Carneiro Cláudia Martins, Martins-Filho Olindo Assis, Reis Alexandre Barbosa, Veloso Vanja Maria, Araújo Flávio Marcos Gomes, Bahia Maria Terezinha, de Lana Marta, Machado-Coelho George Luiz Lins, Gazzinelli Giovanni, Correa-Oliveira Rodrigo, Tafuri Washington Luiz
Departamento de Análises Clínicas, Escola de Farmácia, Universidade Federal de Ouro Preto, Ouro Preto, Minas Gerais, Brazil.
Acta Trop. 2007 Feb;101(2):120-9. doi: 10.1016/j.actatropica.2006.12.009. Epub 2007 Jan 10.
A detailed follow-up investigation of the major parasitological, serological and phenotypic features in dogs experimentally infected with metacyclic (MT) and blood (BT) trypomastigotes of Trypanosoma cruzi strain Berenice-78, typifying vectorial and transfusional transmission of human Chagas disease, has been conducted. Although there were no changes with respect to the window of patent-parasitaemia, significant differences between MT- and BT-infected dogs in both the prepatent period (days 23 and 19, respectively) and the day of maximum parasitaemia (days 26 and 22, respectively) were recorded. A progressive enhancement in the level of T. cruzi-specific antibodies accompanied infection by both MT and BT forms, although higher IgG titres developed on days 14 and 21 following infection with MT forms. Higher Thy-1(+)/CD21(+) and lower CD4(+)/CD8(+) cell ratios, occasioned by increased levels of Thy-1(+) and CD8(+) T-cells and reduced frequencies of CD4(+) T-cells and CD21(+) B-lymphocytes, were observed in both MT- and BT-infected animals. The reduced frequency of CD14(+) leukocytes was revealed as the most relevant phenotypic feature intrinsic to T. cruzi infection independent of inoculum source. BT-specific phenotypic features included an early reduction in the percentage of circulating CD21(+) and CD14(+) leukocytes, together with a higher Thy-1(+)/CD21(+) cell ratio on day 42. On the other hand, higher levels of CD8(+) T-cells, together with a lower CD4(+)/CD8(+) cell ratio on day 28, were characteristic of MT infection. These findings emphasise the importance of inoculum source and suggest that vectorial or transfusional routes of T. cruzi infection may trigger distinct parasite-host interactions during acute Chagas disease.
对感染克氏锥虫Berenice - 78株循环后期(MT)和血液期(BT)锥鞭毛体的犬进行了详细的随访调查,该株代表人类恰加斯病的媒介传播和输血传播。虽然在显性寄生虫血症窗口期没有变化,但记录到MT感染犬和BT感染犬在潜伏期(分别为23天和19天)和寄生虫血症高峰期(分别为26天和22天)存在显著差异。MT和BT两种形式感染均伴随克氏锥虫特异性抗体水平的逐渐升高,尽管MT形式感染后第14天和21天IgG滴度更高。在MT和BT感染的动物中均观察到,由于Thy - 1(+)和CD8(+) T细胞水平升高以及CD4(+) T细胞和CD21(+) B淋巴细胞频率降低,导致Thy - 1(+)/CD21(+)细胞比率升高和CD4(+)/CD8(+)细胞比率降低。CD14(+)白细胞频率降低是克氏锥虫感染固有的最相关表型特征,与接种源无关。BT特异性表型特征包括循环CD21(+)和CD14(+)白细胞百分比早期降低,以及在第42天Thy - 1(+)/CD21(+)细胞比率更高。另一方面,MT感染的特征是CD8(+) T细胞水平较高,以及在第28天CD4(+)/CD8(+)细胞比率较低。这些发现强调了接种源的重要性,并表明克氏锥虫感染的媒介传播或输血传播途径可能在急性恰加斯病期间引发不同的寄生虫 - 宿主相互作用。