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犬利什曼原虫婴儿亚种感染期间临床进展的免疫指标

Immunologic indicators of clinical progression during canine Leishmania infantum infection.

作者信息

Boggiatto Paola M, Ramer-Tait Amanda E, Metz Kyle, Kramer Erin E, Gibson-Corley Katherine, Mullin Kathleen, Hostetter Jesse M, Gallup Jack M, Jones Douglas E, Petersen Christine A

机构信息

Immunobiology Program, Department of Veterinary Pathology, Iowa State University, Ames, Iowa 50011, USA.

出版信息

Clin Vaccine Immunol. 2010 Feb;17(2):267-73. doi: 10.1128/CVI.00456-09. Epub 2009 Dec 23.

Abstract

In both dogs and humans Leishmania infantum infection is more prevalent than disease, as infection often does not equate with clinical disease. Previous studies additively indicate that advanced clinical visceral leishmaniasis is characterized by increased production of anti-Leishmania antibodies, Leishmania-specific lymphoproliferative unresponsiveness, and decreased production of gamma interferon (IFN-gamma) with a concomitant increase of interleukin-10 (IL-10). In order to differentiate infection versus progressive disease for better disease prognostication, we temporally evaluated humoral and cellular immunologic parameters of naturally infected dogs. The work presented here describes for the first time the temporal immune response to natural autochthonous L. infantum infection in foxhounds within the United States. Several key changes in immunological parameters should be considered when differentiating infection versus clinical disease, including a dramatic rise in IgG production, progressive increases in antigen-specific peripheral blood mononuclear cell proliferation, and IFN-gamma production. Polysymptomatic disease is precluded by increased IL-10 production and consistent detection of parasite kinetoplast DNA in whole blood. This clinical presentation and the immuno-dysregulation mirror those observed in human patients, indicating that this animal model will be very useful for testing immunomodulatory anti-IL-10 and other therapies.

摘要

在犬类和人类中,婴儿利什曼原虫感染比疾病更为普遍,因为感染往往并不等同于临床疾病。先前的研究综合表明,晚期临床内脏利什曼病的特征是抗利什曼原虫抗体产生增加、利什曼原虫特异性淋巴细胞增殖无反应性、γ干扰素(IFN-γ)产生减少以及白细胞介素-10(IL-10)伴随增加。为了更好地区分感染与进行性疾病以实现更好的疾病预后,我们对自然感染犬的体液和细胞免疫参数进行了时间上的评估。此处呈现的工作首次描述了美国猎狐犬对自然本地婴儿利什曼原虫感染的时间免疫反应。在区分感染与临床疾病时,应考虑免疫参数的几个关键变化,包括IgG产生的急剧增加、抗原特异性外周血单核细胞增殖的逐渐增加以及IFN-γ产生。IL-10产生增加和全血中持续检测到寄生虫动基体DNA可排除多症状疾病。这种临床表现和免疫失调与在人类患者中观察到的情况相似,表明该动物模型对于测试免疫调节性抗IL-10及其他疗法将非常有用。

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