Persistent Sydenham’s chorea is not associated with sustained lymphocyte dysfunction

The mechanisms involved in the symptoms of Sydenham’s chorea (SC) remain obscure. Taking into account the autoreactive antibody-mediated hypothesis of SC pathogenesis, the persistence of chorea may be associated with increased levels of B1 lymphocytes and other lymphocyte subsets. We evaluated lymph...

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Bibliographic Details
Main Authors: Karen Cecília de Lima Torres, Natália Pessoa Rocha, Vítor Bortolo de Rezende, Walderez Ornelas Dutra, Kenneth John Gollob, Francisco Cardoso, Antonio Lucio Teixeira
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2015-01-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015005050179&lng=en&tlng=en
Description
Summary:The mechanisms involved in the symptoms of Sydenham’s chorea (SC) remain obscure. Taking into account the autoreactive antibody-mediated hypothesis of SC pathogenesis, the persistence of chorea may be associated with increased levels of B1 lymphocytes and other lymphocyte subsets. We evaluated lymphocyte subsets, including B1 and T cells, in patients with remitted (RSC) and persistent (PSC) SC by flow cytometry. Our results showed neither difference in the frequency of T and B lymphocytes subpopulations nor in their activation and functional states. These findings undermine the view of PSC as a sustained cytotoxic cellular-mediated condition. Alternative mechanisms may explain the pathogenesis of PSC.
ISSN:1678-4227