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Paracoccidioidomycosis: follow up of acquired immunity parameters and of the activation state of phagocytes in susceptible isogenic mice submitted to the antifungal therapy.

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Author(s):
Renata Scavone de Oliveira
Total Authors: 1
Document type: Doctoral Thesis
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Instituto de Ciências Biomédicas (ICB/SDI)
Defense date:
Examining board members:
Eva Burger; Lucia Helena Faccioli; Roberto Martinez; Eliana Faquim de Lima Mauro; Liana Maria Cardoso Verinaud
Advisor: Eva Burger
Abstract

Amphotericin B effects in mice susceptible to P. brasiliensis were evaluated. L-AmB reverts the susceptibility pattern to the resistant one with more efficiency than c-AmB, as confirmed by the CFU, NO e IgG2b quantifications. However, TNF-a, IL-12, IFN-g, GM-CSF, total IgG, IgM, IgG1, IgG2a and IgA levels are not significantly altered. Neutrophils and macrophages cocultivated with Pb e L-AmB tend to present higher fungicidal ability, but not enhanced synthesis of mediators. The better performance of L-AmB could be due to its interaction with TLR4. In TLR4-deficient or sufficient mice, progression of the disease is similar. The efficiency of the therapy, however, is lower in deficient animals, as seen on CFU; leukocyte profiles and NO, TNF-a, IL-12 and GM-CSF levels are not significantly altered by L-AmB-TLR4 interaction. Therefore, the drug administration is capable of reverting mycological parameters, but not the immunological ones. Interaction between TLR4, P. brasiliensis and L-AmB does not seem to play a special role in the establishment of immunity. (AU)