Dissertation (Ph.D.) -- University of Texas Southwestern Medical Center at Dallas, 2006. / Vita. Bibliography: p.156-190

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2010.

Thesis (M.S.)--University of Michigan, 1982.

Thesis (Ph. D.)--University of Washington, 1996. / Vita. Includes bibliographical references (leaves [154]-166).

Thesis (M.Sc.)--Memorial University of Newfoundland, 2004. / Bibliography: leaves 201-248.

Thesis (Ph. D.)--University of Washington, 2005. / Vita. Includes bibliographical references (leaves 96-103).

Orientador: Luciane Dias de Oliveira / Co-orientadora : Mariella Vieira Pereira Leão / Banca: Ana Paula Candido Santos / Banca: Michelle Cardoso de Sousa / Banca: Graziella Nuernberg Back Brito / Banca: Estela Kaminagakura Tango / Resumo: Muitos produtos probióticos são compostos pela associação de lactobacilos no intuito de potencializar seu efeito benéfico. Assim, o objetivo deste estudo foi avaliar a imunomodulação e atividade anti-Candida causada por diferentes combinações de suspensões probióticas em macrófagos e em Galleria mellonella. Lactobacillus rhamnosus (LR), L. acidophilus (LA), e L. paracasei (LP) foram suspendidos para obtenção das suspensões LR, LA, LP, LR+LA, LR+LP, LA+LP e LR+LA+LP. Foram utilizadas suspensões de Candida albicans (CA) ATCC 18804, C. krusei (CK) ATCC 6258 e C. glabrata (CG) ATCC 9030. Macrófagos de camundongo (RAW 264.7) foram ativados por cada suspensão de lactobacilos e desafiados por cada uma das cepas fúngicas. Foram investigadas taxa de fagocitose, produção de citocinas e óxido nítrico e a viabilidade celular. A melhor suspensão probiótica para cada cepa fúngica seria usada nos testes in vivo, com G. mellonella, no entanto, devido à baixa virulência das espécies não-albicans, os testes in vivo prosseguiram com CA e LR. Duas cepas clínicas de CA foram acrescentadas: 21 e 60. Suspensões de LR foram injetadas na hemolinfa das larvas 24 h antes do desafio com as cepas fúngicas. Foram determinadas curva de sobrevivência, contagem de UFC/mL das cepas de C. albicans e de hemócitos. Os resultados foram analisados estatisticamente de acordo com a distribuição normal (ANOVA e Tukey ou Kruskal-Wallis e Dunn) e a curva de sobrevivência pelo teste de Log-rank (Mantel-Cox), p<0,05. As ... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Many probiotic products are composed by association of lactobacilli in order to potentiate their beneficial effect. Therefore, the objective of this study was evaluating the immunomodulation and anti-Candida activity caused by different combinations of probiotic suspensions in macrophages and in Galleria mellonella. Lactobacillus rhamnosus (LR), L. acidophilus (LA) and L. paracasei (LP) were suspended to obtain the suspensions LR, LA, LP, LR + LA, LR + LP, LA + LP and LR + LA + LP. Suspensions of Candida albicans (CA) ATCC 18804, C. krusei (CK) ATCC 6258 and C. glabrata (CG) ATCC 9030 were used. Mouse macrophages (RAW 264.7) were activated by each suspension of lactobacilli and then challenged by each fungal strain. Phagocytosis, cytokine and nitric oxide production and cell viability were investigated. The best lacobacilli suspension for each fungal strain would be used in the in vivo assays with G. mellonella, however, because of low virulence of the non-albicans species, in vivo tests were performed with CA and LR. Two clinical strains of CA were added: 21 and 60. LR suspensions were injected into the haemolymph of the larvae 24 h before challenging with fungal strains. Survival curve, CA strains CFU/mL counting and hemocytes were determined. The results were statistically analyzed according to their normal distribution (ANOVA and Tukey or Kruskal-Wallis and Dunn) and the survival curve by Log-rank test (MantelCox), p <0.05. The best suspensions for CA, CK and CG were LR (which obtained the best results in the cytokine profile), LP and LA (which obtained the best results on phagocytosis), respectively. In G. mellonella, LR suspension increased percentage survival and hemocyte counting and decreased CFU/mL counting in all groups, with statistically significant differences in the results. Thus, it can be concluded that the suspensions of lactobacilli have ...(Resumo completo, clicar acesso eletrônico abaixo) / Doutor

