Artículo
Biological markers for evaluating therapeutic efficacy in Chagas disease, a systematic review
Registro en:
10.1586/14787210.2014.899150
Autor
Pinazo, Maria-Jesús
Thomas, M Carmen
Bua, Jacqueline
Perrone, Alina E.
Schijman, Alejandro Gabriel
Viotti, Rodolfo
Ramsey, Janine-M
Ribeiro, Isabela
Sosa-Estani, Sergio
López, Manuel-Carlos
Gascon, Joaquim
Resumen
Fil: Pinazo, Maria-Jesús. Centro de Investigación en Salud Internacional de Barcelona; España. Fil: Thomas, M Carmen. Consejo Superior de Investigaciones Científicas. Instituto de Parasitología y Biomedicina López Neyra; España. Fil: Bua, Jacqueline. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Parasitologia; Argentina. Fil: Perrone, Alina E. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Parasitologia; Argentina. Fil: Schijman, Alejandro Gabriel. Instituto de Investigaciones en Ingeniería Genética y Biología Molecular. Laboratorio de Biología Molecular de la Enfermedad de Chagas; Argentina. Fil: Viotti, Rodolfo. Hospital Eva Perón. Departamento de Cardiología; Argentina. Fil: Ramsey, Janine-M. Instituto Nacional de Salud Pública. Centro Regional de Investigación en Salud Pública; México. Fil: Ribeiro, Isabela. Drugs for Neglected Diseases Initiative; Suiza. Fil: Sosa-Estani, Sergio. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Parasitologia; Argentina. Fil: López, Manuel-Carlos. Consejo Superior de Investigaciones Científicas. Instituto de Parasitología y Biomedicina López Neyra; España. Fil: Gascon, Joaquim. Centro de Investigación en Salud Internacional de Barcelona; España. The most neglected aspects of Chagas disease (CD) have been patient care and treatment. Despite recent progress in the development of potentially improved drugs, there is no consensus among different research groups on the lack of therapeutic response markers to evaluate efficacy of newly proposed drugs early after treatment. A systematic review of current evidence regarding molecules which are potential biomarkers for therapeutic response has been conducted using quality assessment and target responses as primary criteria. The review provides a panorama of the cumulative evidence and specific needs for development of a battery of complementary biomarkers which together fulfill ideal or acceptable criteria to evaluate early responses to treatment for chronic CD. There are several marker candidates which together may fulfill acceptable criteria to indicate the efficacy of a trypanocidal treatment. Data from ongoing studies are considered essential to improve assessment of existing markers and to identify those for early follow-up of treated patients.