Immunomodulation for the Treatment of Chronic Chagas Disease Cardiomyopathy: A New Approach to an Old Enemy

Chagas disease is a parasitic infection caused by the intracellular protozoan Trypanosoma cruzi. Chronic Chagas cardiomyopathy (CCC) is the most severe manifestation of the disease, developed by approximately 20-40% of patients and characterized by occurrence of arrhythmias, heart failure and death....

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Autores principales: Emanuelle de Souza Santos, Dahara Keyse Carvalho Silva, Bruna Padilha Zurita Claro dos Reis, Breno Cardim Barreto, Carine Machado Azevedo Cardoso, Ricardo Ribeiro dos Santos, Cássio Santana Meira, Milena Botelho Pereira Soares
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/f72f181d972a4d3c8667e4a95c95e2da
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spelling oai:doaj.org-article:f72f181d972a4d3c8667e4a95c95e2da2021-11-12T05:43:09ZImmunomodulation for the Treatment of Chronic Chagas Disease Cardiomyopathy: A New Approach to an Old Enemy2235-298810.3389/fcimb.2021.765879https://doaj.org/article/f72f181d972a4d3c8667e4a95c95e2da2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcimb.2021.765879/fullhttps://doaj.org/toc/2235-2988Chagas disease is a parasitic infection caused by the intracellular protozoan Trypanosoma cruzi. Chronic Chagas cardiomyopathy (CCC) is the most severe manifestation of the disease, developed by approximately 20-40% of patients and characterized by occurrence of arrhythmias, heart failure and death. Despite having more than 100 years of discovery, Chagas disease remains without an effective treatment, especially for patients with CCC. Since the pathogenesis of CCC depends on a parasite-driven systemic inflammatory profile that leads to cardiac tissue damage, the use of immunomodulators has become a rational alternative for the treatment of CCC. In this context, different classes of drugs, cell therapies with dendritic cells or stem cells and gene therapy have shown potential to modulate systemic inflammation and myocarditis in CCC models. Based on that, the present review provides an overview of current reports regarding the use of immunomodulatory agents in treatment of CCC, bringing the challenges and future directions in this field.Emanuelle de Souza SantosDahara Keyse Carvalho SilvaBruna Padilha Zurita Claro dos ReisBreno Cardim BarretoCarine Machado Azevedo CardosoRicardo Ribeiro dos SantosRicardo Ribeiro dos SantosCássio Santana MeiraCássio Santana MeiraMilena Botelho Pereira SoaresMilena Botelho Pereira SoaresFrontiers Media S.A.articleChagas diseaseTrypanosoma cruzicardiomyopathyimmunomodulationimmunotherapyMicrobiologyQR1-502ENFrontiers in Cellular and Infection Microbiology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Chagas disease
Trypanosoma cruzi
cardiomyopathy
immunomodulation
immunotherapy
Microbiology
QR1-502
spellingShingle Chagas disease
Trypanosoma cruzi
cardiomyopathy
immunomodulation
immunotherapy
Microbiology
QR1-502
Emanuelle de Souza Santos
Dahara Keyse Carvalho Silva
Bruna Padilha Zurita Claro dos Reis
Breno Cardim Barreto
Carine Machado Azevedo Cardoso
Ricardo Ribeiro dos Santos
Ricardo Ribeiro dos Santos
Cássio Santana Meira
Cássio Santana Meira
Milena Botelho Pereira Soares
Milena Botelho Pereira Soares
Immunomodulation for the Treatment of Chronic Chagas Disease Cardiomyopathy: A New Approach to an Old Enemy
description Chagas disease is a parasitic infection caused by the intracellular protozoan Trypanosoma cruzi. Chronic Chagas cardiomyopathy (CCC) is the most severe manifestation of the disease, developed by approximately 20-40% of patients and characterized by occurrence of arrhythmias, heart failure and death. Despite having more than 100 years of discovery, Chagas disease remains without an effective treatment, especially for patients with CCC. Since the pathogenesis of CCC depends on a parasite-driven systemic inflammatory profile that leads to cardiac tissue damage, the use of immunomodulators has become a rational alternative for the treatment of CCC. In this context, different classes of drugs, cell therapies with dendritic cells or stem cells and gene therapy have shown potential to modulate systemic inflammation and myocarditis in CCC models. Based on that, the present review provides an overview of current reports regarding the use of immunomodulatory agents in treatment of CCC, bringing the challenges and future directions in this field.
format article
author Emanuelle de Souza Santos
Dahara Keyse Carvalho Silva
Bruna Padilha Zurita Claro dos Reis
Breno Cardim Barreto
Carine Machado Azevedo Cardoso
Ricardo Ribeiro dos Santos
Ricardo Ribeiro dos Santos
Cássio Santana Meira
Cássio Santana Meira
Milena Botelho Pereira Soares
Milena Botelho Pereira Soares
author_facet Emanuelle de Souza Santos
Dahara Keyse Carvalho Silva
Bruna Padilha Zurita Claro dos Reis
Breno Cardim Barreto
Carine Machado Azevedo Cardoso
Ricardo Ribeiro dos Santos
Ricardo Ribeiro dos Santos
Cássio Santana Meira
Cássio Santana Meira
Milena Botelho Pereira Soares
Milena Botelho Pereira Soares
author_sort Emanuelle de Souza Santos
title Immunomodulation for the Treatment of Chronic Chagas Disease Cardiomyopathy: A New Approach to an Old Enemy
title_short Immunomodulation for the Treatment of Chronic Chagas Disease Cardiomyopathy: A New Approach to an Old Enemy
title_full Immunomodulation for the Treatment of Chronic Chagas Disease Cardiomyopathy: A New Approach to an Old Enemy
title_fullStr Immunomodulation for the Treatment of Chronic Chagas Disease Cardiomyopathy: A New Approach to an Old Enemy
title_full_unstemmed Immunomodulation for the Treatment of Chronic Chagas Disease Cardiomyopathy: A New Approach to an Old Enemy
title_sort immunomodulation for the treatment of chronic chagas disease cardiomyopathy: a new approach to an old enemy
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/f72f181d972a4d3c8667e4a95c95e2da
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