Journal
CYTOKINE & GROWTH FACTOR REVIEWS
Volume 18, Issue 1-2, Pages 107-124Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.cytogfr.2007.01.010
Keywords
Chagas' disease; macrophages; lymphocytes; cytokines; chemokines; extracellular matrix; integrins
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Pathophysiology of Chagas' disease is not completely defined, although innate and adaptative immune responses are crucial. In acute infection some parasite antigens can activate macrophages, and this may result in pro-inflammatory cytokine production, nitric oxide synthesis, and consequent control of parasitemia and mortality. Cell-mediated immunity in Trypanosoma cruzi infection is also modulated by cytokines, but in addition to parasite-specific responses, autoimmunity can be also triggered. Importantly, cytokines may also play a role in the cell-mediated immunity of infected subjects. Finally, leukocyte influx towards target tissues is regulated by cytokines, chemokines, and extracellular matrix components which may represent potential therapeutic targets in infected patients. Here we will discuss recent findings on the role of cytokines, chemokines and extracellular matrix components in the regulation of innate and adaptive immunity during T cruzi infection. (c) 2007 Elsevier Ltd. All rights reserved.
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