Orientador: Claudio Lucio Rossi / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-10T14:37:04Z (GMT). No. of bitstreams: 1 Nascimento_FernandaSantos_M.pdf: 1195114 bytes, checksum: 8f7292945661258264c33482af428d55 (MD5) Previous issue date: 2008 / Resumo: A toxoplasmose, uma zoonose com ampla distribuição mundial, causada pelo parasita intracelular obrigatório Toxoplasma gondii, é geralmente adquirida por meio da ingestão de cistos ou oocistos viáveis do parasita, presentes, respectivamente, em carne crua ou mal cozida e no solo, alimento ou água contaminados com fezes de gatos infectados. A toxoplasmose pode ser altamente debilitante, e ocasionalmente fatal, em crianças infectadas no útero e em receptores de transplante. O diagnóstico de infecção aguda primária em mulheres grávidas é geralmente baseado em testes sorológicos, visto que, na grande maioria dos casos, a toxoplasmose não é reconhecida clinicamente. A longa persistência dos anticorpos IgM em algumas pessoas e a dificuldade para demonstrar soroconversão ou aumento significativo da concentração de anticorpos específicos, têm complicado a interpretação dos testes sorológicos, quando se suspeita de infecção aguda. Com relação à infecção toxoplámica em pacientes transplantados, em muitos casos o status sorológico do doador não é conhecido e a pesquisa periódica de anticorpos anti-T. gondii no receptor raramente é realizada. O objetivo do primeiro estudo foi determinar o valor da demonstração dos anticorpos IgA anti-T.gondii para o diagnóstico da fase aguda da infecção toxoplásmica. Nossos resultados mostraram que os anticorpos IgA são detectados com alta freqüência em amostras de soros obtidas de mulheres com evidência clínica e/ou sorológica de infecção toxoplásmica aguda. Entretanto, em 19% das mulheres apresentando persistência de anticorpos IgM e alto índice de avidez dos anticorpos IgG, anticorpos IgA anti-T. gondii foram detectados em amostras de soros coletadas mais de 9 meses após o início da infecção, indicando que esses anticorpos não podem ser considerados marcadores confiáveis de infecção aguda primária. No segundo estudo, nós relatamos o diagnóstico de infecção toxoplásmica primária em um paciente com mieloma múltiplo submetido a transplante alogênico não-mieloablativo de células hematopoiéticas, provenientes de doador com sorologia negativa para toxoplasmose. A resposta primária contra o T. gondii foi baseada na soroconversão dos anticorpos IgM, IgG e IgA. O paciente foi prontamente tratado e nenhuma complicação relacionada à toxoplasmose foi observada nos meses subseqüentes. Esse caso ressalta a necessidade da detecção dos anticorpos anti-T. gondii no doador e no receptor antes do transplante e a importância do monitoramento sorológico do receptor durante o seguimento pós-transplante / Abstract: Toxoplasmosis, a cosmopolitan zoonotic disease caused by the intracellular parasite Toxoplasma gondii, is usually acquired through the ingestion of viable parasite cysts or oocysts, present, respectively, in raw or undercooked meat and in soil, food or water contaminated with feces of infected cats. Toxoplasmosis can be highly debilitating and occasionally fatal in children infected in utero and in transplant recipients. The diagnosis of acute primary infection in pregnant women is usually based on serology, because in the great majority of cases primary infection is not recognized clinically. The sustained persistence, in some persons, of specific IgM antibodies and the difficulty in demonstrating seroconversion or a significant increase in specific antibody concentrations, have complicated the interpretation of serological tests when acute infection is suspected. With regard to toxoplasmic infection in transplant patients, in many cases the serological status of the donor is not known and the periodic research of anti-T. gondii antibodies in the receptor is rarely performed. In the first study, we investigated the usefulness of detecting anti-T. gondii IgA for the diagnosis of an acute acquired Toxoplasma infection. Our results showed that anti-T. gondii IgA antibodies are detected with a high frequency in serum samples obtained from women with clinical and/or serologic evidence of acute acquired Toxoplasma infection. However, in 19% of the women presenting a sustained IgM antibody response and a high IgG avidity index, anti-T. gondii IgA antibodies were detected in serum samples collected more than nine months after the beginning of infection, indicating that IgA cannot be considered a dependable marker for acute primary infection. In the second study, we report the diagnosis of a primary toxoplasmic infection in a patient with multiple myeloma following a non-myeloablative allogeneic transplant with hematopoietic stem cells from a donor with negative serology for toxoplasmosis. The primary response to T. gondii was supported by IgM, IgG and IgA seroconversion. The patient was promptly treated and there were no complications related to toxoplasmosis in the subsequent months. This case stresses the importance of detecting anti-T. gondii antibodies in the donor and in the recipient before transplantation, and of serologically monitoring the recipient during long-term follow-u / Mestrado / Ciencias Biomedicas / Mestre em Ciências Médicas

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The roles of humoral and cell mediated immune responses in murine brucellosis were investigated in this study.B. abortus strain 19, the current vaccine strain, is known to induce an antibody as well as cell mediated immune responses, both of which protect mice against smooth strain 2308. B. abortus rough strain RB51 does not induce an o-side chain specific antibody response and yet protects mice against smooth strain 2308. Passive transfer experiments using serum and nylon wool enriched T cells obtained from micevaccinated with strain 19 and strain RB51 were carried out. Immune senum from strain 19 vaccinated mice protected against challenge with strain 2308 but not strain RB51. Nylon wool enriched T cells from strain 19 vaccinated mice protected recipient mice against challenge with both strains RB51 or 2308. Serum obtained from RB51 vaccinated mice did not protect recipient mice against challenge with either strain RB51 or strain 2308. Nylon wool enriched T cells from the same vaccinated mice, however, protected mice against challenge with both strains. Thioglycollate elicited mouse peritoneal macrophages could be activated by recombinant gamma-interferon to kill ingested B. abortus. This was true for both the rough strain RB51 and smooth strain 2308, although RB51 exhibited greater susceptibility to killing. Macrophages already invaded by either strain RB51 or strain 2308 retained their responsiveness to gamma-interferon activation am could kill either strain of B. abortus following activation by gamma-interferon. Results obtained in this investigation indicate that strain RB51 protects mice against strain 2308 by probably inducing a cell mediated immune response. / Ph. D.