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Open AccessJournal ArticleDOI

Leishmania-reactive CD4+ and CD8+ T cells associated with cure of human cutaneous leishmaniasis.

TLDR
Patients suffering from American cutaneous leishmaniasis showed an increase in the percentage of CD8+ blast T cells and a decline in the proportion of CD4+ Blast T cells in cultures and the levels of gamma interferon in T-cell culture supernatants showed a tendency to increase when the patients were cured.
Abstract
Fourteen patients suffering from American cutaneous leishmaniasis were studied. Assays of the lymphocyte proliferative response induced in vitro by Leishmania braziliensis antigens were performed. After 5 days in culture, L. braziliensis-stimulated blast T cells were harvested for CD4+ and CD8+ phenotype analysis. When results before and at the end of therapy were compared, leishmaniasis patients showed an increase in the percentage of CD8+ blast T cells and a decline in the proportion of CD4+ blast T cells in cultures. The levels of gamma interferon in T-cell culture supernatants showed a tendency to increase when the patients were cured. These results show a pattern of higher proportions of Leishmania-reactive CD8+ T cells and lower proportions of Leishmania-reactive CD4+ T cells after cure.

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Citations
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Journal ArticleDOI

The immunology of susceptibility and resistance to Leishmania major in mice

TL;DR: Established models of T-helper-2-cell dominance in BALB/c mice infected with Leishmania major — involving the early production of interleukin-4 by a small subset of LeishMania-specific CD4+ T cells — have been refined by accumulating evidence that this response is not sufficient and, under some circumstances, not required to promote susceptibility.
Journal ArticleDOI

Leishmania and human immunodeficiency virus coinfection: the first 10 years.

TL;DR: Over 850 Leishmania-human immunodeficiency virus (HIV) coinfection cases have been recorded, the majority in Europe, where 7 to 17% of HIV-positive individuals with fever have amastigotes, suggesting that Leishmanniasis-infected individuals without symptoms will express symptoms of leishmaniasis if they become immunosuppressed.
Journal ArticleDOI

Comparison of cutaneous leishmaniasis due to Leishmania (Viannia) braziliensis and L. (V.) guyanensis in Brazil: therapeutic response to meglumine antimoniate.

TL;DR: It is concluded that Leishmania species constitute an important factor in predicting the outcome of cutaneous leishmaniasis treated with a pentavalent antimonial and remained significant after adjusting for age, disease duration, and site and number of lesions that were identified as predictors of failure in a logistic regression model.
Journal ArticleDOI

Immunobiology of visceral leishmaniasis

TL;DR: In this review, immunological events described in human and experimental VL and how these can affect the outcome of infection are discussed.
Journal ArticleDOI

Activated inflammatory T cells correlate with lesion size in human cutaneous leishmaniasis.

TL;DR: It is demonstrated that immunological markers are correlated with clinical indicators of human leishmaniasis and serve to better understand the evolution of this important parasitic disease.
References
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Journal ArticleDOI

Production of interferon gamma, interleukin 2, interleukin 4, and interleukin 10 by CD4+ lymphocytes in vivo during healing and progressive murine leishmaniasis.

TL;DR: Data establish CD4+ cells as the primary source of IFN-gamma in healing mice and of IL-4 and IL-10 during progressive infection and confirm that the spectral extremes of this disease are characterized by the presence of CD4- cells expressing Th1 or Th2 phenotypes in vivo.
Journal Article

IFN-gamma modulates the early development of Th1 and Th2 responses in a murine model of cutaneous leishmaniasis.

TL;DR: Levels of IFN-gamma at the time of infection or immunization dramatically alters the type of response elicited: high levels ofIFN-Gamma favor Th1 type responses, whereas low levels promote a Th2 response.
Journal ArticleDOI

Establishment of stable, cell-mediated immunity that makes "susceptible" mice resistant to Leishmania major.

TL;DR: In the present study, "susceptible" mice injected with a small number of parasites mounted a cell-mediated response and acquired resistance to a larger, normally pathogenic, challenge and may be applicable in diseases in which protection is dependent on cell- mediated immunity.
Journal Article

Administration of monoclonal anti-IFN-gamma antibodies in vivo abrogates natural resistance of C3H/HeN mice to infection with Leishmania major.

TL;DR: The production of IFN-gamma during the initial interaction of the parasite and host cells appears to be a major component of genetic control of natural resistance to infection with L. major in C3H/HeN mice.
Journal ArticleDOI

Murine cutaneous leishmaniasis: susceptibility correlates with differential expansion of helper T-cell subsets.

TL;DR: The data are consistent with the expansion of type 1 helper cells during healing and type 2 helper cells (Th2) during progressive leishmania infection.
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