Orientador: Germano Francisco Biondi / Coorientador: Elenice Deffune / Banca: Cáris Maroni Nunes / Banca: Márjorie de Assis Golim / Banca: Marli Leite de Moraes / Banca: Milton Hissashi Yamamura / Resumo: A cisticercose bovina é uma zoonose cosmopolita e presente nos rebanhos bovinos de corte no Brasil, que ocorre em países em desenvolvimento, onde a infraestrutura sanitária inadequada e as más práticas na criação de gado permitem a contaminação de pastagem e água com fezes humanas contendo ovos do parasita. Os prejuízos financeiros decorrem da condenação ou tratamento (salga ou da congelação) das carcaças infectadas, dependendo da intensidade da infecção. O diagnóstico da cisticercose bovina é realizado durante o abate, pela inspeção das carcaças e realização de cortes em locais de predileção do parasita como a língua, masseter, coração e diafragma. Assim, a fim de promover o diagnóstico ante-mortem e permitir o tratamento adequado de animais infectados, muitos estudos foram realizados utilizando-se técnicas de detecção de anticorpos ou antígenos em amostras de soro bovino. O teste ELISA baseado em anticorpos monoclonais (MAbs) para a detecção de antígeno circulante (Ag-ELISA) tem sido estudado, mas apresenta baixa sensibilidade em animais com infecção leve, e permite a sua realização apenas em laboratórios bem equipados. O uso de biossensores em medicina tem crescido nos últimos anos, permitindo a detecção e quantificação de metabólitos, bem como o uso de diversos biopolímeros como matriz de imobilização como quitosana e fibroína da seda. Imunossensores são biossensores cuja resposta bioquímica relaciona-se à interação antígeno-anticorpo, que podem ser utilizados para detectar anticorpos ou antígenos, tendo sido utilizados no diagnóstico de enfermidades. Nesta pesquisa, desenvolveu-se o primeiro imunossensor para o diagnóstico da cisticercose bovina, com filmes produzidos camada por camada (LbL) contendo um MAb dirigido contra antígeno bruto de metacestódeos de T. saginata (TAEB) e fibroína de seda (SF), imobilizados, que mostrou-se promissor ... / Abstract: Bovine cysticercosis is a cosmopolitan zoonosis and very widespread in the Brazilian beef cattle. Cysticercosis usually occurs in developing countries, where poor sanitation and bad raising cattle practices allows the contamination of the pasture and water with human feces containing eggs. The financial losses are due to condemnation or treatment (salting or freezing) of infected carcasses, depending on the intensity of infection. Diagnosis of bovine cysticercosis is routinely done during slaughter by meat inspection of carcasses and incisions in predicted sites of muscles such as tongue, masseter, heart and diaphragm. Thus, in order to promote the ante-mortem diagnosis and allow appropriate treatment of infected animals, many studies have been performed using techniques to detect antibodies or antigens in bovine serum. ELISA using monoclonal antibodies (MAbs) for the detection of circulating antigen (Ag-ELISA) has been studied, but presents low sensitivity in animals with low parasite burden, and allows its realization only in well-equipped laboratories. The use of biosensors in medicine has grown in recent years, allowing detection and quantification of numerous metabolites, such as immobilization matrix having the most diverse biopolymers such as chitosan and silk fibroin. Immunosensors are biosensors which biochemical response is related to antigen-antibody interaction and can be used to detect antibodies or antigens, and has been tested for diseases diagnosis. In this research, we developed the first immunosensor for bovine cysticercosis diagnosis, produced with layer-by-layer (LbL) films containing a monoclonal antibody against crude Taenia saginata metacestode antigens (TAEB) and silk fibroin (SF) immobilized. Immunosensor showed to be a promising tool for further application in the ante-mortem bovine cysticercosis diagnosis / Doutor

O diagnóstico sorológico da cisticercose vem se destacando como uma fonte alternativa seguramente eficaz ao estudo da doença. Com a proposta de acessibilidade, devido primordialmente a relação custo, os testes ELISA são promissores à pesquisa sorológica de campo. O problema iminente está na utilização de extratos antigênicos capazes de gerar ao teste, parâmetros compatíveis para a pesquisa de anticorpos na população de baixa prevalência. Nesse contexto, o presente trabalho objetivou a avaliação de um teste ELISA com alto valor preditivo positivo (VPP) para a pesquisa de anticorpos anti-cisticercos de Taenia solium em inquéritos sorológicos na população geral. Os antígenos ensaiados foram proteína 18/14 kDa de líquido vesicular de T. crassiceps (18/14-Tcra), liquido vesicular de T. crassiceps (LV-Tcra) e total de cisticercos de T. solium (T-Tso), respectivamente estes constituíram os testes ELISA-18/14, ELISA-Tcra e ELISA-Tso. Foram ensaiadas 610 amostras de soro de indivíduos supostamente saudáveis e 20 amostras de soro de indivíduos com neurocisticercose confirmados por critérios clínicos e laboratoriais. Após os ensaios, o teste ELISA-18/14 apresentou sensibilidade e especificidade de 100% e mesmo em diferentes prováveis prevalências (0,1; 0,5; 1,0 e 5,0%) o VPP e o valor preditivo negativo (VPN) foram fixados também em 100%. A repetitividade das leituras do teste expressa em coeficiente de variação apresentou-se entre 16 e 18%. O teste ELISA-Tcra não demonstrou o mesmo desempenho, a especificidade foi calculada em 96,3% e o VPP variou entre 2,6 a 59,3% para prevalências de 0,1 a 5,0%; quanto à sensibilidade e VPN houve similaridade entre os resultados. O ELISATso apresentou resultados ainda menos expressivos, a especificidade foi calculada em 95,7% e o VPP