
</abstract>
<kwd-group>
<kwd>splenic macrophages</kwd>
<kwd>
<italic>Plasmodium yoelii</italic>
</kwd>
<kwd>parasite clearance</kwd>
<kwd>T cell responses</kwd>
<kwd>malaria immunity</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="43"/>
<page-count count="15"/>
<word-count count="7772"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Parasite Immunology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Malaria is caused by the <italic>Plasmodium</italic> parasite and is one of the most prevalent and dangerous infectious diseases globally (<xref ref-type="bibr" rid="B1">1</xref>). Despite extensive research, the dynamics and connectivity of innate and adaptive immune responses elicited by a first <italic>Plasmodium</italic> blood infection remain largely elusive. Thus, there is an urgent need to enhance the understanding of the immune response to the parasite to develop new vaccines or therapeutics. Key effector mechanisms controlling parasite replication in the early phase of infection include macrophage activation, T cell activation, B cells for antibody production and IFN&#x3b3; production (<xref ref-type="bibr" rid="B2">2</xref>&#x2013;<xref ref-type="bibr" rid="B4">4</xref>). T cells have to be activated by professional APCs, which initiate a cascade of downstream signaling pathways, leading to the proliferation of na&#xef;ve cells and their differentiation into specialized effector cells (<xref ref-type="bibr" rid="B5">5</xref>&#x2013;<xref ref-type="bibr" rid="B7">7</xref>). DCs are regarded as the most critical APCs due to their enhanced ability to activate na&#xef;ve T cells (<xref ref-type="bibr" rid="B8">8</xref>), and CD4<sup>+</sup> T cells play a central role in orchestrating immune responses against <italic>Plasmodium</italic> parasites (<xref ref-type="bibr" rid="B9">9</xref>&#x2013;<xref ref-type="bibr" rid="B11">11</xref>). In particular, CD4<sup>+</sup> T helper 1 (T<sub>H</sub>1) cells that secrete IFN&#x3b3; and induced type 1 regulatory (Tr1) cells that produce IL-10 not to help mitigate the pathology caused by the inflammatory response and regulate progression of <italic>Plasmodium</italic> blood infection (<xref ref-type="bibr" rid="B12">12</xref>). Furthermore, CD4<sup>+</sup> T cells support B cell responses, which are capable to drive macrophage activation. This dual function facilitates the elimination of iRBCs during the spleen passage, thereby contributing to infection control (<xref ref-type="bibr" rid="B13">13</xref>). There is evidence from studies in both humans and mice, indicating that DC function may be impaired during blood-stage infections, particularly in settings characterized by high transmission rates, frequent reinfections, and increased parasite burdens (<xref ref-type="bibr" rid="B14">14</xref>). Previous studies by our group have demonstrated that DCs are primarily responsible for an initial T cell activation. Depletion of DCs led to a reduced antigen-specific T cell response in <italic>P. yoelii-</italic>infected animals (<xref ref-type="bibr" rid="B15">15</xref>). However, considerable T cell activation could still be observed despite the absence of DCs, suggesting that other APCs, such as macrophages, may compensate for the loss of DCs. Innate immune responses driven by DCs, monocytes, and macrophages are critical during <italic>Plasmodium</italic> infection. The infection triggers the differentiation of monocytes into either DCs or macrophages. Additionally, tissue macrophages, such as those in the spleen, become key players by directly interacting with <italic>Plasmodium</italic> (<xref ref-type="bibr" rid="B16">16</xref>). They exhibit a diverse range of responses to malaria, including cytokine secretion and receptor expression, which can be either protective or pathogenic. The complex interplay of these responses is crucial in determining the course of the disease (<xref ref-type="bibr" rid="B17">17</xref>).</p>
<p>The spleen is a complex and highly organized organ, which comprises different functional compartments. The red pulp (RP) is the major part of splenic tissue and contains RPM&#x3a6;, which efficiently remove dysfunctional, infected and aged RBCs. The marginal zone (MZ) contains marginal zone macrophages (MZM&#x3a6;) and marginal metallophilic macrophages (MMM&#x3a6;) on the inner border of the MZ, facing the white pulp (WP). Together, these populations delineate the borders of the MZ, facilitating the filtration of blood as it enters this region (<xref ref-type="bibr" rid="B18">18</xref>). The MZ also acts as a site for lymphocytes to exit the circulation and migrate into the WP. Within the WP, na&#xef;ve and central memory T cells are activated by specific antigens, triggering T cell-dependent B cell germinal center reactions and subsequent antibody production (<xref ref-type="bibr" rid="B19">19</xref>). MMM&#x3a6; and MZM&#x3a6; are known for their phagocytic activity of circulating pathogens (<xref ref-type="bibr" rid="B20">20</xref>). Especially, MMM&#x3a6; play a vital role in immune surveillance, as they are strategically located to effectively capture blood-borne pathogens and antigens and modulate subsequent adaptive immune responses through trophic interactions with neighboring cells (<xref ref-type="bibr" rid="B21">21</xref>).</p>
<p>However, studies investigating the role of splenic macrophages during <italic>Plasmodium</italic> infection have yielded conflicting results. In an initial study by Couper et&#xa0;al., depletion of macrophages using CL resulted in increased parasite spread (<xref ref-type="bibr" rid="B22">22</xref>), whereas Terkawi and colleagues later observed decreased parasitemia (<xref ref-type="bibr" rid="B23">23</xref>). To further clarify the function of macrophages during <italic>Plasmodium</italic> infection, we depleted specific splenic macrophage subsets and analyzed their capability to eliminate iRBCs and to contribute to the induction of T cell responses. Strikingly, we identified RPM&#x3a6; to be crucial for parasite control and macrophage subsets of the MZ to contribute to CD4<sup>+</sup> T cell responses during <italic>P. yoelii</italic> infection.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s2_1">
<title>Mice</title>
<p>All mice were on C57BL/6 background and maintained under specific pathogen-free conditions at the Animal Facility of University Hospital Essen. Female C57BL/6 mice were purchased from Envigo Laboratories (Envigo CRS GmbH, Rossdorf, Germany).</p>
<p>iDTRxCD11ccre (B6.Gt(Rosa26)Sortm1(HBEGF)Awai/Tg(Itgax-cre)1-1Reiz) mice, kindly provided by Ari Waisman, Mainz, Germany and CD169DTR (Siglec1tm1(HBEGF)Mtka) mice have been described previously (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B24">24</xref>). SpiC<sup>flox/flox</sup> x vav1cre (B6.Cg-Tg(VAV1-cre)1Graf/Mdf/Spictm1Kmm) mice express the cre recombinase in hematopoietic stem cells and contain loxP-flanks at the s<italic>pi-C</italic> transcription factor locus, which controls RPM&#x3a6; development and were kindly provided by Prof. Manfred Kopf, ETH Z&#xfc;rich, Switzerland. OTII (Cg-Tg(TcraTcrb)425Cbn/J) mice express a transgenic T cell receptor recognizing the MHC class II (I-Ab)-restricted ovalbumin peptide<sub>323-339</sub> (<xref ref-type="bibr" rid="B25">25</xref>) and were kindly provided by Dr. Tetyana Yevsa, Medical School, Hannover, Germany. To ensure unbiased group allocation, age- and sex-matched animals were randomly assigned to treatment groups. All animal experiments were carried out in accordance with the guidelines of the German Animal Protection Law and were approved by the state authority for nature, environment, and customer protection, North Rhine-Westphalia, Germany.</p>
</sec>
<sec id="s2_2">
<title>Histology</title>
<p>Spleen samples were excised and washed in PBS before being embedded in Tissue-Tek (Sakura Finetek, Tokyo, Japan). The samples were then rapidly frozen in liquid nitrogen and stored at -80&#xb0;C. Spleen slices were sectioned using a Cryostat microtome (Leica) at a thickness of 8 &#xb5;m and mounted on HistoBond<sup>&#xae;</sup> microscope slides (Paul Marienfeld GmbH &amp; Co. KG). The sections were subsequently frozen at -80&#xb0;C for a minimum of 24 hours before staining. Spleen sections were retrieved from the freezer and allowed to dry at room temperature before use. Samples were then fixed in acetone for 10 minutes, followed by two washes with PBS for 3 minutes each. The areas of interest were outlined with a hydrophobic pen, and the sections were washed again in PBS for 3 minutes. To block nonspecific binding sites, samples were incubated in wash buffer (PBS + 2% FCS) for 45 minutes, then washed twice more in PBS for 3 minutes each. Excess buffer was gently removed, and sections were incubated with FITC-conjugated F4/80, APC-conjugated CD169 and PE-conjugated CD209b (all Miltenyi Biotec, Bergisch Gladbach, Germany) for 30 minutes. After incubation, the sections underwent two additional PBS washes (3 minutes each). Finally, mounting medium and a coverslip were applied.</p>
</sec>
<sec id="s2_3">
<title>
<italic>Plasmodium yoelii</italic> infection</title>
<p>For infection, the non-lethal <italic>Plasmodium</italic> strain <italic>P. yoelii</italic> 17XNL was used. Mice were intravenously injected with 1 x 10<sup>5</sup> <italic>P. yoelii</italic> iRBCs in 100 &#xb5;l PBS. Parasitemia was assessed on days 3, 5 and 7 p.i. with the Hematology analyzer XN-31 (Sysmex, Kobe, Japan) as described (<xref ref-type="bibr" rid="B26">26</xref>).</p>
</sec>
<sec id="s2_4">
<title>Splenic macrophage isolation</title>
<p>To obtain single-cell suspensions from the spleen, the organ was minced into a homogeneous paste before enzymatic digestion (DMEM supplemented with 1 mg/ml Collagenase D and 100 &#xb5;g/ml DNase) at 37&#xb0;C for 30 minutes. Following incubation, the cells were mechanically dissociated by passing them through a 100 &#x3bc;m strainer. Erythrocyte lysis buffer was added, and the samples were incubated for 2 minutes at room temperature before being diluted with M&#x3a6; medium (DMEM supplemented with 10% FCS and 5 mM EDTA). The suspension was then centrifuged at 300 &#xd7; g for 10 minutes at 4&#xb0;C. Finally, the obtained cells were resuspended in PBS supplemented with 2% FCS and 2 mM EDTA for further processing.</p>
</sec>
<sec id="s2_5">
<title>
<italic>In vitro</italic> proliferation assay</title>
