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2.
Front Immunol ; 14: 1241038, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37575243

RESUMO

The SARS CoV-2 antibody and CD4+ T cell responses induced by natural infection and/or vaccination decline over time and cross-recognize other viral variants at different levels. However, there are few studies evaluating the levels and durability of the SARS CoV-2-specific antibody and CD4+ T cell response against the Mu, Gamma, and Delta variants. Here, we examined, in two ambispective cohorts of naturally-infected and/or vaccinated individuals, the titers of anti-RBD antibodies and the frequency of SARS-CoV-2-specific CD4+ T cells up to 6 months after the last antigen exposure. In naturally-infected individuals, the SARS-CoV-2 antibody response declined 6 months post-symptoms onset. However, the kinetic observed depended on the severity of the disease, since individuals who developed severe COVID-19 maintained the binding antibody titers. Also, there was detectable binding antibody cross-recognition for the Gamma, Mu, and Delta variants, but antibodies poorly neutralized Mu. COVID-19 vaccines induced an increase in antibody titers 15-30 days after receiving the second dose, but these levels decreased at 6 months. However, as expected, a third dose of the vaccine caused a rise in antibody titers. The dynamics of the antibody response upon vaccination depended on the previous SARS-CoV-2 exposure. Lower levels of vaccine-induced antibodies were associated with the development of breakthrough infections. Vaccination resulted in central memory spike-specific CD4+ T cell responses that cross-recognized peptides from the Gamma and Mu variants, and their duration also depended on previous SARS-CoV-2 exposure. In addition, we found cross-reactive CD4+ T cell responses in unexposed and unvaccinated individuals. These results have important implications for vaccine design for new SARS-CoV-2 variants of interest and concern.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , Vacinas contra COVID-19 , Colômbia/epidemiologia , Linfócitos T , Anticorpos Antivirais , Linfócitos T CD4-Positivos
3.
PLoS One ; 18(3): e0283182, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36947570

RESUMO

Trypanosoma cruzi is the etiological agent of Chagas disease, an important cause of infectious chronic myocardiopathy in Latin America. The life cycle of the parasite involves two main hosts: a triatomine (arthropod hematophagous vector) and a mammal. Epimastigotes are flagellated forms inside the triatomine gut; they mature in its intestine into metacyclic trypomastigotes, the infective form for humans. Parasites attach despite the shear stress generated by fluid flow in the intestines of the host, but little is known about the mechanisms that stabilize attachment in these conditions. Here, we describe the effect of varying levels of shear stress on attached T. cruzi epimastigotes using a parallel plate flow chamber. When flow is applied, parasites are partially dragged but maintain a connection to the surface via ~40 nm wide filaments (nanotubules) and the activity of flagella is reduced. When flow stops, parasites return near their original position and flagellar motion resumes. Nanotubule elongation increases with increasing shear stress and is consistent with a model of membrane tether extension under force. Fluorescent probes used to confirm membrane composition also show micron-wide anchoring pads at the distal end of the nanotubules. Multiple tethering accounts for more resistance to large shear stresses and for reduced flagellar movement when flow is stopped. The formation of membrane nanotubules is a possible mechanism to enhance adherence to host cells under shear stress, favoring the continuity of the parasite´s life cycle.


Assuntos
Doença de Chagas , Trypanosoma cruzi , Humanos , Animais , Doença de Chagas/parasitologia , Estágios do Ciclo de Vida , Mamíferos
4.
Trials ; 23(1): 698, 2022 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-35987694

RESUMO

BACKGROUND: The use of respiratory devices can mitigate the spread of diseases such as COVID-19 in community settings. We aimed to determine the effectiveness of closed face shields with surgical face masks to prevent SARS-CoV-2 transmission in working adults during the COVID-19 pandemic in Bogotá, Colombia. METHODS: An open-label non-inferiority randomized controlled trial that randomly assigned participants to one of two groups: the intervention group was instructed to wear closed face shields with surgical face masks, and the active control group was instructed to wear only surgical face masks. The primary outcome was a positive reverse transcription polymerase chain reaction test, IgG/IgM antibody test for SARS-CoV-2 detection, or both during and at the end of the follow-up period of 21 days. The non-inferiority limit was established at - 5%. RESULTS: A total of 316 participants were randomized, 160 participants were assigned to the intervention group and 156 to the active control group. In total, 141 (88.1%) participants in the intervention group and 142 (91.0%) in the active control group completed the follow-up. PRIMARY OUTCOME: a positive SARS-CoV-2 test result was identified in one (0.71%) participant in the intervention group and three (2.1%) in the active control group. In the intention-to-treat analysis, the absolute risk difference was - 1.40% (95% CI [- 4.14%, 1.33%]), and in the per-protocol analysis, the risk difference was - 1.40% (95% CI [- 4.20, 1.40]), indicating non-inferiority of the closed face shield plus face mask (did not cross the non-inferiority limit). CONCLUSIONS: The use of closed face shields and surgical face masks was non-inferior to the surgical face mask alone in the prevention of SARS-CoV-2 infection in highly exposed groups. Settings with highly active viral transmission and conditions such as poor ventilation, crowding, and high mobility due to occupation may benefit from the combined use of masks and closed face shields to mitigate SARS-CoV-2 transmission. TRIAL REGISTRATION: ClinicalTrials.gov NCT04647305 . Registered on November 30, 2020.


