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脑室内实验性神经囊尾蚴病中的细胞免疫反应

Cellular immune response in intraventricular experimental neurocysticercosis.

作者信息

Moura Vania B L, Lima Sarah B, Matos-Silva Hidelberto, Vinaud Marina C, Loyola Patricia R A N, Lino Ruy S

机构信息

Department of Microbiology,Immunology,Parasitology and Pathology,Tropical Pathology and Public Health Institute,Federal University of Goias,- Rua 235 S/N,Setor Universitário,74605-050,Goiânia,Goiás,Brazil.

Tropical Pathology and Public Health Post-graduation Programme,Tropical Pathology and Public Health Institute,Federal University of Goias,- Rua 235 S/N,Setor Universitário,74605-050,Goiânia,Goiás,Brazil.

出版信息

Parasitology. 2016 Mar;143(3):334-42. doi: 10.1017/S0031182015001572. Epub 2015 Dec 2.

Abstract

Neurocysticercosis (NCC) is considered a neglected parasitic infection of the human central nervous system. Its pathogenesis is due to the host immune response, stage of evolution and location of the parasite. The aim of this study was to evaluate the in situ and systemic immune response through cytokines dosage (IL-4, IL-10, IL-17 and IFN-γ) as well as the local inflammatory response of the experimental NCC with Taenia crassiceps. The in situ and systemic cellular and inflammatory immune response were evaluated through the cytokines quantification at 7, 30, 60 and 90 days after inoculation and histopathological analysis. All cysticerci were found within the cerebral ventricles. There was a discrete intensity of inflammatory cells of mixed immune profile, polymorphonuclear and mononuclear cells, at the beginning of the infection and predominance of mononuclear cells at the end. The systemic immune response showed a significant increase in all the analysed cytokines and predominance of the Th2 immune profile cytokines at the end of the infection. These results indicate that the location of the cysticerci may lead to ventriculomegaly. The acute phase of the infection showed a mixed Th1/Th17 profile accompanied by high levels of IL-10 while the late phase showed a Th2 immune profile.

摘要

神经囊尾蚴病(NCC)被认为是一种被忽视的人类中枢神经系统寄生虫感染。其发病机制归因于宿主免疫反应、寄生虫的进化阶段和位置。本研究的目的是通过细胞因子定量(IL-4、IL-10、IL-17和IFN-γ)评估原位和全身免疫反应,以及用肥胖带绦虫进行实验性NCC的局部炎症反应。通过接种后7天、30天、60天和90天的细胞因子定量以及组织病理学分析来评估原位和全身细胞及炎症免疫反应。所有囊尾蚴均发现于脑室中。在感染开始时,有混合免疫谱的炎症细胞(多形核细胞和单核细胞)的离散强度,而在感染末期单核细胞占主导。全身免疫反应显示所有分析的细胞因子均显著增加,且在感染末期Th2免疫谱细胞因子占主导。这些结果表明囊尾蚴的位置可能导致脑室扩大。感染急性期表现为混合的Th1/Th17谱并伴有高水平的IL-10,而晚期表现为Th2免疫谱。

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