variou entre 2,3 a 55% para as prevalências de 0,1 a 5,0%; essa redução na especificidade se dá pelo aumento do número de resultados falso-positivos no teste em conseqüência da expressão de proteínas de alto peso molecular. Através dos parâmetros avaliados fica notório o desempenho promissor do teste ELISA-18/14 na pesquisa de anticorpos anti-cisticercos de Taenia solium em inquéritos sorológicos da população geral. / The serum diagnosis of cyticercosis has been highlighted as an efficient alternative source in the study of the disease. With an accessability proposal , due to the expense, the ELISA´s tests are promising to the serum´s field research. This problem makes necessary the use of antigens extracts able to give the test, trusted and compatible parameters to the research of antibodies in the population of low prevalence. In this context, this current work stablished the evaluation of the ELISA´s test with a high predictive value positive(PPV) to the anti-cysticerci of Taenia solium antibodies research in a serum inquiry of the general population. The antigens tested were the 18/14 kDa protein of the vesicular liquid of T. crassiceps (18/14-Tcra), the vesicular liquid of T. crassiceps (LV-Tcra) and the total of T.solium (T-Tso). That constituted in the ELISA 18/14, ELISATcra and ELISA-Tso test respectively. There were 610 sample of serum were tested of healthy people and 20 samples of serum with confirmed neurocysticercosis by clinical and laboratorial criterias. After these tests, the ELISA´s test showed sensibility and specificity in 100% of the cases, even in different prevalences (0,1; 0,5; 1,0 and 5,0%) the VPP and the predictive value negative (VPN) were also fixed in 100%. The repetition of the test expressed in variation coefficient occurred between 16 and 18% of the cases. The ELISATcra didn´t show the same development, the specificity were calculation in 96,3% and the VPP wanted between 2,6 and 59,3% to the prevalences of 0,1 to 5,0%; there were similarities of the results of sensibility and VPP. The ELISA-Tso showed less important results the specificity was calculated in 95,7% and the VPP between 2,3 and 55,0% to the prevalences of 0,1 to 5,0%, this reduction of specificity is due to the increase of the number of false-positive results in the test because of the expression of proteins of high molecular weight. Through these parameters it´s clear the promising development of the ELISA-18/14 test, as been arbitrary in the studies of serology inquiry in the general population.

A neurocisticercose é a forma mais severa relacionada ao complexo teníase-cisticercose, causada pela Taenia solium. Diversas medidas de controle já foram propostas, ressaltando a profilaxia via hospedeiro intermediário com o desenvolvimento de vacinas contra a cisticercose suína, que podem ser previamente avaliadas em um modelo experimental intraperitoneal com cisticercos de Taenia crassiceps, em camundongos Balb/c, constituindo a cisticercose murina. No presente trabalho foram avaliados: a resposta imune humoral pela pesquisa de anticorpos IgG anti-T. crassiceps por teste ELISA e Imunoblot, relação IgG1/IgG2a e, análise dos índices de avidez; a resposta imune celular, de acordo com os resultados de proliferação celular, dosagem de citocinas e teste de hipersensibilidade tardia (HTT) e; o índice de proteção (IP) induzido por antígeno bruto (LV-total) e purificado (18/14) de T. crassiceps, com ou sem o auxílio de adjuvantes, sob protocolos de imunização ativa por via subcutânea e oral. Paralelamente à análise de imunização ativa, houve avaliação do protocolo de imunização passiva com anticorpos monoclonais (AcMo) anti-T. crassiceps. Foram analisados 19 grupos experimentais divididos em três protocolos de imunização ativa por via subcutânea. No protocolo I foram avaliados três grupos experimentais imunizados com 10&#181;g de 18/14, uma dose, e auxílio dos adjuvantes PSS/DDA, Al(OH)3 ou sem o auxílio destes. Os grupos apresentaram IP entre 24,9% e 51,8%. No protocolo II foram analisados nove grupos imunizados com 5, 10 ou 20&#181;g de 18/14 e diferentes esquemas de adjuvantes: DODAB (IP entre 90,3% e 100,0%), PSS/DDA (IP entre 63,6% e 70,1%) ou Al(OH)3 (IP entre 60,7% e 100,0%). Comparando as concentrações antigênicas, os grupos apresentaram maiores IP quando imunizados com 5 ou 10&#181;g de 18/14. No protocolo III foram analisados sete grupos imunizados com 20, 40 e/ou 60&#181;g de 18/14, com duas ou três doses, em diferentes esquemas de adjuvantes: PSS/DDA e Al(OH)3 ou sem adjuvantes, com IP entre 63,5% e 100,0%. A avaliação da resposta imune humoral dos grupos imunizados por via subcutânea demonstraram a presença de anticorpos IgG por teste ELISA em todos os grupos imunizados, sem correlação dos índices de reatividade (IR) com os IP. Por imunoblot, foram reconhecidas, pelo menos, as proteínas de 14 e 18 kDa após 15 (T15), 30 (T30) e/ou 60 (T60) dias contados a partir da 1ª dose de imunização. Os grupos imunizados por via subcutânea que apresentaram IP> 90,0% tiveram relação IgG1/IgG2a >1,0 no T30 e <1,0 no T60. Quanto à avaliação da resposta imune celular, 10 dos 12 grupos avaliados por ensaios de proliferação de células obtidas de linfonodos induzidas por 18/14 apresentaram índices de estimulação (IE) positivos, enquanto que o antígeno L-Vtotal demonstrou-se imunossupressor nestes experimentos. A análise de dois grupos imunizados de forma ativa, por via subcutânea, com IP=100%, mostrou o predomínio de citocinas com polarização Th1 (IFN-&#947;) no T60 e Th2 (IL-4) no T120. Não houve correlação dos IP com os resultados obtidos com HTT, porém, os resultados foram variáveis de acordo com o perfil antigênico e o adjuvante utilizado pela via subcutânea. Sequencialmente foram