Publicación:
Immunosuppressive and angiogenic cytokine profile associated with Bartonella bacilliformis infection in post-outbreak and endemic areas of Carrion's disease in Peru

dc.contributor.author Pons M.J. es_PE
dc.contributor.author Gomes C. es_PE
dc.contributor.author Aguilar R. es_PE
dc.contributor.author Barrios D. es_PE
dc.contributor.author Aguilar-Luis M.A. es_PE
dc.contributor.author Ruiz J. es_PE
dc.contributor.author Dobaño C. es_PE
dc.contributor.author del Valle-Mendoza J. es_PE
dc.contributor.author Moncunill G. es_PE
dc.date.accessioned 2024-05-30T23:13:38Z
dc.date.available 2024-05-30T23:13:38Z
dc.date.issued 2017
dc.description.abstract Analysis of immune responses in Bartonella bacilliformis carriers are needed to understand acquisition of immunity to Carrion’s disease and may allow identifying biomarkers associated with bacterial infection and disease phases. Serum samples from 144 healthy subjects from 5 villages in the North of Peru collected in 2014 were analyzed. Four villages had a Carrion’s disease outbreak in 2013, and the other is a traditionally endemic area. Thirty cytokines, chemokines and growth factors were determined in sera by fluorescent bead-based quantitative suspension array technology, and analyzed in relation to available data on bacteremia quantified by RT-PCR, and IgM and IgG levels measured by ELISA against B. bacilliformis lysates. The presence of bacteremia was associated with low concentrations of HGF (p = 0.005), IL-15 (p = 0.002), IL-6 (p = 0.05), IP-10 (p = 0.008), MIG (p = 0.03) and MIP-1α (p = 0.03). In multi-marker analysis, the same and further TH1-related and pro-inflammatory biomarkers were inversely associated with infection, whereas angiogenic chemokines and IL-10 were positively associated. Only EGF and eotaxin showed a moderate positive correlation with bacteremia. IgM seropositivity, which reflects a recent acute infection, was associated with lower levels of eotaxin (p = 0.05), IL-6 (p = 0.001), and VEGF (p = 0.03). Only GM-CSF and IL-10 concentrations were positively associated with higher levels of IgM (p = 0.01 and p = 0.007). Additionally, IgG seropositivity and levels were associated with high levels of angiogenic markers VEGF (p = 0.047) and eotaxin (p = 0.006), respectively. Our findings suggest that B. bacilliformis infection causes immunosuppression, led in part by overproduction of IL-10. This immunosuppression probably contributes to the chronicity of asymptomatic infections favoring B. bacilliformis persistence in the host, allowing the subsequent transmission to the vector. In addition, angiogenic markers associated with bacteremia and IgG levels may be related to the induction of endothelial cell proliferation in cutaneous lesions during chronic infections, being possible candidate biomarkers of asymptomatic infections.
dc.description.sponsorship Consejo Nacional de Ciencia, Tecnología e Innovación Tecnológica - Concytec
dc.identifier.doi https://doi.org/10.1371/journal.pntd.0005684
dc.identifier.scopus 2-s2.0-85021639891
dc.identifier.uri https://hdl.handle.net/20.500.12390/647
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartof PLoS Neglected Tropical Diseases
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject vasculotropin
dc.subject chemokine es_PE
dc.subject CXCL9 chemokine es_PE
dc.subject cytokine es_PE
dc.subject immunoglobulin G es_PE
dc.subject immunoglobulin M es_PE
dc.subject interleukin 10 es_PE
dc.subject interleukin 15 es_PE
dc.subject interleukin 2 es_PE
dc.subject interleukin 6 es_PE
dc.subject macrophage inflammatory protein 1alpha es_PE
dc.subject scatter factor es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.01.00
dc.title Immunosuppressive and angiogenic cytokine profile associated with Bartonella bacilliformis infection in post-outbreak and endemic areas of Carrion's disease in Peru
dc.type info:eu-repo/semantics/article
dspace.entity.type Publication
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