PMID- 17135452 OWN - NLM STAT- MEDLINE DCOM- 20070427 LR - 20181113 IS - 1556-6811 (Print) IS - 1556-679X (Electronic) IS - 1556-679X (Linking) VI - 14 IP - 2 DP - 2007 Feb TI - Expression of antibodies directed to Paracoccidioides brasiliensis glycosphingolipids during the course of paracoccidioidomycosis treatment. PG - 150-6 AB - Paracoccidioidomycosis (PCM) is a granulomatous disease caused by the dimorphic fungus Paracoccidioides brasiliensis. The immunoglobulin classes and isotypes of antibodies directed to acidic glycosphingolipids (GSLs) and glucosylceramide of P. brasiliensis were determined by enzyme-linked immunosorbent assay of sera from 31 PCM patients. The reactivities of 38 serum samples were analyzed by considering the stage of treatment: before antifungal treatment (n = 10), during 1 to 4 months of treatment (T1-4; n = 9), during 5 to 12 months of treatment (T5-12; n = 9), and posttreatment (PT; n = 10). Sera from healthy subjects (n = 12) were used as controls. Only the GSL Pb-1 antigen, which presents the carbohydrate structure Galfbeta1-6(Manalpha1-3)Manbeta1, was reactive with the PCM patient sera. The PCM patient sera did not react with Pb-2, which lacks the Galf residue and which is considered the biosynthetic precursor of Pb-1, indicating that the Galf residue is essential for antibody reactivity. The Pb-1 glycolipid from nontreated patients elicited a primary immune response with immunoglobulin M (IgM) production and subsequent switching to IgG1 production. The IgG1 titer increased after the start of antifungal treatment (T1-4 group), and general decreases in the anti-Pb-1 antibody titers were observed after 5 months of treatment (T5-12 and PT groups). The Pb-1 antigen, an acidic GSL with terminal Galf residue, has potential application as an elicitor of the host immune response in patients with PCM. FAU - Bertini, Silvio AU - Bertini S AD - Department of Biochemistry, Universidade Federal de Sao Paulo/Escola Paulista de Medicina, Rua Botucatu, 862, Sao Paulo, SP 04023-900, Brazil. FAU - Colombo, Arnaldo L AU - Colombo AL FAU - Takahashi, Helio K AU - Takahashi HK FAU - Straus, Anita H AU - Straus AH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20061129 PL - United States TA - Clin Vaccine Immunol JT - Clinical and vaccine immunology : CVI JID - 101252125 RN - 0 (Antibodies, Fungal) RN - 0 (Glycosphingolipids) SB - IM MH - Adult MH - Aged MH - Antibodies, Fungal/*biosynthesis/blood MH - Glycosphingolipids/*immunology MH - Humans MH - Middle Aged MH - Paracoccidioides/*immunology MH - Paracoccidioidomycosis/*immunology/therapy PMC - PMC1797792 EDAT- 2006/12/01 09:00 MHDA- 2007/04/28 09:00 PMCR- 2007/06/01 CRDT- 2006/12/01 09:00 PHST- 2006/12/01 09:00 [pubmed] PHST- 2007/04/28 09:00 [medline] PHST- 2006/12/01 09:00 [entrez] PHST- 2007/06/01 00:00 [pmc-release] AID - CVI.00285-06 [pii] AID - 0285-06 [pii] AID - 10.1128/CVI.00285-06 [doi] PST - ppublish SO - Clin Vaccine Immunol. 2007 Feb;14(2):150-6. doi: 10.1128/CVI.00285-06. Epub 2006 Nov 29.