Assuntos
COVID-19 , Adulto , COVID-19/prevenção & controle , Humanos , Máscaras , Pandemias/prevenção & controle , Medição de Risco , SARS-CoV-2
5.
Front Cell Infect Microbiol ; 11: 723121, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34712620

RESUMO

Chagas disease (ChD) is a chronic infection caused by Trypanosoma cruzi. This highly diverse intracellular parasite is classified into seven genotypes or discrete typing units (DTUs) and they overlap in geographic ranges, vectors, and clinical characteristics. Although studies have suggested that ChD progression is due to a decline in the immune response quality, a direct relationship between T cell responses and disease outcome is still unclear. To investigate the relationship between parasite control and immune T cell responses, we used two distinct infection approaches in an animal model to explore the histological and parasitological outcomes and dissect the T cell responses in T. cruzi-infected mice. First, we performed single infection experiments with DA (TcI) or Y (TcII) T. cruzi strains to compare the infection outcomes and evaluate its relationship with the T cell response. Second, because infections with diverse T. cruzi genotypes can occur in naturally infected individuals, mice were infected with the Y or DA strain and subsequently reinfected with the Y strain. We found different infection outcomes in the two infection approaches used. The single chronic infection showed differences in the inflammatory infiltrate level, while mixed chronic infection by different T. cruzi DTUs showed dissimilarities in the parasite loads. Chronically infected mice with a low inflammatory infiltrate (DA-infected mice) or low parasitemia and parasitism (Y/Y-infected mice) showed increases in early-differentiated CD8+ T cells, a multifunctional T cell response and lower expression of inhibitory receptors on CD8+ T cells. In contrast, infected mice with a high inflammatory infiltrate (Y-infected mice) or high parasitemia and parasitism (DA/Y-infected mice) showed a CD8+ T cell response distinguished by an increase in late-differentiated cells, a monofunctional response, and enhanced expression of inhibitory receptors. Overall, our results demonstrated that the infection outcomes caused by single or mixed T. cruzi infection with different genotypes induce a differential immune CD8+ T cell response quality. These findings suggest that the CD8+ T cell response might dictate differences in the infection outcomes at the chronic T. cruzi stage. This study shows that the T cell response quality is related to parasite control during chronic T. cruzi infection.


Assuntos
Doença de Chagas , Trypanosoma cruzi , Animais , Linfócitos T CD8-Positivos , Controle de Doenças Transmissíveis , Modelos Animais de Doenças , Camundongos
8.
Front Immunol ; 10: 918, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31105709

RESUMO

Chagas disease (ChD), a complex and persistent parasitosis caused by Trypanosoma cruzi, represents a natural model of chronic infection, in which some people exhibit cardiac or digestive complications that can result in death 20-40 years after the initial infection. Nonetheless, due to unknown mechanisms, some T. cruzi-infected individuals remain asymptomatic throughout their lives. Actually, no vaccine is available to prevent ChD, and treatments for chronic ChD patients are controversial. Chronically T. cruzi-infected individuals exhibit a deterioration of T cell function, an exhaustion state characterized by poor cytokine production and increased inhibitory receptor co-expression, suggesting that these changes are potentially related to ChD progression. Moreover, an effective anti-parasitic treatment appears to reverse this state and improve the T cell response. Taking into account these findings, the functionality state of T cells might provide a potential correlate of protection to detect individuals who will or will not develop the severe forms of ChD. Consequently, we investigated the T cell response, analyzed by flow cytometry with two multicolor immunofluorescence panels, to assess cytokines/cytotoxic molecules and the expression of inhibitory receptors, in a murine model of acute (10 and 30 days) and chronic (100 and 260 days) ChD, characterized by parasite persistence for up to 260 days post-infection and moderate inflammation of the colon and liver of T. cruzi-infected mice. Acute ChD induced a high antigen-specific multifunctional T cell response by producing IFN-γ, TNF-α, IL-2, granzyme B, and perforin; and a high frequency of T cells co-expressed 2B4, CD160, CTLA-4, and PD-1. In contrast, chronically infected mice with moderate inflammatory infiltrate in liver tissue exhibited monofunctional antigen-specific cells, high cytotoxic activity (granzyme B and perforin), and elevated levels of inhibitory receptors (predominantly CTLA-4 and PD-1) co-expressed on T cells. Taken together, these data support our previous results showing that similar to humans, the T. cruzi persistence in mice promotes the dysfunctionality of T cells, and these changes might correlate with ChD progression. Thus, these results constitute a model that will facilitate an in-depth search for immune markers and correlates of protection, as well as long-term studies of new immunotherapy strategies for ChD.


