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

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CYTOKINE PROFILE IN HUMAN SCHISTOSOMIASIS AND ITS<br />

RELATIONSHIP WITH FIBROSIS AND TREATMENT<br />

GABRIELA DA SILVEIRA E NUNES 1,2 ; MÔNICA MARIA DE ALMEIDA 2 ;<br />

AMANDA CARDOSO DE OLIVEIRA SILVEIRA 3 ; GIOVANNI GAZZINELLI 4 ;<br />

LÚCIA ALVES DE OLIVEIRA FRAGA 2 ; LUIZ COSME COTTA MALAQUIAS 2,6 ;<br />

ELAINE SPEZIALI DE FARIA 2 ; OLINDO ASSIS MARTINS-FILHO 3 ; ANA<br />

MARIA CAETANO DE FARIA 1; RODRIGO CORREA-OLIVEIRA 3 ; ANDRÉA<br />

GAZZINELLI 5 ; ANDRÉA TEIXEIRA CARVALHO 3 E ALDA MARIA SOARES<br />

SILVEIRA 2<br />

1 Departamento de Bioquímica e Imunologia, ICB, UFMG, Belo Horizonte, MG,<br />

Brasil<br />

2 Universidade Vale do Rio Doce, UNIVALE, Governador Valadares, MG, Brasil<br />

3 Centro de Pesquisa René Rachou - Fundação Oswaldo Cruz, Belo Horizonte,<br />

MG, Brasil<br />

4 Santa Casa de Misericórdia, Belo Horizonte, MG, Brasil<br />

5 Escola de Enfermagem, UFMG, Belo Horizonte, MG, Brasil<br />

6 Universidade Federal de Alfenas, Alfenas, MG, Brasil<br />

Keywords: Schistosomiasis, Periportal fibrosis, Treatment, Cytokines<br />

Introduction: The cytokine response to S. mansoni antigens seems to play an<br />

important role in pathogenesis <strong>of</strong> the periportal fibrosis associated with human<br />

schistosomiasis. The aim <strong>of</strong> this study was to investigate whether the<br />

cytokine/chemokine pattern produced by peripheral blood mononuclear cells<br />

upon in vitro S. mansoni antigen stimulation could be used as a biomarker <strong>of</strong><br />

periportal fibrosis in schistosomiasis patients <strong>and</strong> evaluate the impact <strong>of</strong><br />

Praziquantel treatment in this complex cytokine network. Methods: Thirty one<br />

volunteers living in an endemic area were classified into sub-groups according<br />

to the presence or absence <strong>of</strong> fibrosis before (FIB <strong>and</strong> non-FIB) <strong>and</strong> after<br />

treatment (FIBT <strong>and</strong> non-FIBT) Cytokine/chemokine pattern (IFN-, TNF-α, IL-4,<br />

IL-5, IL-13, IL-10, IL-17, TGF-β, CCL3/MIP-1α, CCL2/MCP-1 e RANTES) was<br />

measured in PBMC culture supernatants using Cytometric Bead Array (CBA).<br />

Cytokine/chemokine signatures were analyzed using the concept <strong>of</strong> low <strong>and</strong><br />

high-cytokine producers. Results: Our results demonstrate that FIB presented<br />

a decreased cytokine production compared to non-FIB individuals. Furthermore,

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