2020
DOI: 10.1007/s00281-020-00788-y
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Leishmaniasis immunopathology—impact on design and use of vaccines, diagnostics and drugs

Abstract: Leishmaniasis is a disease complex caused by 20 species of protozoan parasites belonging to the genus Leishmania. In humans the it has two main clinical forms, visceral leishmaniasis (VL) and cutaneous or tegumentary leishmaniasis (CL), as well as several other cutaneous manifestations in a minority of cases. In the mammalian host Leishmania infect different populations of macrophages where they multiply and survive in the phagolysosomal compartment. The progression of both VL and CL depends on the maintenance… Show more

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Cited by 56 publications
(55 citation statements)
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“…In leishmaniasis, this interaction assumes even greater complexity as the parasites reside within macrophages, established sentinels of our immune system. 18 Leishmania have developed several mechanisms to circumvent the microbicidal activity of macrophages by altering the expression of genes coding for cytokines, chemokines, transcription factors, membrane receptors and molecules involved in signal transduction, measurable by various high-throughput techniques, 19 thus providing important insights into the pathogenesis of VL.…”
Section: Re Sults and Discussionmentioning
confidence: 99%
“…In leishmaniasis, this interaction assumes even greater complexity as the parasites reside within macrophages, established sentinels of our immune system. 18 Leishmania have developed several mechanisms to circumvent the microbicidal activity of macrophages by altering the expression of genes coding for cytokines, chemokines, transcription factors, membrane receptors and molecules involved in signal transduction, measurable by various high-throughput techniques, 19 thus providing important insights into the pathogenesis of VL.…”
Section: Re Sults and Discussionmentioning
confidence: 99%
“…Determination of the cytokine profile in splenocytes showed high levels of IL-12 and IFN-γ and low levels of IL-4 and IL-10 in immunized groups, unlike high levels of IL-4 and IL-10 in control groups. In the BALB/c model, several lines of evidence suggest that the control of infection depends not only on the induction of IFN-γ-mediated responses but also on the control of IL-10 and IL-4 cytokines that are associated with pathology [ 59 , 60 ]. The immune response elicited by the His, AK, and His-AK groups conferred a significant reduction in parasite burden, especially in HisDTC-vaccinated mice.…”
Section: Discussionmentioning
confidence: 99%
“…Leishmania control has been based on preventing sand-fly bites, eliminating animal reservoirs (if it is zoonotic) and the early detection and effective treatment of cases in humans in the absence of an effective vaccine [93]. A key difference between VL and CL concerns Leishmania VL-causing species' tendency to cause systemic disease by invading macrophages in the liver, spleen and bone marrow whilst causing minimum damage to the skin [94].…”
Section: Leishmaniasismentioning
confidence: 99%