ISSN: 2375-3838
International Journal of Clinical Medicine Research  
Manuscript Information
 
 
Detection and Significance of Trypanosoma cruzi Persistence in Inflamed Gingival Foci in Chagas Disease
International Journal of Clinical Medicine Research
Vol.2 , No. 2, Publication Date: Apr. 18, 2015, Page: 8-13
1462 Views Since April 18, 2015, 927 Downloads Since Apr. 18, 2015
 
 
Authors
 
[1]    

Néstor Añez, Center for Parasitological Research “J.F.Torrealba”, Faculty of Sciences, University of Los Andes, Merida, 5101, Venezuela.

[2]    

Gladys Crisante, Center for Parasitological Research “J.F.Torrealba”, Faculty of Sciences, University of Los Andes, Merida, 5101, Venezuela.

[3]    

Sonia Araujo, Laboratory of Experimental Parasitology, Department of Biology, Faculty of Sciences, University of Los Andes, Merida, 5101, Venezuela.

[4]    

Marinest Añez, Faculty of Dentistry, University of Los Andes, Merida, Venezuela.

[5]    

Agustina Rojas, Center for Parasitological Research “J.F.Torrealba”, Faculty of Sciences, University of Los Andes, Merida, 5101, Venezuela.

[6]    

Henry Parada, General Hospital “Luis Razetti” Cardiological Unit, Barinas, Venezuela.

 
Abstract
 

Sixty unquestionable chronic chagasic patients (CCP) bearing different degrees of gingival inflammation were selected to perform the present study. The periodontal inflammatory processes, as including criterion, were clinically diagnosed as mild, moderate and severe in 56%, 37% and 7% of the selected individuals, respectively. Gum biopsies were taken from the included patients and processed combining immunohistopathological and molecular (PCR) methods in order to assess the persistence of Trypanosoma cruzi-tissue forms in long-term CCP. In 24 of the 60 CCP (40%) T. cruzi persistence was confirmed. This included the presence of the parasite itself detected in 18.3% of the samples processed by Giemsa stain, and the observation of T. cruzi antigenic deposits in 28.3% and 23.3% samples when peroxidase-anti-peroxidase technique and immunofluorescence test, were used respectively. In addition, the PCR-based method revealed persistence of a portion of the T. cruzi genome in 20% of the study samples. Interestingly, 87.5% of the CCP had been treated with Benznidazole when they suffered the acute phase of the disease, which suggests an unsatisfactory effect of the drug to eliminate the T. cruzi-tissue forms. The biological significance of T. cruzi persistence in the human host is discussed and, its role on the host-parasite relationships is considered.


Keywords
 

Trypanosoma cruzi, Chagas Disease, Parasite Persistence, Host Tissue


Reference
 
[01]    

Lee, B., Bacon, K.M., Bottazzi, M.E., Hotez, P.J., 2013. Global economic burden of Chagas disease: a computational simulation model. Lancet Infect. Dis., 13(4), 342-348.

[02]    

Urbina, J.A., 2015. Recent clinical trials for the etiological treatment of chronic Chagas disease: Advances, challenges and perspectives. J. Eukar. Microbiol, 62, 149-156.

[03]    

Tarleton, R.L., Reithinger, R., Urbina, J.A., Kitron, U., Gurtler, R.E., 2007. The challenges of Chagas disease – grim outlook or glimmer of hope. PLOS Med.,4(12), e332.

[04]    

Gurtler, R.E., Diotaiuti, L., Kitron, U., 2008. Commentary : Chagas disease : 100 years since discovery and lessons for the future. Int. J. Epidemiol., 37(4), 698-701.

[05]    

Gascon, J., Bern, C., Pinazo, M.J., 2010. Chagas disease in Spain, the United State and other non-endemic countries. Acta Trop., 115(1-2), 22-27.

[06]    

Alarcón de Noya, B., Díaz-Bello, Z., Colmenares, C., Ruiz-Guevara, R., Mauriello, L., Zavala-Jaspe, R., et al., 2010. Large urban outbreak of orally acquired acute Chagas disease at a school in Caracas, Venezuela. J. Inf. Dis. 201(9), 1308-1315.

[07]    

Añez, N., Crisante, G., Rojas, A., Dávila, D., 2013. Brote de enfermedad de Chagas agudo de posible transmisión oral en Mérida, Venezuela. Bol. Mal. Sal. Amb. 53(1), 1-11.

[08]    

Rueda, K., Trujillo, J.E., Carranza, J.C., Vallejo, G.A., 2014. Transmisión oral de Trypanosoma cruzi: una nueva situación epidemiológica de la enfermedad de Chagas en Colombia y otros países suramericanos. Biomédica, 34, 631-641.

[09]    

Wendel, S., Dias, J.C.P., 1992. Transfusion transmitted Chagas disease. In: Chagas disease (American trypanosomiasis): its impact on transfusion and clinical medicine. Wendel, S., Brener, Z., Camargo, M.E., Rassi, A. ISBT Brazil’92. São Paulo, Brazil.

