Laboratório de Parasitologia, Departamento de Análises Clínicas, Toxicológicas e Bromatológicas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto, Universidade de São Paulo, 14040-903 Ribeirão Preto, SP, Brazil.
Exp Parasitol. 2011 Jan;127(1):31-5. doi: 10.1016/j.exppara.2010.06.015. Epub 2010 Jun 18.
Understanding the mechanisms responsible for mediating the effects of stress on Trypanosoma cruzi infection is crucial for determining the full impact of stress on Chagas' disease and for devising effective interventions. Dehydroepiandrosterone (DHEA), a steroid hormone synthesized from pregnenolone, is secreted by the adrenal cortex in response to stress. Although its physiologic role has not been fully defined, DHEA has been shown to modulate immune function. In the present study, we evaluated the levels of corticosterone and the ability of T. cruzi infection to modulate the expression of Th2 cytokines in Wistar rats with chronic Chagas' disease submitted to repetitive stress. The animals submitted to stress displayed enhanced levels of corticosterone as compared to control counterparts. Stress and infection triggered the most elevated concentrations of corticosterone. DHEA significantly reduced corticosterone levels for infected and stressed animals with DHEA. The infected animals displayed enhanced levels of IL-10 and IL-4 as compared to control ones. Stress combined with infection triggered the higher levels of IL-10 and IL-4. DHEA alone and combined with infection and stress significantly increased IL-10 and IL-4 levels. Then, this study might provide additional clues about factors that regulate some of the immunoregulatory aspects of T. cruzi infection and might offer new opportunities for therapeutic interventions.
了解介导应激对克氏锥虫感染影响的机制对于确定应激对恰加斯病的全面影响以及制定有效干预措施至关重要。脱氢表雄酮(DHEA)是一种从孕烯醇酮合成的类固醇激素,由肾上腺皮质响应应激而分泌。尽管其生理作用尚未完全确定,但 DHEA 已被证明可调节免疫功能。在本研究中,我们评估了慢性恰加斯病大鼠在反复应激下的皮质酮水平以及克氏锥虫感染对 Th2 细胞因子表达的调节能力。与对照组相比,应激组的动物显示出更高水平的皮质酮。应激和感染引发了皮质酮浓度的最高升高。与感染和应激的动物相比,DHEA 显著降低了皮质酮水平。与对照组相比,感染动物的 IL-10 和 IL-4 水平升高。应激与感染联合触发了更高水平的 IL-10 和 IL-4。DHEA 单独以及与感染和应激联合使用均显著增加了 IL-10 和 IL-4 水平。因此,本研究可能为调节克氏锥虫感染某些免疫调节方面的因素提供了更多线索,并为治疗干预提供了新的机会。