analisados seis grupos imunizados de forma ativa, por via oral, com 10, 20 ou 30&#181;g de LV-total, uma ou duas doses, com o auxílio de Al(OH)3 que apresentaram IP entre 48,3% e 100,0%, sem diferença significativa entre os grupos, exceto com o grupo imunizado com duas doses de 30&#181;g, o qual apresentou 100,0% de IP. No T15 e T30 os IR obtidos em teste ELISA para pesquisa de anticorpos IgG anti-T. crassiceps foram entre 0,9 e 2,4, enquanto que no T60 entre 2,6 e 5,1. Por Imunoblot, foram reconhecidas as proteínas de 14, 18, 30 e >40kDa no T60. A relação IgG1/IgG2a foi <1,0 no T30 e no T60, enquanto que HTT foi apresentado <40,0% no T30 e T60. Adicionalmente aos ensaios de imunização ativa, seis grupos de camundongos Balb/c imunizados de forma passiva com anticorpos monoclonais anti-T. crassiceps apresentaram IP até 93,0%. De acordo com os resultados obtidos, antígenos bruto e purificado de T. crassiceps foram considerados promissores para imunização murina, principalmente o 18/14 quando utilizado com DODAB ou hidróxido de alumínio pela via subcutânea. Os mecanismos protetores não foram totalmente elucidados, porém, demonstram polarização para resposta Th1 e proteção parcial dependente de IgG, demonstrada pelos ensaios de imunização passiva. / Neurocysticercosis is the most severe form of infection related to the complex taeniasis-cysticercosis, caused by Taenia solium. Several control measures have been proposed, emphasizing the prophylaxis via intermediate host through the development of vaccines against porcine cysticercosis, which may be previously evaluated in an intraperitoneal experimental model using cysticercus of Taenia crassiceps, in Balb/c mice, constituting the murine cysticercosis. In this study were evaluated: the humoral immune response by search of anti-T. crassiceps IgG antibody by ELISA and Immunoblot assays, IgG1/IgG2a ratio and, analysis of avidity indices; the cellular immune response by proliferation assay, cytokine maeasurements and delayed hypersensitivity assay (DHA) and; protection index (PI) induced by crude antigen (total-VF) and purified (18/14) of T. crassiceps, with or without adjuvants, through active immunization protocols by subcutaneous and oral administration. In parallel to the active immunization was performed the evaluation of passive immunization protocol with anti-T. crassiceps monoclonal antibodies (AcMo). Were analyzed 19 experimental groups, divided into three active immunization protocols by subcutaneous via. In I Protocol were evaluated three experimental groups which were immunized with 10&#181;g of 18/14 antigen, one dose, with or without PSS/DDA, Al(OH)3 adjuvants. These groups showed PI between 24,9% and 51,8%. In II Protocol were evaluated nine experimental groups which were immunized with 5, 10 or 20&#181;g of 18/14 antigen, using different schemes of adjuvants: DODAB (PI between 90,3% and 100,0%), PSS/DDA (PI between 63,6% and 70,1%) or Al(OH)3 (PI between 60,7% and 100,0%). Comparing the concentrations antigenic, groups had higher IP when immunized with 5 or 10&#181;g of 18/14 antigen. In III Protocol were evaluated seven groups immunized with 20, 40 and/or 60&#181;g of 18/14 antigen, with two or three doses, using also different schemes of adjuvants: PSS/DDA and Al(OH)3 adjuvants or without them, showing PI between 63,5% and 100,0%. The evaluation of humoral immune response of all subcutaneous immunizated groups demonstrated the presence of IgG antibodies by ELISA in all immunized groups, without correlation between reactivity indices (RI) and PI. By immunoblot, were recognized at least the 14 and 18 kDa proteins after 15 (T15), 30 (T30) and/or 60 (T60) days from the first dose immunization. The groups immunized subcutaneously that showed PI > 90,0% had IgG1/IgG2a ratio >1,0 in T30 and <1,0 at T60. About the cellular immune response evaluation, 10 among 12 groups evaluated by proliferation assays using lymphonodes stimulated with 18/14 antigen showed indices of stimulation (IS) positive, while the VF-total antigen was shown immunosuppressive in these experiments. The analysis of two groups actively immunized subcutaneously with PI equal to 100%, showed predominance of cytokines tending to Th1 (IFN-&#947;) in T60 time and Th2 (IL-4) in T120 time. There was no correlation between PI indices and the results obtained from the DHA, however, the results varied according to the antigenic profile and the adjuvant subcutaneously used. Sequentially were analyzed six groups actively immunized by oral via, with 10, 20 or 30&#181;g of LV-total, one or two doses, supported by Al(OH)3 adjuvant which showed PI between 48,3% and 100,0%, with no significant difference between the groups, except the group immunized with two doses of 30&#181;g, which had PI of 100,0%. In T15 and T30 times the reactivity indices obtained by ELISA test for the detection of IgG anti-T. crassiceps antibodies were between 0,9 and 2,4, while in T60 time they were between 2,6 and 5,1. By Immunoblot, were recognized the 14, 18, 30 and > 40kDa proteins in T60 time. The IgG1/IgG2a ratio was <1,0 in T30 and T60 time, while DHA was presented <40,0% in T30 and T60. In addition to the active immunization assays, groups of six Balb/c mice were passively immunized with anti-T. crassiceps monoclonal antibodies and they showed PI up to 93,0%. According to the obtained results, crude and purified antigens of T. crassiceps were considered promising for murine immunization, especially when 18/14 antigen was used together with DODAB or aluminum hydroxide subcutaneously. The protective mechanisms have not been fully elucidated, however, showed trend towards Th1 response and dependent partial protection of IgG, as demonstrated by passive immunization assays.

