Abstract
Besides the Th1×Th2 paradigm, Treg and Th17 cytokines may play a role in the response to American tegumentary leishmaniasis. Considering the sensitivity and accuracy of qPCR and the lack of studies using this approach, we evaluated mRNA expression for IFN-γ, TNF-α, IL-4, IL-10, IL-6, IL-17A, IL-22, TGF-β, Foxp3 and RORC in peripheral blood mononuclear cells (PBMC) from patients with active disease, after stimulation with L. (V.) braziliensis soluble or insoluble fractions. Our results show that the antigens promoted specific mRNA expression related to the immune response in patients with ATL, and the insoluble fraction seems to stimulate the immune response in a higher intensity. The pro-inflammatory response was also fueled by IFN-γ and TNF-α, probably due to the active disease. IL-4, in certain way, seems to regulate this response along with IL-10 that may be produced by Treg cells, which are supposedly present in the patients' samples due the evidenced expression of Foxp3, in the presence of AgIns. In contrast, down-regulated RORC suggests that the significant levels of IL-6 expressed in response to AgSol were not able to induce an expressive Th17 profile along with TGF-β, which might have predominantly contributed to the development of a regulatory profile in the active disease.
Keywords:
American tegumentary leishmaniasis; Antigens; Cytokines; Gene expression; Immune response.
Copyright © 2015 Elsevier GmbH. All rights reserved.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adolescent
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Adult
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Aged
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Antigens, Protozoan / pharmacology
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Case-Control Studies
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Complex Mixtures / pharmacology
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Female
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Forkhead Transcription Factors / genetics
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Forkhead Transcription Factors / immunology
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Gene Expression Regulation / drug effects
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Humans
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Interferon-gamma / genetics
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Interferon-gamma / immunology
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Interleukins / genetics
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Interleukins / immunology
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Leishmania braziliensis / chemistry
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Leishmania braziliensis / immunology*
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Leishmaniasis, Cutaneous / genetics
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Leishmaniasis, Cutaneous / immunology*
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Leishmaniasis, Cutaneous / parasitology
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Leishmaniasis, Cutaneous / pathology
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Male
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Middle Aged
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Nuclear Receptor Subfamily 1, Group F, Member 3 / genetics
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Nuclear Receptor Subfamily 1, Group F, Member 3 / immunology
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Primary Cell Culture
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RNA, Messenger / genetics
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RNA, Messenger / immunology*
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T-Lymphocytes, Regulatory / drug effects
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T-Lymphocytes, Regulatory / immunology*
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T-Lymphocytes, Regulatory / parasitology
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Th1 Cells / drug effects
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Th1 Cells / immunology*
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Th1 Cells / parasitology
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Transforming Growth Factor beta / genetics
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Transforming Growth Factor beta / immunology
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Tumor Necrosis Factor-alpha / genetics
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Tumor Necrosis Factor-alpha / immunology
Substances
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Antigens, Protozoan
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Complex Mixtures
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FOXP3 protein, human
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Forkhead Transcription Factors
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Interleukins
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Nuclear Receptor Subfamily 1, Group F, Member 3
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RNA, Messenger
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RORC protein, human
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Transforming Growth Factor beta
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Tumor Necrosis Factor-alpha
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Interferon-gamma