Intraflagellar transport (IFT), the bi-directional movement of particles along the length of flagella, is required for flagellar assembly. The IFT particles are moved by kinesin II from the base to the tip of the flagellum, where flagellar assembly occurs. The IFT particles are then moved in the retrograde direction by cytoplasmic dynein 1b/2 to the base of the flagellum. The IFT particles of Chlamydomonas are composed of ~16 proteins, organized into complexes A and B. Alhough IFT is believed to transport cargoes into flagella, few cargoes have been identified and little is known about how the cargos are transported. To study the mechanism of IFT and how IFT is involved in flagellar assembly, this thesis focuses on two questions. 1) In addition to a heavy chain, DHC1b, and a light chain, LC8, what other proteins are responsible for the retrograde movement of IFT particles? 2) What is the specific function of an individual IFT-particle protein? To address these two questions, I screened for Chlamydomonas mutants either defective in retrograde IFT by immunofluorescence microscopy, or defective in IFT-particle proteins and D1bLIC, a dynein light intermediate chain possibly involved in retrograde IFT, by Southern blotting. I identified several mutants defective in retrograde IFT and one of them is defective in the D1bLIC gene. I also identified several mutants defective in several IFT-particle protein genes. I then focused on the mutant defective in D1bLIC and the one defective in IFT46, which was briefly reported as an IFT complex B protein. My results show that as a subunit of the retrograde IFT motor, D1bLIC is required for the stability of DHC1b and is involved in the attachment of IFT particles to the retrograde motor. The P-loop in D1bLIC is not necessary for the function of D1bLIC in retrograde IFT. My results also show that as a complex B protein, IFT46 is necessary for complex B stability and is required for the transport of outer dynein arms into flagella. IFT46 is phosphorylated in vivo and the phosphorylation is not critical for IFT46’s function in flagellar assembly.

A la naissance, le système immunitaire des nouveau-nés est encore en plein développement. La première partie du travail de thèse a consisté à étudier les spécificités du système immunitaire intestinal des nouveau-nés qui conduisent à leur plus grande susceptibilité à l’infection par Cryptosporidium parvum. Ce protozoaire constitue un excellent modèle pour étudier les réponses immunitaires mucosales. En effet, son développement est restreint à l’épithélium intestinal et est strictement relié au statut immunitaire de son hôte ce qui explique que cet agent zoonotique affecte tout particulièrement les nouveau-nés et les immunodéficients. Nous avons démontré que les cellules dendritiques (DC) CD103+ étaient indispensables au contrôle de la phase aigüe de l’infection et que leur faible représentation dans la lamina propria de l’iléon chez les nouveau-nés était responsable de leur susceptibilité à l’infection. Nous avons identifié avec précision le mécanisme CXCR3 dépendant permettant le recrutement des DC CD1O3+ dans la muqueuse infecté et leur capacité à produire de l’IL-12 et de l’IFNdz, deux cytokines majeures impliquées dans le mécanisme de protection. La deuxième partie de ce travail a consisté à utiliser une stratégie d’immunostimulation basée sur l’utilisation de ligands de TLR capables d’activer fortement les cellules dendritiques du nouveau-né. Cette approche permet un contrôle rapide et très efficace d’une infection par C. parvum. / At birth, the neonatal immune system is still developing. In the first part of the thesis we investigated the characteristics of the intestinal immune system of neonates that lead to their greater susceptibility to infection by Cryptosporidium parvum. This protozoan is an excellent model for studying mucosal immune responses. Indeed, its development is restricted to the intestinal epithelium and is strictly related to the immune status of its host which explains the particular susceptibility of neonates and immunocompromised to this zoonotic agent. We have demonstrated that CD103+ dendritic cells (DC) are essential for the control of the acute phase of infection and their low representation in the ileal lamina propria of neonates was responsible for their higher susceptibility to infection. We have accurately identified the CXCR3-dependent mechanism for the recruitment of DC CD1O3+ in the infected mucosa and their ability to produce IL -12 and IFNdz, two major cytokines involved in the mechanism of protection. The second part of this work was to use an immunostimulatory strategy based on administration of TLR ligands that can strongly activate neonatal DC of the intestine. This approach allows a fast and highly effective control of an ongoing C. parvum infection.

