Journal
INFECTION AND IMMUNITY
Volume 88, Issue 6, Pages -Publisher
AMER SOC MICROBIOLOGY
DOI: 10.1128/IAI.00052-20
Keywords
Trypanosoma cruzi; RvD1; inflammation; cardiac tissue; fibrosis; resolvin; cardiomyopathy; host response; immunopathogenesis; therapy
Categories
Funding
- NCI Cancer Center support grant [SIG 1S10OD019961-01, P30CA013330, SIG 1S10OD023591-01]
- NIH [AI1421110]
- Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior-Brasil (CAPES) [001]
- Department of Pathology (Albert Einstein College of Medicine)
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Chagas disease is a major public health issue, affecting similar to 10 million people worldwide. Transmitted by a protozoan named Trypanosoma cruzi, this infection triggers a chronic inflammatory process that can lead to cardiomyopathy (Chagas disease). Resolvin D1 (RvD1) is a novel proresolution lipid mediator whose effects on inflammatory diseases dampens pathological inflammatory responses and can restore tissue homeostasis. Current therapies are not effective in altering the outcome of T. cruzi infection, and as RvD1 has been evaluated as a therapeutic agent in various inflammatory diseases, we examined if exogenous RvD1 could modulate the pathogenesis of Chagas disease in a murine model. CD-1 mice infected with the T. cruzi Brazil strain were treated with RvD1. Mice were administered 3 mu g/kg of body weight RvD1 intraperitoneally on days 5, 10, and 15 to examine the effect of RvD1 on acute disease or administered the same dose on days 60, 65, and 70 to examine its effects on chronic infection. RvD1 therapy increased the survival rate and controlled parasite replication in mice with acute infection and reduced the levels of interferon gamma and transforming growth factor beta (TGF-beta) in mice with chronic infection. In addition, there was an increase in interleukin-10 levels with RvD1 therapy in both mice with acute infection and mice with chronic infection and a decrease in TGF-beta levels and collagen content in cardiac tissue. Together, these data indicate that RvD1 therapy can dampen the inflammatory response, promote the resolution of T. cruzi infection, and prevent cardiac fibrosis.
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