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1.
Curr Genet ; 66(6): 1135-1153, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32719935

RESUMEN

Halotolerant species are adapted to dealing continually with hyperosmotic environments, having evolved strategies that are uncommon in other organisms. The HOG pathway is the master system that regulates the cellular adaptation under these conditions; nevertheless, apart from the importance of Debaryomyces hansenii as an organism representative of the halotolerant class, its HOG1 pathway has been poorly studied, due to the difficulty of applying conventional recombinant DNA technology. Here we describe for the first time the phenotypic characterisation of a null HOG1 mutant of D. hansenii. Dhhog1Δ strain was found moderately resistant to 1 M NaCl and sensitive to higher concentrations. Under hyperosmotic shock, DhHog1 fully upregulated transcription of DhSTL1 and partially upregulated that of DhGPD1. High osmotic stress lead to long-term inner glycerol accumulation that was partially dependent on DhHog1. These observations indicated that the HOG pathway is required for survival under high external osmolarity but dispensable under low and mid-osmotic conditions. It was also found that DhHog1 can regulate response to alkali stress during hyperosmotic conditions and that it plays a role in oxidative and endoplasmic reticulum stress. Taken together, these results provide new insight into the contribution of this MAPK in halotolerance of this yeast.


Asunto(s)
Péptidos y Proteínas de Señalización Intracelular/genética , Proteínas de Transporte de Membrana/genética , Osmorregulación/genética , Proteínas de Saccharomyces cerevisiae/genética , Saccharomycetales/genética , Álcalis/efectos adversos , Regulación Fúngica de la Expresión Génica , Glicerol/metabolismo , Presión Osmótica/fisiología , Fosforilación , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/crecimiento & desarrollo , Saccharomycetales/metabolismo , Saccharomycetales/fisiología , Transducción de Señal/genética
2.
J Immunol ; 205(1): 102-112, 2020 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-32434940

RESUMEN

To maintain homeostasis, macrophages must be capable of assuming either an inflammatory or an anti-inflammatory phenotype. To better understand the latter, we stimulated human macrophages in vitro with TLR ligands in the presence of high-density immune complexes (IC). This combination of stimuli resulted in a broad suppression of inflammatory mediators and an upregulation of molecules involved in tissue remodeling and angiogenesis. Transcriptomic analysis of TLR stimulation in the presence of IC predicted the downstream activation of AKT and the inhibition of GSK3. Consequently, we pretreated LPS-stimulated human macrophages with small molecule inhibitors of GSK3 to partially phenocopy the regulatory effects of stimulation in the presence of IC. The upregulation of DC-STAMP and matrix metalloproteases was observed on these cells and may represent potential biomarkers for this regulatory activation state. To demonstrate the presence of these anti-inflammatory, growth-promoting macrophages in a human infectious disease, biopsies from patients with leprosy (Hanseniasis) were analyzed. The lepromatous form of this disease is characterized by hypergammaglobulinemia and defective cell-mediated immunity. Lesions in lepromatous leprosy contained macrophages with a regulatory phenotype expressing higher levels of DC-STAMP and lower levels of IL-12, relative to macrophages in tuberculoid leprosy lesions. Therefore, we propose that increased signaling by FcγR cross-linking on TLR-stimulated macrophages can paradoxically promote the resolution of inflammation and initiate processes critical to tissue growth and repair. It can also contribute to infectious disease progression.


Asunto(s)
Complejo Antígeno-Anticuerpo/metabolismo , Lepra Lepromatosa/inmunología , Lepra Tuberculoide/inmunología , Macrófagos/inmunología , Biopsia , Diferenciación Celular/inmunología , Línea Celular , Progresión de la Enfermedad , Glucógeno Sintasa Quinasa 3/antagonistas & inhibidores , Glucógeno Sintasa Quinasa 3/metabolismo , Humanos , Lepra Lepromatosa/patología , Lepra Tuberculoide/patología , Activación de Macrófagos , Macrófagos/metabolismo , Masculino , Persona de Mediana Edad , Neovascularización Fisiológica/inmunología , Proteínas Proto-Oncogénicas c-akt/metabolismo , RNA-Seq , Receptores de IgG/metabolismo , Transducción de Señal/genética , Transducción de Señal/inmunología , Piel/citología , Piel/inmunología , Piel/patología , Receptores Toll-Like/metabolismo , Adulto Joven
3.
Front Immunol ; 10: 2913, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31921172

