The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions

Detalhes bibliográficos
Autor(a) principal: Lago, Alexsandro Souza do
Data de Publicação: 2018
Outros Autores: Nascimento, Maurício, Carvalho, Augusto M, Lago, Neuza, Silva, Juliana, Queiroz, José Roberto, Carvalho, Lucas Pedreira de, Schriefer, Albert, Wilson, Mary, Machado, Paulo, Carvalho Filho, Edgar Marcelino
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/27682
Resumo: National Institutes of Health (NIH) grant U01-AI136032
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spelling Lago, Alexsandro Souza doNascimento, MaurícioCarvalho, Augusto MLago, NeuzaSilva, JulianaQueiroz, José RobertoCarvalho, Lucas Pedreira deSchriefer, AlbertWilson, MaryMachado, PauloCarvalho Filho, Edgar Marcelino2018-07-26T18:07:36Z2018-07-26T18:07:36Z2018LAGO, A. S. et al. The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions. American Journal of Tropical Medicine and Hygiene, v. 98, n. 5, p. 1317-1324, 2018.0002-9637https://www.arca.fiocruz.br/handle/icict/2768210.4269/ajtmh.17-0736National Institutes of Health (NIH) grant U01-AI136032Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil.Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil.Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil.Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, BrasilUniversidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil.Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil.Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil / Instituto Nacional de Ciência e Tecnologia em Doenças Tropicais. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório de Pesquisas Clínicas. Salvador, BA, Brasil.Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil / Instituto Nacional de Ciência e Tecnologia em Doenças Tropicais. Salvador, BA, Brasil.University of Iowa. Department of Internal Medicine. Iowa City, Iowa.Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil / Instituto Nacional de Ciência e Tecnologia em Doenças Tropicais. Salvador, BA, Brasil.Universidade Federal da Bahia. Hospital Universitário Prof. Edgard Santos. Serviço de Imunologia. Salvador, BA, Brasil / Instituto Nacional de Ciência e Tecnologia em Doenças Tropicais. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório de Pesquisas Clínicas. Salvador, BA, Brasil.There is evidence that elderly patients with cutaneous leishmaniasis (CL) have more mucosal and disseminated diseases than young patients and their cells produce less antigen-induced interferon (IFN)-γ. Herein, we compared the roles of interleukin (IL)-10 and IL-15 as modulators of antigen-induced immune responses and the incidence of adverse reaction and response to therapy in young versus elderly patients with CL. Study participants included 35 senior (60-85 years) and 35 young (18-40 years) patients who had a diagnosis of CL documented by typical cutaneous lesions containing Leishmania braziliensis DNA. Elderly patients had less lymph node enlargement. Antigen-induced blood cell cytokine responses were studied in the absence or presence of IL-10 antibody or exogenously added recombinant IL-15. The ratio of IFN-γ/IL-10 was lower in elderly patients, and IFN-γ production was enhanced by either neutralization of IL-10 or exogenous recombinant IL-15 in blood cells from elderly but not young patients. Patients were treated three times weekly with antimony at 20 mg/kg/day for 20 doses. Although there was no difference in response to therapy between the two groups, two young patients needed rescue therapy with amphotericin B. Ventricular arrhythmias and ventricular overload were more frequent in elderly patients. We conclude that elderly patients have alterations in the immune response that may influence clinical manifestations, but we did not find that they had a higher failure rate than young subjects to antimony therapy. However, because of the high rate of electrocardiographic abnormalities during therapy, antimony should not be used in elderly patients with CL.engAmerican Society of Tropical Medicine and HygieneLeishmaniose CutâneaTerapiaLinfonodosSistema