The Binomial Parasite-Host Immunity in the Healing Process and in Reactivation of Human Tegumentary Leishmaniasis

Detalhes bibliográficos
Autor(a) principal: Silva, Fatima Conceição
Data de Publicação: 2018
Outros Autores: Silva, Jessica Leite, Morgado, Fernanda N.
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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spelling 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
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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
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
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