The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/28923 |
Resumo: | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Imunofarmacologia. Rio de Janeiro, RJ, Brasil. |
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Silva, Fatima ConceiçãoSilva, Jessica LeiteMorgado, Fernanda N.2018-09-20T11:56:35Z2018-09-20T11:56:35Z2018SILVA, Fatima Conceição; SILVA, Jessica Leite; MORGADO, Fernanda N. The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis. Frontiers in Microbiology, v.8, Article 1308, 17p, June 2018.1664-302Xhttps://www.arca.fiocruz.br/handle/icict/2892310.3389/fmicb.2018.013081664-302XengFrontiers Medialeishmaniose tegumentarImunossupressãoprocesso de cicatrizaçãoreativação de lesãopacientesLeishmanioseParasitas de Leishmaniaco-morbidadestegumentary leishmaniasishealing processlesion reactivationpatientsLeishmaniasisLeishmania parasitesco-morbiditiesimmunosuppressionThe Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Imunofarmacologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Imunofarmacologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisas em Leishmaniose. Rio de Janeiro, RJ, Brasil.Leishmaniasis is a vector-borne infectious disease caused by different species of protozoa from the Leishmania genus. Classically, the disease can be classified into two main clinical forms: Visceral (VL) and Tegumentary (TL) leishmaniasis. TL is a skin/mucosal granulomatous disease that manifests mainly as cutaneous localized or disseminated ulcers, papules diffusely distributed, mucosal lesions or atypical lesions. Once the etiology of the infection is confirmed, treatment can take place, and different drugs can be administered. It has already been shown that, even when the scar is clinically evident, inflammation is still present in the native tissue, and the decrease of the inflammatory process occurs slowly during the 1st years after clinical healing. The maintenance of residual parasites in the scar tissue is also well documented. Therefore, it is no longer a surprise that, under some circumstances, therapeutic failure and/or lesion reactivation occurs. All over the years, an impressive amount of data on relapses, treatment resistance and lesion reactivation after healing has been collected, and several factors have been pointed out as having a role in the process. Different factors such as Leishmania species, parasite variability, Leishmania RNA virus 1, parasite load, parasite persistence, age, nutritional status, gender, co-morbidities, co-infection, pregnancy, immunosuppression, lesion duration, number and localization of lesions, drug metabolism, irregular treatment and individual host cellular immune response were described and discussed in the present review. Unfortunately, despite this amount of information, a conclusive understanding remains under construction. In addition, multifactorial influence cannot be discarded. In this context, knowing why leishmaniasis has been difficult to treat and control can help the development of new approaches, such as drugs and immunotherapy in order to improve healing maintenance. In this sense, we would like to highlight some of the findings that may influence the course of Leishmania infection and the therapeutic response, with an emphasis on TL.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/28923/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALfatimaconceiçao_jessicasilva-etal_IOC_2018.pdffatimaconceiçao_jessicasilva-etal_IOC_2018.pdfapplication/pdf1647569https://www.arca.fiocruz.br/bitstream/icict/28923/2/fatimaconcei%c3%a7ao_jessicasilva-etal_IOC_2018.pdf3281193187b17b1d7ac97288fb5aef44MD52TEXTfatimaconceiçao_jessicasilva-etal_IOC_2018.pdf.txtfatimaconceiçao_jessicasilva-etal_IOC_2018.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv |
The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis |
title |
The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis |
spellingShingle |
The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis Silva, Fatima Conceição leishmaniose tegumentar Imunossupressão processo de cicatrização reativação de lesão pacientes Leishmaniose Parasitas de Leishmania co-morbidades tegumentary leishmaniasis healing process lesion reactivation patients Leishmaniasis Leishmania parasites co-morbidities immunosuppression |
title_short |
The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis |
title_full |
The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis |
title_fullStr |
The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis |
title_full_unstemmed |
The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis |
title_sort |
The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis |
author |
Silva, Fatima Conceição |
author_facet |
Silva, Fatima Conceição Silva, Jessica Leite Morgado, Fernanda N. |
author_role |
author |
author2 |
Silva, Jessica Leite Morgado, Fernanda N. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Silva, Fatima Conceição Silva, Jessica Leite Morgado, Fernanda N. |
dc.subject.other.pt_BR.fl_str_mv |
leishmaniose tegumentar Imunossupressão processo de cicatrização reativação de lesão pacientes Leishmaniose Parasitas de Leishmania co-morbidades |
topic |
leishmaniose tegumentar Imunossupressão processo de cicatrização reativação de lesão pacientes Leishmaniose Parasitas de Leishmania co-morbidades tegumentary leishmaniasis healing process lesion reactivation patients Leishmaniasis Leishmania parasites co-morbidities immunosuppression |
dc.subject.en.pt_BR.fl_str_mv |
tegumentary leishmaniasis healing process lesion reactivation patients Leishmaniasis Leishmania parasites co-morbidities immunosuppression |
description |
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Imunofarmacologia. Rio de Janeiro, RJ, Brasil. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-09-20T11:56:35Z |
dc.date.available.fl_str_mv |
2018-09-20T11:56:35Z |
dc.date.issued.fl_str_mv |
2018 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SILVA, Fatima Conceição; SILVA, Jessica Leite; MORGADO, Fernanda N. The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis. Frontiers in Microbiology, v.8, Article 1308, 17p, June 2018. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/28923 |
dc.identifier.issn.pt_BR.fl_str_mv |
1664-302X |
dc.identifier.doi.none.fl_str_mv |
10.3389/fmicb.2018.01308 |
dc.identifier.eissn.none.fl_str_mv |
1664-302X |
identifier_str_mv |
SILVA, Fatima Conceição; SILVA, Jessica Leite; MORGADO, Fernanda N. The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis. Frontiers in Microbiology, v.8, Article 1308, 17p, June 2018. 1664-302X 10.3389/fmicb.2018.01308 |
url |
https://www.arca.fiocruz.br/handle/icict/28923 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Frontiers Media |
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Frontiers Media |
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