
Delayed-type Hypersensitivity (DTH) Nonhuman Primates Disease Model
Delayed type hypersensitivity (DTH), also called type IV hypersensitivity, is a common immune response that occurs through direct action of sensitized T cells when stimulated by contact with antigen. It is referred to as a delayed response in that it will usually require 12–24 hours at a minimum for signs of inflammation to occur locally.
Delayed type hypersensitivity (DTH)
Disease symptoms: skin rash, eczematoid reaction
Causes: in contrast to type I, II, III hypersensitivity, which mainly involves antibody response (humoral), DTH is a type of cell-mediated response. This response involves the interaction of T cells, monocytes, and macrophages.
This reaction is caused when CD4+ Th1 cells recognize foreign antigen in a complex with the MHC class II on the surface of antigen-presenting cells, which stimulates the proliferation of CD4+ Th1 cells. CD4+ T cells secrete IL-2 and interferon gamma (IFN-γ), inducing the further release of other Th1 cytokines, thus mediating the immune response. Activated CD8+ T cells destroy target cells on contact, whereas activated macrophages produce hydrolytic enzymes and, on presentation with certain intracellular pathogens, transform into multinucleated giant cells.
The overreaction of the helper T cells and overproduction of cytokines damage tissues, cause inflammation, and cell death.
Advantages of NHP DTH model
Study design and clinical endpoints
Study design:

Clinical endpoints:
Skin observation (rash, erythema)
Skin induration measurement
Skin histopathology: HE,
IHC: CD3+ T cell
CD68+ macrophage
key result and figure legend
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