IFN-γ Response Is Associated to Time Exposure Among Asymptomatic Immune Responders That Visited American Tegumentary Leishmaniasis Endemic Areas in Peru

Clinical manifestations of American Tegumentary Leishmaniasis (ATL) include cutaneous (CL) and mucous forms (ML); however, there are asymptomatic individuals who despite being infected do not present any clinical manifestations. This study characterized the cell-mediated immunity of travelers who li...

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Autores principales: Iván Best, Angela Privat‐Maldonado, María Cruz, Mirko Zimic, Rachel Bras‐Gonçalves, Jean-Loup Lemesre, Jorge Arévalo
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Publicado: 2018
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author Iván Best
Angela Privat‐Maldonado
María Cruz
Mirko Zimic
Rachel Bras‐Gonçalves
Jean-Loup Lemesre
Jorge Arévalo
author_browse Angela Privat‐Maldonado
Iván Best
Jean-Loup Lemesre
Jorge Arévalo
María Cruz
Mirko Zimic
Rachel Bras‐Gonçalves
author_facet Iván Best
Angela Privat‐Maldonado
María Cruz
Mirko Zimic
Rachel Bras‐Gonçalves
Jean-Loup Lemesre
Jorge Arévalo
author_sort Iván Best
collection Producción científica
description Clinical manifestations of American Tegumentary Leishmaniasis (ATL) include cutaneous (CL) and mucous forms (ML); however, there are asymptomatic individuals who despite being infected do not present any clinical manifestations. This study characterized the cell-mediated immunity of travelers who lived in the Andean highlands of Cusco, free of leishmaniasis transmission, which eventually visited leishmaniasis endemic in the Amazonian basin and returned home without any clinical signs of the disease. Their immune response was compared with CL and ML patients who acquired the disease during their stage in the same region. Fifty-four human subjects from the highlands of Cusco (Peru), who have visited an endemic area, were enrolled: 28 of them did not show any symptoms, 12 showed CL and 14 showed ML. Ten healthy subjects from a non-endemic area (HS) were included as controls. T-cell proliferation was evaluated using peripheral blood mononuclear cells (PBMC) stimulated for 5 days with a total soluble leishmanial antigen (TSLA) of L. (V.) braziliensis. Th1/Th2/Th17 cytokines were also quantified in the supernatants by a flow cytometry multiplex assay. T-cell proliferation was expressed as stimulation index (SI) and the cut off was fixed at SI > 2.47. Fifteen out of 28 subjects did not show any signs of disease (54%); subjects with an SI above the cut off. They were defined as asymptomatic immune responders (AIR). CL and ML patients presented a higher SI than HS and AIR. Among the latter group, the exposure time to Leishmania was clearly associated with the IFN-γ response. Increased levels of this cytokine were observed in individuals who remained less than 90 days in an endemic area of leishmaniasis. Our results evidenced two sub-populations among asymptomatic individuals, one AIR who did not develop clinical disease manifestations when they were exposed to Leishmania in endemic areas. Exposure time to Leishmania in the wild was associated with the IFN-γ response.
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spelling oai:cris.upeu.edu.pe:20.500.15037/9272026-10-30T16:14:59ZIFN-γ Response Is Associated to Time Exposure Among Asymptomatic Immune Responders That Visited American Tegumentary Leishmaniasis Endemic Areas in PeruIván BestAngela Privat‐MaldonadoMaría CruzMirko ZimicRachel Bras‐GonçalvesJean-Loup LemesreJorge ArévaloAsymptomaticImmune systemImmunologyLeishmaniasisMedicinePeripheral blood mononuclear cellLeishmaniaCellular immunityT cellCutaneous leishmaniasisImmunityInternal medicineBiologyParasite hostingComputer scienceBiochemistryIn vitroWorld Wide WebAsymptomaticImmune systemImmunologyLeishmaniasisMedicinePeripheral blood mononuclear cellLeishmaniaCellular immunityT cellCutaneous leishmaniasisImmunityInternal medicineBiologyParasite hostingEnvironmental ExposureEnvironmental ExposureEnvironmental ExposureHumansHumansHumansInterferon-gamma metabolismInterferon-gamma metabolismInterferon-gamma metabolismLeishmania immunologyLeishmania immunologyLeishmania immunologyPeruPeruPeruTime FactorsTime FactorsTime FactorsTravelTravelTravelT-Lymphocyte Subsets immunologyT-Lymphocyte