PMID- 23872208 OWN - NLM STAT- MEDLINE DCOM- 20140617 LR - 20220311 IS - 1532-2742 (Electronic) IS - 0163-4453 (Linking) VI - 67 IP - 5 DP - 2013 Nov TI - Characterization of the immune response in human paracoccidioidomycosis. PG - 470-85 LID - S0163-4453(13)00203-X [pii] LID - 10.1016/j.jinf.2013.07.019 [doi] AB - OBJECTIVES: Paracoccidioidomycosis (PCM) is a systemic mycosis caused by the dimorphic fungus Paracoccidioides brasiliensis that presents two main clinical forms: the adult form (AF) and the juvenile form (JF); and an asymptomatic form denominated PCM-infection (PI). These forms of PCM are related to the immune response developed after infection, which has been associated with Th1 and Th2 responses. However, some PCM characteristics cannot be explained by this balance. In this study we aimed to complement the characterization of the immune response in PCM, including the newly described T cells subpopulations (Th17, Th9 and Th22). METHODS: We analyzed the expression of cytokines and transcription factors characteristics of these different subpopulations of CD4(+) T cells in PBMCs from PCM patients and a PI group. RESULTS: The results showed that the PI group presented a predominant Th1 response; that JF patients were characterized by a mixed Th2/Th9 response; and AF patients were characterized by a predominant Th17/Th22 response, as well as substantial participation of Th1 cells. CONCLUSIONS: These results contribute to the existing knowledge on the immune responses associated with resistance or susceptibility to the P. brasiliensis infection, and thus could lead to the development of new strategies for patient management. CI - Copyright (c) 2013 The British Infection Association. Published by Elsevier Ltd. All rights reserved. FAU - de Castro, Livia Furquim AU - de Castro LF AD - Department of Clinical Pathology, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil. FAU - Ferreira, Maria Carolina AU - Ferreira MC FAU - da Silva, Rosiane Maria AU - da Silva RM FAU - Blotta, Maria Heloisa de Souza Lima AU - Blotta MH FAU - Longhi, Larissa Nara Alegrini AU - Longhi LN FAU - Mamoni, Ronei Luciano AU - Mamoni RL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130716 PL - England TA - J Infect JT - The Journal of infection JID - 7908424 RN - 0 (Cytokines) SB - IM MH - Analysis of Variance MH - Case-Control Studies MH - Cohort Studies MH - Cytokines/immunology MH - Humans MH - Paracoccidioidomycosis/*immunology/pathology MH - T-Lymphocytes, Helper-Inducer/*immunology MH - Th1 Cells/immunology MH - Th17 Cells/immunology MH - Th2 Cells/immunology OTO - NOTNLM OT - Adaptative immune response OT - Cytokines OT - Paracoccidioidomycosis OT - Th1 OT - Th17 OT - Th2 EDAT- 2013/07/23 06:00 MHDA- 2014/06/18 06:00 CRDT- 2013/07/23 06:00 PHST- 2013/04/01 00:00 [received] PHST- 2013/07/02 00:00 [revised] PHST- 2013/07/03 00:00 [accepted] PHST- 2013/07/23 06:00 [entrez] PHST- 2013/07/23 06:00 [pubmed] PHST- 2014/06/18 06:00 [medline] AID - S0163-4453(13)00203-X [pii] AID - 10.1016/j.jinf.2013.07.019 [doi] PST - ppublish SO - J Infect. 2013 Nov;67(5):470-85. doi: 10.1016/j.jinf.2013.07.019. Epub 2013 Jul 16.