Between 60-70% of Namibia’s population practice subsistence agro-pastoralism on communal land that constitutes 41% of the total land area. Cysticercosis bovis is found worldwide, but most often in rural developing countries, where unhygienic conditions are coupled with poor cattle management practices and lack or absence of meat inspection. Because livestock is so important to the economy and social structure of the majority of people in Namibia, risks from zoonotic diseases transmitted from domestic animals to humans are a constant threat and are therefore of major concern. In addition, C.bovis is also emerging as a public health risk not only in these rural communities but also in urban areas where many infected cattle are transported, informally slaughtered and consumed. This disease has a negative impact on food safety, and thus is related to Veterinary Public Health (VPH) strategies in Namibia. Over the period from 2000 to 2004, 3232 (8%) measles detections were recorded from the 40 373 cattle slaughtered at Meatco Oshakati Abattoir. C.bovis is considered important from both an economic (loss of income to cattle owners) and human health (it is a zoonosis) point of view. The aim of the study was to do an analysis of the level of C.bovis in bovine carcasses at the abattoir, in order to identify geographical areas where the disease is prevalent in cattle in North Central Namibia and to develop a risk communication strategy, to improve the control of this disease in the target population (subsistence cattle farmers in the study area). Meat inspection was carried out for a period of 12 months and the abattoir records examined covered two years (2004 –2005). Results showed that incidence for C.bovis of cattle originating from Oshikoto Region were high: (12%). Omusati and Oshana Regions had an incidence of 7% and a much lower incidence of C.bovis (5%) was reported in cattle from the Ohangwena Region. Structured interviews with 95 farmers (99% male and 1% female) in all the four Regions of the study area, were carried out using a set of questionnaires (Appendix A). The questionnaires had provision for numerical data and comments concerning changes, constraints and suggestions for improving dissemination of information and extension services in the target areas. It was noted that between 5% and 13 % of respondents had neither pit latrines nor waterborne sewage. This leads to the conclusion that a significant proportion of the rural population is defecating in an area which is available to the cows grazing close to the homestead or cattle post. In addition, 61% of cattle from this area are marketed through informal marketing and many of them are slaughtered informally with no meat inspection taking place. This provides a high risk of infestation for the consumer, which perpetuates the parasite in the rural population. The educational level showed that 24% had no formal education and 33% had only primary school education. The language spoken by 93% of respondents is Oshiwambo and although only 20% speak English or Afrikaans, extension materials, including visual material, is not available in the vernacular. Between 58% and 96% of the respondents from the four Regions had no knowledge of the disease and how it could be diagnosed and controlled in both people and cattle. In Oshikoto Region, where the incidence in slaughtered cattle was the highest, only 4% of the respondents knew about C.bovis in cattle. The results obtained for language proficiency advocates for extension materials to be developed in Oshiwambo (which 93% of the target population are able to read and write). Skills training using visual aids and personal communication in Oshiwambo would be needed for other 7% who are illiterate. From the above, it was concluded that extension is needed to reduce the incidence of C.bovis in cattle. The most important extension messages, as determined by an expert opinion survey of veterinarians in Namibia, were firstly that families should be treated for tapeworms and secondly that they should only buy meat that has been inspected after slaughter at an abattoir. It was recommended that stakeholders in the livestock industry, and the state as well as the Department of Health should be made aware of the high level of cysticercosis and the equally high level of ignorance about the disease in rural areas of North Central Namibia. Veterinary and agriculture staff should be motivated to communicate and combine efforts to assist each other, as transport is expensive and one of the main constraints to successful extension because of the great distances in North Central Namibia. Funding should also be found for production of extension materials in the vernacular. / Dissertation (MSc (Veterinary Science))--University of Pretoria, 2007. / Paraclinical Sciences / MSc / unrestricted

Sete suínos com 2 meses de idade foram infectados experimentalmente com cerca de 200.000 ovos de T. solium administrados por via oral. Ao término do experimento (140 dias) os animais não apresentaram aspectos clínicos de cisticercose pelo exame de inspeção da língua; portanto eles poderiam ser classificados como animais saudáveis pelos exames usuais de inspeção utilizados em matadouros. Todos os animais foram sacrificados e a musculatura, cérebro e órgãos viscerais foram seccionados em finos pedaços para a procura de cistos. O número de cisticercos encontrados em cada animal variou de 1 a 85 (média 33,7 e desvio padrão 31,3), caracterizando-os como animais com infecção branda. Amostras de sangue dos animais infectados experimentalmente foram submetidas a imunoensaios para a pesquisa de anticorpos (ELISA Indireto, utilizando como antígeno o líquido vesicular de Taenia crassiceps; imunoblot 18/14, oriundo de antígeno de Taenia crassiceps purificado com anticorpos monoclonais e imunoblot LLGP, utilizando glicoproteínas de T. solium purificadas com lentil lectina) e para pesquisa de antígeno (ELISA Sanduíche e ELISA Direto, ambos utilizando o anticorpo monoclonal anti-ES-Tcra). O teste ELISA Direto não apresentou reatividade em qualquer amostra de soro dos diferentes animais infectados no momento do abate (t140). Foi encontrada positividade de 71% e 57%, respectivamente, para os testes ELISA Indireto para a pesquisa de anticorpos e ELISA Sanduíche para a pesquisa de antígenos nestes tempos. Pelo imunoblot (IB) 18/14 e IB LLGP, respectivamente 5 (71 %) e 6 (86%) dos animais infectados experimentalmente foram positivos no t140. O uso de ensaios imunoenzimáticos para a detecção de anticorpos específicos (IB) somados ao ELISA Sanduíche para pesquisa de antígeno permitiu que todos os animais com infecção branda fossem detectados. Dessa forma, o uso de ensaios imunoenzimáticos para detecção de anticorpos e/ou antígenos mostrou-se mais útil que o exame clínico e/ou post-mortem para a triagem de cisticercose suína em animais com infecção branda. / Seven 2-month-old swine were orally experimentally infected with approximately 200,000 eggs of Taenia solium. At the end of the experiment (140 days) the animals did not show clinical aspects of cysticercosis or parasites in tongue inspection; therefore they could be mistaken as healthy animals by usual inspection exams used in slaughterhouses. All of them were slaughtered and their whole muscles, brain and visceral organs were cut into thin slices searching for cysts. The number of cysts found in each animal varies from 1 to 85 (mean value 33.7 and standard deviation 31.3) characterizing them as slightly infected animals. Blood samples of experimentally infected animals were submitted to immunoassays for antibody detection (Indirect ELISA, using vesicular fluid antigen from Taenia crassiceps; immunoblot 18/14, from T.crassiceps antigen purified by monoclonal antibodies and immunoblot LLGP, using lentil lectin purified glycoproteins of T. solium) and for antigen detection (Sandwich ELISA and Direct ELISA, both using monoclonal antibodies anti-ES-Tcra). The Direct ELISA assay did not show any reactivity with all serum samples from the different animals at the slaughtered moment (t140). The positivity was 71% and 57% by the Indirect ELISA for searching antibodies and by the Sandwich ELISA for searching antigens, respectively. By immunoblot (IB) 18/14 and IB LLGP 5 (71 %) and 6 (86%) experimentally infected animals were positive at t140, respectively. The use of immunoassays for detecting specific antibodies (IB) together with Sandwich ELISA for antigen detection allow the detection of all slightly infected animals. Thus, the use of immunoassays for antibodies and/or antigen detection showed they are more useful than usual clinical examination and/or tongue palpation for screening cysticercosis in slightly infected pigs.

