Plasma levels of innate immune mediators are associated with liver fibrosis in low parasite burden Schistosoma mansoni‐infected individuals

In the murine model, it was demonstrated that pro‐inflammatory cytokines and chemokines are essential to the formation and modulation of Schistosoma‐induced granulomatous inflammation. However, the relationship of these immune mediators and disease severity is hard to be established in naturally inf...

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Veröffentlicht in:Scandinavian journal of immunology 2018-03, Vol.87 (3), p.n/a
Hauptverfasser: Rodrigues Oliveira, J. L., Teixeira, M. M., Lambertucci, J. R., Antunes, C. M. F., Carneiro, M., Negrão‐Corrêa, D.
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container_title Scandinavian journal of immunology
container_volume 87
creator Rodrigues Oliveira, J. L.
Teixeira, M. M.
Lambertucci, J. R.
Antunes, C. M. F.
Carneiro, M.
Negrão‐Corrêa, D.
description In the murine model, it was demonstrated that pro‐inflammatory cytokines and chemokines are essential to the formation and modulation of Schistosoma‐induced granulomatous inflammation. However, the relationship of these immune mediators and disease severity is hard to be established in naturally infected individuals. The current study evaluates the association between plasma concentrations of MIF, sTNF‐R1, CCL3, CCL7 and CCL24 and schistosomiasis morbidity in Schistosoma mansoni‐infected patients with a low parasite burden. For this propose, 97 S. mansoni‐infected individuals were subjected to abdominal ultrasound analysis and clinical examination. Among them, 88 had plasma concentration of immune mediators estimated by ELISA assay. Multivariate linear regression models were used to evaluate the relationship between the plasma concentration of immune mediators and the variables investigated. Although most individuals presented low parasite burden, over 30% of them showed signs of fibrosis defined by ultrasound measurements and 2 patients had a severe form of schistosomiasis. No association between parasite burden and the plasma levels of chemokine/cytokines or disease severity was observed. There was a positive association between plasma concentration of CCL4, sTNF‐R1, CCL3 and MIF with gall bladder thickness and/or with portal vein thickness that are liver fibrosis markers. In contrast, no association was found between CCL7 plasma concentrations with any of the schistosomiasis morbidity parameters evaluated. The data showed that CCL24, sTNFR1, MIF and CCL3 can be detected in plasma of S. mansoni‐infected individuals and their concentration would be used as prognostic makers of Schistosoma‐induced liver fibrosis, even in individuals with low parasite burden.
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Among them, 88 had plasma concentration of immune mediators estimated by ELISA assay. Multivariate linear regression models were used to evaluate the relationship between the plasma concentration of immune mediators and the variables investigated. Although most individuals presented low parasite burden, over 30% of them showed signs of fibrosis defined by ultrasound measurements and 2 patients had a severe form of schistosomiasis. No association between parasite burden and the plasma levels of chemokine/cytokines or disease severity was observed. There was a positive association between plasma concentration of CCL4, sTNF‐R1, CCL3 and MIF with gall bladder thickness and/or with portal vein thickness that are liver fibrosis markers. In contrast, no association was found between CCL7 plasma concentrations with any of the schistosomiasis morbidity parameters evaluated. 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The current study evaluates the association between plasma concentrations of MIF, sTNF‐R1, CCL3, CCL7 and CCL24 and schistosomiasis morbidity in Schistosoma mansoni‐infected patients with a low parasite burden. For this propose, 97 S. mansoni‐infected individuals were subjected to abdominal ultrasound analysis and clinical examination. Among them, 88 had plasma concentration of immune mediators estimated by ELISA assay. Multivariate linear regression models were used to evaluate the relationship between the plasma concentration of immune mediators and the variables investigated. Although most individuals presented low parasite burden, over 30% of them showed signs of fibrosis defined by ultrasound measurements and 2 patients had a severe form of schistosomiasis. No association between parasite burden and the plasma levels of chemokine/cytokines or disease severity was observed. 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The current study evaluates the association between plasma concentrations of MIF, sTNF‐R1, CCL3, CCL7 and CCL24 and schistosomiasis morbidity in Schistosoma mansoni‐infected patients with a low parasite burden. For this propose, 97 S. mansoni‐infected individuals were subjected to abdominal ultrasound analysis and clinical examination. Among them, 88 had plasma concentration of immune mediators estimated by ELISA assay. Multivariate linear regression models were used to evaluate the relationship between the plasma concentration of immune mediators and the variables investigated. Although most individuals presented low parasite burden, over 30% of them showed signs of fibrosis defined by ultrasound measurements and 2 patients had a severe form of schistosomiasis. No association between parasite burden and the plasma levels of chemokine/cytokines or disease severity was observed. 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source Wiley-Blackwell Journals; Wiley-Blackwell Open Access Backfiles; MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Adult
Aged
Animal models
Animals
blood
Carbon tetrachloride
CCL3 protein
CCL4 protein
Chemokine CCL24 - blood
Chemokine CCL3 - blood
Chemokine CCL7 - blood
Chemokines
Cytokines
Enzyme-linked immunosorbent assay
Fibrosis
human
Humans
infections
Inflammation
Intramolecular Oxidoreductases - blood
Liver
Liver - blood supply
Liver - parasitology
Liver - pathology
Liver Cirrhosis - immunology
Liver Cirrhosis - parasitology
Macrophage Migration-Inhibitory Factors - blood
Middle Aged
molecules
Morbidity
Parasites
parasitic
Plasma
Plasma levels
Portal vein
Portal Vein - pathology
processes
Receptors, Tumor Necrosis Factor, Type I - blood
Regression analysis
Schistosoma
Schistosoma mansoni
Schistosoma mansoni - immunology
Schistosomiasis
Schistosomiasis mansoni - immunology
Schistosomiasis mansoni - parasitology
subject
tissues
Ultrasonic imaging
Ultrasound
Urinary bladder
Young Adult
title Plasma levels of innate immune mediators are associated with liver fibrosis in low parasite burden Schistosoma mansoni‐infected individuals
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