2013
DOI: 10.1371/journal.pntd.0002575
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Polyfunctional T Cell Responses in Children in Early Stages of Chronic Trypanosoma cruzi Infection Contrast with Monofunctional Responses of Long-term Infected Adults

Abstract: BackgroundAdults with chronic Trypanosoma cruzi exhibit a poorly functional T cell compartment, characterized by monofunctional (IFN-γ-only secreting) parasite-specific T cells and increased levels of terminally differentiated T cells. It is possible that persistent infection and/or sustained exposure to parasites antigens may lead to a progressive loss of function of the immune T cells.Methodology/Principal FindingsTo test this hypothesis, the quality and magnitude of T. cruzi-specific T cell responses were e… Show more

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Cited by 41 publications
(47 citation statements)
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“…PMBCs stimulated with T. cruzi ‐lysate from children without evidence of cardiac involvement reported that the pool of antigenic‐specific T cells was enriched with CD4+/CD154+ and CD4+/TNF‐α+ T cells 29. In an adult population, we obtained similar frequencies for CD4+/CD154+ (mean 2.04% for all chagasic patients) and CD4+/membrane TNF‐α+ T cells (mean 3.06% in symptomatic patients).…”
Section: Discussionsupporting
confidence: 61%
See 1 more Smart Citation
“…PMBCs stimulated with T. cruzi ‐lysate from children without evidence of cardiac involvement reported that the pool of antigenic‐specific T cells was enriched with CD4+/CD154+ and CD4+/TNF‐α+ T cells 29. In an adult population, we obtained similar frequencies for CD4+/CD154+ (mean 2.04% for all chagasic patients) and CD4+/membrane TNF‐α+ T cells (mean 3.06% in symptomatic patients).…”
Section: Discussionsupporting
confidence: 61%
“…In an adult population, we obtained similar frequencies for CD4+/CD154+ (mean 2.04% for all chagasic patients) and CD4+/membrane TNF‐α+ T cells (mean 3.06% in symptomatic patients). Interestingly, the same study demonstrated that the fraction of antigen‐specific T cells measured by surface CD4+/CD154+ and intracellular CD4+/TNF‐α+ T cells was almost undetectable in chronic adult chagasic patients with mild cardiac disease 29. Differences between previous studies could be explained by the antigen used (amastigote or trypomastigotes), time of incubation and stimulation, and method of cytokine detection (intracellular vs. membrane).…”
Section: Discussionmentioning
confidence: 91%
“…However, in spite of the control of parasitemia that allows the host to survive the acute stage of infection, the elicited immune response proves unable to prevent parasite colonization and evolution to the chronic phase of the disease, thus indicating only a partial success. Moreover, a CD4 T cell exhaustion process is observed during the progression of the infection, which might lead to worsening of the associated disease (51,52). In line with these findings, parasite-shed vesicles containing several components, including TS, make naive mice more susceptible to infection due to increased production of IL-4 and IL-10 (53).…”
Section: Discussionmentioning
confidence: 85%
“…Even more, polyfunctional CD8 + T cells can provide protective immunity in vaccination studies against experimental T. cruzi infection (80)(81)(82). In Chagas disease, children with short-term T. cruzi infections exhibit a higher frequency of polyfunctional T cells in comparison with adults with long-term infections (83). We observed that asymptomatic patients have a higher frequency of polyfunctional parasite-specific CD8 + T cells, which could lead to more effective parasite control, whereas the monofunctional cytotoxic parasitespecific CD8 + T cells predominant in symptomatic patients could result in tissue damage.…”
Section: Cd8mentioning
confidence: 99%