Lymphocytic hypophysitis in dogs infected with Leishmania spp.

Background: Morphological involvement of endocrine glands, such as the pituitary gland, remain uninvestigated in dogs with canine visceral leishmaniasis. Therefore, this study investigated the presence of amastigotes of Leishmania spp. and characterized inflammatory changes, highlighting the involvement of TCD3+ lymphocytes in different regions of the pituitary gland of dogs. Methods: Samples were collected from 21 naturally infected dogs and 5 control, uninfected dogs. The different pituitary regions were analyzed in histological sections stained with hematoxylin and eosin (HE) under light microscopy. Inflammation was classified by intensity in a score from 0 to 3, absent (0), mild (1), moderate (2), and marked (3). The immunohistochemical (IHC) evaluation was performed in five high-power fields (hot spot) in a 40x objective of each region with manual counting (Image J1.52ª) of the TCD3+ lymphocytes and for amastigotes analyzed in 40x and 100x objectives. The Shapiro-Wilk test was used to assess the normality of the data. Differences between groups were determined by the Mann Whitney test. The correlation between variables was assessed by Sperman's correlation test. p < 0.05 were considered statistically significant. Results: Amastigotes from the pituitary glands of two infected dogs were identified using IHC. The histopathological evaluation stained with hematoxylin and eosin showed greater intensity of inflammation in the pars distalis and pars intermedia regions of infected dogs. IHC for TCD3+ lymphocytes showed a higher median number of immunolabeled cells in pars nervosa in the infected group than in the control group (p < 0.05); and expecting a variation in the distribution and number of these cells in naturally infected dogs, the median of the control group was considered a cut-off point, an increase in T lymphocytes (p < 0.05) was also observed in the pars intermedia and pars distalis of an infected subgroup (n = 10). A moderate significant correlation between the intensity of inflammation and the number of immunolabeled TCD3+ lymphocytes was established in the analyzed pituitary regions, characterizing the occurrence of hypophysitis. Conclusion: These findings presuppose that inflammation and/or the parasite in the pituitary region can result in gland dysfunction, worsening the clinical condition of the patient and compromising the efficiency of treatment and prognosis.

Thymic alterations resulting from experimental visceral leishmaniasis in a Syrian hamster (Mesocricetus auratus).

BACKGROUND: The thymus is a lymphoid organ responsible for the development and maturation of T cells, which are part of the Th1, Th2, Th17, and Treg immune responses triggered by visceral leishmaniasis. The maturation and immunological development of T lymphocytes require a bidirectional interaction between the thymic microenvironment of epithelial cells, dendritic cells, and macrophages and the extracellular matrix with differentiating lymphocytes. OBJECTIVES: We evaluated the morphological characteristics and tissue distribution of hematopoietic and stromal cells in the thymuses of hamsters experimentally infected with Leishmania infantum, aiming to gain an insight into the pathophysiology of the disease. METHODS: Fifteen hamsters were subjected to intraperitoneal experimental infection with 107L. infantum promastigotes (MHOM/BR/1972/BH46). The animals were divided into three groups, each comprising five infected hamsters, and were then euthanized 15, 60, and 120 days postinfection. The control groups consisted of three groups of five healthy hamsters euthanized simultaneously with the infected ones. Thymic morphology was evaluated through histopathology and the cell composition through immunohistochemistry. We used antibodies to mark mesenchymal cells (anti-vimentin), epithelial cells (anti-cytokeratin), macrophages (anti-MAC387), B lymphocytes (anti-CD79a), and T lymphocytes (anti-CD3). Immunohistochemistry was also used to mark the parasite in the thymus. RESULTS: Infected and control hamsters showed no difference in thymic morphology and degree of atrophy. After 15 days of infection, CD3 + T lymphocytes in the thymus showed an increase that stabilized over time. At 120 days of infection, we detected a significant decrease in CD79a+ B lymphocytes. The parasite was present in the medullary and corticomedullary regions of 9 out of 15 hamsters. These findings confirm that the presence of a parasite can cause changes in a thymus cell population. However, further studies are needed to evaluate these changes' effects on the immune response of infected animals.

Thymic changes due to leishmaniasis in dogs: An immunohistochemical study.

BACKGROUND: The thymus is necessary for the differentiation of T cells, a process that is regulated by the type of antigens found in thymocytes, the environment of surrounding cells and the thymus architecture. There is evidence that infectious diseases may result in morphological changes in this organ, such as premature atrophy and decreased thymocyte proliferation, that can affect the immune response. OBJECTIVES: We characterised the morphology and tissue distribution of haematopoietic and stromal cells in the thymuses of dogs naturally infected with Leishmania infantum, with the aim to determine the changes that may contribute to the pathophysiology of the disease. METHODS: Thymus samples were collected from 15 animals (aged 6 months to 5 years) ELISA-positive for leishmaniasis and from 10 dogs from non-endemic regions for leishmaniasis whose death was not related to infectious causes. The samples were submitted to histological processing and staining with Haematoxylin-Eosin to assess thymic morphometry and histopathological changes. Masson's trichrome staining was used to quantify the connective tissue present (collagen). The immunohistochemical method was used to determine the cellular constitution of the thymus, using antibodies that aimed at marking T lymphocytes (anti-CD3), B lymphocytes (anti-CD79a), macrophages (anti- MAC387), mesenchymal cells (anti-vimentin), epithelial cells (anti-cytokeratin), cells in mitosis (anti-Ki67) and cells in apoptosis (anti-caspase-3). RESULTS: The histopathological evaluation of infected dogs showed more signs consistent with thymus atrophy, including decreased parenchyma, infiltration of adipose and connective tissue near the capsule and between the lobules, lymphoid rarefaction mainly in the cortical region and loss of the cortical-medullary demarcation. In addition, we observed a decrease in the amounts of CD3 + T lymphocytes, macrophages (MAC387) and Ki67-positive cells and an increase in the number of cells positive for cytokeratin and CD79a (B lymphocytes). Finally, the parasite was detected in 46% of infected thymuses and may contribute for the observed changes. CONCLUSIONS: Apparently, leishmaniasis, like other infectious diseases, causes atrophy of the thymus and depletion of thymocytes with a relative increase in thymus epithelial cells. These morphological changes in the normal organisation of the thymus by mechanisms not yet well known may result in the abnormal release of T cells, with consequent damage to the host's immune response.

Tongue nodules in an atypical canine leishmaniasis in Brazil.

We aimed to report a case of canine leishmaniasis with the only visible clinical sign being the presence of nodules in the lateral region of the tongue. The bitch was treated for a mandibular fracture, when multiple small nodules were observed on the tongue. We identify nodular glossitis with the presence of structures compatible with amastigote forms of Leishmania. The bitch was positive by ELISA, RIFI and PCR assays. Clinical re-evaluation after one year of treatment for leishmaniasis showed clinical improvement, but there was maintenance of antibody titers and infectivity. Lingual nodules as the only clinical sign of the disease is rare, especially in endemic areas, but should be included as differential diagnosis for leishmaniasis in the country.