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Title: | Impaired frequencies and function of platelets and tissue remodeling in chronic Chagas disease | Authors: | Pengue, Claudia Cesar, Gonzalo Alvarez, María Gabriela Bertocchi, Graciela Lococo, Bruno Viotti, Rodolfo Natale, María Ailén Castro Eiro, Melisa D Cambiazzo, Silvia S Perroni, Nancy Nuñez, Myriam Albareda, María Cecilia Laucella, Susana A |
Keywords: | Enfermedad de Chagas;Plaquetas;Trypanosoma cruzi | Issue Date: | 14-Jun-2019 | Publisher: | PLoS ONE | Journal: | PloS one | Abstract: | Chronic inflammation, as a consequence of the persistent infection with Trypanosoma cruzi, leads to continuous activation of the immune system in patients with chronic Chagas disease. We have previously shown that increased sera levels of soluble P-selectin are associated with the severity of the cardiomyopathy distinctive of chronic Chagas disease. In this study, we explored the expression of biomarkers of platelet and endothelial activation, tissue remodeling, and mediators of the coagulation cascade in patients at different clinical stages of chronic Chagas heart disease. The frequencies of activated platelets, measured by the expression of CD41a and CD62P were decreased in patients with chronic Chagas disease compared with those in uninfected subjects, with an inverse association with disease severity. Platelet activation in response to adenosine diphosphate was also decreased in T. cruzi-infected subjects. A major proportion of T. cruzi infected subjects showed increased serum levels of fibrinogen. Patients with severe cardiac dysfunction showed increased levels of endothelin-1 and normal values of procollagen I. In conclusion, chronic infection with T. cruzi induced hemostatic alterations, even in those patients who do not yet present cardiac symptoms. |
Description: | Fil: Pengue, Claudia. Hospital Interzonal General de Agudos Eva Perón, Buenos Aires; Argentina. Fil: Cesar, Gonzalo. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Parasitología; Argentina. Fil: Alvarez, María Gabriela. Hospital Interzonal General de Agudos Eva Perón, Buenos Aires; Argentina. Fil: Bertocchi, Graciela. Hospital Interzonal General de Agudos Eva Perón, Buenos Aires; Argentina. Fil: Lococo, Bruno. Hospital Interzonal General de Agudos Eva Perón, Buenos Aires; Argentina. Fil: Viotti, Rodolfo. Hospital Interzonal General de Agudos Eva Perón, Buenos Aires; Argentina. Fil: Natale , María Ailén. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Parasitología; Argentina. Fil: Castro Eiro, Melisa D.. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Parasitología; Argentina. Fil: Cambiazzo , Silvia S.. Hospital General de Agudos Dr. Teodoro Álvarez, Buenos Aires; Argentina. Fil: Perroni, Nancy. Hospital Interzonal General de Agudos Eva Perón, Buenos Aires; Argentina. Fil: Nuñez, Myriam. Universidad de Buenos Aires. Facultad de Farmacia y Bioquímica. Departamento de Matemática y Física, Buenos Aires; Argentina. Fil: Albareda, María Cecilia. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Parasitología; Argentina. Fil: Laucella, Susana A.. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Parasitología; Argentina. |
URI: | http://sgc.anlis.gob.ar/handle/123456789/1325 | DOI: | 10.1371/journal.pone.0218260 | Rights: | OpenAccess Creative Commons Attribution 4.0 International License |
Appears in Collections: | Publicaciones INP |
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journal.pone.0218260.pdf | 1.87 MB | Adobe PDF | View/Open |
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