دورية أكاديمية
Leishmaniasis: A new method for confirming cure and detecting asymptomatic infection in patients receiving immunosuppressive treatment for autoimmune disease.
العنوان: | Leishmaniasis: A new method for confirming cure and detecting asymptomatic infection in patients receiving immunosuppressive treatment for autoimmune disease. |
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المؤلفون: | Laura Botana, Ana Victoria Ibarra-Meneses, Carmen Sanchez, Belen Matia, Juan Victor San Martin, Javier Moreno, Eugenia Carrillo |
المصدر: | PLoS Neglected Tropical Diseases, Vol 15, Iss 8, p e0009662 (2021) |
بيانات النشر: | Public Library of Science (PLoS), 2021. |
سنة النشر: | 2021 |
المجموعة: | LCC:Arctic medicine. Tropical medicine LCC:Public aspects of medicine |
مصطلحات موضوعية: | Arctic medicine. Tropical medicine, RC955-962, Public aspects of medicine, RA1-1270 |
الوصف: | Visceral leishmaniasis (VL) in patients receiving immunosuppressant drugs for autoimmune disease has been on the rise. It is important-but difficult-to know when cure has been achieved in these patients since the withdrawal of immunosuppressants during antileishmania treatment is commonly required, and there is a risk of relapse when immunosuppression is restored. The prevalence of asymptomatic infection among those immunosuppressed for autoimmune disease is also uncertain. The present work describes how cytokine release assays can be used to confirm the cure of VL, and to determine the prevalence of asymptomatic infection, in such patients. After collection of blood from volunteers (n = 108), SLA-stimulation of peripheral blood mononuclear cell cultures and of whole blood was found to induce the production of different combinations of cytokines that served to confirm recovery from VL, and asymptomatic Leishmania infection. Indeed, cure was confirmed in 14 patients, all of whom showed a specific Th1 immune response against Leishmania, and the prevalence of asymptomatic infection was determined as 21.27%. Cytokine profiles could be used to manage VL in patients with autoimmune disease, and to identify and better protect those with asymptomatic infection who are at risk of developing this disease. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1935-2727 1935-2735 |
Relation: | https://doaj.org/toc/1935-2727; https://doaj.org/toc/1935-2735 |
DOI: | 10.1371/journal.pntd.0009662 |
URL الوصول: | https://doaj.org/article/79b394a01ce3498fa073f55eb5423ef2 |
رقم الأكسشن: | edsdoj.79b394a01ce3498fa073f55eb5423ef2 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 19352727 19352735 |
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DOI: | 10.1371/journal.pntd.0009662 |