RESUMEN

Mycobacterium leprae, the causative agent of leprosy, is unique amongst human pathogens in its capacity to produce the virulence factor phenolic glycolipid (PGL)-I. In addition to mediating bacterial tropism for neurons, PGL-I interacts with Complement Receptor (CR)3 on macrophages (MPs) to promote infection. We demonstrate here that PGL-I binding to CR3 also enhances bacterial invasion of both polymorphonuclear neutrophils (PMNs) and dendritic cells (DCs). Moreover, in all cell types CR3 engagement by PGL-I activates the Syk tyrosine kinase, inducing calcineurin-dependent nuclear translocation of the transcription factor NFATc. This selectively augments the production of IL-2 by DCs, IL-10 by PMNs and IL-1ß by MPs. In intranasally-infected mice PGL-I binding to CR3 heightens mycobacterial phagocytosis by lung PMNs and MPs, and stimulates NFATc-controlled production of Syk-dependent cytokines. Our study thus identifies the CR3-Syk-NFATc axis as a novel signaling pathway activated by PGL-I in innate immune cells, rewiring host cytokine responses to M. leprae.


Asunto(s)
Antígenos Bacterianos/inmunología , Calcineurina/inmunología , Glucolípidos/inmunología , Inmunidad Innata , Lepra/inmunología , Antígeno de Macrófago-1/inmunología , Mycobacterium leprae/inmunología , Factores de Transcripción NFATC/inmunología , Transducción de Señal/inmunología , Quinasa Syk/inmunología , Animales , Calcineurina/genética , Citocinas/genética , Citocinas/inmunología , Células Dendríticas/inmunología , Lepra/genética , Antígeno de Macrófago-1/genética , Masculino , Ratones , Ratones Noqueados , Factores de Transcripción NFATC/genética , Neutrófilos/inmunología , Fagocitosis , Transducción de Señal/genética , Quinasa Syk/genética
4.
Exp Dermatol ; 27(3): 245-250, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-29283461

RESUMEN

The nuclear transcription factor-κB (NF-κB) plays a pivotal role in controlling both innate and adaptive immunity and regulates the expressions of many immunological mediators. Abundant evidences have showed the importance of NF-κB pathway in the host immune responses against Mycobacterium leprae in the development of leprosy. However, no particular association study between leprosy and NF-κB pathway-related gene polymorphisms was reported. Here, we performed a large-scale and two-stage candidate association study to investigate the association between 94 NF-κB pathway-related genes and leprosy. Our results showed that rs58744688 was significantly associated with leprosy (P = 7.57 × 10-7 , OR = 1.12) by combining the previous genomewide association data sets and four independent validation sample series, consisting of a total of 4631 leprosy cases and 6413 healthy controls. This founding implicated that MAP3K14 and FMNL1 were susceptibility genes for leprosy, which suggested the involvement of macrophage targeting and NF-κB pathway in the development of leprosy.


Asunto(s)
Proteínas del Citoesqueleto/genética , Predisposición Genética a la Enfermedad , Lepra/genética , Proteínas Serina-Treonina Quinasas/genética , Transducción de Señal/genética , Anciano , Estudios de Casos y Controles , Femenino , Forminas , Estudio de Asociación del Genoma Completo , Genotipo , Humanos , Masculino , Persona de Mediana Edad , FN-kappa B/metabolismo , Polimorfismo de Nucleótido Simple , Quinasa de Factor Nuclear kappa B
5.
Sci Rep ; 7: 46695, 2017 04 24.
Artículo en Inglés | MEDLINE | ID: mdl-28436433

RESUMEN

Multibacillary and paucibacillary paratuberculosis are both caused by Mycobacterium avium subspecies paratuberculosis. Multibacillary lesions are composed largely of infected epithelioid macrophages and paucibacillary lesions contain T cells but few bacteria. Multibacillary disease is similar to human lepromatous leprosy, with variable/high levels of antibody and a dysfunctional immune response. Animals with paucibacillary disease have high cell-mediated immunity and variable levels of antibody. This study aims to characterize the immunological dysfunction using TruSeq analysis of the ileocaecal lymph node that drains disease lesions. Immune dysfunction is highlighted by repression of TCR/CD3 genes, T cell co-receptors/co-stimulators, T cell activation and signal-transduction genes. Inflammation was an acute phase response and chronic inflammation, with little evidence of acute inflammation. The high levels of immunoglobulin and plasma cell transcripts is consistent with the anti-MAP antibody responses in paratuberculosis sheep. Also notable was the overwhelming reduction in mast cell transcripts, potentially affecting DC activation of the immune response. This study also shows that there were no fundamental differences in the gene expression patterns in multibacillary and paucibacillary disease, no shift in T cell genes from Th1 to Th2 pattern but rather an incremental decline into immune dysfunction leading to multibacillary pathology.