Submitted by Erika Demachki (erikademachki@gmail.com) on 2014-11-06T20:13:31Z No. of bitstreams: 2 Dissertação - Aline de Araújo Freitas - 2010.pdf: 3464482 bytes, checksum: 7460ab722d8ffd0202f9060abf3e4c4e (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2014-11-06T20:13:41Z (GMT) No. of bitstreams: 2 Dissertação - Aline de Araújo Freitas - 2010.pdf: 3464482 bytes, checksum: 7460ab722d8ffd0202f9060abf3e4c4e (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2014-11-06T20:13:41Z (GMT). No. of bitstreams: 2 Dissertação - Aline de Araújo Freitas - 2010.pdf: 3464482 bytes, checksum: 7460ab722d8ffd0202f9060abf3e4c4e (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2010-03-31 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / The larval form of Taenia crassiceps has been used as an experimental model to human cysticercosis, because it has antigenic similarities with the T. solium cysticercus. The human cysticercosis by T. crassiceps has been reported in immunodepressed and immunocompetent patients. Due to the fact that the immune response to T. crassiceps is still unclear, the present study aimed to characterize the local and systemic inflammatory response of C57BL/6 wild-type and C57BL/6 IFN -Knockout (IFN-KO) mice strains after subcutaneous infection by T. crassiceps cysticercus. For this were evaluated the hemogram, the anatomopathological changes in the subcutaneous tissues , the presence of alternatively activated macrophages (CD301+ cells) and the serum cytokines concentration (IFN, IL-12p40 and IL-4). Neither of strains presented alterations on the hemogram after infection In both infected strains, it was observed granulomes formation on the inflammatory site with neutrophils and macrophages. However, the granulomatous reaction was more early, intense and with greater amount of collagen in infected IFN-KO. The serum concentrations of IFN, IL-12p40 and IL-4 in the infected C57BL/6 wild-type increased compared to the wild-type uninfected mice. In the infected IFN-KO, the increase of IL-4 serum concentration was observed due to the infection, however this cytokine concentration was lower compared with other infected strain. It was also observed in the C57BL/6 wild-type the presence of CD301+ cells at the beginning of the infection and, in the IFN-KO, these cells were present at the end of the infection. In conclusion, the immune response of C57BL/6 mice induced by T. crassiceps cysticercus can be characterized by mixed Th1/Th2 profile. The mixed response is able to promote the destruction of the parasites IFN-dependent, which results in a minor injury and lower collagen production. In IFN- deficient, there is a profile that tends towards the Th2 immune response, with the presence of CD301+ cells and increased collagen production. / A forma larval de Taenia crassiceps tem sido empregada como modelo experimental da cisticercose humana, por possuir similaridades antigênicas com o cisticerco de T. solium. A cisticercose humana por T. crassiceps foi relatada em pacientes imunodeprimidos, e imunocompetentes. Devido ao fato de que a resposta imunológica frente a T. crassiceps ainda não está totalmente esclarecida, o presente estudo objetivou a caracterização da resposta inflamatória local e sistêmica em linhagens de camundongos C57BL/6 convencionais e deficientes do gene do IFN (IFN-KO) após a infecção subcutânea por cisticercos de T. cracisseps. Para tanto, foram avaliados o hemograma, as alterações anatomopatológicas no subcutâneo, a presença de macrófagos alternativamente ativados (células CD301+) e a dosagem sérica de citocinas (IFN, IL-12p40 e IL-4). Nenhuma das linhagens apresentou alteração no hemograma após infecção. Em ambas linhagens, foram observadas a formação de granulomas no sítio inflamatório, com presença de neutrófilos e macrófagos. No entanto, a reação granulomatosa foi mais precoce, intensa e com maior quantidade de colágeno na linhagens IFN-KO. As concentrações séricas de IFN, IL12p40 e IL-4 nos camundongos C57BL/6 convencional infectados aumentaram comparadas aos camundongos convencionais não infectados. Na linhagem IFN-KO, o aumento da concentração sérica de IL-4 foi observada devido à infecção, porém, a concentração desta citocina foi menor comparada com a outra linhagem. Foi observada também na linhagem C57BL/6 convencional, a presença de células CD301+ no início da infecção e, na linhagem IFN-KO, estas células estavam presentes no final da infecção. Em conclusão, a resposta imune dos camundongos C57BL/6 induzida por cisticercos de T. crassiceps pode ser caracterizada por um perfil misto Th1/Th2. A resposta mista é capaz de promover a destruição do parasito de maneira dependente de IFN, o que resulta em uma menor lesão e menor produção de colágeno. Na deficiência de IFN apresenta um perfil que tende para resposta imune Th2, com presença de clélulas CD301+ e aumento da produção de colágeno.

