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恰加斯病的细胞治疗:在慢性心肌病患者中的潜在应用。

Cellular therapy in Chagas' disease: potential applications in patients with chronic cardiomyopathy.

作者信息

Soares Milena B P, Garcia Simone, Campos de Carvalho Antonio Carlos, Ribeiro dos Santos Ricardo

机构信息

Centro de Pesquisas Gonçalo Moniz, FIOCRUZ. Rua Waldemar Falcão, 121 Candeal, Salvador, BA, 40296-710, Brazil.

出版信息

Regen Med. 2007 May;2(3):257-64. doi: 10.2217/17460751.2.3.257.

DOI:10.2217/17460751.2.3.257
PMID:17511562
Abstract

Nearly a century after its discovery, Chagas' disease, caused by the protozoan Trypanosoma cruzi, remains a major health problem in Latin America. Although efforts in transmission control have contributed to a decrease in the number of new cases, approximately a third of chronic Chagasic individuals have or will develop the symptomatic forms of the disease, mainly cardiomyopathy. Chagas' disease is a progressively debilitating disease, which, at the final stages, there are no currently available treatments other than heart transplantation. In this scenario, cellular therapy is being tested as an alternative for millions of patients with heart dysfunction due to Chagas' disease. In this article, we review the studies of cellular therapy in animal models and in patients with Chagasic cardiomyopathy and the possible mechanisms by which cellular therapy may act in this disease.

摘要

在发现恰加斯病近一个世纪后,由原生动物克氏锥虫引起的恰加斯病仍是拉丁美洲的一个主要健康问题。尽管在传播控制方面所做的努力已使新病例数量有所减少,但约三分之一的慢性恰加斯病患者已经或将会出现该疾病的症状形式,主要是心肌病。恰加斯病是一种逐渐使人衰弱的疾病,在疾病的最后阶段,除了心脏移植外,目前没有其他可用的治疗方法。在这种情况下,细胞疗法正在作为数百万因恰加斯病而出现心脏功能障碍患者的一种替代治疗方法进行试验。在本文中,我们回顾了细胞疗法在动物模型和恰加斯病性心肌病患者中的研究,以及细胞疗法可能在该疾病中发挥作用的潜在机制。

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1
Cellular therapy in Chagas' disease: potential applications in patients with chronic cardiomyopathy.恰加斯病的细胞治疗:在慢性心肌病患者中的潜在应用。
Regen Med. 2007 May;2(3):257-64. doi: 10.2217/17460751.2.3.257.
2
Challenges and opportunities for primary, secondary, and tertiary prevention of Chagas' disease.恰加斯病一级、二级和三级预防面临的挑战与机遇。
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Current status and perspectives of cell therapy in Chagas disease.细胞治疗在恰加斯病中的现状和展望。
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[Update on the treatment of Chagas' disease].[恰加斯病治疗的最新进展]
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Parasite persistence correlates with disease severity and localization in chronic Chagas' disease.寄生虫的持续存在与慢性恰加斯病的疾病严重程度和定位相关。
J Infect Dis. 1999 Aug;180(2):480-6. doi: 10.1086/314889.
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Reactivation of Chagas' disease: cutaneous manifestations in two immunosuppressed patients.克氏锥虫病再激活:两名免疫抑制患者的皮肤表现。
Int J Dermatol. 2012 Jul;51(7):829-34. doi: 10.1111/j.1365-4632.2011.05224.x.
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Higher incidence of malignant neoplasms after heart transplantation for treatment of chronic Chagas' heart disease.治疗慢性恰加斯病性心脏病进行心脏移植后恶性肿瘤的发病率更高。
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Risk factors for Chagas' disease reactivation after heart transplantation.心脏移植后恰加斯病再激活的危险因素。
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Bone marrow cells migrate to the heart and skeletal muscle and participate in tissue repair after Trypanosoma cruzi infection in mice.骨髓细胞迁移至心脏和骨骼肌,并在小鼠感染克氏锥虫后参与组织修复。
Int J Exp Pathol. 2014 Oct;95(5):321-9. doi: 10.1111/iep.12089. Epub 2014 Jun 30.
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Stem cell therapy for the treatment of parasitic infections: is it far away?
干细胞治疗寄生虫感染的研究进展:路在何方?
Parasitol Res. 2014 Feb;113(2):607-12. doi: 10.1007/s00436-013-3689-4. Epub 2013 Nov 26.
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Cell therapy in Brazil: time for reflection.巴西的细胞疗法:反思时刻。
Rev Bras Hematol Hemoter. 2013;35(5):296-8. doi: 10.5581/1516-8484.20130117.
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Chagas' disease: an update on immune mechanisms and therapeutic strategies.恰加斯病:免疫机制和治疗策略的最新进展。
J Cell Mol Med. 2010 Jun;14(6B):1373-84. doi: 10.1111/j.1582-4934.2010.01007.x. Epub 2010 Jan 11.
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Role of autoantibodies in the physiopathology of Chagas' disease.自身抗体在恰加斯病生理病理学中的作用。
Arq Bras Cardiol. 2008 Oct;91(4):257-62, 281-6. doi: 10.1590/s0066-782x2008001600012.