Asunto(s)
Inmunidad Celular/genética , Mycobacterium avium subsp. paratuberculosis/inmunología , Paratuberculosis/genética , Enfermedades de las Ovejas/genética , Transducción de Señal/genética , Animales , Perfilación de la Expresión Génica/métodos , Interacciones Huésped-Patógeno/inmunología , Inmunidad Celular/inmunología , Activación de Linfocitos/genética , Activación de Linfocitos/inmunología , Mycobacterium avium subsp. paratuberculosis/fisiología , Paratuberculosis/microbiología , Ovinos , Enfermedades de las Ovejas/microbiología , Linfocitos T/inmunología , Linfocitos T/metabolismo , Linfocitos T/microbiología , Transcriptoma/genética , Transcriptoma/inmunología
6.
Protein Cell ; 8(1): 55-66, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27830463

RESUMEN

The innate immune system is critical for clearing infection, and is tightly regulated to avert excessive tissue damage. Nod1/2-Rip2 signaling, which is essential for initiating the innate immune response to bacterial infection and ER stress, is subject to many regulatory mechanisms. In this study, we found that LRRK2, encoded by a gene implicated in Crohn's disease, leprosy and familial Parkinson's disease, modulates the strength of Nod1/2-Rip2 signaling by enhancing Rip2 phosphorylation. LRRK2 deficiency markedly reduces cytokine production in macrophages upon Nod2 activation by muramyl dipeptide (MDP), Nod1 activation by D-gamma-Glu-meso-diaminopimelic acid (iE-DAP) or ER stress. Our biochemical study shows that the presence of LRRK2 is necessary for optimal phosphorylation of Rip2 upon Nod2 activation. Therefore, this study reveals that LRRK2 is a new positive regulator of Rip2 and promotes inflammatory cytokine induction through the Nod1/2-Rip2 pathway.


Asunto(s)
Citocinas/inmunología , Proteína 2 Quinasa Serina-Treonina Rica en Repeticiones de Leucina/inmunología , Proteína Adaptadora de Señalización NOD1/inmunología , Proteína Adaptadora de Señalización NOD2/inmunología , Proteína Serina-Treonina Quinasa 2 de Interacción con Receptor/inmunología , Proteína Serina-Treonina Quinasas de Interacción con Receptores/inmunología , Transducción de Señal/inmunología , Animales , Citocinas/genética , Células HEK293 , Humanos , Inmunidad Innata/genética , Inflamación/genética , Inflamación/inmunología , Proteína 2 Quinasa Serina-Treonina Rica en Repeticiones de Leucina/genética , Ratones , Ratones Noqueados , Proteína Adaptadora de Señalización NOD1/genética , Proteína Adaptadora de Señalización NOD2/genética , Fosforilación/genética , Fosforilación/inmunología , Proteína Serina-Treonina Quinasa 2 de Interacción con Receptor/genética , Proteína Serina-Treonina Quinasas de Interacción con Receptores/genética , Transducción de Señal/genética
7.
Clin Exp Allergy ; 45(9): 1459-71, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25944185

RESUMEN

BACKGROUND: Allergic asthma is a chronic pulmonary disease characterized by a Th2 inflammatory response. The modulation of a Th2 immune response based on immune deviation to a Th1 pattern or induction and migration of regulatory T cells to the lungs constitutes one of the major therapeutic approaches that is being investigated for the treatment of allergic asthma. The potentials of Mycobacterium leprae 65-kD heat-shock protein or Toll-like receptor 9 ligand (CpG oligodeoxynucleotides) as immune modulators for the treatment of airway allergic disease have been studied individually. OBJECTIVE: Mycobacterial protein combined with CpG was used as immunotherapy for airway allergy. METHODS: Using an ovalbumin-induced asthma model, mice were sensitized and challenged, and then treated with mycobacterial heat-shock protein (Hsp65) combined with CpG. RESULTS: The treatment of mice with established allergy led to the attenuation of eosinophilia, Th2 cytokines and airway hyperresponsiveness. Hsp65 plus CpG treatment also induced an increase in OVA-specific IFN-γ levels and in the frequency of lung inflammatory monocytes. Moreover, we show that the reduction of eosinophilia and the recruitment of inflammatory monocytes to the lungs required early triggering of TLR9, IFN-γ and CCR2 by immunotherapy components. CONCLUSION: In addition to immune deviation to a Th1 response in the modulation of Th2 allergic inflammation, our findings also attribute an important role to the innate response mediated by TLR9, associated with the recruitment of CCR2-dependent monocytes. CLINICAL RELEVANCE: Our findings show that the Hsp65/CpG treatment is a promising strategy for consideration in translational studies.