Objetivou-se, com o presente estudo, verificar a ocorrência de Cryptosporidium spp entre crianças do município de Taubaté-SP e realizar a genotipagem de isolados clínicos do parasito. Foram selecionadas 13 creches municipais, que atendiam crianças de 4 a 72 meses de idade, realizando-se implantação de um programa para busca ativa de casos de diarréia, com acompanhamento da população durante o ano de 2002. Para se conhecer o perfil coproparasitológico, realizou-se estudo transversal em quatro das 13 creches selecionadas. Foram examinadas 483 amostras fecais processadas pelo método de concentração em formalina-acetato de etila e, para a visualização de oocistos, esfregaços fecais foram corados pelo método de Kinyoun. No estudo prospectivo, Cryptosporidium spp foi encontrado em 11,1 % (3/27) das amostras, não se evidenciando outras espécies parasitárias. No estudo transversal, foram detectados oocistos em 0,2% (1/456) das amostras e a freqüência para outras espécies parasitárias foi de 30,5% (139/456). No estudo de genotipagem, foram analisadas 14 amostras de humanos, uma de bovino e uma de cão. Dentre os isolados de humanos, quatro eram de crianças de Taubaté-SP, cinco de crianças de uma favela de São Paulo-SP e cinco de pacientes HIV positivos, de Sorocaba-SP. O DNA extraído a partir das amostras fecais foi submetido a Nested-PCR, amplificando-se um segmento de 553pb de um gene que codifica proteína de parede de Cryptosporidium (COWP). Os produtos amplificados foram submetidos a processo de digestão enzimática (RPLP-PCR), e os perfis obtidos por eletroforese evidenciaram três espécies: Cryptosporidium hominis em oito amostras, Cryptosporidium parvum em quatro e Cryptosporidium meleagridis em duas. Dos isolados de Taubaté, dois foram correspondentes a C. hominis e dois a C. parvum. As amostras de bovino e de cão foram positivas para C. parvum. O genótipo dos isolados de Taubaté, humanos e de animais, foram confirmados por análise da sequência do fragmento de 553pb do gene COWP, comparando-se com as sequências disponíveis no GenBank. / The aims of this study were to investigate the occurrence of infection by Cryptosporidium spp in children living in Taubaté, São Paulo, Brazil, and to realize the molecular characterization of the parasite isolates. Thirteen day-care centers were selected and 4-72 months old children were involved in prospective study to detect diarrhea, during the 2002 year. In four of these day-care centers, a transversal study was performed in the beginning of the study to know the prevalence of intestinal parasites of children\'s community. A total of 483 stool samples were examined by the modified formalin-etil acetate concentration method, and the acid-fast Kinyoun stain was used to visualize oocysts. In the prospective study Cryptosporidium spp were detect in 11.1 % (3/27) of stool samples and no other parasites were found. In the transversal study oocysts were detected in 0.2% (1/456) of the samples and the frequency of infection by other parasites was 30.5% (139/456). In the genotyping study, 14 stool samples from humans and one sample from bovine and another from dog were analyzed. Among the human isolates, four were from children of Taubaté, five were from children living in a slum of São Paulo city and the other five from HIV-positive patients of Sorocaba, São Paulo. The animal samples were collected in Taubaté region. A DNA fragment of 553 pb of the Cryptosporidium oocyst wall protein (COWP) gene was amplified from stool samples by Nested-PCR, and Restriction Fragment Length Polymorphism analysis identified three species: Cryptosporidium hominis in eight samples, Cryptosporidium parvum in four samples and Cryptosporidium meleagridis in two samples. Among samples from Taubaté, two were positive for C. hominis and two for C. parvum. The bovine and dog samples were positive for C. parvum. The findings trom Taubaté were confirmed by sequence analysis of the 553bp amplicons and comparison of the COWP gene available in the GenBank.