Sete suínos com 2 meses de idade foram infectados experimentalmente com cerca de 200.000 ovos de T. solium administrados por via oral. Ao término do experimento (140 dias) os animais não apresentaram aspectos clínicos de cisticercose pelo exame de inspeção da língua; portanto eles poderiam ser classificados como animais saudáveis pelos exames usuais de inspeção utilizados em matadouros. Todos os animais foram sacrificados e a musculatura, cérebro e órgãos viscerais foram seccionados em finos pedaços para a procura de cistos. O número de cisticercos encontrados em cada animal variou de 1 a 85 (média 33,7 e desvio padrão 31,3), caracterizando-os como animais com infecção branda. Amostras de sangue dos animais infectados experimentalmente foram submetidas a imunoensaios para a pesquisa de anticorpos (ELISA Indireto, utilizando como antígeno o líquido vesicular de Taenia crassiceps; imunoblot 18/14, oriundo de antígeno de Taenia crassiceps purificado com anticorpos monoclonais e imunoblot LLGP, utilizando glicoproteínas de T. solium purificadas com lentil lectina) e para pesquisa de antígeno (ELISA Sanduíche e ELISA Direto, ambos utilizando o anticorpo monoclonal anti-ES-Tcra). O teste ELISA Direto não apresentou reatividade em qualquer amostra de soro dos diferentes animais infectados no momento do abate (t140). Foi encontrada positividade de 71% e 57%, respectivamente, para os testes ELISA Indireto para a pesquisa de anticorpos e ELISA Sanduíche para a pesquisa de antígenos nestes tempos. Pelo imunoblot (IB) 18/14 e IB LLGP, respectivamente 5 (71 %) e 6 (86%) dos animais infectados experimentalmente foram positivos no t140. O uso de ensaios imunoenzimáticos para a detecção de anticorpos específicos (IB) somados ao ELISA Sanduíche para pesquisa de antígeno permitiu que todos os animais com infecção branda fossem detectados. Dessa forma, o uso de ensaios imunoenzimáticos para detecção de anticorpos e/ou antígenos mostrou-se mais útil que o exame clínico e/ou post-mortem para a triagem de cisticercose suína em animais com infecção branda. / Seven 2-month-old swine were orally experimentally infected with approximately 200,000 eggs of Taenia solium. At the end of the experiment (140 days) the animals did not show clinical aspects of cysticercosis or parasites in tongue inspection; therefore they could be mistaken as healthy animals by usual inspection exams used in slaughterhouses. All of them were slaughtered and their whole muscles, brain and visceral organs were cut into thin slices searching for cysts. The number of cysts found in each animal varies from 1 to 85 (mean value 33.7 and standard deviation 31.3) characterizing them as slightly infected animals. Blood samples of experimentally infected animals were submitted to immunoassays for antibody detection (Indirect ELISA, using vesicular fluid antigen from Taenia crassiceps; immunoblot 18/14, from T.crassiceps antigen purified by monoclonal antibodies and immunoblot LLGP, using lentil lectin purified glycoproteins of T. solium) and for antigen detection (Sandwich ELISA and Direct ELISA, both using monoclonal antibodies anti-ES-Tcra). The Direct ELISA assay did not show any reactivity with all serum samples from the different animals at the slaughtered moment (t140). The positivity was 71% and 57% by the Indirect ELISA for searching antibodies and by the Sandwich ELISA for searching antigens, respectively. By immunoblot (IB) 18/14 and IB LLGP 5 (71 %) and 6 (86%) experimentally infected animals were positive at t140, respectively. The use of immunoassays for detecting specific antibodies (IB) together with Sandwich ELISA for antigen detection allow the detection of all slightly infected animals. Thus, the use of immunoassays for antibodies and/or antigen detection showed they are more useful than usual clinical examination and/or tongue palpation for screening cysticercosis in slightly infected pigs.

Submitted by Erika Demachki (erikademachki@gmail.com) on 2016-07-29T18:01:25Z No. of bitstreams: 2 Dissertação - Sarah Buzaim Lima - 2014.pdf: 1725548 bytes, checksum: 3cc0f75bc25a3e6588ba134aa819f252 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2016-07-29T18:02:58Z (GMT) No. of bitstreams: 2 Dissertação - Sarah Buzaim Lima - 2014.pdf: 1725548 bytes, checksum: 3cc0f75bc25a3e6588ba134aa819f252 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2016-07-29T18:02:58Z (GMT). No. of bitstreams: 2 Dissertação - Sarah Buzaim Lima - 2014.pdf: 1725548 bytes, checksum: 3cc0f75bc25a3e6588ba134aa819f252 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2014-08-06 / The parasitary diseases which are considered endemic in developing countries are a relevant public health problem. Around 50 million people in the world are infected by the teniasis-cysticercosis complex. Therefore, biological factors involved in the host susceptibility to parasitary diseases should be investigated due to the relevance of these infections in public health both in Brazil and in the world. As demonstrated by the literature, Interleukin-4, the main Th2 cytokine, has an important role in the immune response against parasites. The aim of this study was to evaluate the role of this cytokine in the subcutaneous cysticercosis pathogenesis through the comparison of the inflammatory responses in conventional BALB/C mice infection and in Interleukin-4 deficient BALB/C mice (IL-4 KO). An experimental model of subcutaneous infection with Taenia crassiceps cysticerci was used and macroscopic and microscopic parameters of the injury, cytokines profiles in splenocytes cultures from the infected animals from both types of BALB/c mice were evaluated to compare the local and systemic inflammatory response to the infection. During the experimental days the development of the chronic granulomatous inflammatory response was observed in the conventional animals with presence of macrophagic and lymphoplasmocytic inflammatory infiltrate and in the IL-4-KO animals with macrophages and polymorphonuclear cells in the inflammatory infiltrate. Conventional animals presented a mixed immune response pattern with an initial increase of