imunológicoHumanosIdososJovensCutaneous LeishmaniasisTherapyLymph nodesImmune systemHumansSeniorsYoungThe Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactionsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo: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/27682/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALLago AS The Elderly Respond to Antimony Therapy.pdfLago AS The Elderly Respond to Antimony Therapy.pdfapplication/pdf523912https://www.arca.fiocruz.br/bitstream/icict/27682/2/Lago%20AS%20The%20Elderly%20Respond%20to%20Antimony%20Therapy.pdf8fdf85a2bb02b6769947632c16fa2b01MD52TEXTLago AS The Elderly Respond to Antimony Therapy.pdf.txtLago AS The Elderly Respond to Antimony Therapy.pdf.txtExtracted texttext/plain44864https://www.arca.fiocruz.br/bitstream/icict/27682/3/Lago%20AS%20The%20Elderly%20Respond%20to%20Antimony%20Therapy.pdf.txt5ea8a8dcfb0da8ed3048a8e5349d5b31MD53icict/276822023-03-15 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dc.title.pt_BR.fl_str_mv The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions
title The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions
spellingShingle The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions
Lago, Alexsandro Souza do
Leishmaniose Cutânea
Terapia
Linfonodos
Sistema imunológico
Humanos
Idosos
Jovens
Cutaneous Leishmaniasis
Therapy
Lymph nodes
Immune system
Humans
Seniors
Young
title_short The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions
title_full The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions
title_fullStr The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions
title_full_unstemmed The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions
title_sort The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions
author Lago, Alexsandro Souza do
author_facet Lago, Alexsandro Souza do
Nascimento, Maurício
Carvalho, Augusto M
Lago, Neuza
Silva, Juliana
Queiroz, José Roberto
Carvalho, Lucas Pedreira de
Schriefer, Albert
Wilson, Mary
Machado, Paulo
Carvalho Filho, Edgar Marcelino
author_role author
author2 Nascimento, Maurício
Carvalho, Augusto M
Lago, Neuza
Silva, Juliana
Queiroz, José Roberto
Carvalho, Lucas Pedreira de
Schriefer, Albert
Wilson, Mary
Machado, Paulo
Carvalho Filho, Edgar Marcelino
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lago, Alexsandro Souza do
Nascimento, Maurício
Carvalho, Augusto M
Lago, Neuza
Silva, Juliana
Queiroz, José Roberto
Carvalho, Lucas Pedreira de
Schriefer, Albert
Wilson, Mary
Machado, Paulo
Carvalho Filho, Edgar Marcelino
dc.subject.other.pt_BR.fl_str_mv Leishmaniose Cutânea
Terapia
Linfonodos
Sistema imunológico
Humanos
Idosos
Jovens
topic Leishmaniose Cutânea
Terapia
Linfonodos
Sistema imunológico
Humanos
Idosos
Jovens
Cutaneous Leishmaniasis
Therapy
Lymph nodes
Immune system
Humans
Seniors
Young
dc.subject.en.pt_BR.fl_str_mv Cutaneous Leishmaniasis
Therapy
Lymph nodes
Immune system
Humans
Seniors
Young
description National Institutes of Health (NIH) grant U01-AI136032
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-07-26T18:07:36Z
dc.date.available.fl_str_mv 2018-07-26T18:07:36Z
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 LAGO, A. S. et al. The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions. American Journal of Tropical Medicine and Hygiene, v. 98, n. 5, p. 1317-1324, 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/27682
dc.identifier.issn.pt_BR.fl_str_mv 0002-9637
dc.identifier.doi.none.fl_str_mv 10.4269/ajtmh.17-0736
identifier_str_mv LAGO, A. S. et al. The Elderly Respond to Antimony Therapy for Cutaneous Leishmaniasis Similarly to Young Patients but Have Severe Adverse Reactions. American Journal of Tropical Medicine and Hygiene, v. 98, n. 5, p. 1317-1324, 2018.
0002-9637
10.4269/ajtmh.17-0736
url https://www.arca.fiocruz.br/handle/icict/27682
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv American Society of Tropical Medicine and Hygiene
publisher.none.fl_str_mv American Society of Tropical Medicine and Hygiene
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
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