Immunopathological characterization of human cutaneous leishmaniasis lesions caused by Leishmania (Viannia) spp. in Amazonian Brazil

American cutaneous leishmaniasis (ACL) is a chronic infectious disease caused by different protozoan species of Leishmania, and it is endemic in both tropical and subtropical countries. Using immunohistochemistry, we investigate the density of CD68+, lysozyme+, CD1a+, factor XIIIa+, CD4+, CD8+, CD56...

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Detalles Bibliográficos
Autores: Gomes, Claudia Maria de Castro, Sousa, Maria Gloria Teixeira, Menezes, Joyce Prieto Bezerra, Batista, Marliane Batista, Lima, Ana Carolina Stocco, Belda Jr, Walter, Bradshaw, Daniel, Gama, Monica Elinor Alves, Laurenti, Márcia Dalastra, Silveira, Fernando Tobias, Corbett, Carlos Eduardo Pereira
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Instituto Evandro Chagas (IEC)
Repositorio:Repositório Digital do Instituto Evandro Chagas (Patuá)
Idioma:inglés
OAI Identifier:oai:patua.iec.gov.br:iec/2872
Acceso en línea:https://patua.iec.gov.br/handle/iec/2872
Access Level:acceso embargado
Palabra clave:Leishmania / imunologia
Leishmania braziliensis / imunologia
Leishmaniose Cutânea / imunologia
Leishmaniose Cutânea / parasitologia
Células de Langerhans / citologia
Células de Langerhans / imunologia
Linfócitos T CD4-positivos / imunologia
Linfócitos T CD8-Positivos / citologia
Linfócitos T CD8-positivos / imunologia
Derme / parasitologia
Derme / patologia
Fator XIIIa / metabolismo
Interferon gama / metabolismo
Macrófagos / imunologia
Ativação de Macrófagos / imunologia
Imuno-Histoquímica / métodos
Reação em Cadeia da Polimerase / métodos
Descripción
Sumario:American cutaneous leishmaniasis (ACL) is a chronic infectious disease caused by different protozoan species of Leishmania, and it is endemic in both tropical and subtropical countries. Using immunohistochemistry, we investigate the density of CD68+, lysozyme+, CD1a+, factor XIIIa+, CD4+, CD8+, CD56+, interferon (IFN)-γ+, and inducible NO synthase (iNOS+) cells. These cells were analyzed from 22 biopsy samples obtained from the lesions of ACL patients, whose infection was caused by Leishmania (Viannia) spp. Histopathological analysis showed dense mononuclear inflammatory infiltration in the dermis, which was composed of lymphocytes, macrophages, plasma cells, and discrete tissue parasitism. Granulomatous reactions were also present in the majority of cases. The density of the activated macrophages was higher than that of inactivated macrophages in the lesions. The density of Langerhans cells (CD1a+) was lower than that of dermal dendrocytes (factor XIIIa+). The density of CD8+ T lymphocytes was higher than that of CD4+ T lymphocytes. The cellular density of these immunological markers in relation to the species of Leishmania demonstrated that L. (Viannia) sp. lesions had higher IFN-γ expression than that Leishmania (Viania) braziliensis lesions. The evaluation of these markers, according to disease progression, did not reveal any significant differences. L. (Viannia) sp. infection leads to a favorable immune response in the host, as predominantly represented by lysozyme+, factor XIIIa+, CD8+ T cells, and the expression of (IFN)-γ+ at the lesion site.