Made available in DSpace on 2014-08-20T14:37:54Z (GMT). No. of bitstreams: 1 dissertacao_cintia_lidiane_guidoti_aguiar_cunha.pdf: 517290 bytes, checksum: 54cdb2ba4dc72f12759c702f6b1b7cda (MD5) Previous issue date: 2013-07-31 / Neospora caninum is an obligate intracellular protozoan, causes neosporosis and resembles formation by Toxoplasma gondii tissue cysts in their hosts. Humans are not considered intermediate hosts for N. caninum, but its zoonotic potential is questionable, because of the close phylogenetic relationship with T. gondii and the report of a study, which fetuses of nonhuman primates, Rhesus, (Macaca mulatta) infected artificially with lesions similar to those caused by congenital toxoplasmosis. The present study aimed to verify the occurrence of antibodies to N. caninum in humans and its possible association with HIV infection and other risk factors. The presence of antibodies to N. caninum was determined from a sample of 156 HIV-positive patients and 100 HIV-negative individuals of Pelotas, Rio Grande do Sul, Brazil, through the reaction of Indirect Immunofluorescence Assay (IFA), with initial dilution of 1:25. Antibody titers found by IFA ranged between 25 and 800. Samples of 256 human sera analyzed, 47 (18.3%) were positive for N. caninum. Since antibodies to this protozoan were found in 36 HIV-positive patients (23.1%) and in 11 HIV-negative individuals (11%). Multivariate analysis showed that HIV-positive patients who have CD4+ T-lymphocyte count ≤ 350 cells/mm3 have 2.4 times more likely to be seropositive for N. caninum. HIV-negative individuals who have seropositivity for T. gondii have 4.71 times more likely to have antibodies to the agent studied. The results indicate the exposure of humans to N. caninum, with higher prevalence in immunocompromised individuals. / Neospora caninum é um protozoário intracelular obrigatório, causador da neosporose e assemelha-se a Toxoplasma gondii pela formação de cistos teciduais em seus hospedeiros. Os humanos não são considerados hospedeiros intermediários para N. caninum, mas seu potencial zoonótico é discutível, em virtude da proximidade filogenética com T. gondii e do relato de um estudo, onde fetos de primatas não humanos, Rhesus, (Macaca mulatta) infectados artificialmente, apresentaram lesões semelhantes às causadas por toxoplasmose congênita. O presente estudo teve por objetivo verificar a ocorrência de anticorpos para N. caninum em humanos e sua possível associação com a infecção por HIV e outros fatores de risco. A ocorrência de anticorpos para N. caninum foi determinada a partir de uma amostra de 156 pacientes HIV-positivos e 100 de indivíduos HIV-negativos do município de Pelotas, Rio Grande do Sul, Brasil, por meio da Reação de Imunofluorescência Indireta (RIFI), com a diluição inicial de 1:25. Os títulos de anticorpos encontrados através da RIFI variaram entre 25 e 800. Das 256 amostras de soros humanos analisadas, 47 (18,3%) foram positivas para N. caninum. Sendo que anticorpos para esse coccídio foram encontrados em 36 pacientes HIV-positivos (23,1%) e em 11 indivíduos HIV-negativos (11%). A análise multivariada demonstrou que pacientes HIV-positivos que possuem contagem de linfócitos T-CD4+ ≤ 350 células/mm3 possuem 2,4 vezes mais chances de serem soropositivos para N. caninum. Indivíduos HIV-negativos que apresentam soropositividade para T. gondii possuem 4,71 vezes mais chances de apresentarem anticorpos para o agente estudado. Os resultados obtidos indicam a exposição de seres humanos a N. caninum, com prevalência mais elevada em indivíduos imunocomprometidos.

Os objetivos desse estudo foram avaliar a transmissão transplacentária por N. caninum em diferentes fases da gestação (Exp I) e avaliar diferentes tecidos de bovinos como meio de transmissão de N. caninum em cães jovens e adultos (Exp II). No Exp I, Três cadelas foram inoculadas com 108 taquizoítos de N. caninum na 3ª semana de gestação, três na 6ª semana e uma permaneceu como controle. Todas as cadelas infectadas, e pelo menos um de seus filhotes, apresentaram soroconversão a anticorpos anti-N. caninum pela Reação de Imunofluorescência Indireta. Verificou-se presença do parasita pela coloração de Hematoxilina-Eosina em Sistema Nervoso Central e pela PCR ITS-1 e RFLP em linfonodo, cérebro, coração e fígado. No Exp II, cães jovens e adultos receberam diferentes tecidos de bovinos naturalmente infectados com N. caninum, sendo coração, cérebro, masseter e fígado. Não houve soroconverteu. Apenas os cães jovens eliminaram oocistos de N. caninum ao ingerirem masseter (2 cães, 40%), coração (2 cães, 40%), fígado (1 cão, 33%) e cérebro (3 cães, 75%). / The objectives of this study were to evaluate transplacental transmission of N. caninum in different stages of pregnancy (Exp I) and evaluate different bovine tis.sues as means of transmission of N. caninum in young dogs and adults (Exp II). In Exp I, Three dogs were inoculated with 108 tachyzoites of N. caninum in the third week of gestation, three at 6 sixth week and one remained as a control. All infected dogs, and at least one of their offspring, seroconverted to anti-N. caninum antibodies by Immunofluorescence Assay. There was presence of the parasite by Hematoxylin- Eosine exam in Central Nervous System and by PCR and RFLP ITS-1 in lymph node, brain, heart and liver. In Exp II, young and adult dogs received different tissues of cattle naturally infected with N. caninum: heart, brain, liver and masseter. None seroconverted. Only the young dogs shed oocysts of N. caninum by eating masseter (2 dogs, 40%), heart (2 dogs, 40%), liver (one dog, 33%) and brain (3 dogs, 75%).

