Chagas Disease

查加斯病
  • 文章类型: Editorial
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  • 文章类型: Journal Article
    南美锥虫病(CD)是一个世界性的公共卫生问题。苯并硝唑(BZ)是用于治疗它的药物。然而,在其商业配方中,它有明显的副作用,在感染的慢性期效果较差。因此促进了含有BZ的颗粒系统的开发。本研究的目的是开发负载有BZ的聚合物纳米颗粒并在体外检查它们的杀锥虫作用。通过双乳化和冷冻干燥制备两种配方(BNP1和BNP2)。在物理化学和形态学评估之后,两种配方都表现出足够的产量,平均粒径,和口服给药的ζ电位。在体外H9C2和RAW264.7细胞中评估细胞活力,在特定浓度下,在心肌细胞中没有细胞毒性或在巨噬细胞中没有有害作用。BNP1和BNP2使用3.90μg/mL的处理在48小时内增强了BZ的作用。配方显著改善了NO的减少,特别是BNP2。这些发现暗示这些组合物适用于临床前研究,强调他们作为治疗CD的替代品的潜力。这项研究有助于寻找新的BZ配方,鉴于无视CD的治疗以及与其商业产品相关的不利影响,这是必不可少的。
    Chagas disease (CD) is a worldwide public health problem. Benznidazole (BZ) is the drug used to treat it. However, in its commercial formulation, it has significant side effects and is less effective in the chronic phase of the infection. The development of particulate systems containing BZ is therefore being promoted. The objective of this investigation was to develop polymeric nanoparticles loaded with BZ and examine their trypanocidal impact in vitro. Two formulas (BNP1 and BNP2) were produced through double emulsification and freeze drying. Subsequent to physicochemical and morphological assessment, both formulations exhibited adequate yield, average particle diameter, and zeta potential for oral administration. Cell viability was assessed in H9C2 and RAW 264.7 cells in vitro, revealing no cytotoxicity in cardiomyocytes or detrimental effects in macrophages at specific concentrations. BNP1 and BNP2 enhanced the effect of BZ within 48 h using a treatment of 3.90 μg/mL. The formulations notably improved NO reduction, particularly BNP2. The findings imply that the compositions are suitable for preclinical research, underscoring their potential as substitutes for treating CD. This study aids the quest for new BZ formulations, which are essential in light of the disregard for the treatment of CD and the unfavorable effects associated with its commercial product.
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  • 文章类型: Journal Article
    由于当前药物的不良反应及其在慢性期的低疗效,开发新的化合物来治疗查加斯病势在必行。本研究旨在研究在修饰化合物亲脂性的同时产生氧化应激的硝基异恶唑衍生物,影响它们对抗锥虫的能力.结果表明,这些化合物对T.cruzi的epimastigote形式更有效,化合物9具有52±4%的杀锥虫作用。然而,它们对锥虫形式的效果较差,具有15±3%的杀锥虫作用。此外,化合物11与crazipain酶活性位点内更多数量的氨基酸残基相互作用。此外,还发现,硝基的存在允许自由基的产生;同样,大尺寸的化合物使增加的相互作用与氨基酸残基的活性位点的crazipain,有助于杀锥虫活性。该活性取决于化合物的大小和亲油性。该研究建议探索基于硝基异恶唑骨架的新化合物,具有更大的取代基和亲油性,以增强其杀锥虫活性。
    The development of new compounds to treat Chagas disease is imperative due to the adverse effects of current drugs and their low efficacy in the chronic phase. This study aims to investigate nitroisoxazole derivatives that produce oxidative stress while modifying the compounds\' lipophilicity, affecting their ability to fight trypanosomes. The results indicate that these compounds are more effective against the epimastigote form of T. cruzi, with a 52 ± 4% trypanocidal effect for compound 9. However, they are less effective against the trypomastigote form, with a 15 ± 3% trypanocidal effect. Additionally, compound 11 interacts with a higher number of amino acid residues within the active site of the enzyme cruzipain. Furthermore, it was also found that the presence of a nitro group allows for the generation of free radicals; likewise, the large size of the compound enables increased interaction with aminoacidic residues in the active site of cruzipain, contributing to trypanocidal activity. This activity depends on the size and lipophilicity of the compounds. The study recommends exploring new compounds based on the nitroisoxazole skeleton, with larger substituents and lipophilicity to enhance their trypanocidal activity.