<p>CD4<sup>+</sup> T cells were obtained from OT-II mice by rinsing spleens with erythrocyte lysis buffer and washing with PBS supplemented with 2 mM EDTA and 2% FCS. CD4<sup>+</sup> T cells were isolated from splenocytes by using the CD4<sup>+</sup> T cell isolation kit (Miltenyi Biotec, Bergisch Gladbach, Germany) according to the manufacturer&#x2019;s recommendation. DCs were obtained from splenocytes of WT C57BL/6 mice by using CD11c MicroBeads UltraPure (Miltenyi Biotec, Bergisch Gladbach, Germany) according to the manufacturer&#x2019;s recommendation. Macrophages were isolated as described, and splenic macrophage subpopulations were sorted using an Aria II Cell Sorter (BD Biosciences, Heidelberg, Germany). CD19, NK1.1, Ly-6G, Ly-6C (BD Biosciences, Heidelberg, Germany) CD3 (BioLegend, San Diego, USA) were used as fluorescein isothiocyanate (FITC), CD11b (BioLegend, San Diego, USA) was used as R-Phycoerythrin-Cyanine dye 7 (PE-Cy7), CD169 (BioLegend, San Diego, USA) was used as Allophycocyanine (APC), CD209b (Miltenyi Biotec, Bergisch Gladbach, Germany) was used as R-Phycoerythrin (PE), F4/80 (Invitrogen, Carlsbad, USA) was used as Pacific Blue (PB), and TIM-4 (Invitrogen, Carlsbad, USA) was used as Peridinin chlorophyll protein-Cyanine5.5 (PerCP-Cy5.5). RPM&#x3a6; were defined as lineage negative (neg. lin.) (CD3<sup>-</sup>, CD19<sup>-</sup>, LyG<sup>-</sup>, NK1.1<sup>-</sup>), CD11b<sup>int</sup> and F4/80<sup>+</sup>. MZM&#x3a6; were defined as lineage negative (CD3<sup>-</sup>, CD19<sup>-</sup>, LyG<sup>-</sup>, NK1.1<sup>-</sup>), MARCO<sup>+</sup> TIM4<sup>+</sup> CD11b<sup>+</sup>, and MMM&#x3a6; as lineage negative (CD3<sup>-</sup>, CD19<sup>-</sup>, LyG<sup>-</sup>, NK1.1<sup>-</sup>), CD169<sup>+</sup> TIM4<sup>+</sup> CD11b<sup>+</sup>. Once all cell types had been prepared, CD4<sup>+</sup> T cells were stained with eFluor 670 (eBioscience, ThermoFisher Scientific, Langenselbold, Germany). For this, the cells were washed twice with PBS, resuspended in 2 mL of PBS at room temperature to a concentration of 1 &#xd7; 10<sup>7</sup> cells and incubated with eFlour 670 in darkness at 37&#xb0;C for 10 minutes. Staining was halted by adding 4 mL of cold FCS, followed by an additional 5 minute incubation on ice. Cells were then washed three times with IMDM (supplemented with 10% FCS, 1% Penicillin/Streptomycin and 0.1% Mercaptoethanol), and the supernatant was removed before final resuspension. Cells were plated at a ratio of 2 &#xd7; 10<sup>4</sup> APCs to 2 &#xd7; 10<sup>4</sup> T cells with 1 &#xb5;g/ml OVA<sub>323-339</sub>-peptide, and incubated at 37&#xb0;C. T cell proliferation was assessed after 48 hours incubation. Cells were harvested and analyzed using flow cytometry.</p>
</sec>
<sec id="s2_6">
<title>Antibodies</title>
<p>CD11b, CD62L, CD69 (eBioscience, ThermoFisher Scientific, Langenselbold, Germany) CD19, CD3, CD4, CD86, IL-10, IL-6, Ly-6G, NK1.1, TIM-4 (BD Biosciences, Heidelberg, Germany), CD11c, CD169, CD192, CD3017, CX3CR1, F4/80, IFN-&#x3b3;, IL-12/IL-23, Ly-6C (BioLegend, San Diego, USA), CD209b (Miltenyi Biotec, Bergisch Gladbach, Germany), granzyme B (Invitrogen, Carlsbad, USA), and MARCO (R&amp;D Systems, Bio-Techne, Wiesbaden, Germany) were used as Allophycocyanine (APC), Brilliant Ultra Violet 737 (BUV737), Brilliant Ultra Violet 805 (BUV805), Horizon V450 (V450), Brilliant Violet 510 (BV510), Brilliant Violet 605 (BV605), Brilliant Violet 711 (BV711), Brilliant Violet 786 (BV786), Fluorescein isothiocynat (FITC), Peridinin-Chlorophyll-Protein (Per-CP), Peridinin chlorophyll protein-Cyanine5.5 (PerCP-Cy5.5), R-Phycoerythrin (PE), R-Phycoerythrin-Cyanine dye 5 (PE-Cy5), R-Phycoerythrin-Cyanine dye 7 (PE-Cy7). Dead cells were identified using the fixable viability dye eFluor 780 (eBioscience, ThermoFisher Scientific, Langenselbold, Germany).</p>
</sec>
<sec id="s2_7">
<title>Flow cytometry</title>
<p>Before surface staining, cells were resuspended in TruStain FcX&#x2122;PLUS (Biolegend, San Diego, USA) and incubated for 15 minutes on ice. Cells were then centrifuged at 300 x g at 4&#xb0;C and afterwards stained with the respective surface antibody mix. After surface staining, intracellular staining was performed if applicable. For granzyme B, the Foxp3 staining kit (eBioscience, ThermoFisher Scientific, Langenselbold, Germany) was used following the manufacturer&#x2019;s instructions. Briefly, cells were fixed in fixation/permeabilization buffer and incubated at RT for 1 hour. Then, cells were permeabilized with permeabilization buffer and centrifuged at 300 x g for 5 min before resuspending cells with the respective intracellular antibodies and incubation for 30 min at 4&#xb0;C. To assess IFN&#x3b3; expression, cells were stimulated with 10 ng/mL phorbol 12-myristate 13-acetate and 100 &#x3bc;g/mL ionomycin (both from Sigma-Aldrich, Munich, Germany) for 4 hours in the presence of 5 &#x3bc;g/mL Brefeldin A (Sigma-Aldrich, Munich, Germany). Subsequently, cells were treated with 2% paraformaldehyde and 0.1% IGEPAL CA-630 (Sigma-Aldrich, Munich, Germany) before being stained with the respective antibodies for 30 minutes at 4&#xb0;C. Flow cytometric analyses were performed using FACS Symphony A5, with data acquisition and analysis conducted using DIVA software (BD Biosciences, Heidelberg, Germany).</p>
</sec>
<sec id="s2_8">
<title>Cell depletion</title>
<p>For the depletion of DCs, iDTRxCD11ccre transgenic (TG) mice were administered diphtheria toxin (DT) (Sigma-Aldrich, Munich, Germany) at a dose of 12 ng/kg body weight in PBS intraperitoneal (i.p.) every other day. As a control group, iDTRxCD11ccre wild-type (WT) littermates received the same DT amount.</p>
<p>CD169<sup>+</sup> cell depletion was achieved by administration of 30 ng/kg bodyweight DT in PBS i.p. every 5 days. Control groups received PBS i.p. on the same days.</p>
<p>Macrophages were depleted by administration of 200 &#xb5;l clodronate liposomes (CL) (Liposoma BV, Amsterdam, Netherlands) i.p. every 5 days. Control groups received 200 &#xb5;l PBS filled liposomes (PBSL) (Liposoma BV, Amsterdam, Netherlands).</p>
</sec>
<sec id="s2_9">
<title>Statistical analysis</title>
<p>Statistical analyses were performed using Graph Pad Prism Software (Graph Pad Software, La Jolla, CA). Gaussian distribution was determined using D&#x2019;Agostino &amp; Pearson test, Shapiro-Wilk test or Kolmogorov-Smirnov test. If data passed normality test, unpaired Student&#x2019;s t-test was used, if data were not distributed normally, Mann-Whitney U-test was performed. If two or more groups were to be analyzed, statistical analyses was calculated by one-way ANOVA or Kruskal-Wallis test. Statistical significance was considered as P-values of 0.05 or less (*<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>DC-depleted mice show decreased CD4<sup>+</sup> T cell responses during <italic>P. yoelii</italic> infection</title>
<p>Since CD4<sup>+</sup> T cells play a crucial role in controlling acute infection and establishing long-term immunity, their activation was analyzed upon DC depletion by using DT-treated iDTRxCD11ccre (TG) mice and <italic>P. yoelii</italic> infection. DC depletion was performed one day prior to infection with <italic>P. yoelii</italic>. The mice were sacrificed seven days post-infection (p.i.) to analyze T cell responses and parasitemia as previously described (<xref ref-type="bibr" rid="B15">15</xref>). We first confirmed our previous results regarding CD4<sup>+</sup> T cell activation. Wild-type (WT) mice infected with <italic>P. yoelii</italic> showed a significant rise in CD69<sup>+</sup> CD4<sup>+</sup> T cells, indicating enhanced activation (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1</bold>
</xref>). This increase was also seen in <italic>P.yoelii</italic>-infected DC-depleted transgenic iDTRxCD11ccre mice, although to a significantly lesser extent than in infected WT mice. Accordingly, infected TG mice displayed a marked decrease in CD69-expressing CD4<sup>+</sup> T cells compared to infected WT mice, suggesting reduced T cell activation in the absence of DCs (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1A</bold>
</xref>). In agreement with our previous data (<xref ref-type="bibr" rid="B15">15</xref>), IFN&#x3b3; production by CD4<sup>+</sup> T cells significantly increased upon infection in both WT and TG mice. Interestingly, despite the lack of DCs, DT-treated TG mice showed even higher levels of T cell activation, as evidenced by increased IFN&#x3b3;-producing CD4<sup>+</sup> T cells compared to non-infected DT-treated TG mice (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1B</bold>
</xref>). Upon <italic>P. yoelii</italic> infection the expression of additional T cell activation markers, <italic>i.e.</italic> CD62L and granzyme B, were markedly reduced and increased, respectively (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;1C, D</bold>
</xref>). DT treatment resulted in a slight increase and decrease of CD62L and granzyme B, respectively, in TG mice upon infection, but this effect did not reach significance (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;1C, D)</bold>
</xref>. In summary, we verify that DC-depleted mice show a decrease in CD4<sup>+</sup> T cell responses during <italic>P. yoelii</italic> infection, but retain substantial activation, which may possibly be due to a compensatory effect of other APCs, such as macrophages.</p>
</sec>
<sec id="s3_2">
<title>Splenic macrophage subpopulations are affected by DC depletion</title>
<p>Upon DC depletion, <italic>P. yoelii</italic>-infected animals show an increase in the splenic macrophage compartment (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2D</bold>
</xref>), indicative of a compensatory mechanisms during hematopoiesis. As the splenic macrophage subsets MZM&#x3a6; and MMM&#x3a6; rely on the integrity of the MZ structure (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>), we first investigated possible effects of DC depletion on the splenic architecture in DT-treated iDTRxCD11ccre mice (TG) and control littermates (WT). Immunofluorescence staining revealed no apparent changes in splenic architecture (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). The distinction between the WP and RP remained intact in DC-depleted mice. The distribution of RPM&#x3a6; (green), MZM&#x3a6; (yellow), and MMM&#x3a6; (red) was similar between the spleens of DT-treated WT and TG mice, with all macrophages maintaining their typical locations within the spleen. After <italic>P. yoelii</italic> infection, both DT-treated WT and TG mice showed a significant decline in RPM&#x3a6; frequency (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>, gating strategy <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>). In contrast, MZM&#x3a6; analysis revealed an increase in their abundance in non-infected mice lacking DCs, which became significant following <italic>P. yoelii</italic> infection in DT-treated TG mice (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). This suggests a significant modulation of MZM&#x3a6; population in response to both, DC depletion and infection. Similarly, MMM&#x3a6; frequency exhibited a significant rise in DT-treated TG mice compared to WT mice following <italic>P. yoelii</italic> infection (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>). Next, we analyzed the cytokine profile of splenic macrophage subsets from DC-depleted mice after <italic>P. yoelii</italic> infection by flow cytometry and detected significant changes. While the frequency of IL-12/IL-23<sup>+</sup> RPM&#x3a6; from DT-treated TG mice significantly decreased (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>), the percentage of IL-12/IL-23-producing MZM&#x3a6; significantly increased upon infection (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1F</bold>