PhD (Biochemistry) / Department of Biochemistry / The main malaria agent, Plasmodium falciparum expresses an Hsp70 (PfHsp70-1) which plays a significant role in parasite survival. PfHsp70-1 is distinct in that it possesses glycine-glycine-methionine-proline (GGMP) tetrapeptide repeats in its C-terminal domain. To date, the GGMP motif of PfHsp70-1 has not been studied. The motif is positioned within the C-terminal lid segment of PfHsp70-1. The motif is also about seven residues upstream the terminal EEVD residues that are responsible for the interaction of PfHsp70-1 with its functional regulators (co-chaperones). P. falciparum Hsp70/Hsp90 organizing protein (PfHop) constitutes one of the functional regulators of PfHsp70-1. PfHop allows PfHsp70-1 and its chaperone partner, PfHsp90 to form a functional partnership. Given the proximity of the GGMP repeats to the C-terminus of PfHsp70-1, it was postulated in this study that the GGMP repeat residues may regulate attachment of PfHop to PfHsp70-1. Hence, this study hypothesized that the GGMP repeat motif is important for the interaction between PfHop and PfHsp70-1 as well as the chaperone activity of PfHsp70-1. Two variants in which the N-terminal and the C-terminal GGMP repeats were conservatively substituted were generated. E. coli Hsp70 (DnaK) lacks a GGMP motif. Thus, the GGMP motif of PfHsp70-1 was introduced into E. coli DnaK in order to generate a third GGMP variant. Recombinant forms of PfHsp70-1, DnaK, and their GGMP variants were heterologously expressed in E. coli XL1 Blue cells. The proteins were purified to homogeneity by using a combination of Ni-NTA affinity chromatography, ion exchange, and size exclusion chromatography. Purified proteins were then biophysically characterized using CD spectroscopy and tryptophan fluorescence. Findings from this study revealed that there were minimal secondary structural differences between PfHsp70-1, DnaK and their GGMP variants. In order to investigate the chaperone function of PfHsp70-1, DnaK and the GGMP variants, a complementation assay in E. coli dnak756 cells whose Hsp70 is functionally compromised was conducted. The PfHsp70-1 GGMP variants were able to suppress the thermosensitivity of the E. coli cells. However, the Investigation of the role of GGMP motif of Plasmodium falciparum Hsp70-1 on the chaperone function of the protein and its interaction with a co-chaperone, PfHop ii DnaK-G variant failed to confer cytoprotection to the E. coli dnak756 cells. To further validate the findings from the complementation assay, the ability of the recombinant proteins to suppress aggregation of heat stressed Malate dehydrogenase (MDH) was elucidated. PfHsp70-1 had better MDH aggregation suppression capabilities than its GGMP variants. Overall, findings from the MDH aggregation suppression assay suggest that the GGMP repeats may contribute towards substrate binding. Substrate binding might be dependent on the specific positioning of a particular repeat in the GGMP motif of PfHsp70-1. Furthermore, the ATPase activity of PfHsp70-G632 and PfHsp70-G648 was significantly reduced compared to PfHsp70-1 (wild type). However, PfHsp70-G632 had the lowest ATPase activity. Interestingly, the ATPase activity of PfHsp70-G632 was enhanced in the presence of synthetic Hsp70 model peptide substrates. Slot blot and ELISA approaches confirmed that the GGMP mutations partially abrogated the interaction of PfHsp70-1 with PfHop. Altogether, the findings suggest that the GGMP motif of PfHsp70-1 has marginal effects on the structure of PfHsp70-1. In conclusion, this study provides the first direct evidence that the GGMP motif is important for the chaperone function of PfHsp70-1 as well as its interaction with PfHop. / NRF

