Abstract:A panel of Trypanosoma cruzi antigens produced by recombinant DNA techniques was used to analyze the IgM and IgG specificities present in sera from 22 mothers with chronic Chagas disease and their newborn infants. Ten of the newborns were congenitally infected and the other 12 children were healthy. While in most cases IgG specificities in the newborns mirrored those of their mothers, congenitally infected newborns had, in addition, IgG specificities that were undetectable in their mothers.' The new IgG specif… Show more
“…Los diferentes países del Cono sur poseen ya indicadores de infestación por triatomíneos que evidencian en el corto plazo que la vía vectorial de la transmisión por el Trypanosoma cruzi no significará un peligro real para la aparición de casos nuevos de Chagas aguda, de mantenerse y consolidarse la vigilancia entomológica emprendida 14 .…”
Se presenta la experiencia de 18 años en la provincia de Salta en el manejo de recién nacidos con enfermedad de Chagas congénita. Desde distintos ámbitos del sistema provincial de salud, el Hospital Materno-infantil de la ciudad de Salta, hospitales del interior y la atención ambulatoria se detectaron y diagnosticaron 102 recién nacidos (RN) y lactantes con infección congénita. Los RN se dividieron en dos grupos mayores, el último subdivido, de acuerdo a la oportunidad diagnóstica. Se describe la metodología diagnóstica, presentación clínica, tratamiento y el seguimiento posterior de los niños tratados. Se analizan las características de la experiencia y se discuten las condiciones específicas del diagnóstico, tratamiento y seguimiento de los niños estudiados. Se describen las recomendaciones empleadas en la provincia en el programa de control de Chagas perinatal así como las conclusiones derivadas de esta experiencia.
“…Los diferentes países del Cono sur poseen ya indicadores de infestación por triatomíneos que evidencian en el corto plazo que la vía vectorial de la transmisión por el Trypanosoma cruzi no significará un peligro real para la aparición de casos nuevos de Chagas aguda, de mantenerse y consolidarse la vigilancia entomológica emprendida 14 .…”
Se presenta la experiencia de 18 años en la provincia de Salta en el manejo de recién nacidos con enfermedad de Chagas congénita. Desde distintos ámbitos del sistema provincial de salud, el Hospital Materno-infantil de la ciudad de Salta, hospitales del interior y la atención ambulatoria se detectaron y diagnosticaron 102 recién nacidos (RN) y lactantes con infección congénita. Los RN se dividieron en dos grupos mayores, el último subdivido, de acuerdo a la oportunidad diagnóstica. Se describe la metodología diagnóstica, presentación clínica, tratamiento y el seguimiento posterior de los niños tratados. Se analizan las características de la experiencia y se discuten las condiciones específicas del diagnóstico, tratamiento y seguimiento de los niños estudiados. Se describen las recomendaciones empleadas en la provincia en el programa de control de Chagas perinatal así como las conclusiones derivadas de esta experiencia.
“…[1][2][3][4][5][6] Although important contributions have been made to better define their potential role as immunogens or diagnostic tools, no functional characterization has been defined for the majority of the described parasite molecules. [1][2][3][4][5][6][7][8][9][10][11][12][13] The immunological functions of calreticulin in mammals have been delineated to some extent, in particular as a chaperone molecule in the process of antigen presentation to CD8ϩ T cells. Thus, when  2 -microglobulin binds to the major histocompatibility complex (MHC) class I ␣ chain, the partially folded ␣ 2 -microglobulin heterodimer dissociates from calnexin and binds calreticulin.…”
Abstract. We demonstrate that Tc45, a polypeptide described as an immunogenetically restricted Trypanosoma cruzi antigen in mice, is calreticulin, a dimorphic molecule encoded by genes with variable chromosomal distribution. Previously we showed that IgG from A.SW (H2 s ) mice immunized with T. cruzi trypomastigotes or epimastigotes and sera from infected humans recognize Tc45, a 45 kD parasite polypeptide. Herein we describe the cloning, sequencing, and expression of the Tc45 gene. A 98% homology in the deduced amino acid sequence was found with a T. cruzi calreticulin-like molecule and 41% with Leishmania donovani and human calreticulin. In the T. cruzi CL Brener clone and in the Tulahuén strain, the gene is located in two and four chromosomes, respectively. Calreticulin was detected in several T. cruzi clones, in the Tulahuén strain, and in T. rangeli, displaying alternative 43 and 46 kD forms.
“…By contrast, the serology of T. cruzi infected patients has been widely studied and antibody responses have been demonstrated using a variety of assays and antigens, positivity being accepted when serum samples have been tested in two or three conventional assays [11]. In the last few years, recombinant DNA technology has been used to address the present difficulty in preparing purified T. cruzi parasite antigens: isolated fusion proteins and synthetic peptides modelled according to the amino acid sequences have been used as antigens in an attempt to improve the diagnosis of chronic [12][13][14][15][16][17] and acute Chagas' disease [18,19].…”
Vásquez JE, Krusnell J, Ö rn A, Sousa OE, Harris RA. Serological Diagnosis of Trypanosoma rangeli Infected Patients. A Comparison of Different Methods and its Implications for the Diagnosis of Chagas' Disease. Scand J Immunol 1997;45:322-330 Venous blood from 65 Panamanian schoolchildren living in an area endemic for both Trypanosoma cruzi and T. rangeli were screened for the presence of these parasites. Trypanosoma rangeli were isolated and cultured from four individuals. Serological tests of all 65 sera were performed, including immunohaemagglutination (IHA), indirect immunofluorescence assay (IF) and ELISA using both T. rangeli and T. cruzi as antigens, as well as T. cruzi synthetic peptides in an ELISA assay. Results indicated a higher immunoreactivity to T. rangeli preparations than to T. cruzi within the studied population, which could be divided into four 'serological responder' groups. Interestingly, the panel of SAPA and other T. cruzi synthetic peptides were not useful in the discrimination of patients. Furthermore, patients from whom parasites had been isolated could not be distinguished from those of two other groups. Significant immunoreactivity to T. cruzi preparations was displayed in all responder sera, despite total lack of evidence of infection with this parasite. The immunobiological significance of T. rangeli infection is unclear, but these data indicate that it is a compounding problem in the accurate diagnosis of pathological T. cruzi infection by serological analysis. The relationship of these cohabiting species, in respect to infection outcome and immunological activation, is discussed.
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