</xref>). Additionally, cytokine analysis of MMM&#x3a6; showed a significant decrease in IL-6-producing MMM&#x3a6; (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1G</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Splenic macrophage subpopulations are affected by DC depletion. <bold>(A)</bold> Splenic tissue of non-infected WT and TG iDTR x CD11ccre mice treated with 12 ng/kg bodyweight DT i.p. for 7 consecutive days was snap-frozen and histologically analyzed. Sections of snap-frozen splenic tissue were analyzed for RPM&#x424; (F4/80<sup>+</sup>; green), MMM&#x424; (CD169<sup>+</sup>; red) and MZM&#x424; (CD209b<sup>+</sup>; yellow). One representative set of n=14 images is shown; scale bar = 100 &#x3bc;m. <bold>(B)</bold> Frequencies of RPM&#x424; (F4/80<sup>+</sup> CD11b<sup>low</sup> of neg. lin. <bold>(C)</bold> frequencies of MZM&#x424; (MARCO<sup>+</sup> TIM4<sup>+</sup> CD11b<sup>+</sup> neg.lin.) and <bold>(D)</bold> frequencies of MMM&#x424; (CD169<sup>+</sup> TIM4<sup>+</sup> CD11b<sup>+</sup> neg.lin.) of spleen from uninfected (control) and P. yoelii-infected DT-treated iDTR x CD11ccre WT and TG mice. <bold>(E)</bold> Frequencies of TNF&#x3b1;-, IL-10-, IL-12/23-, and IL-6-expressing RPM&#x424;, <bold>(F)</bold> MZM&#x424; and <bold>(G)</bold> MMM&#x424; in spleen from <italic>P. yoelii</italic>-infected DT-treated iDTR x CD11ccre WT and TG mice were analyzed by flow cytometry 7 days p.i. Results from 3 independent experiments with uninfected (n=4-5) and infected (n=10) are presented as mean (&#xb1; SEM). Statistical analyses were performed using ordinary one-way ANOVA or Kruskal-Wallis test *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1607201-g001.tif">
<alt-text content-type="machine-generated">Fluorescence microscopy images and bar graphs showing spleen macrophages in different experimental conditions. Panel A shows magnified sections of red pulp macrophages (RPM&#x424;), marginal metallophilic macrophages (MMM&#x424;), and marginal zone macrophages (MZM&#x424;) in wild-type (WT) and transgenic (TG) mice after diphtheria toxin treatment, with merged images highlighting red pulp (RP) and white pulp (WP) areas. Panels B, C, and D depict bar graphs for RPM&#x424;, MZM&#x424;, and MMM&#x424; respectively, showing percentages of macrophage markers in control and Plasmodium yoelii infected groups. Panels E, F, and G display scatter plots of cytokine expression levels for TNF-alpha, IL-10, IL-12/23,and IL-6 of  RPM&#x424;, MZM&#x424;, and MMM&#x424; 7 days post infection in WT and TG iDTRxCD11ccre mice after DT treatment . Statistical significance is indicated by asterisks.</alt-text>
</graphic>
</fig>
<p>These findings suggest an enhanced response of MMM&#x3a6; and MZM&#x3a6; populations to <italic>P. yoelii</italic> infection in the absence of DCs, possibly indicating altered immune dynamics in this context.</p>
</sec>
<sec id="s3_3">
<title>CD4<sup>+</sup> T cell activation to <italic>P. yoelii</italic> infection is partly reduced upon macrophage depletion</title>
<p>To further investigate the overall impact of splenic macrophages on the outcome of <italic>P. yoelii</italic> infection, we depleted macrophages using the well-established CL model. CL were administered 3 days before <italic>P. yoelii</italic> infection and again 2 days p.i. As a control, PBS-filled liposomes (PBSL) were used, and mice were analyzed 7 days p.i. (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). The administration of CL resulted in an efficient depletion of all splenic macrophage subsets as confirmed by immunohistochemistry (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>) as well as flow cytometric analysis (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2C-E</bold>
</xref>). To ensure that no other phagocytic cells were impacted by CL treatment, various immune cell populations were examined for potential changes in frequency by flow cytometry (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;4</bold>
</xref>). Herein, the neutrophil population was significantly increased, suggesting a possible compensatory effect upon macrophage depletion and cDCs were reduced, but still present. In macrophage-deficient mice infected with <italic>P. yoelii</italic>, a significant reduction in CD69<sup>+</sup> CD4<sup>+</sup> T cells was observed (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>). While granzyme B is classically associated with cytotoxic CD8<sup>+</sup> T cells, it is also expressed by specific CD4<sup>+</sup> T cell subsets, called cytotoxic Th1 cells. Granzyme B<sup>+</sup> CD4<sup>+</sup> T cells appear to participate in anti-<italic>Plasmodium</italic> immunity, but the mechanism remains elusive, making them interesting for our analysis (<xref ref-type="bibr" rid="B29">29</xref>). Herein, we observed a slight trend to lower frequencies of IFN&#x3b3;- and granzyme B-expressing CD4<sup>+</sup> T cells from the CL-treated, infected group, which did not reach significance (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2G, H</bold>
</xref>). In contrast, CD62L levels were not altered in the infected groups, but showed a significant decrease upon <italic>P. yoelii</italic> infection indicating an overall increase in CD4<sup>+</sup> T cell activation (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2I</bold>
</xref>). Together, these results suggest that macrophages contribute, at least in part, to CD4<sup>+</sup> T cell activation during infection.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>CD4<sup>+</sup> T cell activation to <italic>P. yoelii</italic> infection is partly reduced upon macrophage depletion. <bold>(A)</bold> Experimental set-up of C57BL/6 mice treated with CL or PBSL. <bold>(B)</bold> Splenic tissue from non-infected C57BL/6 mice treated with either 200 &#xb5;l PBSL or CL i.p., was snap-frozen and histologically analyzed 10 days post first treatment. Sections of snap-frozen splenic tissue were analyzed for RPM&#x3a6; (F4/80<sup>+</sup>; green), MMM&#x3a6; (CD169<sup>+</sup>; red) and MZM&#x3a6; (CD209b<sup>+</sup>; yellow). One representative set of images is shown (n=7-9); scale bar = 100 &#xb5;m. Absolute numbers of <bold>(C)</bold> RPM&#x3a6; (F4/80<sup>+</sup> CD11b<sup>low</sup> of neg. lin.), <bold>(D)</bold> MMM&#x3a6; (CD169<sup>+</sup> TIM4<sup>+</sup> CD11b<sup>+</sup> neg. lin.) and <bold>(E)</bold> MZM&#x3a6; (MARCO<sup>+</sup> TIM4<sup>+</sup> CD11b<sup>+</sup> neg. lin.), as well as frequencies of <bold>(F)</bold> CD69<sup>+</sup>, <bold>(G)</bold> IFN&#x3b3;<sup>+</sup>, <bold>(H)</bold> granzyme B<sup>+</sup> and <bold>(I)</bold> CD62L<sup>+</sup> cells of CD4<sup>+</sup> T cells in spleen from uninfected (control) and <italic>P. yoelii</italic>-infected C57BL/6 mice either treated with CL or PBSL were analyzed by flow cytometry 7 days p.i. Results from 3 independent experiments with n=6&#x2013;15 are presented as mean (&#xb1; SEM). Statistical analyses were performed using Kruskal-Wallis test or ordinary one-way ANOVA *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1607201-g002.tif">
<alt-text content-type="machine-generated">Diagram and charts showing the experimental setup and results of immune cell analysis in C57BL/6 mice infected with P. yoelii. Panel A: Timeline of liposome injections, infection, and analysis. Panel B: Fluorescence images comparing PBS and clodronate liposomes showing different macrophage populations. Panels C-E: Bar graphs displaying the absolute number of macrophages (RPM&#x424;, MMM&#x424;, MZM&#x424;) with significant differences indicated. Panels F-I: Bar graphs showing percentages of different CD4+ T cell activation markers, with significant differences marked. Results suggest clodronate liposome treatment affects immune cell populations during infection.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_4">
<title>Macrophage depletion results in an impaired parasite clearance</title>
<p>We next quantified parasite blood infection dynamics following macrophage depletion (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). In the first infection experiment, CL administration was initiated three days before <italic>P. yoelii</italic> infection (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Here, a significant increase in parasitemia was observed 5 days p.i. in CL-treated mice compared to PBSL-treated controls. However, by day 7 p.i., parasitemia levels in CL-treated mice decreased and resulted in equalized levels between the groups, suggesting that other phagocytic cells may compensate for the loss of macrophage function. To determine whether this equalizing effect occurs when macrophages are depleted after an infection is established, C57BL/6 mice were first infected with <italic>P. yoelii</italic> and treated with PBSL or CL starting 2 days p.i. (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Interestingly, in this experimental setting a significant increase in parasitemia was detected 24 hours later (3 days p.i.) in CL-treated mice. This exacerbation became even more pronounced by day 5 p.i. and peaked at an excessively high parasitemia of approximately 40% by day 7 p.i. (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Together, the altered blood infection dynamics in CL-treated mice corroborate the notion that macrophages are the main cells essential for parasite clearance during <italic>P. yoelii</italic> infection.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Macrophage depletion results in an impaired parasite clearance. <bold>(A)</bold> C57BL/6 mice were treated with 200 &#xb5;l of CL or PBSL i.p. 3 days prior to, or <bold>(B)</bold> 2 days post <italic>P. yoelii</italic> infection. Parasitemia was determined with 10 &#xb5;l blood in a 1/10 dilution using the hematology analyzer Sysmex XN31 3, 5 and 7 days post <italic>P. yoelii</italic> infection in CL- and PBSL-treated C57BL/6 mice. Results from 3 independent experiments with n=8&#x2013;16 are presented as mean (&#xb1; SEM). Statistical analyses were performed using unpaired Student&#x2019;s t-test or Mann-Whitney test **<italic>p</italic> &lt; 0.01 ****<italic>p</italic> &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1607201-g003.tif">
<alt-text content-type="machine-generated">Two line graphs labeled A and B show parasitemia percentage over days post-infection. Graph A ranges from 0 to 15% parasitemia, and Graph B ranges from 0 to 50%. Both graphs compare two groups: C57BL/6 + PBSL (dashed line) and C57BL/6 + CL (solid line). Graph A shows a significant increase in parasitemia at day 5 for the CL group, while Graph B shows a marked increase at days 3, 5 and 7, with multiple asterisks indicating statistical significance.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_5">
<title>MMM&#x3a6; are involved in CD4<sup>+</sup> T cell effector function, but are dispensable for parasite clearance</title>
<p>Given that the CL treatment depletes all splenic macrophage subsets, the next step was to identify which macrophage subset might be responsible for the reduced CD4<sup>+</sup> T cell activation and uncontrolled parasite burden observed during <italic>P. yoelii</italic> infection in macrophage-depleted mice. To determine whether different splenic macrophage populations can generally induce a T cell response, we first analyzed their T cell activating capacity <italic>in vitro.</italic> Therefore, OVA<sub>323-339</sub>-peptide was loaded on sorted splenic macrophage subpopulations as well as on DCs, which were co-cultured with eFluor670-labeled OVA-specific CD4<sup>+</sup> T cells. T cell proliferation was then assessed by the dilution of the proliferation dye (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;5</bold>
</xref>). All splenic macrophage subpopulations were capable of inducing an OVA-specific T cell proliferation, with RPM&#x3a6; and MMM&#x3a6; demonstrating the strongest potential, followed by MZM&#x3a6;. These results suggest that splenic macrophages can elicit T cell responses at least <italic>in vitro</italic>.</p>
<p>Since a significant increase in MMM&#x3a6; was observed during <italic>P. yoelii</italic> infection in DC-depleted mice (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>), along with their potential to induce CD4<sup>+</sup> T cell proliferation <italic>in vitro</italic> (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;5</bold>