Asunto(s)
Asma/tratamiento farmacológico , Proteínas Bacterianas/farmacología , Chaperonina 60/farmacología , Interferón gamma/inmunología , Mycobacterium leprae , Oligodesoxirribonucleótidos/farmacología , Receptores CCR2/inmunología , Transducción de Señal/efectos de los fármacos , Receptor Toll-Like 9/inmunología , Animales , Asma/genética , Asma/inmunología , Inmunoterapia , Interferón gamma/genética , Ratones , Ratones Endogámicos BALB C , Ratones Noqueados , Receptores CCR2/genética , Transducción de Señal/genética , Transducción de Señal/inmunología , Linfocitos T Colaboradores-Inductores/inmunología , Linfocitos T Colaboradores-Inductores/patología , Receptor Toll-Like 9/genética
8.
PLoS One ; 8(8): e73103, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24015287

RESUMEN

In recent years, genome wide association studies have discovered a large number of gene loci that play a functional role in innate and adaptive immune pathways associated with leprosy susceptibility. The immunological control of intracellular bacteria M. leprae is modulated by NOD2-mediated signaling of Th1 responses. In this study, we investigated 211 clinically classified leprosy patients and 230 ethnically matched controls in Indian population by genotyping four variants in NOD2 (rs9302752A/G), LRRK2 (rs1873613A/G), RIPK2 (rs40457A/G and rs42490G/A). The LRRK2 locus is associated with leprosy outcome. The LRRK2 rs1873613A minor allele and respective rs1873613AA genotypes were significantly associated with an increased risk whereas the LRRK2 rs1873613G major allele and rs1873613GG genotypes confer protection in paucibacillary and leprosy patients. The reconstructed GA haplotypes from RIPK2 rs40457A/G and rs42490G/A variants was observed to contribute towards increased risk whereas haplotypes AA was observed to confer protective role. Our results indicate that a possible shared mechanisms underlying the development of these two clinical forms of the disease as hypothesized. Our findings confirm and validates the role of gene variants involved in NOD2-mediated signalling pathways that play a role in immunological control of intracellular bacteria M. leprae.


Asunto(s)
Predisposición Genética a la Enfermedad , Lepra/genética , Mycobacterium leprae , Proteína Adaptadora de Señalización NOD2/genética , Proteínas Serina-Treonina Quinasas/genética , Proteína Serina-Treonina Quinasa 2 de Interacción con Receptor/genética , Transducción de Señal/genética , Alelos , Femenino , Haplotipos/genética , Haplotipos/inmunología , Humanos , India/epidemiología , Lepra/epidemiología , Lepra/inmunología , Proteína 2 Quinasa Serina-Treonina Rica en Repeticiones de Leucina , Masculino , Proteína Adaptadora de Señalización NOD2/inmunología , Polimorfismo Genético/genética , Polimorfismo Genético/inmunología , Proteínas Serina-Treonina Quinasas/inmunología , Proteína Serina-Treonina Quinasa 2 de Interacción con Receptor/inmunología , Transducción de Señal/inmunología , Células TH1/inmunología
9.
PLoS One ; 7(1): e30616, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22291999

RESUMEN

Intrauterine growth restriction (IUGR) is closely linked with metabolic diseases, appetite disorders and obesity at adulthood. Leptin, a major adipokine secreted by adipose tissue, circulates in direct proportion to body fat stores, enters the brain and regulates food intake and energy expenditure. Deficient leptin neuronal signalling favours weight gain by affecting central homeostatic circuitry. The aim of this study was to determine if leptin resistance was programmed by perinatal nutritional environment and to decipher potential cellular mechanisms underneath.We clearly demonstrated that 5 months old IUGR rats develop a decrease of leptin sentivity, characterized by no significant reduction of food intake following an intraperitoneal injection of leptin. Apart from the resistance to leptin injection, results obtained from IUGR rats submitted to rapid catch-up growth differed from those of IUGR rats with no catch-up since we observed, for the first group only, fat accumulation, increased appetite for food rich in fat and increased leptin synthesis. Centrally, the leptin resistant state of both groups was associated with a complex and not always similar changes in leptin receptor signalling steps. Leptin resistance in IUGR rats submitted to rapid catch-up was associated with alteration in AKT and mTOR pathways. Alternatively, in IUGR rats with no catch-up, leptin resistance was associated with low hypothalamic expression of LepRa and LepRb. This study reveals leptin resistance as an early marker of metabolic disorders that appears before any evidence of body weight increase in IUGR rats but whose mechanisms could depend of nutritional environment of the perinatal period.


