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immunology of infectious and parasitic diseases - XXXVII Congress ...

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TUMOR NECROSIS FACTOR MAY CONTRIBUTE TO TRYPANOSOMA<br />

CRUZI PERSISTENCE IN THE CENTRAL NERVOUS SYSTEM FAVORING<br />

ASTROCYTE INFECTION<br />

RAFAEL RODRIGUES SILVA (PG)(1); ANDREA ALICE DA SILVA (1,2);<br />

JOSELI LANNES-VIEIRA (1).<br />

(1).Oswaldo Cruz Institute; (2). Federal Fluminense University<br />

Introduction: The existence <strong>of</strong> a nervous form in the chronic phase <strong>of</strong> Chagas<br />

disease is matter <strong>of</strong> discussion. Trypanosoma cruzi infection <strong>of</strong> children under<br />

two-year old <strong>and</strong> immunocompromised patients, with cancer, transplanted or<br />

malnourished, as well as 75-80% cases <strong>of</strong> co-infected individuals who develop<br />

the acquired immunodeficiency syndrome (AIDS), present immunopathological<br />

alterations in the central nervous system (CNS) with intense parasitism.<br />

Although immunocompetent individuals control T. cruzi dissemination, parasite<br />

persists in the CNS. The mechanisms favoring parasite persistence in an<br />

apparent silence in the nervous tissue, while myocarditis progresses from the<br />

acute to the chronic phase <strong>of</strong> infection, remain to be understood. Herein, we<br />

approached the participation <strong>of</strong> tumor necrosis factor (TNF) in the process <strong>of</strong><br />

parasite invasion <strong>of</strong> astrocyte, the main glial cells, studying the infection rates<br />

<strong>and</strong> the production <strong>of</strong> nitric oxide (NO). Methods <strong>and</strong> Results: We used<br />

primary cultures <strong>of</strong> C3H/He mice astrocytes untreated or treated with TNF prior<br />

to infection with trypomastigote forms <strong>of</strong> the Colombian strain <strong>of</strong> T. cruzi.<br />

Interestingly, the astrocyte cultures treated with TNF prior to infection presented<br />

a higher number <strong>of</strong> intracellular amastigote forms (327.33+3.8 amastigotes/100<br />

cells in TNF-treated cultures vs 219.33+0.94 amastigotes/100 cells in untreated<br />

cultures). TNF also increased the frequency <strong>of</strong> parasitized astrocytes<br />

(52.31+0.45% in TNF-treated cultures vs 31.15+0.22% in untreated cultures).<br />

Further, the infection rates were dependent on the time <strong>of</strong> infection <strong>and</strong> the<br />

multiplicity <strong>of</strong> infection (MOI). Moreover, independently <strong>of</strong> previous exposition to<br />

TNF, T. cruzi infection <strong>of</strong> astrocytes did not induce NO production. Conclusion:<br />

Our data suggest that in the CNS an inflammatory milieu containing TNF may<br />

facilitate the invasion <strong>of</strong> astrocytes by T. cruzi, which may persist in the nervous<br />

tissue in a silent manner.<br />

Financial support: CAPES, CNPq.

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