</xref>), this macrophage subset was of particular interest for further analysis. Therefore, CD169DTR mice were used to specifically deplete MMM&#x3a6; <italic>via</italic> diphtheria toxin (DT). DT treatment started at day 3 prior to <italic>P. yoelii</italic> infection and was repeated every 5 days. Parasitemia was monitored on days 3, 5, and 7 p.i., and mice were sacrificed for analysis 7 days p.i. (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). While DT administration in CD169DTR mice did not alter splenic architecture (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>), or other immune cells (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;6</bold>
</xref>), it resulted in a reduction in MMM&#x3a6;, and to a lesser extent, MZM&#x3a6;, as determined by immunofluorescence analysis (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>) and confirmed by flow cytometry (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C-E</bold>
</xref>). To assess the effect of MMM&#x3a6; and MZM&#x3a6; depletion on CD4<sup>+</sup> T cells, we analyzed the T cell response in <italic>P. yoelii-</italic>infected DT-treated CD169DTR mice. We did not detect differences in CD4<sup>+</sup> T cell frequencies following DT treatment and <italic>P. yoelii</italic> infection (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). Moreover, the expression of activation markers, <italic>i.e.</italic> CD69, CD62L, and granzyme B, did not differ between MMM&#x3a6;-depleted and control mice after infection (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5B-D</bold>
</xref>). Of note, MMM&#x3a6; and MZM&#x3a6; depletion led to a slight, but significant, reduction in IFN&#x3b3;<sup>+</sup> CD4<sup>+</sup> T cells at 7 days p.i. (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>). However, depletion of MMM&#x3a6; and MZM&#x3a6; did not affect the course of parasitemia until day 7 p.i. (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>), excluding an important role in phagocytosis of parasite-infected erythrocytes.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Efficient depletion of MMM&#x3a6; and MZM&#x3a6; in DT-treated CD169DTR mice. <bold>(A)</bold> Experimental set-up of CD169DTR mice treated with DT or PBS. <bold>(B)</bold> Splenic tissue of non-infected CD169DTR mice treated with DT or PBS i.p. analyzed 10 days post first treatment was snap-frozen and histologically analyzed. Sections of snap-frozen splenic tissue were analyzed for RPM&#x3a6; (F4/80<sup>+</sup>; green), MMM&#x3a6; (CD169<sup>+</sup>; red) and MZM&#x3a6; (CD209b<sup>+</sup>; yellow). One representative set of images is shown (n=7-9); scale bar = 100 &#xb5;m. Frequencies (top) and absolute cell numbers (bottom) of <bold>(C)</bold> RPM&#x3a6; (F4/80<sup>+</sup> CD11b<sup>int</sup> neg. lin.), <bold>(D)</bold> MMM&#x3a6; (CD169<sup>+</sup> TIM4<sup>+</sup> neg. lin.) and <bold>(E)</bold> MZM&#x3a6; (MARCO<sup>+</sup> TIM4<sup>+</sup> neg. lin.) of spleen from uninfected CD169 mice either treated with DT or PBS for 10 days were analyzed via flow cytometry. Results from 1 experiment with n=2&#x2013;3 are presented as mean (&#xb1; SEM).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1607201-g004.tif">
<alt-text content-type="machine-generated">Diagram of an experimental setup (A) and results (B-E) for a study involving CD169DTR mice, P. yoelii infection, and diphtheria toxin. Images show macrophage staining under two conditions: PBS and DT-treated with RPM&#x3a6;, MMM&#x3a6;, and MZM&#x3a6; markers, alongside merged images. Graphs (C-E, lower panels) depict the percentage and absolute number of specific macrophage populations in different conditions, with PBS and DT comparisons.</alt-text>
</graphic>
</fig>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>MMM&#x3a6; are involved in CD4<sup>+</sup> T cell effector function, but are dispensable for parasite clearance. <bold>(A)</bold> Frequencies of CD4<sup>+</sup> T cells <bold>(B)</bold> CD69<sup>+</sup> of CD4<sup>+</sup> T cells, <bold>(C)</bold> CD62L<sup>+</sup> of CD4<sup>+</sup> T cells, <bold>(D)</bold> granzyme B<sup>+</sup> of CD4<sup>+</sup> T cells and <bold>(E)</bold> IFN&#x3b3;<sup>+</sup> of CD4<sup>+</sup> T cells in spleen from uninfected (control) and <italic>P. yoelii</italic>-infected CD169DTR mice either treated with DT or PBS, were analyzed by flow cytometry 7 days p.i. Results from 3 independent experiments with n=8&#x2013;12 are presented as mean (&#xb1; SEM). Statistical analyses were performed using ordinary one-way ANOVA or Mann-Whitney Test *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ****<italic>p</italic> &lt; 0.0001. <bold>(F)</bold> Parasitemia was determined with 10 &#xb5;l blood in a 1/10 dilution using the hematology analyzer Sysmex XN31 3, 5 and 7 days post <italic>P. yoelii</italic> infection in CD169DTR mice treated either with 30 ng/kg bodyweight DT or PBS as control. Results from 4 independent experiments with n=18&#x2013;20 are presented as mean (&#xb1; SEM). Statistical analyses were performed using unpaired Student&#x2019;s t-test or Mann-Whitney test.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1607201-g005.tif">
<alt-text content-type="machine-generated">Bar and line graphs showing percentages of various CD4+ T cell markers and parasitemia in CD169DTR TG mice. Panels A-E depict the expression of CD4, CD69, CD62L, Granzyme B, and IFN&#x3b3; in control versus P. yoelii conditions. Panel F shows parasitemia levels over seven days post-infection. White bars or points represent CD169DTR TG plus PBS, and black bars or points represent CD169DTR TG plus DT. Statistical significance is indicated by asterisks.</alt-text>
</graphic>
</fig>
<p>In conclusion, MMM&#x3a6; and MZM&#x3a6; contribute to the induction of a T<sub>H</sub>1 response, but their contribution to clear <italic>Plasmodium</italic>-infected RBCs is likely negligible.</p>
</sec>
<sec id="s3_6">
<title>RPM&#x3a6; are indispensable for parasite clearance, but not essential for a functional CD4<sup>+</sup> T cell response</title>
<p>Since the general depletion of splenic macrophages in <italic>P. yoelii</italic>-infected mice by CL treatment resulted in a significant increase in parasitemia (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A, B</bold>
</xref>), but MMM&#x3a6; and MZM&#x3a6; depletion did not significantly alter parasite burden, we next analyzed the impact of RPM&#x3a6; on clearing <italic>P. yoelii</italic>-infected RBCs. We used SpiC<sup>flox/flox</sup> x vav1cre mice, a transgenic mouse model in which RPM&#x3a6; development is selectively controlled. KO mice and WT littermates were infected with <italic>P. yoelii</italic> and analyzed 7 days p.i. (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). Indeed, we could demonstrate, a significant reduction of the RPM&#x3a6; population in SpiC<sup>flox/flox</sup> x vav1cre KO mice compared to SpiC<sup>flox/flox</sup> x vav1cre WT littermates (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6B, D</bold>
</xref>), while pDCs, cDCs, B cells, and neutrophil frequencies are not altered due to the RPM&#x3a6; deficiency (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). We note that MZM&#x3a6; and MMM&#x3a6; showed a trend towards increased frequencies, which did not reach significance in infected KO mice compared to WT mice (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7A, B</bold>
</xref>). The absence of RPM&#x3a6; did not impact the CD4<sup>+</sup> T cell response during <italic>P. yoelii</italic> infection, as no notable differences in CD4<sup>+</sup> T cell frequencies and activation status were found between WT and KO mice upon infection (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7C-E</bold>
</xref>). This implicates, that the RPM&#x3a6; subpopulation does not contribute to CD4<sup>+</sup> T cell priming. However, RPM&#x3a6; deficiency resulted in significant elevated parasitemia at 5 days p.i. (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7F</bold>
</xref>). This impairment of parasite clearance is comparable to the findings we obtained after depleting all macrophages by CL. In summary, the data suggest that RPM&#x3a6; are not essential for the induction of CD4<sup>+</sup> T cell responses during <italic>P. yoelii</italic> infection, but were identified as being important for clearing <italic>P. yoelii</italic> iRBCs.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Effective depletion of RPM&#x3a6; in Spi-C KO mice. <bold>(A)</bold> Experimental set-up of SpiC<sup>flox/flox</sup> x vav1cre mice. <bold>(B)</bold> Frequencies of RPM&#x3a6; (F4/80<sup>hi</sup> CD11b<sup>low</sup> neg. lin.) and <bold>(C)</bold> pDCs, cDCs, B cells and neutrophils in spleen of SpiC<sup>flox/flox</sup> x vav1cre (cre negative = WT, cre positive = KO) were analyzed by flow cytometry 7 days p.i. Results from 1&#x2013;2 experiments with n=3&#x2013;6 are presented as mean (&#xb1; SEM). Statistical analyses were performed using Mann-Whitney test **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001. <bold>(D)</bold> Splenic tissue of non-infected SpiC<sup>flox/flox</sup> x vav1cre mice was snap-frozen and histologically analyzed. Sections of snap-frozen splenic tissue were analyzed for RPM&#x3a6; (F4/80<sup>+</sup>; green), MMM&#x3a6; (CD169<sup>+</sup>; red) and MZM&#x3a6; (CD209b<sup>+</sup>; yellow). One representative set of images is shown (n=6); scale bar = 100 &#xb5;m.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1607201-g006.tif">
<alt-text content-type="machine-generated">Diagram of an experimental design and results related to SpiC expression in mice models following *P. yoelii* infection. A shows the infection timeline for parasitemia determination. B presents bar graphs showing reduced RPM&#x424; percentages and RPM&#x424; numbers in knockout (KO) versus wild-type (WT) mice. C depicts viable cell percentages for different cell types, with WT and KO comparisons. D displays fluorescent images of RPM&#x424;, MMM&#x424;, MZM&#x424;, and merged views, contrasting WT and KO groups. Statistical significance is indicated by asterisks.</alt-text>
</graphic>
</fig>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>RPM&#x3a6; are indispensable for parasite clearance, but not essential for a functional CD4<sup>+</sup> T cell response. <bold>(A)</bold> Frequencies of MMM&#x3a6; (CD169<sup>+</sup> TIM4<sup>+</sup> of CD11<sup>+</sup> neg. lin.), <bold>(B)</bold> MZM&#x3a6; (MARCO<sup>+</sup>TIM4<sup>+</sup> of CD11b<sup>+</sup> neg. lin.) and <bold>(C)</bold> CD4<sup>+</sup> T cells, as well as frequencies of <bold>(D)</bold> CD69<sup>+</sup> and <bold>(E)</bold> CD62L<sup>+</sup> of CD4<sup>+</sup> T cells in spleen from uninfected (control) and <italic>P. yoelii</italic>-infected SpiC<sup>flox/flox</sup> x vav1cre mice (cre negative = WT, cre positive = KO) were analyzed by flow cytometry 7 days p.i. Results from 2 experiments with n=3&#x2013;9 are presented as mean (&#xb1; SEM). Statistical analyses were performed using Mann-Whitney test *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ****<italic>p</italic> &lt; 0.0001. <bold>(F)</bold> Parasitemia was determined with 10 &#xb5;l blood in a 1/10 dilution using the hematology analyzer Sysmex XN31 3, 5 and 7 days post <italic>P. yoelii</italic> infection in KO and WT SpiC<sup>flox/flox</sup> x vav1cre mice (cre negative = WT, cre positive = KO). Results from 3 independent experiments with n=5&#x2013;12 are presented as mean (&#xb1; SEM). Statistical analyses were performed using unpaired Student&#x2019;s t-test or Mann-Whitney test **<italic>p</italic> &lt; 0.01.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1607201-g007.tif">