Asunto(s)
Sistema Nervioso Central/metabolismo , Metabolismo Energético/fisiología , Retardo del Crecimiento Fetal/metabolismo , Retardo del Crecimiento Fetal/rehabilitación , Crecimiento y Desarrollo/fisiología , Leptina/metabolismo , Animales , Animales Recién Nacidos , Sistema Nervioso Central/fisiología , Resistencia a Medicamentos/genética , Resistencia a Medicamentos/fisiología , Metabolismo Energético/genética , Femenino , Retardo del Crecimiento Fetal/fisiopatología , Regulación del Desarrollo de la Expresión Génica , Crecimiento y Desarrollo/genética , Homeostasis/genética , Homeostasis/fisiología , Leptina/genética , Masculino , Embarazo , Ratas , Ratas Sprague-Dawley , Receptores de Leptina/genética , Receptores de Leptina/metabolismo , Transducción de Señal/genética , Transducción de Señal/fisiología
10.
Mol Biosyst ; 7(7): 2205-19, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21559538

RESUMEN

There is accumulating evidence that the proteins encoded by the genes associated with a common disorder interact with each other, participate in similar pathways and share GO terms. It has been anticipated that the functional modules in a disease related functional linkage network can be integrated with bibliomics to reveal association with other complex disorders. In this study, the cardiovascular disease functional linkage network (CFN) containing 1536 nodes and 3345 interactions was constructed using proteins encoded by 234 genes associated with the disease. Integration of CFN with bibliomics showed that 227 out of 566 functional modules are significantly associated with one or more diseases. Analysis of functional modules revealed the possible regulatory roles of SP1 and CXCL12 in the pathogenesis of cardiovascular disease (CVD) and modulation of their activities may be considered as potential therapeutic tools. The integration of CFN with bibliomics also indicated significant relations of CVD with other complex disorders. In a stratified map the members of 227 functional modules and 58 diseases in 15 disease classes were combined. In this map, leprosy, listeria monocytogenes, myasthenia, hemorrhagic diathesis and Protein S deficiency, which were not previously reported to be associated with CVD, showed significant associations. Several cancers arising from epithelial cells were also found to be linked to other diseases through hub proteins, VEGFA and PTGS2.


Asunto(s)
Enfermedades Cardiovasculares/genética , Biología Computacional/métodos , Redes Reguladoras de Genes , Transducción de Señal/genética , Genes , Humanos
13.
Tuberculosis (Edinb) ; 85(1-2): 53-64, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-15687028

RESUMEN

Infection with Mycobacterium tuberculosis results in disease in 5-10% of exposed individuals, whereas the remainder controls infection effectively. Similar inter-individual differences in disease susceptibility are characteristic features of leprosy, typhoid fever, leishmaniasis and other chronic infectious diseases, including viral infections. Although the outcome of infection is influenced by many factors, it is clear that genetic host factors play an important role in controlling disease susceptibility to intracellular pathogens. Knowledge of the genes involved and their downstream cellular pathways will provide new insights for the design of improved and rationalized strategies to enhance host-resistance, e.g. by vaccination. In addition, this knowledge will aid in identifying better biomarkers of protection and disease, which are essential tools for the monitoring of vaccination and other intervention trials. The recent identification of patients with deleterious mutations in genes that encode major proteins in the type-1 cytokine (IL-12/IL23-IFN-gamma) axis, that suffered from severe infections due to otherwise poorly pathogenic mycobacteria (non-tuberculous mycobacteria (NTM) or M. bovis Bacille Calmette-Guerin (BCG)) or Salmonella species has revealed the major role of this system in innate and adaptive immunity to mycobacteria and salmonellae. Clinical tuberculosis has now been described in a number of patients with IL-12/IL23-IFN-gamma system defects. Moreover, unusual mycobacterial infections were reported in several patients with genetic defects in NEMO, a key regulatory molecule in the NFkappaB pathway. These new findings will be discussed since they provide further insights into the role of type-1 cytokines in immunity to mycobacteria, including M. tuberculosis.