Subsets immunologyT-Lymphocyte Subsets immunologyCytokines analysisCytokines analysisCytokines analysisLeishmaniasis, Cutaneous immunologyLeishmaniasis, Cutaneous immunologyLeishmaniasis, Cutaneous immunologyLeishmaniasis, Cutaneous pathologyLeishmaniasis, Cutaneous pathologyLeishmaniasis, Cutaneous pathologyCell ProliferationCell ProliferationCell ProliferationAsymptomatic DiseasesAsymptomatic DiseasesAsymptomatic DiseasesHealth Sciences Medicine Public Health, Environmental and Occupational Health Research on Leishmaniasis StudiesHealth Sciences Medicine Epidemiology Trypanosoma species research and implicationsClinical manifestations of American Tegumentary Leishmaniasis (ATL) include cutaneous (CL) and mucous forms (ML); however, there are asymptomatic individuals who despite being infected do not present any clinical manifestations. This study characterized the cell-mediated immunity of travelers who lived in the Andean highlands of Cusco, free of leishmaniasis transmission, which eventually visited leishmaniasis endemic in the Amazonian basin and returned home without any clinical signs of the disease. Their immune response was compared with CL and ML patients who acquired the disease during their stage in the same region. Fifty-four human subjects from the highlands of Cusco (Peru), who have visited an endemic area, were enrolled: 28 of them did not show any symptoms, 12 showed CL and 14 showed ML. Ten healthy subjects from a non-endemic area (HS) were included as controls. T-cell proliferation was evaluated using peripheral blood mononuclear cells (PBMC) stimulated for 5 days with a total soluble leishmanial antigen (TSLA) of L. (V.) braziliensis. Th1/Th2/Th17 cytokines were also quantified in the supernatants by a flow cytometry multiplex assay. T-cell proliferation was expressed as stimulation index (SI) and the cut off was fixed at SI > 2.47. Fifteen out of 28 subjects did not show any signs of disease (54%); subjects with an SI above the cut off. They were defined as asymptomatic immune responders (AIR). CL and ML patients presented a higher SI than HS and AIR. Among the latter group, the exposure time to Leishmania was clearly associated with the IFN-γ response. Increased levels of this cytokine were observed in individuals who remained less than 90 days in an endemic area of leishmaniasis. Our results evidenced two sub-populations among asymptomatic individuals, one AIR who did not develop clinical disease manifestations when they were exposed to Leishmania in endemic areas. Exposure time to Leishmania in the wild was associated with the IFN-γ response.Articlehttps://pubmed.ncbi.nlm.nih.gov/30186774https://www.frontiersin.org/articles/10.3389/fcimb.2018.00289/pdfhttps://doi.org/10.3389/fcimb.2018.0028910.3389/fcimb.2018.00289https://hdl.handle.net/20.500.15037/927W2888713590enFrontiers in Cellular and Infection Microbiology2235-29882018-08-212026-06-13T09:40:41Z2026-06-13T09:40:41Z
spellingShingle Asymptomatic
Immune system
Immunology
Leishmaniasis
Medicine
Peripheral blood mononuclear cell
Leishmania
Cellular immunity
T cell
Cutaneous leishmaniasis
Immunity
Internal medicine
Biology
Parasite hosting
Computer science
Biochemistry
In vitro
World Wide Web
Asymptomatic
Immune system
Immunology
Leishmaniasis
Medicine
Peripheral blood mononuclear cell
Leishmania
Cellular immunity
T cell
Cutaneous leishmaniasis
Immunity
Internal medicine
Biology
Parasite hosting
Environmental Exposure
Environmental Exposure
Environmental Exposure
Humans
Humans
Humans
Interferon-gamma metabolism
Interferon-gamma metabolism
Interferon-gamma metabolism
Leishmania immunology
Leishmania immunology
Leishmania immunology
Peru
Peru
Peru
Time Factors
Time Factors
Time Factors
Travel
Travel
Travel
T-Lymphocyte Subsets immunology
T-Lymphocyte Subsets immunology
T-Lymphocyte Subsets immunology
Cytokines analysis
Cytokines analysis
Cytokines analysis
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous pathology
Leishmaniasis, Cutaneous pathology
Leishmaniasis, Cutaneous pathology
Cell Proliferation
Cell Proliferation
Cell Proliferation
Asymptomatic Diseases
Asymptomatic Diseases
Asymptomatic Diseases
Health Sciences Medicine Public Health, Environmental and Occupational Health Research on Leishmaniasis Studies
Health Sciences Medicine Epidemiology Trypanosoma species research and implications
