Pérez Ana Rosa, Morrot Alexandre, Carvalho Vinicius Frias, de Meis Juliana, Savino Wilson
Institute of Clinical and Experimental Immunology (IDICER-CONICET UNR), Rosario, Argentina.
Faculty of Medicine, Tuberculosis Research Center, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Front Endocrinol (Lausanne). 2018 Jun 14;9:334. doi: 10.3389/fendo.2018.00334. eCollection 2018.
T cell response plays an essential role in the host resistance to infection by the protozoan parasite , the causative agent of Chagas disease. This infection is often associated with multiple manifestations of T cell dysfunction, both during the acute and the chronic phases of disease. Additionally, the normal development of T cells is affected. As seen in animal models of Chagas disease, there is a strong thymic atrophy due to massive death of CD4CD8 double-positive cells by apoptosis and an abnormal escape of immature and potentially autoreactive thymocytes from the organ. Furthermore, an increase in the release of corticosterone triggered by -driven systemic inflammation is strongly associated with the alterations seen in the thymus of infected animals. Moreover, changes in the levels of other hormones, including growth hormone, prolactin, and testosterone are also able to contribute to the disruption of thymic homeostasis secondary to infection. In this review, we discuss the role of hormonal circuits involved in the normal T cell development and trafficking, as well as their role on the thymic alterations likely related to the peripheral T cell disturbances largely reported in both chagasic patients and animal models of Chagas disease.
T细胞反应在宿主抵抗锥虫寄生虫(恰加斯病的病原体)感染中起着至关重要的作用。这种感染在疾病的急性期和慢性期通常都与T细胞功能障碍的多种表现有关。此外,T细胞的正常发育也受到影响。正如在恰加斯病动物模型中所见,由于CD4CD8双阳性细胞通过凋亡大量死亡以及未成熟且可能具有自身反应性的胸腺细胞从器官中异常逸出,导致严重的胸腺萎缩。此外,由γ驱动的全身炎症引发的皮质酮释放增加与感染动物胸腺中所见的改变密切相关。此外,包括生长激素、催乳素和睾酮在内的其他激素水平的变化也能够导致继发于感染的胸腺稳态破坏。在本综述中,我们讨论了参与正常T细胞发育和运输的激素回路的作用,以及它们在胸腺改变中的作用,这些改变可能与恰加斯病患者和恰加斯病动物模型中大量报道的外周T细胞紊乱有关。