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克氏锥虫诱导的巨食管症的神经免疫病理学:肥大细胞蛋白酶是否起作用?

Neuroimmunopathology of Trypanosoma cruzi-induced megaoesophagus: Is there a role for mast cell proteases?

作者信息

Martins Patrícia Rocha, Nascimento Rodolfo Duarte, de Souza Lisboa André, Martinelli Patrícia Massara, d'Ávila Reis Débora

机构信息

Department of Morphology, ICB, Universidade Federal de Minas Gerais, 31.270-901, Brazil.

Department of Morphology, ICB, Universidade Federal de Minas Gerais, 31.270-901, Brazil.

出版信息

Hum Immunol. 2014 Apr;75(4):302-5. doi: 10.1016/j.humimm.2014.02.003. Epub 2014 Feb 12.

DOI:10.1016/j.humimm.2014.02.003
PMID:24530752
Abstract

Tryptase and chymase are mast cell (MC)-specific proteases, which influence in the activation of inflammatory cells. In this study, we quantified tryptase- or chymase-expressing MCs in the oesophaguses of Chagas patients, and searched for a correlation between those data with area of nerve fibres that expressed either PGP9.5 (pan-marker) or vasoactive intestinal polypeptide (VIP), which is a neuromediator that has anti-inflammatory activity. Samples from the oesophaguses of 14 individuals Trypanosoma cruzi-infected and from six uninfected individuals were analysed by immunohistochemistry. It was demonstrated that the number of tryptase-IR MCs in infected individuals increased when compared with controls, regardless of whether the individuals had megaoesophagus, whereas the number of chymase-IR MCs increased only in infected individuals without megaoesophagus. Negative correlations were observed between tryptase-IR MCs and the density of nerve fibres that expressed VIP or PGP 9.5-IR. The participation of chymase and tryptase in this type of immunopathology is discussed.

摘要

类胰蛋白酶和糜蛋白酶是肥大细胞(MC)特异性蛋白酶,它们影响炎症细胞的激活。在本研究中,我们对恰加斯病患者食管中表达类胰蛋白酶或糜蛋白酶的MC进行了定量,并寻找这些数据与表达PGP9.5(泛标记物)或血管活性肠肽(VIP,一种具有抗炎活性的神经介质)的神经纤维面积之间的相关性。通过免疫组织化学分析了14例克氏锥虫感染个体和6例未感染个体的食管样本。结果表明,与对照组相比,感染个体中类胰蛋白酶免疫反应性MC的数量增加,无论个体是否患有巨食管,而糜蛋白酶免疫反应性MC的数量仅在没有巨食管的感染个体中增加。在表达VIP或PGP 9.5免疫反应性的神经纤维密度与类胰蛋白酶免疫反应性MC之间观察到负相关。本文讨论了糜蛋白酶和类胰蛋白酶在这种免疫病理学类型中的作用。

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