Assuntos
Doença de Chagas/imunologia , Linfócitos T/imunologia , Trypanosoma cruzi/imunologia , Doença Aguda , Animais , Biomarcadores/metabolismo , Antígeno CTLA-4/imunologia , Doença de Chagas/metabolismo , Doença de Chagas/parasitologia , Doença Crônica , Citocinas/imunologia , Modelos Animais de Doenças , Inflamação/imunologia , Inflamação/parasitologia , Fígado/imunologia , Fígado/parasitologia , Camundongos , Camundongos Endogâmicos BALB C , Receptor de Morte Celular Programada 1/imunologia , Linfócitos T/parasitologia
9.
Methods Mol Biol ; 1955: 349-361, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30868540

RESUMO

Flow cytometry is a valuable technique in cellular immunology that allows evaluating effective parameters of the immune response associated with CD8+ T cells. During Chagas disease, infection caused by Trypanosoma cruzi parasite, similar to other intracellular infectious agents, antigen-specific CD8+ T cells are essential for controlling the infection. However, CD8+ T cell response is only partially effective in some chronic Chagas disease patients. Thus, characterization and phenotyping of T. cruzi-specific CD8+ T cells are of great importance during chronic Chagas disease.


Assuntos
Antígenos de Protozoários/imunologia , Linfócitos T CD8-Positivos/imunologia , Doença de Chagas/imunologia , Citometria de Fluxo/métodos , Trypanosoma cruzi/imunologia , Linfócitos T CD8-Positivos/parasitologia , Doença de Chagas/parasitologia , Doença Crônica , Humanos , Imunidade Celular
10.
PLoS Negl Trop Dis ; 12(5): e0006480, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29750791

RESUMO

BACKGROUND: Chagas disease is caused by Trypanosoma cruzi. The persistence of the parasite is associated with the disease chronicity and the impairment of the cellular immune response. It has been reported that the CD4+CD8+ T cell population expands in chronic Chagas disease patients. Few studies have focused on this subset of cells, and very little is known about the impact of antiparasitic treatment on this population. METHODOLOGY: Thirty-eight chronic Chagas disease patients (20 asymptomatic and 18 symptomatic) and twelve healthy controls were enrolled in this study. Peripheral blood mononuclear cells were stimulated with soluble T. cruzi antigens to analyze the production of cytokines and cytotoxic molecules by CD4+CD8+ T cells before and after benznidazole treatment. Additionally, expression and co-expression of five inhibitory receptors in these patients after treatment were studied using a multiparameter flow cytometry technique. PRINCIPAL FINDINGS: The frequency of CD4+CD8+ T cells was higher in chronic Chagas disease patients compared with healthy donors. Furthermore, a higher ratio of CD4+CD8low/CD4+CD8high subpopulations was observed in chronic Chagas disease patients than in healthy donors. Additionally, CD4+CD8+ T cells from these patients expressed and co-expressed higher levels of inhibitory receptors in direct proportion to the severity of the pathology. Benznidazole treatment reduced the frequency of CD4+CD8+ T cells and decreased the ratio of CD4+CD8low/CD4+CD8high subpopulations. The co-expression level of the inhibitory receptor was reduced after treatment simultaneously with the enhancement of the multifunctional capacity of CD4+CD8+ T cells. After treatment, an increase in the frequency of T. cruzi antigen-specific CD4+CD8+ T cells expressing IL-2 and TNF-α was also observed. CONCLUSIONS: CD4+CD8+ T cells could play an important role in the control of T. cruzi infection since they were able to produce effector molecules for parasite control. Benznidazole treatment partially reversed the exhaustion process caused by T. cruzi infection in these cells with an improvement in the functional response of the T. cruzi antigen-specific CD4+CD8+ T cells.