<alt-text content-type="machine-generated">Bar and line graphs labeled A to F show immune cell percentage data comparing control and P. yoelii groups. Graphs depict differences in cell types like MMM&#x424;, MZM&#x424;, and CD4&#x207a; T cells with statistical significance indicated. Graph F shows parasitemia percentage over days, comparing two genetic groups: SpiC^fl/fl x vav1cre WT and SpiC^fl/fl x vav1cre KO.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Macrophages are well known to act as phagocytic cells that form the first line of defense by eliminating invading pathogens. During malaria, splenic macrophages protect the host through cytokine production and phagocytosis (<xref ref-type="bibr" rid="B17">17</xref>). Previously, we demonstrated that depletion of DCs resulted in impaired T cell responses, but residual T cell activation was still present, and the infection was ultimately cleared, with its course remaining unchanged (<xref ref-type="bibr" rid="B15">15</xref>). These findings indicate that although DCs are vital for optimal T cell activation, their function can be partially replaced by other cells during <italic>P. yoelii</italic> infection (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B30">30</xref>). Therefore, we analyzed the potential of different splenic macrophage subsets to initiate T cell responses in addition to their capacity to eliminate iRBCs during an ongoing <italic>P. yoelii</italic> infection. Our data show that <italic>P. yoelii</italic> infection of DC-deficient mice resulted in elevated frequencies of MZM&#x3a6; and MMM&#x3a6;, whereas the relative number of RPM&#x3a6; decreased in both, DC-deficient as well as WT mice, during infection. A reduction in RPM&#x3a6; following <italic>Plasmodium</italic> infection has been demonstrated previously and was attributed to the phagocytosis of iRBCs. This in turn results in ferriprotoporphyrin (heme) accumulation, a by-product of hemoglobin digestion, which triggers apoptosis in a dose-dependent manner (<xref ref-type="bibr" rid="B31">31</xref>). While, we cannot exclude the possibility that other mechanisms contribute to the decrease in RPM&#x3a6;, it is plausible that the RPM&#x3a6; reduction observed in our analyses is also caused by ferriprotoporphyrin accumulation in the cells. The frequency of RPM&#x3a6; from <italic>P. yoelii</italic>-infected mice lacking DCs that express the proinflammatory cytokines IL-12/23 was significantly reduced, whereas relative numbers of IL-12/23-producing MZM&#x3a6; was upregulated. These cytokines are crucial for initiating T<sub>H</sub>1 and T<sub>H</sub>17 responses (<xref ref-type="bibr" rid="B32">32</xref>). Especially T<sub>H</sub>1 cells are of high importance for the control of intracellular parasites, due to their role in inducing a protective immune response by IFN&#x3b3; production (<xref ref-type="bibr" rid="B12">12</xref>). Although the cytokine profile of MMM&#x3a6; was not significantly altered, we detected an almost 4-fold increase in relative numbers of MMM&#x3a6; in DC-depleted <italic>P.yoelii</italic>-infected mice. These results indicate that DC depletion leads to changes in splenic macrophage subpopulations upon <italic>P. yoelii</italic> infection, and that these may therefore be involved in T cell activation, at least in the absence of DCs. To further clarify the role of splenic macrophages on the CD4<sup>+</sup> T cell response during <italic>P. yoelii</italic> infection, we depleted macrophages by using CL. As expected, treatment with CL resulted in efficient depletion of all splenic macrophage subsets. In accordance with a previous study by Rooijen et&#xa0;al., neutrophils and DCs in the spleen are not depleted by intraperitoneal (i.p.) CL treatment (<xref ref-type="bibr" rid="B33">33</xref>), although cDCs are slightly reduced, but still present. We also observed a significant increase in neutrophils upon macrophage depletion. In fact, neutrophils have been described to be involved in the defensive response against <italic>Plasmodium</italic> by producing reactive oxygen species and directly phagocytosing the parasite and might therefore compensate for the lack of macrophages. However, they might also contribute to pathogenesis of severe malaria due to release of toxic granule proteins and neutrophil extracellular traps (<xref ref-type="bibr" rid="B34">34</xref>).</p>
<p>Analysis of CD4<sup>+</sup> T cell activation markers revealed significantly decreased frequencies of CD69<sup>+</sup> CD4<sup>+</sup> T cells in CL-treated compared to PBSL-treated mice during <italic>P. yoelii</italic> infection. The observed reduction in CD69, an early activation marker, suggests that macrophages may contribute to the initial activation phase of CD4<sup>+</sup> T cells to some extent, potentially via cytokine release or co-stimulatory interactions, even in the presence of cDCs in our model.</p>
<p>To elucidate which specific splenic macrophage subsets might be responsible for this, we decided to use CD169DTR mice. DT treatment of these mice resulted not only in depletion of CD169<sup>+</sup> MMM&#x3a6;, but also affected MZM&#x3a6; in our hands. Importantly, DC subsets, neutrophils and B cells were not affected by DT treatment, confirming the specificity of this mouse model. In the spleen, MMM&#x3a6; are strategically located at the MZ, near areas rich in T and B lymphocytes, allowing them to efficiently interact with body fluids and perform their roles in antigen uptake and processing. This positioning supports their involvement in coordinating immune responses (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>). Our work provides evidence, that all tested macrophage subsets, but especially MMM&#x3a6;, are capable to induce CD4<sup>+</sup> T cell proliferation <italic>in vitro</italic>. Strikingly, we detected a significantly reduced relative number of CD4<sup>+</sup> T cells producing IFN&#x3b3; in addition to a partial reduction of CD69<sup>+</sup> and granzyme B<sup>+</sup> CD4<sup>+</sup> T cells in DT-treated and <italic>P. yoelii</italic>-infected CD169DTR mice, suggesting that MMM&#x3a6; and/or MZM&#x3a6; contribute, at least in part, to the activation of CD4<sup>+</sup> T cells during infection. It is well known that IFN&#x3b3;, produced by T<sub>H</sub>1-polarized CD4<sup>+</sup> T cells, plays a central role in controlling <italic>Plasmodium</italic> blood-stage infection. It enhances macrophage effector functions and contributes to parasite clearance. In this light, the significant reduction in IFN&#x3b3; expression observed in CD4<sup>
<sup>+</sup>
</sup> T cells from CD169DTR mice underscores the functional contribution of CD169<sup>
<sup>+</sup>
</sup> macrophages to the T<sub>H</sub>1 response. Although no additional activation markers reached significance, this cytokine-specific reduction still suggests a dampened immune environment in the absence of MZM&#x3a6; and MMM&#x3a6;. While DCs take over the primary role in CD4<sup>
<sup>+</sup>
</sup> T cell activation in our model, the observed effects point to an auxiliary role for macrophages. This aligns with recent work suggesting that CD169<sup>
<sup>+</sup>
</sup> macrophages may serve as alternative platforms for antigen presentation, especially when conventional DC function is impaired (<xref ref-type="bibr" rid="B35">35</xref>). This finding has important implications for human malaria, where DC dysfunction has been observed during blood-stage infections, particularly in individuals from high transmission areas with frequent reinfections and elevated parasite burdens (<xref ref-type="bibr" rid="B14">14</xref>).</p>
<p>Previous work showed that absence of MMM&#x3a6; in <italic>Plasmodium berghei ANKA</italic> (<italic>PbA</italic>)-infected mice causes a marked increase in parasite sequestration, resulting in vascular occlusion, leakage, and enhanced tissue deposition of hemozoin, which ultimately leads to extensive tissue damage and widespread inflammation affecting multiple organs (<xref ref-type="bibr" rid="B37">37</xref>). Therefore, an intact layer of MMM&#x3a6; is crucial for pathogen clearance and disease prevention, as they help trigger a rapid and strong innate immune response (<xref ref-type="bibr" rid="B38">38</xref>). However, when parasitemia was measured in CD169DTR mice, no differences were found between DT-treated and PBS-treated mice, indicating that this macrophage subset is not directly responsible for clearing iRBCs during <italic>P. yoelii</italic> infection. Nevertheless, depletion of all macrophages by using CL resulted in a significant increase in parasitemia at day 5 after <italic>P. yoelii</italic> infection, but returned to control levels at day 7. Since CL depletes both macrophages and circulating monocytes, cells that could potentially repopulate the spleen and contribute to the immune response against <italic>Plasmodium</italic> (<xref ref-type="bibr" rid="B33">33</xref>), the normalization of parasitemia might be explained by an increase in neutrophils, which are capable to phagocytose iRBCs and of generating reactive oxygen species (ROS) to combat the infection (<xref ref-type="bibr" rid="B39">39</xref>).</p>
<p>As macrophage depletion began prior to infection, compensatory mechanisms may have been activated early, potentially leading to the observed equilibrium of parasitemia between CL-treated and control mice. To investigate whether macrophages are primarily responsible for removal of iRBCs, additional experiments depleting macrophages 2 days after infection were performed, ensuring that other cell populations could not compensate for the loss of macrophages beforehand. In this case, a significant increase in parasitemia was detected 3 days post infection in CL-treated mice. This effect became more pronounced on day 5, with parasitemia peaking at an unusually high 40% by day 7, further confirming that macrophages are essential for the clearance of iRBCs.</p>
<p>Since our results from DT-treated <italic>P. yoelii</italic>-infected CD169DTR mice provide evidence that MMM&#x3a6; and MZM&#x3a6; are not essential for effective pathogen clearance, we hypothesized that RPM&#x3a6; were responsible for impaired parasite clearance in CL macrophage-depleted mice. RPM&#x3a6; primarily function by phagocytosing aged and damaged erythrocytes as they pass through the RP (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B40">40</xref>). In mice, RPM&#x3a6; uniquely express the transcription factor Spi-C, which is necessary for their development (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>). Therefore, it is possible to deplete them specifically by eliminating Spi-C expression in all nucleated blood cells and hematopoietic stem cells in SpiC<sup>flox/flox</sup> x vav1cre transgenic mice (Spi-C KO). CD4<sup>+</sup> T cell activation showed no significant changes in Spi-C KO mice upon infection. Interestingly, analysis of parasitemia in Spi-C KO mice, revealed a significant increase 5 days p.i., followed by a normalization by day 7, closely mirroring the results seen in mice that were treated with CL before infection. These findings confirm that RPM&#x3a6; are critical for the clearance of parasites, but are not involved in CD4<sup>+</sup> T cell priming during <italic>P. yoelii</italic> infection. The eventual normalization of parasitemia could be again explained by the activity of other phagocytic cells, such as neutrophils, which may help control the infection in the absence of RPM&#x3a6;. Further experiments are warranted to study the redundancy of phagocytic cells in malaria control. In addition, a temporal comparison to better delineate the phagocytic capacity of RPM&#x3a6; during both, early and late stages of infection would be interesting.</p>