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  • 文章类型: Journal Article
    查加斯病,一个多世纪前发现的,继续构成全球卫生挑战,主要影响拉丁美洲的数百万人。这篇带有评论的历史评论概述了这种疾病的发现,由于移民,它演变成全球关注的问题,并强调了诊断和治疗策略的重大进展。尽管取得了这些进步,本文讨论了根除疾病的持续挑战,包括矢量控制,先天性传播,这种疾病的无症状性质,以及有效管理的社会经济障碍。它要求采取多学科方法,增强的诊断,改善治疗可及性,和持续的病媒控制努力。该审查强调了全球合作和增加资金以减少查加斯病影响的重要性。
    Chagas disease, discovered over a century ago, continues to pose a global health challenge, affecting millions mainly in Latin America. This historical review with commentary outlines the disease\'s discovery, its evolution into a global concern due to migration, and highlights significant advances in diagnostics and treatment strategies. Despite these advancements, the paper discusses ongoing challenges in eradication, including vector control, congenital transmission, the disease\'s asymptomatic nature, and socioeconomic barriers to effective management. It calls for a multidisciplinary approach, enhanced diagnostics, improved treatment accessibility, and sustained vector control efforts. The review emphasizes the importance of global collaboration and increased funding to reduce Chagas disease\'s impact.
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  • 文章类型: Journal Article
    克氏锥虫是一种原生动物寄生虫,可引起称为恰加斯病的热带疾病,它起源于南美。全球范围内,它对健康有重大影响,并由作为寄生虫的昆虫媒介运输。鉴于疫苗的稀缺性和有限的治疗选择,我们对核心蛋白质组学进行了全面研究,以探索具有高抗原性的潜在反向候选疫苗。
    为了鉴定免疫显性表位,最初探索了T.cruzi核心蛋白质组学。因此,疫苗序列被设计成具有非变应原性的特征,抗原性,免疫原性,和增强的溶解度。在对人类TLR4受体的三级结构进行建模后,使用分子对接和分子动力学模拟(MDS)评估结合亲和力。
    最终疫苗设计与TLR4受体的对接揭示了大量的氢键相互作用。开发了一种基于服务器的免疫学模拟方法,以预测抗抗体(IgMIgG)和干扰素(IFN-g)的有效性。MDS分析显示结构致密性和结合稳定性显著,平均RMSD为5.03Aming;β系数1.09e+5,Rg为44.7阿林;RMSF为49.50阿林;。接下来是结合自由能计算。复合物损害了系统的稳定性,其相应的吉布斯自由能为-54.6kcal/mol。
    应用减法蛋白质组学方法来确定克氏T的抗原区域。我们的研究利用计算技术来鉴定克氏锥虫核心蛋白质组中的B细胞和T细胞表位。在目前的研究中,开发的候选疫苗表现出免疫显性特征。我们的发现表明,针对恰加斯病的病原体制定疫苗应该是其开发的第一步。
    UNASSIGNED: Trypanosoma cruzi is a protozoan parasite that causes the tropical ailment known as Chagas disease, which has its origins in South America. Globally, it has a major impact on health and is transported by insect vector that serves as a parasite. Given the scarcity of vaccines and the limited treatment choices, we conducted a comprehensive investigation of core proteomics to explore a potential reverse vaccine candidate with high antigenicity.
    UNASSIGNED: To identify the immunodominant epitopes, T. cruzi core proteomics was initially explored. Consequently, the vaccine sequence was engineered to possess characteristics of non-allergenicity, antigenicity, immunogenicity, and enhanced solubility. After modeling the tertiary structure of the human TLR4 receptor, the binding affinities were assessed employing molecular docking and molecular dynamics simulations (MDS).
