PMID- 25851750 OWN - NLM STAT- MEDLINE DCOM- 20160209 LR - 20150522 IS - 1439-0507 (Electronic) IS - 0933-7407 (Linking) VI - 58 IP - 6 DP - 2015 Jun TI - Serum antibody levels correlate with oral fungal cell numbers and influence the patients' response to chronic paracoccidioidomycosis. PG - 356-61 LID - 10.1111/myc.12325 [doi] AB - Paracoccidioidomycosis (PCM) is a neglected fungal disease that elicits an important granulomatous inflammatory reaction which aims to isolate the fungi and resolve the infection; besides the innate cellular response, the patients' sera may contain different levels of antibodies directed against PCM's pathogenic agent: Paracoccidioides brasiliensis (Pb). The aim of the study was to assess the distinct serum antibody levels of 19 chronic PCM patients and to associate these levels to the granulomatous inflammatory response and presence of fungi in oral lesions caused by Pb. The presence of Pb was detected and counted within oral tissues using immunohistochemistry; antibody levels were classified as negative, low-grade, moderate or high-grade groups. The Kruskal-Wallis and Dunn's test were used to verify possible associations among the groups. Interestingly, lower antibody titres were associated with lesser numbers of Pb, which favours the cellular response over the humoral response to fight PCM. On the other hand, negative serological results were linked to a higher presence of Pb in the tissues, indicating that a deficient humoral response supports the fungal proliferation. The number of Pb was conveniently associated with the level of serum antibodies, showing that the humoral immune response is required, however, not solely responsible to restrain the dissemination of Pb. CI - (c) 2015 Blackwell Verlag GmbH. FAU - de Carli, Marina Lara AU - de Carli ML AD - Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil. FAU - Cardoso, Beatriz Cristina Bachiao AU - Cardoso BC AD - Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil. FAU - Malaquias, Luiz Cosme Cotta AU - Malaquias LC AD - Department of Immunology and Microbiology, Institute of Biomedical Sciences, Federal University of Alfenas, Alfenas, MG, Brazil. FAU - Nonogaki, Suely AU - Nonogaki S AD - Pathology Center, Adolfo Lutz Institute, Sao Paulo, SP, Brazil. FAU - Pereira, Alessandro Antonio Costa AU - Pereira AA AD - Department of Pathology and Parasitology, Institute of Biomedical Sciences, Federal University of Alfenas, Alfenas, MG, Brazil. FAU - Sperandio, Felipe Fornias AU - Sperandio FF AD - Department of Pathology and Parasitology, Institute of Biomedical Sciences, Federal University of Alfenas, Alfenas, MG, Brazil. FAU - Hanemann, Joao Adolfo Costa AU - Hanemann JA AD - Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150407 PL - Germany TA - Mycoses JT - Mycoses JID - 8805008 RN - 0 (Antibodies, Fungal) SB - IM MH - Adult MH - Aged MH - Antibodies, Fungal/*blood MH - *Colony Count, Microbial MH - Female MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Mouth/*microbiology/pathology MH - Paracoccidioides/*isolation & purification MH - Paracoccidioidomycosis/drug therapy/*immunology/*microbiology MH - Serum/chemistry OTO - NOTNLM OT - inflammation OT - paracoccidioides OT - paracoccidioidomycosis OT - serology EDAT- 2015/04/09 06:00 MHDA- 2016/02/10 06:00 CRDT- 2015/04/09 06:00 PHST- 2015/01/13 00:00 [received] PHST- 2015/03/13 00:00 [revised] PHST- 2015/03/18 00:00 [accepted] PHST- 2015/04/09 06:00 [entrez] PHST- 2015/04/09 06:00 [pubmed] PHST- 2016/02/10 06:00 [medline] AID - 10.1111/myc.12325 [doi] PST - ppublish SO - Mycoses. 2015 Jun;58(6):356-61. doi: 10.1111/myc.12325. Epub 2015 Apr 7.