<p>In our current study, we analyzed macrophage subsets in their native microanatomical niches within the spleen. These subsets, namely RPM&#x3a6;s, MMM&#x3a6;s, and MZM&#x3a6;s are each localized to distinct and well-defined anatomical regions (red pulp, marginal zone, and marginal metallophilic zone, respectively). Importantly, all analyzed macrophage subsets are tissue-resident macrophages that populate the spleen during embryonic development and are maintained locally from birth onward. Their distinct localization is a key reason why they are particularly interesting to study in the context of malaria, as their positioning likely correlates with distinct functional roles during infection. Generally, macrophage plasticity, particularly under conditions of depletion or inflammation, represents an important future direction. In particular since monocytes are known to repopulate the spleen and differentiate into macrophages under inflammatory or depletion conditions, which could restore at least some of the lost functions (<xref ref-type="bibr" rid="B43">43</xref>). Indeed, it has been shown that spleen and liver macrophages are repopulated by inflammatory monocytes after macrophage depletion during blood-stage malaria (<xref ref-type="bibr" rid="B43">43</xref>). In our targeted depletion experiments the analyzed macrophage subsets with their defined surface molecule expression were still depleted in the respective models. Therefore, it is unlikely that repopulating monocytes or macrophages re-differentiate into the same subset identities (e.g., true MMM&#x3a6;s or MZM&#x3a6;s) with identical molecular phenotypes. However, we cannot rule out the possibility that the function of these subpopulations is taken over by other cells with different surface markers, which we did not include in our analysis. Accordingly, it would be interesting to examine, whether repopulating monocytes or macrophages take over or merely adopt similar functional profiles of the specific macrophage subpopulations in a future project.</p>
<p>In summary, our data support the concept that macrophages can compensate for DC deficits. The identification that the functionally distinct macrophage subset of RPM&#x3a6; is primarily involved in parasite clearance contributes to our understanding in the compartmentalization and flexibility of macrophage function during blood-stage infection. Specific targeting of these subsets could open up new therapeutic strategies to control parasite propagation and aid vaccine efficacy.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by Landesamt f&#xfc;r Natur, Umwelt und Verbraucherschutz North-Rhine Westfalia. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>JF: Methodology, Validation, Writing &#x2013; review &amp; editing, Formal analysis, Project administration, Investigation, Writing &#x2013; original draft, Data curation, Visualization, Conceptualization. AN: Methodology, Writing &#x2013; review &amp; editing, Investigation. MH: Writing &#x2013; review &amp; editing, Methodology, Investigation. AE: Writing &#x2013; review &amp; editing, Methodology, Investigation. KL: Resources, Writing &#x2013; review &amp; editing. KM: Writing &#x2013; original draft, Resources. JB: Writing &#x2013; review &amp; editing, Resources. AW: Resources, Writing &#x2013; review &amp; editing. WH: Conceptualization, Funding acquisition, Supervision, Writing &#x2013; original draft, Methodology, Resources.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by the grant: Deutsche Forschungsgemeinschaft GRK1949 to WH, JB, AW, and KL. The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We kindly thank Sina Luppus and Christina Liebig for cell sorting and excellent technical assistance. Furthermore, we sincerely thank Prof. Manfred Kopf, ETH Z&#xfc;rich, Switzerland, for the provision of SpiC<sup>flox/flox</sup> x vav1cre mice.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2025.1607201/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2025.1607201/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
<supplementary-material xlink:href="DataSheet2.pdf" id="SM2" mimetype="application/pdf"/>
<supplementary-material xlink:href="Table1.docx" id="ST1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
<supplementary-material xlink:href="Table2.docx" id="ST2" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="book">
<person-group person-group-type="author">
<collab>WHO</collab>
</person-group>. <source>World Malaria Report 2024</source>. <publisher-loc>Geneva</publisher-loc>: <publisher-name>World Health Organization</publisher-name>. (<year>2024</year>).</citation></ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Langhorne</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ndungu</surname> <given-names>FM</given-names>
</name>
<name>
<surname>Sponaas</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Marsh</surname> <given-names>K</given-names>
</name>
</person-group>. <article-title>Immunity to malaria: more questions than answers</article-title>. <source>Nat Immunol</source>. (<year>2008</year>) <volume>9</volume>:<page-range>725&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ni.f.205</pub-id>, PMID: <pub-id pub-id-type="pmid">18563083</pub-id></citation></ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Renia</surname> <given-names>L</given-names>
</name>
<name>
<surname>Goh</surname> <given-names>YS</given-names>
</name>
</person-group>. <article-title>Malaria Parasites: The great escape</article-title>. <source>Front Immunol</source>. (<year>2016</year>) <volume>7</volume>:<elocation-id>463</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2016.00463</pub-id>, PMID: <pub-id pub-id-type="pmid">27872623</pub-id></citation></ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stevenson</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Riley</surname> <given-names>EM</given-names>
</name>
</person-group>. <article-title>Innate immunity to malaria</article-title>. <source>Nat Rev Immunol</source>. (<year>2004</year>) <volume>4</volume>:<page-range>169&#x2013;80</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri1311</pub-id>, PMID: <pub-id pub-id-type="pmid">15039754</pub-id></citation></ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>HG</given-names>
</name>
<name>
<surname>Cho</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Choi</surname> <given-names>JM</given-names>
</name>
</person-group>. <article-title>Bystander CD4(+) T cells: crossroads between innate and adaptive immunity</article-title>. <source>Exp Mol Med</source>. (<year>2020</year>) <volume>52</volume>:<page-range>1255&#x2013;63</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s12276-020-00486-7</pub-id>, PMID: <pub-id pub-id-type="pmid">32859954</pub-id></citation></ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Langhorne</surname> <given-names>J</given-names>
</name>
<name>
<surname>Albano</surname> <given-names>FR</given-names>
</name>
<name>
<surname>Hensmann</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sanni</surname> <given-names>L</given-names>
</name>
<name>
<surname>Cadman</surname> <given-names>E</given-names>
</name>
<name>
<surname>Voisine</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Dendritic cells, pro-inflammatory responses, and antigen presentation in a rodent malaria infection</article-title>. <source>Immunol Rev</source>. (<year>2004</year>) <volume>201</volume>:<fpage>35</fpage>&#x2013;<lpage>47</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.0105-2896.2004.00182.x</pub-id>, PMID: <pub-id pub-id-type="pmid">15361231</pub-id></citation></ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kumar</surname> <given-names>R</given-names>
</name>
<name>
<surname>Loughland</surname> <given-names>JR</given-names>
</name>
<name>
<surname>Ng</surname> <given-names>SS</given-names>
</name>
<name>
<surname>Boyle</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Engwerda</surname> <given-names>CR</given-names>
</name>
</person-group>. <article-title>The regulation of CD4(+) T cells during malaria</article-title>. <source>Immunol Rev</source>. (<year>2020</year>) <volume>293</volume>:<fpage>70</fpage>&#x2013;<lpage>87</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/imr.12804</pub-id>, PMID: <pub-id pub-id-type="pmid">31674682</pub-id></citation></ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jenkins</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Khoruts</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ingulli</surname> <given-names>E</given-names>
</name>
<name>
<surname>Mueller</surname> <given-names>DL</given-names>
</name>
<name>
<surname>McSorley</surname> <given-names>SJ</given-names>
</name>
<name>
<surname>Reinhardt</surname> <given-names>RL</given-names>
</name>
<etal/>
</person-group>. <article-title>
<italic>In vivo</italic> activation of antigen-specific CD4 T cells</article-title>. <source>Annu Rev Immunol</source>. (<year>2001</year>) <volume>19</volume>:<fpage>23</fpage>&#x2013;<lpage>45</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev.immunol.19.1.23</pub-id>, PMID: <pub-id pub-id-type="pmid">11244029</pub-id></citation></ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wipasa</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yan</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zeng</surname> <given-names>M</given-names>
</name>
<name>
<surname>Makobongo</surname> <given-names>MO</given-names>
</name>
<name>
<surname>Finkelman</surname> <given-names>FD</given-names>
</name>
<etal/>
</person-group>. <article-title>The mechanism and significance of deletion of parasite-specific CD4(+) T cells in malaria infection</article-title>. <source>J Exp Med</source>. (<year>2002</year>) <volume>195</volume>:<page-range>881&#x2013;92</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20011174</pub-id>, PMID: <pub-id pub-id-type="pmid">11927632</pub-id></citation></ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Perez-Mazliah</surname> <given-names>D</given-names>
</name>
<name>
<surname>Langhorne</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>CD4 T-cell subsets in malaria: TH1/TH2 revisited</article-title>. <source>Front Immunol</source>. (<year>2014</year>) <volume>5</volume>:<elocation-id>671</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2014.00671</pub-id>, PMID: <pub-id pub-id-type="pmid">25628621</pub-id></citation></ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Good</surname> <given-names>MF</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wykes</surname> <given-names>M</given-names>
</name>
<name>
<surname>Engwerda</surname> <given-names>CR</given-names>
</name>