    UNASSIGNED: Docking of the final vaccine design with TLR4 receptors revealed substantial hydrogen bond interactions. A server-based methodology for immunological simulation was developed to forecast the effectiveness against antibodies (IgM + IgG) and interferons (IFN-g). The MDS analysis revealed notable levels of structural compactness and binding stability with average RMSD of 5.03 Aring;, beta-factor 1.09e+5 Å, Rg is 44.7 Aring; and RMSF of 49.50 Aring;. This is followed by binding free energies calculation. The system stability was compromised by the complexes, as evidenced by their corresponding Gibbs free energies of -54.6 kcal/mol.
    UNASSIGNED: Subtractive proteomics approach was applied to determine the antigenic regions of the T cruzi. Our study utilized computational techniques to identify B- and T-cell epitopes in the T. cruzi core proteome. In current study the developed vaccine candidate exhibits immunodominant features. Our findings suggest that formulating a vaccine targeting the causative agent of Chagas disease should be the initial step in its development.
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  • 文章类型: Journal Article
    恰加斯病是由克氏锥虫引起的炎症性寄生虫感染(T。克鲁兹)。早期诊断对于指导治疗和减缓疾病进展至关重要;然而,目前的诊断方法检测限不足,通常需要熟练的技术人员。分子测试,尤其是等温核酸检测,由于其出色的灵敏度,特异性,速度,和简单。这里,我们优化了库氏毛虫比色环介导等温扩增(LAMP)方法。我们可以使用三种不同的克氏锥虫菌株检测少至2个基因组拷贝/反应。我们使用其他寄生原生动物检查了选择性,并成功检测了从人全血中寄生虫中提取的T.cruziDNA,降低到1.2个寄生虫当量/反应。我们还使用犬类血液样本进行了盲法研究,并建立了100%的灵敏度,特异性,以及比色LAMP测定的准确性。最后,我们使用加热的3D打印机床和绝缘保温杯来证明LAMP孵育步骤可以在可访问的情况下进行,低成本材料。总之,我们已经开发了一种高性能的测定克氏杆菌具有简单的比色输出,这将是理想的快速,在使用时进行低成本筛查。
    Chagas disease is an inflammatory parasitic infection caused by Trypanosoma cruzi (T. cruzi). Early diagnosis is crucial in guiding treatment and slowing disease progression; however, current diagnostic methods have insufficient detection limits and often require skilled technicians. Molecular tests, especially isothermal nucleic acid assays, are advantageous due to their excellent sensitivity, specificity, speed, and simplicity. Here, we optimized a colorimetric loop-mediated isothermal amplification (LAMP) assay for T. cruzi. We can detect as few as 2 genomic copies/reaction using three different T. cruzi strains. We examined selectivity using other parasitic protozoans and successfully detected T. cruzi DNA extracted from parasites in human whole blood down to 1.2 parasite equivalents/reaction. We also performed a blinded study using canine blood samples and established a 100% sensitivity, specificity, and accuracy for the colorimetric LAMP assay. Finally, we used a heated 3D printer bed and an insulated thermos cup to demonstrate that the LAMP incubation step could be performed with accessible, low-cost materials. Altogether, we have developed a high-performing assay for T. cruzi with a simple colorimetric output that would be ideal for rapid, low-cost screening at the point of use.
