Central nervous system commitment in Chagas disease

The involvement of the central nervous system (CNS) during human acute and chronic Chagas disease (CD) has been largely reported. Meningoencephalitis is a frequent finding during the acute infection, while during chronic phase the CNS involvement is often accompanied by behavioral and cognitive impa...

Full description

Bibliographic Details
Main Authors: Yerly Useche, Ana Rosa Pérez, Juliana de Meis, Adriana Bonomo, Wilson Savino
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.975106/full
_version_ 1811231217318625280
author Yerly Useche
Ana Rosa Pérez
Ana Rosa Pérez
Juliana de Meis
Juliana de Meis
Juliana de Meis
Adriana Bonomo
Adriana Bonomo
Adriana Bonomo
Wilson Savino
Wilson Savino
Wilson Savino
author_facet Yerly Useche
Ana Rosa Pérez
Ana Rosa Pérez
Juliana de Meis
Juliana de Meis
Juliana de Meis
Adriana Bonomo
Adriana Bonomo
Adriana Bonomo
Wilson Savino
Wilson Savino
Wilson Savino
author_sort Yerly Useche
collection DOAJ
description The involvement of the central nervous system (CNS) during human acute and chronic Chagas disease (CD) has been largely reported. Meningoencephalitis is a frequent finding during the acute infection, while during chronic phase the CNS involvement is often accompanied by behavioral and cognitive impairments. In the same vein, several studies have shown that rodents infected with Trypanosoma cruzi (T. cruzi) display behavior abnormalities, accompanied by brain inflammation, in situ production of pro-inflammatory cytokines and parasitism in diverse cerebral areas, with involvement of microglia, macrophages, astrocytes, and neurons. However, the mechanisms used by the parasite to reach the brain remain now largely unknown. Herein we discuss the evidence unravelling the CNS involvement and complexity of neuroimmune interactions that take place in acute and chronic CD. Also, we provide some clues to hypothesize brain infections routes in human and experimental acute CD following oral infection by T. cruzi, an infection route that became a major CD related public health issue in Brazil.
first_indexed 2024-04-12T10:41:36Z
format Article
id doaj.art-9116b1704d4a4ce8b8f34a2b12ea1b36
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-04-12T10:41:36Z
publishDate 2022-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-9116b1704d4a4ce8b8f34a2b12ea1b362022-12-22T03:36:35ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-11-011310.3389/fimmu.2022.975106975106Central nervous system commitment in Chagas diseaseYerly Useche0Ana Rosa Pérez1Ana Rosa Pérez2Juliana de Meis3Juliana de Meis4Juliana de Meis5Adriana Bonomo6Adriana Bonomo7Adriana Bonomo8Wilson Savino9Wilson Savino10Wilson Savino11Laboratory on Thymus Research, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilInstitute of Clinical and Experimental Immunology of Rosario (IDICER CONICET UNR), Rosario, ArgentinaCenter for Research and Production of Biological Reagents (CIPReB), Faculty of Medical Sciences National University of Rosario, Rosario, ArgentinaLaboratory on Thymus Research, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilNational Institute of Science and Technology on Neuroimmunomodulation, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilRio de Janeiro Research Network on Neuroinflammation, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilLaboratory on Thymus Research, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilNational Institute of Science and Technology on Neuroimmunomodulation, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilRio de Janeiro Research Network on Neuroinflammation, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilLaboratory on Thymus Research, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilNational Institute of Science and Technology on Neuroimmunomodulation, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilRio de Janeiro Research Network on Neuroinflammation, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilThe involvement of the central nervous system (CNS) during human acute and chronic Chagas disease (CD) has been largely reported. Meningoencephalitis is a frequent finding during the acute infection, while during chronic phase the CNS involvement is often accompanied by behavioral and cognitive impairments. In the same vein, several studies have shown that rodents infected with Trypanosoma cruzi (T. cruzi) display behavior abnormalities, accompanied by brain inflammation, in situ production of pro-inflammatory cytokines and parasitism in diverse cerebral areas, with involvement of microglia, macrophages, astrocytes, and neurons. However, the mechanisms used by the parasite to reach the brain remain now largely unknown. Herein we discuss the evidence unravelling the CNS involvement and complexity of neuroimmune interactions that take place in acute and chronic CD. Also, we provide some clues to hypothesize brain infections routes in human and experimental acute CD following oral infection by T. cruzi, an infection route that became a major CD related public health issue in Brazil.https://www.frontiersin.org/articles/10.3389/fimmu.2022.975106/fullChagas diseasecentral nervous systemneuroimmune interactionsencephalitisbrain inflammationoral Trypanosoma cruzi transmission
spellingShingle Yerly Useche
Ana Rosa Pérez
Ana Rosa Pérez
Juliana de Meis
Juliana de Meis
Juliana de Meis
Adriana Bonomo
Adriana Bonomo
Adriana Bonomo
Wilson Savino
Wilson Savino
Wilson Savino
Central nervous system commitment in Chagas disease
Frontiers in Immunology
Chagas disease
central nervous system
neuroimmune interactions
encephalitis
brain inflammation
oral Trypanosoma cruzi transmission
title Central nervous system commitment in Chagas disease
title_full Central nervous system commitment in Chagas disease
title_fullStr Central nervous system commitment in Chagas disease
title_full_unstemmed Central nervous system commitment in Chagas disease
title_short Central nervous system commitment in Chagas disease
title_sort central nervous system commitment in chagas disease
topic Chagas disease
central nervous system
neuroimmune interactions
encephalitis
brain inflammation
oral Trypanosoma cruzi transmission
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.975106/full
work_keys_str_mv AT yerlyuseche centralnervoussystemcommitmentinchagasdisease
AT anarosaperez centralnervoussystemcommitmentinchagasdisease
AT anarosaperez centralnervoussystemcommitmentinchagasdisease
AT julianademeis centralnervoussystemcommitmentinchagasdisease
AT julianademeis centralnervoussystemcommitmentinchagasdisease
AT julianademeis centralnervoussystemcommitmentinchagasdisease
AT adrianabonomo centralnervoussystemcommitmentinchagasdisease
AT adrianabonomo centralnervoussystemcommitmentinchagasdisease
AT adrianabonomo centralnervoussystemcommitmentinchagasdisease
AT wilsonsavino centralnervoussystemcommitmentinchagasdisease
AT wilsonsavino centralnervoussystemcommitmentinchagasdisease
AT wilsonsavino centralnervoussystemcommitmentinchagasdisease