Innate immunity and regulatory T-cells in human Chagas disease: what must be understood?

Abstract:

:There is a general consensus that during chronic Trypanosoma cruzi infection, the host immune system induces complex processes to ensure the control of parasite growth while preserving the potential to mount and maintain a life-long controlled humoral and cellular immune response against the invading pathogen. This review summarises evidence in an attempt to elucidate 'what must be understood' to further clarify the role of innate immunity in the development/maintenance of clinical Chagas disease and the impact of etiological treatment on host immunity, highlighting the contributions of the innate immunity and regulatory T (Treg) cells. Recently, increasing focus on innate immunity suggest that chronic T. cruzi infection may cause morbidity when innate effector functions, or the down-regulation of adaptive regulatory mechanisms are lacking. In this context, stable asymptomatic host-parasite interactions seem to be influenced by the effector/regulatory balance with the participation of macrophages, natural killer (NK) and CD8+ T cells in parallel with the establishment of regulatory mechanisms mediated by NKT and Treg cells. Moreover, a balanced innate immune activation state, apart from Treg cells, may play a role in controlling the adverse events triggered by the massive antigen release induced by trypanosomicidal agents during Chagas disease etiological treatment.

journal_name

Mem Inst Oswaldo Cruz

authors

Sathler-Avelar R,Vitelli-Avelar DM,Teixeira-Carvalho A,Martins-Filho OA

doi

10.1590/s0074-02762009000900031

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

246-51

eissn

0074-0276

issn

1678-8060

pii

S0074-02762009000900031

journal_volume

104 Suppl 1

pub_type

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