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  • 文章类型: Journal Article
    吸血的普通臭虫,Cimexlectularius,不知道在实验室环境之外传播人类病原体,已经进化出各种免疫防御机制,包括抗菌肽(AMPs)的表达。我们在臭虫中推出了三种新型的丙力霉素AMP,与接吻虫子的丙利西星表现出很强的同源性,Rhodniusprolixus,和双足霉素/attacinAMP。我们首次证明了免疫器官中这些前力霉素的性别特异性和免疫模式特异性上调,中肠和身体的其余部分,在注射和摄入Gr+(枯草芽孢杆菌)和Gr-(大肠杆菌)细菌后。合成的CL-prolixicin2显着抑制大肠杆菌菌株的生长,并杀死或阻碍克氏锥虫,查加斯病特工。我们的研究结果表明,前力霉素受IMD和Toll免疫途径的调节,支持主要免疫途径之间的串扰和模糊的功能区分。CL-原力霉素2对克氏锥虫的疗效强调了AMP在查加斯病管理中的潜力。
    The hematophagous common bed bug, Cimex lectularius, is not known to transmit human pathogens outside laboratory settings, having evolved various immune defense mechanisms including the expression of antimicrobial peptides (AMPs). We unveil three novel prolixicin AMPs in bed bugs, exhibiting strong homology to the prolixicin of kissing bugs, Rhodnius prolixus, and to diptericin/attacin AMPs. We demonstrate for the first time sex-specific and immune mode-specific upregulation of these prolixicins in immune organs, the midgut and rest of body, following injection and ingestion of Gr+ (Bacillus subtilis) and Gr- (Escherichia coli) bacteria. Synthetic CL-prolixicin2 significantly inhibited growth of E. coli strains and killed or impeded Trypanosoma cruzi, the Chagas disease agent. Our findings suggest that prolixicins are regulated by both IMD and Toll immune pathways, supporting cross-talk and blurred functional differentiation between major immune pathways. The efficacy of CL-prolixicin2 against T. cruzi underscores the potential of AMPs in Chagas disease management.
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  • 文章类型: Journal Article
    背景:监测和分析克氏锥虫病媒的感染率,导致查加斯病的原因,有助于评估传播风险。
    目的:在巴拉那州进行了一项研究,巴西,在2012年至2021年之间,并与以前的研究进行了比较。这样做是为了评估疾病传播的风险。
    方法:开发了基于气候和景观变量的生态位模型,以预测载体的栖息地适宜性,作为发生风险的代理。
    结果:总共记录了1,750个三叶草的样本,其中有6种被确定。总感染率为22.7%。克氏虫传播风险最高的地区与市政当局先前的预测一致。新数据表明,气候模型比景观模型更准确。这可能是因为前一时期的气候适宜性更高。
    结论:无论采样不均匀和潜在偏差如何,由于受感染媒介的广泛存在以及整个州对媒介物种的高环境适应性,风险仍然很高,因此,建议改进旨在广泛传播有关该疾病的知识的公共政策,以确保国家仍然没有查加斯病。
    BACKGROUND: Monitoring and analysing the infection rates of the vector of Trypanosoma cruzi, that causes Chagas disease, helps assess the risk of transmission.
    OBJECTIVE: A study was carried out on triatomine in the State of Paraná, Brazil, between 2012 and 2021 and a comparison was made with a previous study. This was done to assess the risk of disease transmission.
    METHODS: Ecological niche models based on climate and landscape variables were developed to predict habitat suitability for the vectors as a proxy for risk of occurrence.
    RESULTS: A total of 1,750 specimens of triatomines were recorded, of which six species were identified. The overall infection rate was 22.7%. The areas with the highest risk transmission of T. cruzi are consistent with previous predictions in municipalities. New data shows that climate models are more accurate than landscape models. This is likely because climate suitability was higher in the previous period.
    CONCLUSIONS: Regardless of uneven sampling and potential biases, risk remains high due to the wide presence of infected vectors and high environmental suitability for vector species throughout the state and, therefore, improvements in public policies aimed at wide dissemination of knowledge about the disease are recommended to ensure the State remains free of Chagas disease.