La recherche de nouvelles molécules à activité antiparasitaire pour lutter contre les parasites responsables de maladies telles que le paludisme ou la trypanosomiase humaine africaine est un enjeu primordial car il n’existe pas de vaccin pour ces maladies qui peuvent être mortelles et qui touchent près de 1/6 de la population mondiale. Dans ce contexte, il a été observé au laboratoire que l’amélioration de l’activité des molécules sur une cible isolée ne se retrouvait pas toujours sur les parasites. Une faible entrée de la molécule dans la cellule pourrait être une des causes de ce manque de corrélation, comme cela est souvent le cas dans la recherche de molécules actives.Pour valider ou non cette cause, ces travaux de thèse ont eu pour but de concevoir, synthétiser et évaluer de nouvelles sondes fluorescentes qui permettraient de visualiser la pénétration de molécules actives dans des cellules, en nous intéressant en particulier aux parasites responsables de la maladie du sommeil et du paludisme.Notre concept se base sur le principe de la chimie « click », sans catalyseur, impliquant une fonction alcyne et un groupement azoture. Ceci est possible lorsque la fonctionalcyne est insérée dans un cycle tendu comme celui d’un cyclooctyne qui lui confère une plus grande réactivité (Strain-Promoted Alkyne-Azide Cycloaddition).Nous avons synthétisé des dérivés de la dibenzocyclooctynone, une molécule fluorescente décrite pour réagir sans catalyseur avec des azotures, de manière à obtenir des sondes à détection « on-on’ ». Ainsi, sept nouvelles sondes fluorescentes ont été obtenues, dont trois réagissent avec des azotures avec une cinétique adéquate. Les propriétés photophysiques de ces molécules ont été caractérisées et nous avons vérifié qu’elles traversent bien la membrane des protozoaires parasites que nous étudions. La fluorescence n’est observée qu’à l’intérieur du parasite.La détection d’un azoture in cellulo a été vérifiée par HPLC- MS/MS avec une des sondes.Parmi les sept cyclooctynones obtenues, une sonde forme un adduit triazole fluorescent avec une cinétique acceptable, ce qui constitue le premier exemple de sonde « on-on’ » de cette série et une véritable avancée dans la chimie bio-orthogonale. / The discovery of new molecules with antiparasitic activity is crucial today to fight against infectious diseases such as malaria and HAT since no vaccine is available to cure these diseases. In our search for new antiparasitic compounds, we observed that activity improvement on an isolated target was not seen on parasite. We suspected an ineffective entry of the molecule into the cell to be one of the reasons for these uncorrelated results.To explore this possibility, this PhD work aimed to design, synthetize and evaluate new fluorescent probes that would allow the visualization of drug entry into parasites responsible for HAT and malaria.Our concept is based on “click” chemistry that can be achieved without catalyst, between an azide and a strained alkyne like cyclooctyne (Strain-Promoted Alkyne-Azide Cycloaddition).We synthetized derivatives of dibenzocyclooctynone, a fluorescent molecule described to undergo SPAAC reaction with azides, in order to obtain “on-on’” detection probes. Seven new fluorescent probes were therefore synthetized, among which three of them displayed adequate SPAAC kinetics. Photophysical properties of these molecules were characterized and their penetration into protozoan cells was demonstrated. Fluorescence was only observed in the parasitic cytosol.In cellulo azide detection was achieved and verified by LC- MS/MS with one of our probes.One out of the seven probes formed a fluorescent triazole adduct, which constitutes the first example of an « on-on’ » probe for this series and a real progress in bioorthogonal chemistry.