Asunto(s)
Citocinas/genética , Infecciones por Mycobacterium/genética , Adyuvantes Inmunológicos/genética , Citocinas/inmunología , Predisposición Genética a la Enfermedad/genética , Humanos , Inmunidad Celular/genética , Inmunidad Celular/inmunología , Interferón gamma/genética , Interferón gamma/inmunología , Interleucina-12/genética , Interleucina-12/inmunología , Interleucina-23 , Subunidad p19 de la Interleucina-23 , Interleucinas/genética , Interleucinas/inmunología , Infecciones por Mycobacterium/inmunología , Receptores de Interferón/genética , Receptores de Interferón/inmunología , Receptores de Interleucina/genética , Receptores de Interleucina/inmunología , Infecciones por Salmonella/genética , Infecciones por Salmonella/inmunología , Transducción de Señal/genética , Transducción de Señal/inmunología , Tuberculosis/genética , Tuberculosis/inmunología
14.
Acta Leprol ; 10(1): 11-27, 1996.
Artículo en Francés | MEDLINE | ID: mdl-8967289

RESUMEN

The capacity of certain individuals to resist certain diseases, including leprosy, has for a long time been considered as being influenced by genetic factors. The clinical and pathological spectrum of leprosy, epidemiological heterogeneity, both geographic and ethnic, in the prevalence of polar forms, may be explained by genetic differences in host resistance. While the specific genes in question have not been identified, recent studies suggest a genetic basis for differences in the capacity of macrophages in the host to reduce bacterial multiplication. Experimental models analyzing the reactions of antimycobacterial defence have underscored at existing differences in resistance or vulnerability to infection (M. bovis, BCG, M. lepraemurium, M. tuberculosis) were guided by a dominant gene which exists in two allelic forms, bcgr and bcg5. The bcgr allele confers resistance and is more dominant than the bcgs allele which represents greater vulnerability to infection. The murine candidate gene for the bcg gene has been named NRAMP (Natural Resistance-associated Macrophage Protein). Even though the exact function of NRAMP is not currently known, it has been demonstrated that this gene is expressed mainly in macrophages, and that it brings about increased bacteriostatic capacity in these cells. NRAMP is structurally homologous to the family of membranous proteins having a transport function linking ATP. NRAMP is similar to the membranous bacterial system transporting nitrites. The NRAMP protein is also involved as a signal of transduction during the activation of macrophages. It is therefore possible to conceive of genetic polymorphism at this locus intervening in specific and non-specific immune responses to infection. Apart from such potential polymorphism during the initial phase of infection, immunogenetic studies suggest that the polymorphism of class II HLA molecules could intervene in the evolution of secondary immune response to M. leprae. Knowing that HLA molecules are expressed in a co-dominant form, and attributing extraordinary allelic polymorphism to this locus, there may be a rather wide range of immune responses to the M. leprae antigens in subjects with discordant HLA and in populations which have varied genetic profiles. In general it has been acknowledged that HLA-DR isotypes are associated with protective response, while HLA-DQ isotypes are said to be associated with multibacillary lepromatous forms. The chief role of the HLA systems controlling cell-mediated immunity leads to the probability that differences in HLA haplotypes could contribute to the wide spectrum of immune responses observed in leprosy. Genetic determinants of resistance to leprosy cannot be described in a straightforward manner using a classic approach because the complex mechanisms of resistance, yet to be clarified and for which at least two loci are believed to be contributory, may be re-assessed like a multifactorial, multigenetic complex in which environmental events linked to the transmission of M. leprae, its duration, intensity and host factors, varying as a function of time, intervene. A close study of each element and better understanding of the physiological and pathological mechanisms of infection and disease are necessary in order to state the influence of genetic factors on each of them with greater precision.


Asunto(s)
Proteínas de Transporte de Catión , Lepra/genética , Adenosina Trifosfato/metabolismo , Alelos , Antígenos Bacterianos/genética , Proteínas Portadoras/genética , Proteínas Portadoras/metabolismo , Mapeo Cromosómico , Genes Dominantes/genética , Genes MHC Clase II/genética , Predisposición Genética a la Enfermedad , Antígenos HLA/genética , Humanos , Inmunidad Celular/genética , Lepra/inmunología , Activación de Macrófagos/genética , Macrófagos/inmunología , Proteínas de la Membrana/genética , Proteínas de la Membrana/metabolismo , Mycobacterium leprae/fisiología , Nitratos/metabolismo , Polimorfismo Genético/genética , Transducción de Señal/genética
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