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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Avaliação da formação de NETs em pacientes com deficiência de CD40 ligante. / Evaluation of NET formation in CD40 ligand deficient patients.

França, Tábata Takahashi 07 June 2017 (has links)
Estudos recentes demonstraram que as armadilhas extracelulares de neutrófilos (NETs) formam uma estrutura capaz de anular fatores de virulência e destruir microrganismos. Pacientes portadores da síndrome de Hiper-IgM ligada ao X (X-HIGM), imunodeficiência causada por mutações no gene do CD40 ligante (CD40L), são altamente suscetíveis a infecções oportunistas causadas por fungos. Uma vez que a resposta de neutrófilos apresenta grande importância para o controle de infecções fúngicas e estudos que apontam influencia da interação CD40-CD40L na granulopoiese, propusemos investigar se a suscetibilidade a infecções em pacientes com X-HIGM estariam relacionadas à falha na formação de NETs. Os resultados obtidos indicam que pacientes X-HIGM apresentam falha na geração de NETs de maneira estímulo-dependente, possivelmente relacionada a maturação incompleta dos neutrófilos. O estudo contribui para o avanço no conhecimento sobre a imunopatologia da deficiência de CD40L e para elucidação dos mecanismos envolvidos na suscetibilidade a infecções em pacientes com X-HIGM. / Recent studies have shown that neutrophil extracellular traps (NETs) release an structure able to annul virulence factors and destroying microorganisms. Patients with X-linked Hyper-IgM syndrome (X-HIGM), a rare immunodeficiency caused by mutations in the CD40 ligand (CD40L) gene, are highly susceptible to opportunistic infections caused by fungi. Since neutrophil responses are important to control fungal infection and studies that indicate the influence of CD40-CD40L interaction on granulopoiesis, we propose to investigate whether the susceptibility to infections in X-HIGM patients could be related to the failure in NET formation. The results indicate that X-HIGM patients present a failure in NET generation in a stimulus-dependent manner, likely related to incomplete neutrophil maturation. The study contributes to the advancement of knowledge on the immunopathology of CD40L deficiency and contributes to elucidate the mechanisms involved in the susceptibility to infections in X-HIGM patients.

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