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  • 文章类型: Journal Article
    光学显微镜视频使专家能够分析几种生物元素的运动。特别是在感染克氏锥虫的血液样本中(T。克鲁兹),显微镜视频揭示了一个动态的场景,其中寄生虫的运动是明显的。虽然寄生虫有自我运动,细胞是惰性的,在动态事件下可能会发生一些位移,如流体和显微镜焦点调整。本文分析了T.Cruzi和血细胞的运动轨迹,通过识别以下运动模式来区分这些元素:波动,和云台变焦(PTZ)。我们考虑两种方法:i)用于区分寄生虫和细胞的分类实验;和ii)聚类实验以识别细胞运动。我们提出了基于标准偏差的轨迹步长色散(TSD)描述符来表征这些元素,优于最先进的描述符。我们的结果证实运动在区分T.cruzi细胞方面是有价值的。由于寄生虫进行了附带运动,它们的轨迹步骤趋于随机性。细胞可以采取在受限区域中具有轨迹步长的均匀和定向路径或PTZ运动之后的波动运动。因此,我们的发现可能有助于开发专注于轨迹分析的新计算工具,这可以推进查加斯病的研究和医学诊断。
    Optical microscopy videos enable experts to analyze the motion of several biological elements. Particularly in blood samples infected with Trypanosoma cruzi (T. cruzi), microscopy videos reveal a dynamic scenario where the parasites\' motions are conspicuous. While parasites have self-motion, cells are inert and may assume some displacement under dynamic events, such as fluids and microscope focus adjustments. This paper analyzes the trajectory of T. cruzi and blood cells to discriminate between these elements by identifying the following motion patterns: collateral, fluctuating, and pan-tilt-zoom (PTZ). We consider two approaches: i) classification experiments for discrimination between parasites and cells; and ii) clustering experiments to identify the cell motion. We propose the trajectory step dispersion (TSD) descriptor based on standard deviation to characterize these elements, outperforming state-of-the-art descriptors. Our results confirm motion is valuable in discriminating T. cruzi of the cells. Since the parasites perform the collateral motion, their trajectory steps tend to randomness. The cells may assume fluctuating motion following a homogeneous and directional path or PTZ motion with trajectory steps in a restricted area. Thus, our findings may contribute to developing new computational tools focused on trajectory analysis, which can advance the study and medical diagnosis of Chagas disease.
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  • 文章类型: Journal Article
    在Triatominae亚科,罗氏属是研究最多的,不仅因为它的流行病学重要性,也是因为很难区分它的物种。目前,控制查加斯病的策略之一,除了其他措施,如分析捐献的血液,专注于对抗矢量。正确识别triatomines对于查加斯病的昆虫流行病学监测至关重要。本工作的目的是使用hemelytra和头的几何形态比较R.prolixus复合体的物种,以评估种内和种间异形的模式及其分类学意义。这种方法可以帮助诊断接近的物种,其形态特征不足以正确识别。使用了来自五个不同集合的样本,涵盖R.prolixus复合体中包含的物种(R.Barretti,R.dalessandroi,R.domesticus,马拉巴纳斯,R.Milesi,R.Montenegrensis,R.Nasutus,R.neglectus,R.Neivai,R.prolixus和R.robustus)。形态分析表明,hemelytra不是具有分离物种的良好分辨率的结构,出于这个原因,头部的使用被证明对该组更合适(因此可以区分R.prolixus复合体的所有物种)。结果表明R.milesi是R.neglectus的变体,并证实了R.prolixus和R.robustus是不同的物种。此外,我们建议创建R.neivai复杂包括R.domesticus和R.neivai。
    In the subfamily Triatominae, the genus Rhodnius is one of the most studied, not only because of its epidemiological importance, but also because of the difficulty in differentiating its species. Currently, one of the strategies to control Chagas disease, besides other initiatives such as the analysis of donated blood, is focused on fighting the vector. Correctly identifying triatomines is essential for the entomoepidemiological surveillance of Chagas disease. The objective of the present work was to compare the species of the R.prolixus complex using geometric morphometry of hemelytra and heads to evaluate the patterns of intraspecific and interspecific allometry and their taxonomic implications. This method can help in the diagnosis of close species, whose morphological characteristics are insufficient for correct identification. Specimens from five different collections were used, covering the species included in the R.prolixus complex (R.barretti, R.dalessandroi, R.domesticus, R.marabaensis, R.milesi, R.montenegrensis, R.nasutus, R.neglectus, R.neivai, R.prolixus and R.robustus). Morphometric analyses indicated that the hemelytra are not structures with good resolution for separating species and, for this reason, the use of the heads proved to be more adequate for this group (thus allowing differentiation of all species of the R.prolixus complex). The results suggest that R.milesi is a variant of R.neglectus and confirms that R.prolixus and R.robustus are distinct species. Furthermore, we propose the creation of the R.neivai complex comprising R.domesticus and R.neivai.
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