Assuntos
Antiprotozoários/administração & dosagem , Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD8-Positivos/imunologia , Doença de Chagas/tratamento farmacológico , Nitroimidazóis/administração & dosagem , Trypanosoma cruzi/efeitos dos fármacos , Adulto , Anticorpos Antiprotozoários/imunologia , Doença de Chagas/genética , Doença de Chagas/imunologia , Doença de Chagas/parasitologia , Doença Crônica/terapia , Citocinas/imunologia , Feminino , Humanos , Interleucina-2/genética , Interleucina-2/imunologia , Leucócitos Mononucleares/imunologia , Masculino , Trypanosoma cruzi/genética , Trypanosoma cruzi/imunologia , Fator de Necrose Tumoral alfa/genética , Fator de Necrose Tumoral alfa/imunologia
11.
PLoS Negl Trop Dis ; 11(6): e0005627, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28598971

RESUMO

Congenital T. cruzi infections involve multiple factors in which complex interactions between the parasite and the immune system of pregnant women play important roles. In this study, we used an experimental murine model of chronic infection with T. cruzi to evaluate the changes in the expression of inhibitory receptors and the polyfunctionality of T cells during gestation and their association with congenital transmission rate of T. cruzi infection. The results showed that pregnant naïve mice had a higher percentage of CD4+ and CD8+ T cells that expressed inhibitory receptors than cells from non-pregnant naïve mice. However, in mice chronically infected with T. cruzi, gestation induced a significant decrease in the frequency of T cells that expressed or co-expressed inhibitory receptors, as well as an increase in the frequency of polyfunctional CD4+ and CD8+ T cells. This different behavior may be due to the breakdown in the infected mice of the gestation-induced immune homeostasis, probably to control the parasite load. Remarkably, it was observed that the mothers that transmitted the parasite had a higher frequency of T cells that expressed and co-expressed inhibitory receptors as well as a lower frequency of polyfunctional parasite-specific T cells than those that did not transmit it, even though the parasitemia load was similar in both groups. All together these data suggest that the maternal immune profile of the CD4+ and CD8+ T cells could be a determining factor in the congenital transmission of T. cruzi.


Assuntos
Linfócitos T CD4-Positivos/fisiologia , Linfócitos T CD8-Positivos/fisiologia , Doença de Chagas/congênito , Regulação da Expressão Gênica/imunologia , Complicações Parasitárias na Gravidez/imunologia , Trypanosoma cruzi , Animais , Doença de Chagas/imunologia , Doença de Chagas/transmissão , Citocinas/genética , Citocinas/metabolismo , Feminino , Regulação da Expressão Gênica/fisiologia , Transmissão Vertical de Doenças Infecciosas , Camundongos , Camundongos Endogâmicos BALB C , Gravidez
12.
PLoS One ; 11(3): e0150996, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26974162

RESUMO

BACKGROUND: TcTLE is a nonamer peptide from Trypanosoma cruzi KMP-11 protein that is conserved among different parasite strains and that is presented by different HLA-A molecules from the A2 supertype. Because peptides presented by several major histocompatibility complex (MHC) supertypes are potential targets for immunotherapy, the aim of this study was to determine whether MHC molecules other than the A2 supertype present the TcTLE peptide. METHODOLOGY/PRINCIPAL FINDINGS: From 36 HLA-A2-negative chagasic patients, the HLA-A genotypes of twenty-eight patients with CD8+ T cells that recognized the TcTLE peptide using tetramer (twenty) or functional (eight) assays, were determined. SSP-PCR was used to identify the A locus and the allelic variants. Flow cytometry was used to analyze the frequency of TcTLE-specific CD8+ T cells, and their functional activity (IFN-γ, TNFα, IL-2, perforin, granzyme and CD107a/b production) was induced by exposure to the TcTLE peptide. All patients tested had TcTLE-specific CD8+ T cells with frequencies ranging from 0.07-0.37%. Interestingly, seven of the twenty-eight patients had HLA-A homozygous alleles: A*24 (5 patients), A*23 (1 patient) and A*01 (1 patient), which belong to the A24 and A1 supertypes. In the remaining 21 patients with HLA-A heterozygous alleles, the most prominent alleles were A24 and A68. The most common allele sub-type was A*2402 (sixteen patients), which belongs to the A24 supertype, followed by A*6802 (six patients) from the A2 supertype. Additionally, the A*3002/A*3201 alleles from the A1 supertype were detected in one patient. All patients presented CD8+ T cells producing at least one cytokine after TcTLE peptide stimulation. CONCLUSION/SIGNIFICANCE: These results show that TcTLE is a promiscuous peptide that is presented by the A24 and A1 supertypes, in addition to the A2 supertype, suggesting its potential as a target for immunotherapy.


