Tumor Necrosis Factor (Cachectin) in Human Visceral Leishmaniasis

High tumor necrosis factor-α (TNFα) levels were present in the serum of24 of28 active visceral leishmaniasis (VL) patients (142.9 ± 113.9pg/ml, mean ± SD), whereas levels were not elevated in 26 of 30 patients with cryptic leishmanial infection (16 asymptomatic, 4 with self-healing subclinical infec...

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Veröffentlicht in:The Journal of infectious diseases 1991-04, Vol.163 (4), p.853-857
Hauptverfasser: Barral-Netto, M., Badaró, R., Barral, A., Almeida, R. P., Santos, S. B., Badaró, F., Pedral-Sampaio, D., Carvalho, E. M., Falcoff, E., Falcoff, R.
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container_end_page 857
container_issue 4
container_start_page 853
container_title The Journal of infectious diseases
container_volume 163
creator Barral-Netto, M.
Badaró, R.
Barral, A.
Almeida, R. P.
Santos, S. B.
Badaró, F.
Pedral-Sampaio, D.
Carvalho, E. M.
Falcoff, E.
Falcoff, R.
description High tumor necrosis factor-α (TNFα) levels were present in the serum of24 of28 active visceral leishmaniasis (VL) patients (142.9 ± 113.9pg/ml, mean ± SD), whereas levels were not elevated in 26 of 30 patients with cryptic leishmanial infection (16 asymptomatic, 4 with self-healing subclinical infection, and 10 posttreatment VL cases). Serum TNFα levels were also not elevated in 15 normal volunteers (11.3 ± 15.6 pg/ml) and in 10 patients with tegumentary leishmaniasis (19.1 ± 10.8pg/ml). Leishmanial infection of human monocyte-derived macrophages enhanced the basal TNFα production by these cells, and this effect was further potentiated by treatment with recombinant interferon-γ, After effectivetreatment ofVL patients, serumTNFα levelsdropped rapidly (129 ± 112 vs. 9 ± 13 pg/ml in 10 days), even before clinical parameters such as spleen size or parasitism, white blood cell count, or levels of hemoglobin returned to normal values. On the other hand, patients unresponsive to treatment remained with elevated levels (276 ± 69 vs. 155 ± 71 pg/ml in 10 days). Thus, serum TNFα levels in VL patients are a good parameter to monitor in determining host response to therapy.
doi_str_mv 10.1093/infdis/163.4.853
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M.</au><au>Falcoff, E.</au><au>Falcoff, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tumor Necrosis Factor (Cachectin) in Human Visceral Leishmaniasis</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>1991-04-01</date><risdate>1991</risdate><volume>163</volume><issue>4</issue><spage>853</spage><epage>857</epage><pages>853-857</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>High tumor necrosis factor-α (TNFα) levels were present in the serum of24 of28 active visceral leishmaniasis (VL) patients (142.9 ± 113.9pg/ml, mean ± SD), whereas levels were not elevated in 26 of 30 patients with cryptic leishmanial infection (16 asymptomatic, 4 with self-healing subclinical infection, and 10 posttreatment VL cases). Serum TNFα levels were also not elevated in 15 normal volunteers (11.3 ± 15.6 pg/ml) and in 10 patients with tegumentary leishmaniasis (19.1 ± 10.8pg/ml). Leishmanial infection of human monocyte-derived macrophages enhanced the basal TNFα production by these cells, and this effect was further potentiated by treatment with recombinant interferon-γ, After effectivetreatment ofVL patients, serumTNFα levelsdropped rapidly (129 ± 112 vs. 9 ± 13 pg/ml in 10 days), even before clinical parameters such as spleen size or parasitism, white blood cell count, or levels of hemoglobin returned to normal values. On the other hand, patients unresponsive to treatment remained with elevated levels (276 ± 69 vs. 155 ± 71 pg/ml in 10 days). Thus, serum TNFα levels in VL patients are a good parameter to monitor in determining host response to therapy.</abstract><cop>Chicago, IL</cop><pub>University Chicago Press</pub><pmid>1901333</pmid><doi>10.1093/infdis/163.4.853</doi><tpages>5</tpages></addata></record>
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subjects Acute Disease
Antimony - therapeutic use
Antiprotozoal Agents - therapeutic use
Biological and medical sciences
Cells, Cultured
Combined Modality Therapy
Cutaneous leishmaniasis
Female
Human protozoal diseases
Humans
Infections
Infectious diseases
Interferon-gamma - pharmacology
Interferon-gamma - therapeutic use
Interferons
Leishmaniasis, Visceral - blood
Leishmaniasis, Visceral - diagnosis
Leishmaniasis, Visceral - therapy
Leshmaniasis
Macrophages
Macrophages - drug effects
Macrophages - parasitology
Major Article
Male
Medical sciences
Meglumine - therapeutic use
Meglumine Antimoniate
Necrosis
Organometallic Compounds - therapeutic use
Parasite hosts
Parasites
Parasitic diseases
Parasitism
Protozoal diseases
Recombinant Proteins
Tropical medicine
Tumor Necrosis Factor-alpha - analysis
Tumor necrosis factors
Visceral leishmaniasis
title Tumor Necrosis Factor (Cachectin) in Human Visceral Leishmaniasis
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