IFNγ, which a Th1 cytokine, and evolved to chronicity with predominance of Th2 response and presence of IL-10 which modulates the immune response and favors the parasite infection. In the IL-4-KO animals it was possible to observe a partial destruction of the parasites in the first days of infection with increase in the Interferon gamma (IFNγ) production which is part of a Th1 accentuated response also the co-expression of IL-10 in these animals inhibited the accentuated Th1 response and contributed to the persistence of the infection. Fibrosis and tissue repair were not compromised in these animals. Furthermore, infected IL-4-KO animals presented a spontaneous production of IL-13 in higher concentrations than the conventional animals at 30 days of infection which contributed to the role of the Th2 immune response against the infection. The IL-4 deficiency directed the inflammation towards a greater microbicidal potential, partial destruction of the parasites in the first days of infection and significant reduction of eosinophils. / As parasitoses, consideradas endêmicas em países em desenvolvimento, são um problema relevante de saúde pública. Cerca de 50 milhões de indivíduos no mundo estão infectados pelo complexo teníase-cisticercose. Portanto, fatores biológicos envolvidos na suscetibilidade do hospedeiro frente às parasitoses devem ser investigados, dada a relevância dessas infecções para a saúde pública no Brasil e no mundo. Como demonstrado na literatura, a Interleucina-4, principal citocina da resposta Th2, tem um importante papel na resposta imune contra parasitos. O objetivo deste estudo foi avaliar a participação desta citocina na patogênese da cisticercose subcutânea comparando-se a resposta inflamatória resultante da infecção em camundongos BALB/c convencionais e BALB/c deficientes para o gene da Interleucina-4 (IL-4-KO). Utilizando um modelo experimental de infecção no subcutâneo com cisticercos de Taenia crassiceps, foram avaliados parâmetros macroscópicos e microscópicos da lesão e perfil de citocinas em cultura de esplenócitos dos animais, visando caracterizar e comparar a resposta inflamatória local e sistêmica na infecção. Observou-se durante os dias experimentais o desenvolvimento de resposta inflamatória crônica granulomatosa nos animais convencionais com presença de infiltrado inflamatório macrofágico e linfoplasmocitário, e nos IL-4-KO, macrofágico e polimorfonuclear. Animais convencionais apresentaram um padrão de resposta misto, com produção inicial aumentada de Interferon gama (IFNγ) - resposta Th1, que evoluiu para a cronicidade com uma resposta Th2 predominante e presença de IL-10, modulando a resposta inflamatória e favorecendo a instalação do parasito. Nos animais IL-4-KO observou-se destruição parcial dos parasitos já nos primeiros dias de infecção, com aumento da produção de IFNγ, resposta Th1 mais acentuada; a co-expressão de IL-10 nesses animais inibiu a resposta Th1 acentuada e contribuiu para persistência da infecção. Fibrose e reparação tecidual não estiveram comprometidas durante os dias experimentais. Além disso, animais IL-4-KO infectados apresentaram produção espontânea de IL-13 maior que os convencionais aos 30 dias de infecção, contribuindo para participação da resposta Th2 na infecção. A deficiência de IL-4 direcionou a inflamação para um maior potencial microbicida, destruição parcial dos parasitos já nos primeiros dias de infecção, e redução significativa de eosinófilos.

A utilização de antígenos de Taenia crassiceps vem se mostrando como via alternativa no imunodiagnóstico da neurocisticercose (NC), sendo as frações de 18 e 14 kDa consideradas específicas. No presente trabalho, foram sintetizados seis peptídeos, com base nas seqüências de aminoácidos das proteínas de 10, 14 e 18 kDa de T. crassiceps e homólogas às seqüências de aminoácidos de T. solium. Os peptídeos foram divididos em \"a\" e \"b\", denominados como, P1a, P2a, P3a e P4a e P1b, P3b e P4b, sendo, as seqüências de aminoácidos dos peptídeos \"a\", uma seqüência interna dos peptídeos \"b\". Em estudo da antigenicidade dos peptídeos conduzido por teste ELISA, P1a e P4a isolados ou utilizados como múltiplos peptídeos antigênicos (MAP) contendo dois, três ou quatro peptídeos, apresentaram reatividade com soro hiperimune anti-líquido vesicular de T. crassiceps, enquanto que MAPs contendo apenas P2a e P3a não foram antigênicos. Anticorpos monoclonais (AcMos) anti-T. crassiceps (n=3) e anti-T. solium (n=19), reconheceram, em ordem decrescente, P1b (72,7%), P1a (45,5%) e P3a e P2a (9,1%), enquanto que P3b, P4a e P4b não apresentaram reatividade com os AcMos utilizados. Com soros humanos de pacientes com NC (NC) e de indivíduos supostamente saudáveis (ISS), P1b e P1a foram considerados potencialmente antigênicos, isolados ou em MAPs com três ou quatro peptídeos. A avaliação do teste ELISA com peptídeo sintético isolado ou MAP, respectivamente, P1b e MAP-a (P1a+P3a+P4a), foi realizada baseando-se em três diferentes cut off, a, b e TG-ROC. De acordo com os cut off utilizados, ELISA com P1b apresentou índices de positividade entre 59,0-79,5% com amostras de soros NC (n=39); 1,3-11,8% com ISS (n=76); 3,4-10,2% com amostras de soros de pacientes com hidatidose provindos do Rio Grande do Sul (H-R) (n=59); 0,0-50,0% com amostras de soros de pacientes com hidatidose provindos do Peru (H-P) (n=8) e 0,0-9,1% com amostras de soros de pacientes com outras parasitoses (OP) (n=33). ELISA com MAP-a apresentou índices de positividade entre 57,7-92,3% com NC (n=26); 1,4-9,6% com ISS (n=73); 0,0-13,3% com H-R (n=15) e 12,5-37,5% com H-P (n=8). Na tentativa de aumentar a positividade do teste ELISA com peptídeos sintéticos, antígeno de 18 e14 kDa de T. crassiceps foi adicionado, porém, não houve maior antigenicidade ao complexo antigênico. Os peptídeos sintéticos utilizados mostraram-se promissores para o diagnóstico sorológico da NC, porém, não foram representativos dos epítopos imunodominantes presentes em cisticercos de T. solium. Outras seqüências de aminoácidos necessitam ser ensaiadas, a fim de obter um complexo antigênico sintético equivalente