Loría-Cervera Elsy Nalleli, Andrade-Narváez Fernando José
Centro de Investigaciones Regionales "Dr. Hideyo Noguchi", MéridaYucatán, México, Centro de Investigaciones Regionales "Dr. Hideyo Noguchi", Mérida, Yucatán, México.
Rev Inst Med Trop Sao Paulo. 2014 Jan-Feb;56(1):1-11. doi: 10.1590/S0036-46652014000100001.
Leishmaniasis remains a major public health problem worldwide and is classified as Category I by the TDR/WHO, mainly due to the absence of control. Many experimental models like rodents, dogs and monkeys have been developed, each with specific features, in order to characterize the immune response to Leishmania species, but none reproduces the pathology observed in human disease. Conflicting data may arise in part because different parasite strains or species are being examined, different tissue targets (mice footpad, ear, or base of tail) are being infected, and different numbers ("low" 1 × 10(2) and "high" 1 × 10(6)) of metacyclic promastigotes have been inoculated. Recently, new approaches have been proposed to provide more meaningful data regarding the host response and pathogenesis that parallels human disease. The use of sand fly saliva and low numbers of parasites in experimental infections has led to mimic natural transmission and find new molecules and immune mechanisms which should be considered when designing vaccines and control strategies. Moreover, the use of wild rodents as experimental models has been proposed as a good alternative for studying the host-pathogen relationships and for testing candidate vaccines. To date, using natural reservoirs to study Leishmania infection has been challenging because immunologic reagents for use in wild rodents are lacking. This review discusses the principal immunological findings against Leishmania infection in different animal models highlighting the importance of using experimental conditions similar to natural transmission and reservoir species as experimental models to study the immunopathology of the disease.
利什曼病仍然是全球主要的公共卫生问题,被热带病研究和培训特别规划署/世界卫生组织列为第一类疾病,主要原因是缺乏控制措施。为了描述针对利什曼原虫属物种的免疫反应,已经开发了许多实验模型,如啮齿动物、狗和猴子,每个模型都有特定的特征,但没有一个能再现人类疾病中观察到的病理情况。出现相互矛盾的数据可能部分是因为所检测的寄生虫菌株或物种不同、感染的组织靶点不同(小鼠足垫、耳朵或尾巴根部)以及接种的循环前鞭毛体数量不同(“低”1×10²和“高”1×10⁶)。最近,有人提出了新的方法,以提供关于与人类疾病相似的宿主反应和发病机制的更有意义的数据。在实验性感染中使用白蛉唾液和少量寄生虫已导致模拟自然传播,并发现了在设计疫苗和控制策略时应考虑的新分子和免疫机制。此外,有人提议将野生啮齿动物用作实验模型,作为研究宿主-病原体关系和测试候选疫苗的良好替代方法。迄今为止,利用天然宿主来研究利什曼原虫感染一直具有挑战性,因为缺乏用于野生啮齿动物的免疫试剂。本综述讨论了在不同动物模型中针对利什曼原虫感染的主要免疫学发现,强调了使用与自然传播和天然宿主物种相似的实验条件作为实验模型来研究该疾病免疫病理学的重要性。
Rev Inst Med Trop Sao Paulo. 2014
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