La leishmaniose est une zoonose à transmission vectorielle due au parasite protozoaire Leishmania ; des co-infections avec plusieurs espèces de Leishmania ont également été rapportées. Il a été démontré que les vésicules extracellulaires (VE) de ce parasite jouent un rôle dans l'infection précoce, ainsi que la propagation de la résistance in vitro aux médicaments. Peu de médicaments anti-Leishmania sont disponibles, et la résistance continue de croître chez ce parasite; il est donc impératif de comprendre la propagation de la résistance aux antileishmaniens. Nous avons exploré la capacité des VE xénogéniques de Leishmania à moduler la physiopathologie de l'infection et la sensibilité du parasite aux médicaments après contact in vivo. La co-inoculation de parasites et de VE provenant de souches/espèces de Leishmania présentant divers profils de résistance aux médicaments a été réalisée chez la souris. La physiopathologie et la charge parasitaire ont été suivies, et des tests de sensibilité aux médicaments effectués. Les résultats ont démontré que les VE de Leishmania infantum influencent la physiopathologie de Leishmania major dans le cadre in vivo. Nous avons également constaté que ces VE modulent la sensibilité aux médicaments de L. major après un contact in vivo dans un modèle d'infection précoce, entraînant une diminution significative de la sensibilité à l’antileishmanien antimoine. Nous démontrons ici pour la première fois que les VE des parasites xénogéniques peuvent participer à la propagation de la résistance aux médicaments entre les populations de parasites après un contact in vivo, ce qui pourrait expliquer en partie l'augmentation des taux d'échec des traitements contre Leishmania. / Leishmaniasis is a zoonotic disease caused by the protozoan parasite Leishmania, endemic to 98 countries and territories. There are several manifestations of leishmaniasis, some fatal if left untreated. Furthermore, co-infections with multiple species of Leishmania have also been reported. Extracellular vesicles (EVs) from Leishmania have been demonstrated to play a role in early infection, as well as spread of drug resistance in vitro. Few antileishmanial drugs are available, and drug resistance to those in use continues to grow; as such, there is an urgent need to better understand the spread of Leishmania drug resistance. In this study, the ability of xenogeneic Leishmania EVs to modulate infection pathophysiology and parasite drug sensitivity after in vivo contact was explored. Co-inoculation of parasites and purified EVs from strains/species of Leishmania with contrasting drug resistance profiles was performed in BALB/c mice. Pathophysiology and parasite burden were monitored, and drug-susceptibility testing performed on recovered parasites. Results demonstrated that EVs from Leishmania infantum influence pathophysiology of Leishmania major in in vivo experiments. These EVs were also found to modulate drug sensitivity of L. major after in vivo contact in a 6-hour infection model, leading to a highly significant decrease in susceptibility to antileishmanial antimony. Here it is demonstrated for the first time that EVs from xenogeneic parasites can participate directly in propagating drug resistance between parasite populations after in vivo contact. These findings may help explain current observations of rising rates of Leishmania treatment failure.

Neste estudo são comparados os níveis de citocinas plasmáticas circulantes e as populações periféricas de células Treg CD4+CD25+, com base na expressão de FOXP3 e CTLA-4, e de células dendríticas (DCs) em indivíduos infectados por P. falciparum, P.vivax ou co-infectados por ambas as espécies e em controles saudáveis, porém expostos à malária, provenientes de uma área de transmissão instável na Amazônia brasileira. Amostras sangüineas de 76 pacientes infectados e de 18 controles expostos foram coletadas e processadas para a obtenção de células mononucleares. As populações celulares foram avaliadas por citometria de fluxo e os níveis de citocinas circulantes, pela técnica de ELISA de captura. A infecção aguda induziu aumento no percentual de células CD4+CD25+FOXP3+CTLA-4+ (p=0,0029; teste de Kruskal-Wallis) e redução no número absoluto de DCs (p=0,0008; teste de Kruskal-Wallis); mas esses efeitos ocorreram independente da espécie do parasito infectante. Entre os pacientes com malária vivax, 35-40% apresentaram baixa proporção de DCs que expressam a molécula co-estimulatória CD86. A única variável associada à baixa proporção de DCs CD86+ foi a proporção de células CD4+CD25+FOXP3+ que expressam CTLA-4. Em relação aos níveis de citocinas circulantes observou-se aumento