Assuntos
Linfócitos T CD8-Positivos , Doença de Chagas , Epitopos de Linfócito T/imunologia , Antígeno HLA-A1 , Antígeno HLA-A2 , Antígeno HLA-A24 , Proteínas de Protozoários/imunologia , Trypanosoma cruzi/imunologia , Adulto , Idoso , Alelos , Apresentação de Antígeno/genética , Linfócitos T CD8-Positivos/imunologia , Doença de Chagas/genética , Doença de Chagas/imunologia , Feminino , Genótipo , Antígeno HLA-A1/genética , Antígeno HLA-A1/imunologia , Antígeno HLA-A2/genética , Antígeno HLA-A2/imunologia , Antígeno HLA-A24/genética , Antígeno HLA-A24/imunologia , Humanos , Masculino , Pessoa de Meia-Idade , Peptídeos/imunologia
13.
Peptides ; 78: 68-76, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26854383

RESUMO

The TcTLE peptide (TLEEFSAKL) is a CD8(+) T cell HLA-A*0201-restricted epitope derived from the Trypanosoma cruzi KMP-11 protein that is efficiently processed, presented and recognized by CD8(+) T cells from chagasic patients. Since the immunogenic properties of wild-type epitopes may be enhanced by suitable substitutions in secondary anchor residues, we have studied the effect of introducing specific mutations at position 3, 6 and 7 of the TcTLE peptide. Mutations (E3L, S6V and A7F) were chosen on the basis of in silico predictions and in vitro assays were performed to determine the TcTLE-modified peptide binding capacity to the HLA-A*0201 molecule. In addition, the functional activity of peptide-specific CD8(+) T cells in HLA-A2(+) chagasic patients was also interrogated. In contrast to bioinformatics predictions, the TcTLE-modified peptide was found to have lower binding affinity and stability than the original peptide. Nevertheless, CD8(+) T cells from chronic chagasic patients recognized the TcTLE-modified peptide producing TNF-α and INF-γ and expressing CD107a/b, though in less extension than the response triggered by the original peptide. Overall, although the amino acids at positions 3, 6 and 7 of TcTLE are critical for the peptide affinity, they have a limited effect on the immunogenic properties of the TcTLE epitope.


Assuntos
Substituição de Aminoácidos , Anticorpos Antiprotozoários/biossíntese , Epitopos de Linfócito T/imunologia , Antígeno HLA-A2/imunologia , Peptídeos/imunologia , Proteínas de Protozoários/imunologia , Trypanosoma cruzi/química , Sequência de Aminoácidos , Sítios de Ligação , Linfócitos T CD8-Positivos/citologia , Linfócitos T CD8-Positivos/efeitos dos fármacos , Linfócitos T CD8-Positivos/imunologia , Linhagem Celular , Doença de Chagas/imunologia , Doença de Chagas/parasitologia , Epitopos de Linfócito T/química , Epitopos de Linfócito T/genética , Regulação da Expressão Gênica , Antígeno HLA-A2/química , Antígeno HLA-A2/genética , Humanos , Interferon gama/genética , Interferon gama/imunologia , Proteína 1 de Membrana Associada ao Lisossomo/genética , Proteína 1 de Membrana Associada ao Lisossomo/imunologia , Proteína 2 de Membrana Associada ao Lisossomo/genética , Proteína 2 de Membrana Associada ao Lisossomo/imunologia , Mutação , Peptídeos/síntese química , Peptídeos/farmacologia , Ligação Proteica , Proteínas de Protozoários/química , Trypanosoma cruzi/imunologia , Fator de Necrose Tumoral alfa/genética , Fator de Necrose Tumoral alfa/imunologia
14.
PLoS Negl Trop Dis ; 9(1): e3432, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25569149

RESUMO

BACKGROUND: CD8+ T cells have been shown to play a crucial role in Trypanosoma cruzi infection. Memory CD8+ T cells can be categorised based on their distinct differentiation stages and functional activities as follows: stem cell memory (TSCM), central memory (TCM), transitional memory (TTM), effector memory (TEM) and terminal effector (TTE) cells. Currently, the immune mechanisms that control T. cruzi in the chronic phase of the infection are unknown. METHODOLOGY/PRINCIPAL FINDINGS: To characterise the CD8+ T cell subsets that could be participating in the control of T. cruzi infection, in this study, we compared total and T. cruzi-specific circulating CD8+ T cells with distinctive phenotypic and functional features in chronic chagasic patients (CCPs) with different degrees of cardiac dysfunction. We observed a decreased frequency of total TSCM along with an increased frequency of TTE in CCPs with severe disease. Antigen-specific TSCM cells were not detectable in CCPs with severe forms of the disease. A functional profile of CD8+ T cell subsets among CCPs revealed a high frequency of monofunctional CD8+ T cells in the most severe patients with IFN-γ+- or TNF-α+-producing cells. CONCLUSIONS/SIGNIFICANCE: These findings suggest that CD8+ TSCM cells may be associated with the immune response to T. cruzi and outcome of Chagas disease, given that these cells may be involved in repopulating the T cell pool that controls infection.


