Ferreira Caroline M, Pereira Ana Terezinha M, de Souza Rafael S, Cassali Geovanni D, Souza Danielle G, Lemos Virginia S, Teixeira Mauro M, Negrão-Corrêa Deborah
Departamento de Bioquímica e Immunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais (UFMG), Avenida Antonio Carlos 6627, Campus Pampulha, 31270-901 Belo Horizonte, MG, Brazil.
Microbes Infect. 2007 Jun;9(7):813-20. doi: 10.1016/j.micinf.2007.02.022. Epub 2007 Mar 7.
Alterations in lung function and pulmonary symptoms have been described in patients infected with helminths with a lung cycle. We have previously shown that infection with the nematode Strongyloides venezuelensis induced a significant increase in airway hyperreactivity in infected rats. The aim of the present study was to test the hypothesis that bronchodilation during the lung phase of parasite migration would favor completion of the life cycle and infection indices. For this purpose, S. venezuelensis infected rats were treated with salbutamol during the first 48 h after the nematode infection. At the dose used (0.25 mg/mL for 10 min every 4 h), treatment with salbutamol prevented changes in lung function during the parasite migration. This was accompanied by a significant increase in parasite burden, as assessed in the lung and the small intestine. Parasite infected and salbutamol-treated animals also showed a significant increase in concentration of IL-10 and IL-4 in homogenates of lungs during the worm migration that was followed by stronger lung eosinophilic inflammation at 5 dpi, after the larvae had left the host lung. Our data indicates that airway hyperactivity reduce parasite progression through the lung, facilitating the action of innate or adaptive immune mechanisms.
感染有经历肺部循环的蠕虫的患者,其肺功能和肺部症状会出现改变。我们之前已经表明,感染委内瑞拉类圆线虫会导致受感染大鼠的气道高反应性显著增加。本研究的目的是检验这样一个假设:寄生虫迁移至肺部阶段时的支气管扩张会有利于生命周期的完成和感染指数。为此,在感染线虫后的头48小时内,用沙丁胺醇对感染委内瑞拉类圆线虫的大鼠进行治疗。在所使用的剂量下(每4小时0.25毫克/毫升,持续10分钟),沙丁胺醇治疗可防止寄生虫迁移过程中肺功能的变化。这伴随着寄生虫负荷的显著增加,这是通过对肺和小肠进行评估得出的。在蠕虫迁移过程中,感染寄生虫并接受沙丁胺醇治疗的动物肺部匀浆中白细胞介素-10和白细胞介素-4的浓度也显著增加,随后在感染后第5天幼虫离开宿主肺部时,肺部出现更强的嗜酸性粒细胞炎症。我们的数据表明,气道高反应性会降低寄生虫在肺部的进展,从而促进先天或适应性免疫机制的作用。