[10]    

Bittencourt, A. L., 2000. Transmissão vertical da doença de Chagas. In: Trypanosoma cruzi e doença de Chagas. Brener, Andrade, Barral-Neto Ed. 2da Edição. Guanabara Koogan.

[11]    

Kalil, J., Bocchi, E.A., Cunha-Neto, E., 2000. Transplante cardíaco para tratamento da miocardiopatia chagásica. In : Trypanosoma cruzi e doença de Chagas. Brener, Andrade, Barral-Neto Ed. 2da Edição. Guanabara Koogan.

[12]    

Herwaldt, B., 2001. Laboratory-acquired parasitic infections from accidental exposures. Clin. Microbiol. Rev., 14(4), 659-688.

[13]    

Añez, N., Carrasco, H., Parada, H., Crisante, G., Rojas, A., González, N., Ramírez, J.L., Guevara, P., Rivero, C., Borges, R. & Scorza, J.V., 1999a. Acute Chagas disease in Western Venezuela. A clinical, sero-parasitological and epidemiological study. Am. J. Trop. Med. & Hyg. 60(2), 215-22.

[14]    

Marin-Neto, J.A., Cunha-Neto, E., Maciel, B.C., Simoes, M.V., 2007. Pathogenesis of chronic Chagas heart disease. Circulation, 115(9), 1109-1123.

[15]    

Añez, N., Carrasco, H., Parada, H., Crisante, G., Rojas, A., Fuenmayor, C., González, N., Percoco, G., Borges, R., Guevara, P. & Ramírez, J.L., 1999b. Myocardial parasite persistence in chronic chagasic patients. Am. J. Trop. Med. & Hyg. 60 (5), 726-732.

[16]    

Tarleton, R.L., 2001. Parasite persistence in the etiology of Chagas disease. Int. J. Parasitol., 31(5-6), 550-554.

[17]    

Britto, C., Silveira, C., Cardoso, M.A., Marques, P., Luquetti, A., Macedo, V., Fernandes, O., 2001. Parasite persistence in treated chagasic patients revealed by xenodiagnosis and polymerase chain reaction. Mem. Inst. Oswaldo Cruz 96(6), 823-826.

[18]    

Añez, N., Crisante, G., Caraballo, F., Delgado, W., Parada, H., 2011. Trypanosoma cruzi persistence at oral inflammatory foci in chronic chagasic patients. Acta Trop., 117, 207-211.

[19]    

Xiaojing, L.I., Kolltveit, K.M., Tronstad, L., Olsen, I., 2000. Systemic diseases caused by oral infection. Clin. Microbiol. Rev., 13(4), 547-558.

[20]    

Añez, N., Romero, M., Crisante, G., Bianchi, G., Parada, H., 2010. Valoración comparativa de pruebas serodiagnósticas utilizadas para detectar enfermedad de Chagas en Venezuela. Bol. Mal. Sal. Amb. 50 (1), 17-27.

[21]    

Britto, C., Cardoso, A., Silveira, C., Macedo, V., Fernandes, O., 1999. Polymerase chain reaction (PCR) as a laboratory tool for the evaluation of the parasitological cure in Chagas disease after specific treatment. Medicina 59 (Supl. II), 176-178.

[22]    

Rassi Jr, A., Rassi, A., Little, W. C., 2000. Chagas heart disease. Clin. Cardiol, 23(12), 883-889.

[23]    

Urbina, J.A., 2010. Specific chemotherapy of Chagas disease: Relevance, current limitations and new approaches. Acta Trop, 115(1-2), 55-68.

[24]    

Ferreira, A.V.M., Segato, M., Menezes, Z., Macedo, A.M., Gelape, C., Andrade, L.O., et al., 2011. Evidence for Trypanosoma cruzi in adipose tissue in human cronic Chagas disease. Microb. Infect. 13, 1002-1005.

[25]    

Añez, N., 1977. Sobre el problema del histotropísmo en dos cepas de Trypanosoma cruzi Chagas, 1909 en ratones albinos machos. M.Sc. Thesis, Faculty of Sciences, University of Los Andes, Mérida, Venezuela.

[26]    

Carrasco, H., Añez, N., Fuenmayor, C., Parada, H., Crisante, G., Rojas, A., et al., 1999. Evolución clínica, parasitológica e histopatológica de pacientes chagásicos agudos tratados con benznidazol. Av. Cardiol. 19(3), 74-80.

[27]    

Nagajyothi, F., Machado, F.S., Burleigh, B.A., Jelicks, L.A., Scherer, P.E., Mukherjee, S., et al., 2012. Mechanisms of Trypanosoma cruzi persistence in Chagas disease. Cell. Microbiol, 14(5), 634-643.





 
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