Article
Chemokines and chemokine receptors coordinate the inflammatory immune response in human cutaneous leishmaniasis
Registro en:
CAMPANELLI, A. P. et al. Chemokines and chemokine receptors coordinate the inflammatory immune response in human cutaneous leishmaniasis. Human Immunology, v. 71, n. 12, p. 1220-1227, 2010.
1879-1166
10.1016/j.humimm.2010.09.002
Autor
Campanelli, Ana Paula
Brodskyn, Claudia Ida
Oliveira, Viviane Sampaio Boaventura de
Silva, Claire
Roselino, Ana M
Costa, Jackson Mauricio Lopes
Saldanha, Ana Cristina Rodrigues
Freitas, Luiz Antonio Rodrigues de
Oliveira, Camila Indiani de
Barral Netto, Manoel
Silva, João Santana da
Barral, Aldina Maria Prado
Resumen
Cutaneous leishmaniasis (CL) includes different clinical manifestations displaying diverse intensities of dermal inflammatory infiltrate. Diffuse CL (DCL) cases are hyporesponsive, and lesions show very few lymphocytes and a predominance of macrophages. In contrast, localized CL (LCL) cases are responsive to leishmanial antigen, and lesions exhibit granulocytes and mononuclear cell infiltration in the early phases, changing to a pattern with numerous lymphocytes and macrophages later in the lesion. Therefore, different chemokines may affect the predominance of cell infiltration in distinct clinical manifestations. In lesions from LCL patients, we examined by flow cytometry the presence of different chemokines and their receptors in T cells, and we verified a higher expression of CXCR3 in the early stages of LCL (less than 30 days of infection) and a higher expression of CCR4 in the late stages of disease (more than 60 days of infection). We also observed a higher frequency of T cells producing IL-10 in the late stage of LCL. Using immunohistochemistry, we observed a higher expression of CCL7, CCL17 in lesions from late LCL, as well as CCR4 suggesting a preferential recruitment of regulatory T cells in the late LCL. Comparing lesions from LCL and DCL patients, we observed a higher frequency of CCL7 in DCL lesions. These results point out the importance of the chemokines, defining the different types of cells recruited to the site of the infection, which could be related to the outcome of infection as well as the clinical form observed.
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