Iván Best
Angela Privat‐Maldonado
María Cruz
Mirko Zimic
Rachel Bras‐Gonçalves
Jean-Loup Lemesre
Jorge Arévalo
IFN-γ Response Is Associated to Time Exposure Among Asymptomatic Immune Responders That Visited American Tegumentary Leishmaniasis Endemic Areas in Peru
title IFN-γ Response Is Associated to Time Exposure Among Asymptomatic Immune Responders That Visited American Tegumentary Leishmaniasis Endemic Areas in Peru
title_full IFN-γ Response Is Associated to Time Exposure Among Asymptomatic Immune Responders That Visited American Tegumentary Leishmaniasis Endemic Areas in Peru
title_fullStr IFN-γ Response Is Associated to Time Exposure Among Asymptomatic Immune Responders That Visited American Tegumentary Leishmaniasis Endemic Areas in Peru
title_full_unstemmed IFN-γ Response Is Associated to Time Exposure Among Asymptomatic Immune Responders That Visited American Tegumentary Leishmaniasis Endemic Areas in Peru
title_short IFN-γ Response Is Associated to Time Exposure Among Asymptomatic Immune Responders That Visited American Tegumentary Leishmaniasis Endemic Areas in Peru
title_sort ifn γ response is associated to time exposure among asymptomatic immune responders that visited american tegumentary leishmaniasis endemic areas in peru
topic Asymptomatic
Immune system
Immunology
Leishmaniasis
Medicine
Peripheral blood mononuclear cell
Leishmania
Cellular immunity
T cell
Cutaneous leishmaniasis
Immunity
Internal medicine
Biology
Parasite hosting
Computer science
Biochemistry
In vitro
World Wide Web
Asymptomatic
Immune system
Immunology
Leishmaniasis
Medicine
Peripheral blood mononuclear cell
Leishmania
Cellular immunity
T cell
Cutaneous leishmaniasis
Immunity
Internal medicine
Biology
Parasite hosting
Environmental Exposure
Environmental Exposure
Environmental Exposure
Humans
Humans
Humans
Interferon-gamma metabolism
Interferon-gamma metabolism
Interferon-gamma metabolism
Leishmania immunology
Leishmania immunology
Leishmania immunology
Peru
Peru
Peru
Time Factors
Time Factors
Time Factors
Travel
Travel
Travel
T-Lymphocyte Subsets immunology
T-Lymphocyte Subsets immunology
T-Lymphocyte Subsets immunology
Cytokines analysis
Cytokines analysis
Cytokines analysis
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous pathology
Leishmaniasis, Cutaneous pathology
Leishmaniasis, Cutaneous pathology
Cell Proliferation
Cell Proliferation
Cell Proliferation
Asymptomatic Diseases
Asymptomatic Diseases
Asymptomatic Diseases
Health Sciences Medicine Public Health, Environmental and Occupational Health Research on Leishmaniasis Studies
Health Sciences Medicine Epidemiology Trypanosoma species research and implications
topic_facet Asymptomatic
Immune system
Immunology
Leishmaniasis
Medicine
Peripheral blood mononuclear cell
Leishmania
Cellular immunity
T cell
Cutaneous leishmaniasis
Immunity
Internal medicine
Biology
Parasite hosting
Computer science
Biochemistry
In vitro
World Wide Web
Asymptomatic
Immune system
Immunology
Leishmaniasis
Medicine
Peripheral blood mononuclear cell
Leishmania
Cellular immunity
T cell
Cutaneous leishmaniasis
Immunity
Internal medicine
Biology
Parasite hosting
Environmental Exposure
Environmental Exposure
Environmental Exposure
Humans
Humans
Humans
Interferon-gamma metabolism
Interferon-gamma metabolism
Interferon-gamma metabolism
Leishmania immunology
Leishmania immunology
Leishmania immunology
Peru
Peru
Peru
Time Factors
Time Factors
Time Factors
Travel
Travel
Travel
T-Lymphocyte Subsets immunology
T-Lymphocyte Subsets immunology
T-Lymphocyte Subsets immunology
Cytokines analysis
Cytokines analysis
Cytokines analysis
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous immunology
Leishmaniasis, Cutaneous pathology
Leishmaniasis, Cutaneous pathology
Leishmaniasis, Cutaneous pathology
Cell Proliferation
Cell Proliferation
Cell Proliferation
Asymptomatic Diseases
Asymptomatic Diseases
Asymptomatic Diseases
Health Sciences Medicine Public Health, Environmental and Occupational Health Research on Leishmaniasis Studies
Health Sciences Medicine Epidemiology Trypanosoma species research and implications
url https://pubmed.ncbi.nlm.nih.gov/30186774
https://www.frontiersin.org/articles/10.3389/fcimb.2018.00289/pdf
https://doi.org/10.3389/fcimb.2018.00289
https://hdl.handle.net/20.500.15037/927
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