Assuntos
Linfócitos T CD8-Positivos/fisiologia , Cardiomiopatia Chagásica/imunologia , Subpopulações de Linfócitos T/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticorpos Antiprotozoários , Cardiomiopatia Chagásica/sangue , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
15.
Parasite ; 21: 38, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25083732

RESUMO

Cellular culture infection with Trypanosoma cruzi is a tool used to dissect the biological mechanisms behind Chagas disease as well as to screen potential trypanocidal compounds. Data on these models are highly heterogeneous, which represents a challenge when attempting to compare different studies. The purpose of this review is to provide an overview of the cell culture infectivity assays performed to date. Scientific journal databases were searched for articles in which cultured cells were infected with any Trypanosoma cruzi strain or isolate regardless of the study's goal. From these articles the cell type, parasite genotype, culture conditions and infectivity results were extracted. This review represents an initial step toward the unification of infectivity model data. Important differences were detected when comparing the pathophysiology of Chagas disease with the experimental conditions used in the analyzed studies. While Trypanosoma cruzi preferentially infects stromal cells in vivo, most of the assays employ epithelial cell lines. Furthermore, the most commonly used parasite strain (Tulahuen-TcVI) is associated with chagasic cardiomyopathy only in the Southern Cone of South America. Suggestions to overcome these discrepancies include the use of stromal cell lines and parasite genotypes associated with the known characteristics of the natural history of Chagas disease.


Assuntos
Células Cultivadas/parasitologia , Doença de Chagas/parasitologia , Parasitologia/métodos , Trypanosoma cruzi/crescimento & desenvolvimento , Animais , Bovinos , Técnicas de Cultura de Células , Cardiomiopatia Chagásica/parasitologia , Células Epiteliais/parasitologia , Genótipo , Haplorrinos , Humanos , Rim/citologia , Mamíferos , Células Estromais/parasitologia , Trypanosoma cruzi/genética , Trypanosoma cruzi/patogenicidade
16.
CES med ; 28(1): 35-48, ene.-jun. 2014. graf, tab
Artigo em Espanhol | LILACS | ID: lil-729431

RESUMO

Introducción: los primeros auxilios son una vía expedita para atender accidentes en el hogar, el trabajo, el estudio y lugares públicos. En Medellín y Bello se desconoce el perfil de conocimientos sobre el tema en estudiantes de secundaria y no se dispone de una escala válida y fiable para medirlos. Objetivo: construir y evaluar una escala sobre conocimientos en primeros auxilios y analizar su puntaje en estudiantes de décimo y undécimo. Materiales y métodos: estudio transversal en 445 estudiantes seleccionados mediante muestreo probabilístico. En la evaluación de la escala se determinó la validez de apariencia y contenido, la validez de constructo y predictiva con análisis factorial, fiabilidad con α de Cronbach y consistencia interna por correlaciones de Pearson. En el perfil de conocimientos, los análisis de realizaron con frecuencias y medidas de resumen, U de Mann-Whitney, correlación de Sperman, Anova y regresión lineal multivariable. Resultados: la fiabilidad fue 0,7 y se hallaron correlaciones significativas entre cada punto de la escala y el puntaje global de conocimientos, el cual fue 42 (en una escala de 0-100) y no se encontró asociación estadística con la edad, el sexo, el grado escolar ni el municipio de residencia; sólo hubo asociación con el estrato socioeconómico. Conclusión: la combinación de algunos parámetros fisicoquímicos y microscópicos reportados en el uroanálisis puede ser una herramienta diagnóstica útil para predecir la positividad del urocultivo. los conocimientos fueron insatisfactorios lo que demuestra la necesidad de formular e implementar programas de educación, información y comunicación en salud acorde con el perfil hallado. La escala presentó buena validez, fiabilidad y consistencia interna.