</person-group>. <article-title>Development and regulation of cell-mediated immune responses to the blood stages of malaria: implications for vaccine research</article-title>. <source>Annu Rev Immunol</source>. (<year>2005</year>) <volume>23</volume>:<fpage>69</fpage>&#x2013;<lpage>99</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev.immunol.23.021704.115638</pub-id>, PMID: <pub-id pub-id-type="pmid">15771566</pub-id></citation></ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Edwards</surname> <given-names>CL</given-names>
</name>
<name>
<surname>Ng</surname> <given-names>SS</given-names>
</name>
<name>
<surname>de Labastida Rivera</surname> <given-names>F</given-names>
</name>
<name>
<surname>Corvino</surname> <given-names>D</given-names>
</name>
<name>
<surname>Engel</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Montes de Oca</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>IL-10-producing Th1 cells possess a distinct molecular signature in malaria</article-title>. <source>J Clin Invest</source>. (<year>2023</year>) <volume>133</volume>:<elocation-id>e153733</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1172/JCI169299</pub-id>, PMID: <pub-id pub-id-type="pmid">36787259</pub-id></citation></ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lewis</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Williams</surname> <given-names>A</given-names>
</name>
<name>
<surname>Eisenbarth</surname> <given-names>SC</given-names>
</name>
</person-group>. <article-title>Structure and function of the immune system in the spleen</article-title>. <source>Sci Immunol</source>. (<year>2019</year>) <volume>4</volume>(<issue>33</issue>):<elocation-id>eaau6085</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/sciimmunol.aau6085</pub-id>, PMID: <pub-id pub-id-type="pmid">30824527</pub-id></citation></ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ghosh</surname> <given-names>D</given-names>
</name>
<name>
<surname>Stumhofer</surname> <given-names>JS</given-names>
</name>
</person-group>. <article-title>The spleen: &#x201c;epicenter&#x201d; in malaria infection and immunity</article-title>. <source>J Leukoc Biol</source>. (<year>2021</year>) <volume>110</volume>:<page-range>753&#x2013;69</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/JLB.4RI1020-713R</pub-id>, PMID: <pub-id pub-id-type="pmid">33464668</pub-id></citation></ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ueffing</surname> <given-names>K</given-names>
</name>
<name>
<surname>Abberger</surname> <given-names>H</given-names>
</name>
<name>
<surname>Westendorf</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Matuschewski</surname> <given-names>K</given-names>
</name>
<name>
<surname>Buer</surname> <given-names>J</given-names>
</name>
<name>
<surname>Hansen</surname> <given-names>W</given-names>
</name>
</person-group>. <article-title>Conventional CD11c(high) dendritic cells are important for T cell priming during the initial phase of plasmodium yoelii infection, but are dispensable at later time points</article-title>. <source>Front Immunol</source>. (<year>2017</year>) <volume>8</volume>:<elocation-id>1333</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2017.01333</pub-id>, PMID: <pub-id pub-id-type="pmid">29085373</pub-id></citation></ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chua</surname> <given-names>CL</given-names>
</name>
<name>
<surname>Brown</surname> <given-names>G</given-names>
</name>
<name>
<surname>Hamilton</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Rogerson</surname> <given-names>S</given-names>
</name>
<name>
<surname>Boeuf</surname> <given-names>P</given-names>
</name>
</person-group>. <article-title>Monocytes and macrophages in malaria: protection or pathology</article-title>? <source>Trends Parasitol</source>. (<year>2013</year>) <volume>29</volume>:<fpage>26</fpage>&#x2013;<lpage>34</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.pt.2012.10.002</pub-id>, PMID: <pub-id pub-id-type="pmid">23142189</pub-id></citation></ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Del Portillo</surname> <given-names>HA</given-names>
</name>
<name>
<surname>Ferrer</surname> <given-names>M</given-names>
</name>
<name>
<surname>Brugat</surname> <given-names>T</given-names>
</name>
<name>
<surname>Martin-Jaular</surname> <given-names>L</given-names>
</name>
<name>
<surname>Langhorne</surname> <given-names>J</given-names>
</name>
<name>
<surname>Lacerda</surname> <given-names>MV</given-names>
</name>
</person-group>. <article-title>The role of the spleen in malaria</article-title>. <source>Cell Microbiol</source>. (<year>2012</year>) <volume>14</volume>:<page-range>343&#x2013;55</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1462-5822.2011.01741.x</pub-id>, PMID: <pub-id pub-id-type="pmid">22188297</pub-id></citation></ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Davies</surname> <given-names>LC</given-names>
</name>
<name>
<surname>Taylor</surname> <given-names>PR</given-names>
</name>
</person-group>. <article-title>Tissue-resident macrophages: then and now</article-title>. <source>Immunology</source>. (<year>2015</year>) <volume>144</volume>:<page-range>541&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/imm.12451</pub-id>, PMID: <pub-id pub-id-type="pmid">25684236</pub-id></citation></ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pereira</surname> <given-names>JP</given-names>
</name>
<name>
<surname>Kelly</surname> <given-names>LM</given-names>
</name>
<name>
<surname>Cyster</surname> <given-names>JG</given-names>
</name>
</person-group>. <article-title>Finding the right niche: B-cell migration in the early phases of T-dependent antibody responses</article-title>. <source>Int Immunol</source>. (<year>2010</year>) <volume>22</volume>:<page-range>413&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/intimm/dxq047</pub-id>, PMID: <pub-id pub-id-type="pmid">20508253</pub-id></citation></ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gonzalez</surname> <given-names>A</given-names>
</name>
<name>
<surname>Quintana</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Garcia-Silva</surname> <given-names>S</given-names>
</name>
<name>
<surname>Mazariegos</surname> <given-names>M</given-names>
</name>
<name>
<surname>Gonzalez de la Aleja</surname> <given-names>A</given-names>
</name>
<name>
<surname>Nicolas-Avila</surname> <given-names>JA</given-names>
</name>
<etal/>
</person-group>. <article-title>Phagocytosis imprints heterogeneity in tissue-resident macrophages</article-title>. <source>J Exp Med</source>. (<year>2017</year>) <volume>214</volume>:<page-range>1281&#x2013;96</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20161375</pub-id>, PMID: <pub-id pub-id-type="pmid">28432199</pub-id></citation></ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gonzalez</surname> <given-names>A</given-names>
</name>
<name>
<surname>Castrillo</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Origin and specialization of splenic macrophages</article-title>. <source>Cell Immunol</source>. (<year>2018</year>) <volume>330</volume>:<page-range>151&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cellimm.2018.05.005</pub-id>, PMID: <pub-id pub-id-type="pmid">29779612</pub-id></citation></ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Couper</surname> <given-names>KN</given-names>
</name>
<name>
<surname>Blount</surname> <given-names>DG</given-names>
</name>
<name>
<surname>Hafalla</surname> <given-names>JC</given-names>
</name>
<name>
<surname>van Rooijen</surname> <given-names>N</given-names>
</name>
<name>
<surname>de Souza</surname> <given-names>JB</given-names>
</name>
<name>
<surname>Riley</surname> <given-names>EM</given-names>
</name>
</person-group>. <article-title>Macrophage-mediated but gamma interferon-independent innate immune responses control the primary wave of Plasmodium yoelii parasitemia</article-title>. <source>Infect Immun</source>. (<year>2007</year>) <volume>75</volume>:<page-range>5806&#x2013;18</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/IAI.01005-07</pub-id>, PMID: <pub-id pub-id-type="pmid">17923512</pub-id></citation></ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Terkawi</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Nishimura</surname> <given-names>M</given-names>
</name>
<name>
<surname>Furuoka</surname> <given-names>H</given-names>
</name>
<name>
<surname>Nishikawa</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Depletion of phagocytic cells during nonlethal plasmodium yoelii infection causes severe malaria characterized by acute renal failure in mice</article-title>. <source>Infect Immun</source>. (<year>2016</year>) <volume>84</volume>:<page-range>845&#x2013;55</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/IAI.01005-15</pub-id>, PMID: <pub-id pub-id-type="pmid">26755155</pub-id></citation></ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shaabani</surname> <given-names>N</given-names>
</name>
<name>
<surname>Duhan</surname> <given-names>V</given-names>
</name>
<name>
<surname>Khairnar</surname> <given-names>V</given-names>
</name>
<name>
<surname>Gassa</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ferrer-Tur</surname> <given-names>R</given-names>
</name>
<name>
<surname>Haussinger</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>CD169(+) macrophages regulate PD-L1 expression via type I interferon and thereby prevent severe immunopathology after LCMV infection</article-title>. <source>Cell Death Dis</source>. (<year>2016</year>) <volume>7</volume>:<elocation-id>e2446</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/cddis.2016.350</pub-id>, PMID: <pub-id pub-id-type="pmid">27809306</pub-id></citation></ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Barnden</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Allison</surname> <given-names>J</given-names>
</name>
<name>
<surname>Heath</surname> <given-names>WR</given-names>
</name>
<name>
<surname>Carbone</surname> <given-names>FR</given-names>
</name>
</person-group>. <article-title>Defective TCR expression in transgenic mice constructed using cDNA-based alpha- and beta-chain genes under the control of heterologous regulatory elements</article-title>. <source>Immunol Cell Biol</source>. (<year>1998</year>) <volume>76</volume>:<fpage>34</fpage>&#x2013;<lpage>40</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1046/j.1440-1711.1998.00709.x</pub-id>, PMID: <pub-id pub-id-type="pmid">9553774</pub-id></citation></ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tougan</surname> <given-names>T</given-names>
</name>
<name>
<surname>Suzuki</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Izuka</surname> <given-names>M</given-names>
</name>
<name>
<surname>Aono</surname> <given-names>K</given-names>
</name>
<name>
<surname>Okazaki</surname> <given-names>T</given-names>
</name>
<name>
<surname>Toya</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Application of the automated haematology analyzer XN-30 in an experimental rodent model of malaria</article-title>. <source>Malar J</source>. (<year>2018</year>) <volume>17</volume>:<fpage>165</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12936-018-2313-6</pub-id>, PMID: <pub-id pub-id-type="pmid">29661200</pub-id></citation></ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gonzalez</surname> <given-names>A</given-names>
</name>
<name>
<surname>Guillen</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Gallardo</surname> <given-names>G</given-names>
</name>
<name>
<surname>Diaz</surname> <given-names>M</given-names>
</name>
<name>
<surname>de la Rosa</surname> <given-names>JV</given-names>
</name>
<name>
<surname>Hernandez</surname> <given-names>IH</given-names>