ao antígeno nativo, porém, o alto custo da síntese dos peptídeos ainda é uma barreira que limita a investigação de novos MAPs. / Taenia crassiceps antigens have been showed like one alternative rote to the immunodiagnosis of neurocysticercosis (NC), where 18- and 14-kDa fractions have been considered specific. In this study, six peptides were synthesized based on 10, 14 and 18 kDa fractions of amino acids sequence of proteins of the T.crassiceps and homologous to T. solium. Peptides were divided in \"a\" and \"b\", denominated P1a, P2a, P3a and P4a and P1b, P3b and P4b, being that amino acids sequences of the \"a\" peptides are one internal sequence of the \"b\" peptides. In antigenic study of the peptides conducted by ELISA, isolated P1a and P4a peptides or used like multiple antigenic peptides (MAP) with two, three or four peptides, cross-reacted with anti-vesicular fluid of the T. crassiceps hyperimmune serum, while that, MAPs with only P2a and P3a did not showed antigenicity. Monoclonal antibodies (Mabs) anti-T. crassiceps (n=3) and anti-T.solium (n=19) Mabs recognized in decreasing order, P1b (72,7%), P1a (45,5%) and P3a and P2a (9,1%), while, P3b, P4a and P4b did not showed reactivity with Mabs used. In human serum samples of the patients with neurocysticercosis (NC) and serum healthy individuals (HI), where P1b and P1a peptides were analyzed isolated or in MAPs with three or four peptides, both of them showed antigenic potential. The evaluation of the ELISA tests with synthetic peptides isolated or in MAPs, P1b and MAP-a (P1a+P3a+P4a), respectively, was analyzed in three differents cut off, a, b and TG-Roc. Based on its, ELISA assayed with P1b showed 59,0-79,5% positivity when NC serum samples where tested (n=39); 1,3-11,8% with HI serum samples (n=76); 3,4-10,2% with human serum samples of the patients with hydatidosis from Rio Grande do Sul (H-R) (n=59); 0,0-50,0% with human serum samples of the patients with hydatidosis from Peru (H-P) (n=8) and 0,0-9,1% with human serum samples of the patients with others parasitoses (OP) (n=33). By the way, ELISA assayed with MAP-a showed 57,7-92,3% positivity with NC (n=26); 1,4-9,6% with HI (n=73); 0,0-13,3% with H-R (n=15) and 12,5-37,5% with H-P (n=8). On the attempt of increase the positivity of the ELISA test using synthetic peptides, 18- and 14-kDa fractions of the T. crassiceps was added, but they did not promoted more antigenicity. Synthetic peptides used showed promising results on neurocysticercosis serumdiagnosis, but they were no representatives of dominants epitopes present in T. solium cysticercus. Others amino acids sequences need be used to have a synthetic antigenic complex similar to native antigens, however, the high cost of the peptide synthesis still is a problem that limit the study of the news MAPs.

L'abattoir est un observatoire privilégié de la santé des bovins, permettant d'envisager une surveillance de la population bovine à partir des données d'inspection sanitaire qui y sont collectées. Mais la valorisation épidémiologique de ces données fait face à des difficultés (complexité des données, nombreux mouvements des bovins de leur naissance à l'abattoir). Afin de gérer cette complexité, une approche statistique (analyse multifactorielle et classification mixte) associée à des avis d'experts ont permis d'établir une typologie des lésions observées à l'abattoir. Une dizaine de groupes lésionnels ont été identifiés qui relèvent de divers domaines tels que la santé animale, la protection animale ou la santé publique. Les données d'abattoir peuvent être utilisées pour la surveillance de maladies ciblées telles que la cysticercose bovine. Des indicateurs de surveillance robustes ont été élaborés pour permettre la comparaison des prévalences de cette zoonose dans le temps et l'espace. Une méthode innovante de prise en compte de l'incertitude liée au lieu d'infestation des animaux a été mise en oeuvre pour identifier les zones à risque plus élevé d'infestation. Un tel outil sera mobilisable pour la mise en oeuvre ultérieure d'une inspection basée sur le risque visant à améliorer l'efficience de l'inspection en abattoir. L'utilisation des données d'abattoir pour la mise en place d'un dispositif de surveillance syndromique a par ailleurs été investiguée par modélisation de la proportion hebdomadaire de bovins ayant fait l'objet d'une saisie totale. Une évaluation des performances de plusieurs algorithmes de détection d'anomalies temporelles a été menée sur données simulées / The slaughterhouse is a unique dedicated vantage point from which to observe bovine health, making it possible to consider implementation of bovine surveillance based on meat inspection data. But the exploitation of these data for epidemiological purposes is not without difficulties (data complexity, large number of cattle movements from birth to slaughter). In order to deal with the data complexity issue, a statistical approach (multiple factor analysis in combination with clustering methods), in addition to the gathering of expert opinions, enables us to create a typology of the lesions detected at the slaughterhouse. Approximately ten lesion groups were identified which cover various areas including animal heath, animal welfare and public health. Meat inspection data can be used for the surveillance of targeted diseases such as bovine cysticercosis. Robust surveillance indicators have been created to enable prevalence comparisons of this zoonosis over time and space. An innovative approach that takes into account uncertainty regarding the location where the animal became infected was implemented to identify areas of higher risk of infection. A similar method could be used for the implementation of a future risk-based meat inspection initiative so as to improve meat inspection efficiency. The use of meat inspection data for the implementation of a syndromic surveillance system was investigated using a temporal analysis of the weekly proportion of whole carcass condemnations, and assessment of the performance of several algorithms for temporal aberration detection was conducted on simulated data