Introduction: first aids are an effective form to provide care in accidents at home, work, study and public places. In Medellin and Bello is unknown the profile of knowledge of subjects in high school and there are no valid and reliable scale to measure them. Objective: to construe and to evaluate a scale of knowledge in first aids and analyze the score in students of tenth and eleventh. Materials and methods: cross-sectional study in 445 students selected using probability sampling. In the evaluation of the scale was determined appearance, content and construct validity, reliability with Cronbach α and internal consistency with Pearson coefficient. The Knowledge profile was analyzed with frequencies and summary measures, U Mann-Whitney, Spearman correlation, ANOVA and multivariate linear regression. Results: the reliability was 0.7, significant correlations were found between each point of the scale and global knowledge score, which was 42(on a scale of 0-100) and had no statistical association with age, gender, grade or municipality of residence, only there was association with the social stratum. Conclusion: the knowledge was unsatisfactory demonstrating the need to develop and implement Education Information and Communication programs in health. The scale showed good validity, reliability and internal consistency.

17.
Biomédica (Bogotá) ; 33(4): 660-672, Dec. 2013. ilus, graf, tab
Artigo em Espanhol | LILACS | ID: lil-700482

RESUMO

Introducción. La citometría de flujo permite detectar la presencia de moléculas intracelulares y de superficie, de forma simultánea sobre cada célula. Objetivo. Describir un método para la construcción armónica de un panel multicolor con 11 parámetros para el análisis fenotípico y funcional de linfocitos T (LT) CD8 + por citometría de flujo. Materiales y métodos. Para la construcción del panel multicolor, se seleccionaron las moléculas y se titularon los conjugados con fluorocromos para la determinación de CD3, CD8, CCR7, CD28, CD27, CD45RA, CD95 y CD127, en células mononucleares de sangre periférica. Para la evaluación del panel, se hizo la construcción progresiva adicionando uno a uno los conjugados y la fluorescencia menos uno (FMO). Este método fue aplicado para células ex vivo y para evaluar la producción de IFN ? , IL-2 y TNFa frente al estímulo con la enterotoxina B de Staphylococcus aureus (SEB) y al antígeno crudo de Trypanosoma cruzi . Finalmente, se procedió al análisis de las subpoblaciones de LT CD8 + ex vivo en individuos sanos. Resultados. La evaluación de las moléculas con los conjugados no mostró interferencia en las señales de fluorescencia. Las frecuencias de las subpoblaciones de LT CD8 + evaluadas fueron cercanas a los valores reportados en otros estudios. Además, se observó que la frecuencia de LT CD8 + productores de IFN ? , IL-2 y TNFa fue mayor a las seis horas de cultivo con SEB y con el antígeno crudo de T. cruzi . Conclusiones. El método aplicado para la construcción del panel multicolor permite obtener frecuencias de las subpoblaciones de LT CD8 + que corresponden a lo reportado en la literatura científica.


Introduction: Flow cytometry allows simultaneous detection of surface and intracellular molecules on each cell. Objective: To describe a method for building up a harmonic multicolor panel with 11 flow cytometry parameters for phenotypic and functional analysis on CD8 + T lymphocytes. Materials and methods: For the multicolor panel construction, we selected the molecules and titred conjugated antibodies with fluorochromes for CD3, CD8, CCR7, CD28, CD27, CD45RA, CD95 and CD127 determination in peripheral blood mononuclear cells (PBMC). To evaluate the panel, the conjugated antibodies were gradually added one by one and fluorescence minus one (FMO) test was performed. This method was applied to assess ex vivo subpopulations of T cells and the production of intracellular IFN ? , IL-2 and TNF a using polyclonal stimulation with enterotoxin B from Staphylococcus aureus (SEB) and antigen-specific cells with crude Trypanosoma cruzi antigen. Finally, the ex vivo CD8 + T lymphocyte subpopulations frequencies were analyzed in healthy individuals. Results: The evaluation of the selected molecules and conjugates did not show interference in the fluorescence signals and detection. The frequencies of CD8 + T cells evaluated were similar to the values reported in other studies. Additionally, we observed that the frequency of CD8 + T lymphocytes producing IFN ? , IL-2 and TNF a was higher 6 hours after culture with SEB and crude T. cruzi lysate. Conclusions: The method used for the construction of a multicolor panel allows obtaining frequencies of CD8 + T lymphocyte subpopulations corresponding to those reported in the literature.