nos níveis de IFN-<font face=\"Symbol\">&#947 na infecção por P. falciparum (p=0,0050; teste de Kruskal-Wallis). Apesar da concentração de IL-10 estar elevada em todos os indivíduos infectados em relação aos controles expostos (p<0,0001; teste de Kruskal-Wallis) esses níveis foram bem mais expressivos em indivíduos com malária vivax. Plasmodium falciparum e P. vivax parecem estimular diferentes padrões de resposta imune no hospedeiro, mesmo quando a comparação envolve somente indivíduos com malária não-complicada expostos a níveis semelhantes de transmissão de malária. / This study compares levels of circulating cytokines and peripheral-blood populations of CD4+CD25+ Treg cells, based on the expression of FOXP3 and CTLA-4, and dendritic cells (DCs) in individuals infected with P. falciparum, P. vivax or co-infected with both species and in healthy controls living in an area of unstable transmission of malaria in the Brazilian Amazon. Blood samples from 76 malaria patients and 18 malaria-exposed but non-infected controls were collected and processed to obtain mononuclear cells. Cell populations were characterized by flow cytometry and levels of circulating cytokines were measured by capture ELISA. Acute infection induced an increase in the proportion of CD4+CD25+FOXP3+CTLA-4+ cells (p= 0.0029, Kruskal-Wallis) and a decrease in the absolute number of DCs (p= 0.0008, Kruskal-Wallis), being both effects independent of the infecting parasite species. 35-40% of the P. vivax-infected subjects (but none in the other groups of subjects) had few circulating DCs expressing the co-stimulatory molecule CD86, a putative marker of DC activation. The only variable associated with a low proportion of CD86+ DCs was the proportion of CD4+CD25+FOXP3+ expressing CTLA-4. Analysis of circulating cytokine levels revealed increased levels of IFN- <font face=\"Symbol\">&#947 in P. falciparum infection (p= 0.0050, Kruskal-Wallis); although IL-10 levels were high in all infected individuals, compared with exposed controls (p<0.0001, Kruskal-Wallis), the increase was much more pronounced in vivax malaria. Plasmodium falciparum and P. vivax</i. appear to stimulate different patterns of immune response in humans, even when comparisons are limited to individuals with uncomplicated malaria exposed to similar levels of malaria transmission.

Os principais marcadores sorológicos para o diagnóstico da toxoplasmose aguda ou recente são os anticorpos IgM específicos e anticorpos IgG de baixa avidez. Entretanto em alguns pacientes, anticorpos IgM e baixa avidez de anticorpos IgG podem persistir, ultrapassando o período da fase recente aguda contribuindo para erros de interpretação diagnóstica. No presente estudo, a eficiência diagnóstica do ensaio imunoenzimático foi avaliada, com o uso de frações antigênicas ou peptídeos sintéticos originados do antígeno ESA de T.gondii, denominados de SAG-1, GRA-1 e GRA-7. Foram estudadas frações isoladas e combinadas em múltiplos peptídeos antigênicos (MAP), visando estabelecer um perfil confiável para definição sorológica de toxoplasmose recente aguda em amostra única de soro. A melhor eficiência diagnóstica do ensaio foi encontrada com o uso da combinação de peptídeos SAG- 1,GRA-1 e GRA-7, denominada MAP1. A detecção de anticorpos IgG e IgM anti- MAP1 apresentou a melhor definição entre a fase recente aguda da fase recente não aguda na toxoplasmose. Nossos resultados mostraram que IgM anti-MAP1 poderá se constituir um marcador sorológico importante no aumento da eficiência diagnóstica da toxoplasmose recente aguda / The main serological marker for the diagnosis of recent toxoplasmosis is the specific IgM antibody, along with IgG antibodies of low avidity. However, in some patients these antibodies may persist long after the acute/recent phase, contributing to misdiagnosis in suspected cases of toxoplasmosis. In the present study, the diagnostic efficiency of ELISA was evaluated, with the use of peptides derived from T. gondii ESA antigens, named SAG-1, GRA-1 and GRA-7. In the assay referred to, we studied each of these peptides individually, as well as in four different combinations, as Multiple Antigen Peptides (MAP), aiming to establish a reliable profile for the acute/recent toxoplasmosis with only one patient serum sample. The diagnostic performance of the assay using MAP1, with the combination of SAG-1, GRA-1 and GRA-7 peptides, demonstrated better discrimination of the acute/recent phase from non acute/recent phase of toxoplasmosis. Our results show that IgM antibodies to MAP1 may be useful as a serological marker, enhancing the diagnostic efficiency of the assay for acute/recent phase of toxoplasmosis