</name>
<etal/>
</person-group>. <article-title>The nuclear receptor LXRalpha controls the functional specialization of splenic macrophages</article-title>. <source>Nat Immunol</source>. (<year>2013</year>) <volume>14</volume>:<page-range>831&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ni.2622</pub-id>, PMID: <pub-id pub-id-type="pmid">23770640</pub-id></citation></ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Karlsson</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Guinamard</surname> <given-names>R</given-names>
</name>
<name>
<surname>Bolland</surname> <given-names>S</given-names>
</name>
<name>
<surname>Sankala</surname> <given-names>M</given-names>
</name>
<name>
<surname>Steinman</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Ravetch</surname> <given-names>JV</given-names>
</name>
</person-group>. <article-title>Macrophages control the retention and trafficking of B lymphocytes in the splenic marginal zone</article-title>. <source>J Exp Med</source>. (<year>2003</year>) <volume>198</volume>:<page-range>333&#x2013;40</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20030684</pub-id>, PMID: <pub-id pub-id-type="pmid">12874264</pub-id></citation></ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kurup</surname> <given-names>SP</given-names>
</name>
<name>
<surname>Butler</surname> <given-names>NS</given-names>
</name>
<name>
<surname>Harty</surname> <given-names>JT</given-names>
</name>
</person-group>. <article-title>T cell-mediated immunity to malaria</article-title>. <source>Nat Rev Immunol</source>. (<year>2019</year>) <volume>19</volume>:<page-range>457&#x2013;71</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41577-019-0158-z</pub-id>, PMID: <pub-id pub-id-type="pmid">30940932</pub-id></citation></ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Urban</surname> <given-names>BC</given-names>
</name>
<name>
<surname>Roberts</surname> <given-names>DJ</given-names>
</name>
</person-group>. <article-title>Inhibition of T cell function during malaria: implications for immunology and vaccinology</article-title>. <source>J Exp Med</source>. (<year>2003</year>) <volume>197</volume>:<page-range>137&#x2013;41</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20022003</pub-id>, PMID: <pub-id pub-id-type="pmid">12538653</pub-id></citation></ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Deshmukh</surname> <given-names>R</given-names>
</name>
<name>
<surname>Trivedi</surname> <given-names>V</given-names>
</name>
</person-group>. <article-title>Phagocytic uptake of oxidized heme polymer is highly cytotoxic to macrophages</article-title>. <source>PloS One</source>. (<year>2014</year>) <volume>9</volume>:<elocation-id>e103706</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0103706</pub-id>, PMID: <pub-id pub-id-type="pmid">25078090</pub-id></citation></ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lyakh</surname> <given-names>L</given-names>
</name>
<name>
<surname>Trinchieri</surname> <given-names>G</given-names>
</name>
<name>
<surname>Provezza</surname> <given-names>L</given-names>
</name>
<name>
<surname>Carra</surname> <given-names>G</given-names>
</name>
<name>
<surname>Gerosa</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Regulation of interleukin-12/interleukin-23 production and the T-helper 17 response in humans</article-title>. <source>Immunol Rev</source>. (<year>2008</year>) <volume>226</volume>:<page-range>112&#x2013;31</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1600-065X.2008.00700.x</pub-id>, PMID: <pub-id pub-id-type="pmid">19161420</pub-id></citation></ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Van Rooijen</surname> <given-names>N</given-names>
</name>
<name>
<surname>Sanders</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Liposome mediated depletion of macrophages: mechanism of action, preparation of liposomes and applications</article-title>. <source>J Immunol Methods</source>. (<year>1994</year>) <volume>174</volume>:<fpage>83</fpage>&#x2013;<lpage>93</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/0022-1759(94)90012-4</pub-id>, PMID: <pub-id pub-id-type="pmid">8083541</pub-id></citation></ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Knackstedt</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Georgiadou</surname> <given-names>A</given-names>
</name>
<name>
<surname>Apel</surname> <given-names>F</given-names>
</name>
<name>
<surname>Abu-Abed</surname> <given-names>U</given-names>
</name>
<name>
<surname>Moxon</surname> <given-names>CA</given-names>
</name>
<name>
<surname>Cunnington</surname> <given-names>AJ</given-names>
</name>
<etal/>
</person-group>. <article-title>Neutrophil extracellular traps drive inflammatory pathogenesis in malaria</article-title>. <source>Sci Immunol</source>. (<year>2019</year>) <volume>4</volume>(<issue>40</issue>):<elocation-id>eaaw0336</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/sciimmunol.aaw0336</pub-id>, PMID: <pub-id pub-id-type="pmid">31628160</pub-id></citation></ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Edgar</surname> <given-names>LJ</given-names>
</name>
<name>
<surname>Kawasaki</surname> <given-names>N</given-names>
</name>
<name>
<surname>Nycholat</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Paulson</surname> <given-names>JC</given-names>
</name>
</person-group>. <article-title>Targeted delivery of antigen to activated CD169(+) macrophages induces bias for expansion of CD8(+) T cells</article-title>. <source>Cell Chem Biol</source>. (<year>2019</year>) <volume>26</volume>:<page-range>131&#x2013;6</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.chembiol.2018.10.006</pub-id>, PMID: <pub-id pub-id-type="pmid">30393066</pub-id></citation></ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Asano</surname> <given-names>K</given-names>
</name>
<name>
<surname>Kikuchi</surname> <given-names>K</given-names>
</name>
<name>
<surname>Tanaka</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>CD169 macrophages regulate immune responses toward particulate materials in the circulating fluid</article-title>. <source>J Biochem</source>. (<year>2018</year>) <volume>164</volume>:<fpage>77</fpage>&#x2013;<lpage>85</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/jb/mvy050</pub-id>, PMID: <pub-id pub-id-type="pmid">29905851</pub-id></citation></ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gupta</surname> <given-names>P</given-names>
</name>
<name>
<surname>Lai</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Sheng</surname> <given-names>J</given-names>
</name>
<name>
<surname>Tetlak</surname> <given-names>P</given-names>
</name>
<name>
<surname>Balachander</surname> <given-names>A</given-names>
</name>
<name>
<surname>Claser</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Tissue-resident CD169(+) macrophages form a crucial front line against plasmodium infection</article-title>. <source>Cell Rep</source>. (<year>2016</year>) <volume>16</volume>:<page-range>1749&#x2013;61</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.celrep.2016.07.010</pub-id>, PMID: <pub-id pub-id-type="pmid">27477286</pub-id></citation></ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>van Dinther</surname> <given-names>D</given-names>
</name>
<name>
<surname>Veninga</surname> <given-names>H</given-names>
</name>
<name>
<surname>Iborra</surname> <given-names>S</given-names>
</name>
<name>
<surname>Borg</surname> <given-names>EGF</given-names>
</name>
<name>
<surname>Hoogterp</surname> <given-names>L</given-names>
</name>
<name>
<surname>Olesek</surname> <given-names>K</given-names>
</name>
<etal/>
</person-group>. <article-title>Functional CD169 on macrophages mediates interaction with dendritic cells for CD8(+) T cell cross-priming</article-title>. <source>Cell Rep</source>. (<year>2018</year>) <volume>22</volume>:<page-range>1484&#x2013;95</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.celrep.2018.01.021</pub-id>, PMID: <pub-id pub-id-type="pmid">29425504</pub-id></citation></ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Babatunde</surname> <given-names>KA</given-names>
</name>
<name>
<surname>Adenuga</surname> <given-names>OF</given-names>
</name>
</person-group>. <article-title>Neutrophils in malaria: A double-edged sword role</article-title>. <source>Front Immunol</source>. (<year>2022</year>) <volume>13</volume>:<elocation-id>922377</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2022.922377</pub-id>, PMID: <pub-id pub-id-type="pmid">35967409</pub-id></citation></ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mebius</surname> <given-names>RE</given-names>
</name>
<name>
<surname>Kraal</surname> <given-names>G</given-names>
</name>
</person-group>. <article-title>Structure and function of the spleen</article-title>. <source>Nat Rev Immunol</source>. (<year>2005</year>) <volume>5</volume>:<page-range>606&#x2013;16</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri1669</pub-id>, PMID: <pub-id pub-id-type="pmid">16056254</pub-id></citation></ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hashimoto</surname> <given-names>D</given-names>
</name>
<name>
<surname>Chow</surname> <given-names>A</given-names>
</name>
<name>
<surname>Noizat</surname> <given-names>C</given-names>
</name>
<name>
<surname>Teo</surname> <given-names>P</given-names>
</name>
<name>
<surname>Beasley</surname> <given-names>MB</given-names>
</name>
<name>
<surname>Leboeuf</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Tissue-resident macrophages self-maintain locally throughout adult life with minimal contribution from circulating monocytes</article-title>. <source>Immunity</source>. (<year>2013</year>) <volume>38</volume>:<fpage>792</fpage>&#x2013;<lpage>804</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2013.04.004</pub-id>, PMID: <pub-id pub-id-type="pmid">23601688</pub-id></citation></ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kohyama</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ise</surname> <given-names>W</given-names>
</name>
<name>
<surname>Edelson</surname> <given-names>BT</given-names>
</name>
<name>
<surname>Wilker</surname> <given-names>PR</given-names>
</name>
<name>
<surname>Hildner</surname> <given-names>K</given-names>
</name>
<name>
<surname>Mejia</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Role for Spi-C in the development of red pulp macrophages and splenic iron homeostasis</article-title>. <source>Nature</source>. (<year>2009</year>) <volume>457</volume>:<page-range>318&#x2013;21</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature07472</pub-id>, PMID: <pub-id pub-id-type="pmid">19037245</pub-id></citation></ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lai</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Sheng</surname> <given-names>J</given-names>
</name>
<name>
<surname>Gupta</surname> <given-names>P</given-names>
</name>
<name>
<surname>Renia</surname> <given-names>L</given-names>
</name>
<name>
<surname>Duan</surname> <given-names>K</given-names>
</name>
<name>
<surname>Zolezzi</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Organ-specific fate, recruitment, and refilling dynamics of tissue-resident macrophages during blood-stage malaria</article-title>. <source>Cell Rep</source>. (<year>2018</year>) <volume>25</volume>:<page-range>3099&#x2013;109</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.celrep.2018.11.059</pub-id>, PMID: <pub-id pub-id-type="pmid">30540942</pub-id></citation></ref>
</ref-list>
</back>
</article>