Assuntos
Humanos , /química , Citocinas/análise , Citometria de Fluxo/métodos , Subpopulações de Linfócitos T/química , Células Cultivadas , Cor , Leucócitos Mononucleares/química
18.
Mem Inst Oswaldo Cruz ; 108(2): 212-9, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23579802

RESUMO

Astrocytes play a vital role in neuronal protection, homeostasis, vascular interchange and the local immune response. Some viruses and parasites can cross the blood-brain barrier and infect glia. Trypanosoma cruzi, the aetiological agent of Chagas disease, can seriously compromise the central nervous system, mainly in immune-suppressed individuals, but also during the acute phase of the infection. In this report, the infective capacity of T. cruzi in a human astrocyte tumour-derived cell line was studied. Astrocytes exposed to trypomastigotes (1:10 ratio) produced intracellular amastigotes and new trypomastigotes emerged by day 4 post-infection (p.i.). At day 6 p.i., 93% of the cells were infected. Using flow cytometry, changes were observed in both the expression of major histocompatibility complex class I and II molecules and the chemokine secretion pattern of astrocytes exposed to the parasite. Blocking the low-density lipoprotein receptor on astrocytes did not reduce parasite intracellular infection. Thus, T. cruzi can infect astrocytes and modulate the immune response during central nervous system infection.


Assuntos
Astrócitos/parasitologia , Astrocitoma/parasitologia , Imunidade Celular/imunologia , Trypanosoma cruzi/fisiologia , Astrocitoma/imunologia , Barreira Hematoencefálica/imunologia , Linhagem Celular Tumoral , Humanos , Complexo Principal de Histocompatibilidade/imunologia , Fatores de Tempo
19.
Mem. Inst. Oswaldo Cruz ; 108(2): 212-219, abr. 2013. graf
Artigo em Inglês | LILACS | ID: lil-670398

RESUMO

Astrocytes play a vital role in neuronal protection, homeostasis, vascular interchange and the local immune response. Some viruses and parasites can cross the blood-brain barrier and infect glia. Trypanosoma cruzi, the aetiological agent of Chagas disease, can seriously compromise the central nervous system, mainly in immune-suppressed individuals, but also during the acute phase of the infection. In this report, the infective capacity of T. cruzi in a human astrocyte tumour-derived cell line was studied. Astrocytes exposed to trypomastigotes (1:10 ratio) produced intracellular amastigotes and new trypomastigotes emerged by day 4 post-infection (p.i.). At day 6 p.i., 93% of the cells were infected. Using flow cytometry, changes were observed in both the expression of major histocompatibility complex class I and II molecules and the chemokine secretion pattern of astrocytes exposed to the parasite. Blocking the low-density lipoprotein receptor on astrocytes did not reduce parasite intracellular infection. Thus, T. cruzi can infect astrocytes and modulate the immune response during central nervous system infection.


Assuntos
Humanos , Astrócitos/parasitologia , Astrocitoma/parasitologia , Imunidade Celular/imunologia , Trypanosoma cruzi/fisiologia , Astrocitoma/imunologia , Barreira Hematoencefálica/imunologia , Linhagem Celular Tumoral , Complexo Principal de Histocompatibilidade/imunologia , Fatores de Tempo
20.
Biomedica ; 33(4): 660-72, 2013.
Artigo em Espanhol | MEDLINE | ID: mdl-24652220

RESUMO

INTRODUCTION: Flow cytometry allows simultaneous detection of surface and intracellular molecules on each cell. OBJECTIVE: To describe a method for building up a harmonic multicolor panel with 11 flow cytometry parameters for phenotypic and functional analysis on CD8 + T lymphocytes. MATERIALS AND METHODS: For the multicolor panel construction, we selected the molecules and titred conjugated antibodies with fluorochromes for CD3, CD8, CCR7, CD28, CD27, CD45RA, CD95 and CD127 determination in peripheral blood mononuclear cells (PBMC). To evaluate the panel, the conjugated antibodies were gradually added one by one and fluorescence minus one (FMO) test was performed. This method was applied to assess ex vivo subpopulations of T cells and the production of intracellular IFN ? , IL-2 and TNF a using polyclonal stimulation with enterotoxin B from Staphylococcus aureus (SEB) and antigen-specific cells with crude Trypanosoma cruzi antigen. Finally, the ex vivo CD8 + T lymphocyte subpopulations frequencies were analyzed in healthy individuals. RESULTS: The evaluation of the selected molecules and conjugates did not show interference in the fluorescence signals and detection. The frequencies of CD8 + T cells evaluated were similar to the values reported in other studies. Additionally, we observed that the frequency of CD8 + T lymphocytes producing IFN ? , IL-2 and TNF a was higher 6 hours after culture with SEB and crude T. cruzi lysate. CONCLUSIONS: The method used for the construction of a multicolor panel allows obtaining frequencies of CD8 + T lymphocyte subpopulations corresponding to those reported in the literature.


Assuntos
Linfócitos T CD8-Positivos/química , Citocinas/análise , Citometria de Fluxo/métodos , Subpopulações de Linfócitos T/química , Células Cultivadas , Cor , Humanos , Leucócitos Mononucleares/química
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