Humoral immunity in leishmaniasis - prevention or promotion of parasite growth?

dc.creatorRicardo Gonçalves
dc.creatorKajal Hamidzadeh
dc.creatorDavid Mosser
dc.date.accessioned2023-09-14T19:10:27Z
dc.date.accessioned2025-09-09T01:33:46Z
dc.date.available2023-09-14T19:10:27Z
dc.date.issued2020
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.cytox.2020.100046
dc.identifier.issn2590-1532
dc.identifier.urihttps://hdl.handle.net/1843/58676
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofCytokine: X
dc.rightsAcesso Aberto
dc.subjectLeishmania
dc.subjectVacinas
dc.subjectImunidade Humoral
dc.subjectImunoglobulina G
dc.subject.otherLeishmania
dc.subject.otherVaccine
dc.subject.otherDTH
dc.subject.otherHumoral immunity
dc.subject.otherIgG
dc.titleHumoral immunity in leishmaniasis - prevention or promotion of parasite growth?
dc.typeArtigo de periódico
local.citation.epage6
local.citation.issue4
local.citation.spage100046
local.citation.volume2
local.description.resumoLeishmaniasis can present as a “spectrum” of clinical outcomes. There is evidence that these divergent clinical outcomes are attributable to genetic differences in the human host [1] as well the species of infecting parasite [2]. The spectrum of disease has largely been described by defining the polar opposites of T cell immune responses. In the mouse model, a TH1 immune response is associated with low numbers of Leishmania parasites in lesions, whereas a TH2 immune response has been associated with unrestricted parasite growth. In the present work, we revisit leishmaniasis and seek to better define the clinical spectrum as a function of divergent humoral immune responses. We describe examples in human, canine, and even some murine models of leishmaniasis that reveal a direct correlation between high anti-parasite antibody responses and unrestricted parasite growth. Therefore, we propose that the spectral nature of this disease may be due to quantitative and qualitative differences in the antibodies that are produced during disease. In human visceral leishmaniasis, a decrease in anti-parasite antibody levels may actually predict disease resolution. Thus, rather than defining this disease as a simple TH1/TH2 dichotomy, we propose that clinical leishmaniasis depends on the degree of humoral immunity, with high IgG predicting parasite persistence. These observations have obvious implications for vaccine development in leishmaniasis, and they may extend to other diseases caused by intracellular pathogens.
local.identifier.orcidhttps://orcid.org/0000-0002-1127-4483
local.publisher.countryBrasil
local.publisher.departmentICB - DEPARTAMENTO DE PATOLOGIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S2590153220300264?via%3Dihub

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