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1.
Neuroscience ; 529: 162-171, 2023 10 01.
Article in English | MEDLINE | ID: mdl-37598833

ABSTRACT

In this study, we examined infection with the highly neurovirulent GDVII, the less neurovirulent DA strains, and with a mutant DA, which lacks the L* protein (L*-1) involved in viral persistence and demyelinating disease, to analyze the direct effects of Theiler's murine encephalomyelitis virus (TMEV) replication using primary cultures of mouse brain hippocampal neurons. All viruses replicate in cultured neurons, with GDVII having the highest titers and L*-1 the lowest. Accordingly, all were positive for viral antigen staining 3 days postinfection (dpi), and DA and L*-1 were also positive after 12 dpi. NeuN + immunostaining showed an early and almost complete absence of positive cells in cultures infected with GDVII, an approximately 50% reduction in cultures infected with DA, and fewer changes in L*-1 strains at 3 dpi. Accordingly, staining with chloromethyltetramethylrosamine orange (Mitotracker OrangeTM) as a parameter for cell viability showed similar results. Moreover, at 1 dpi, the strain DA induced higher transcript levels of neuroprotective genes such as IFN-Iß, IRF7, and IRF8. At 3 dpi, strains GDVII and DA, but not the L*-1 mutant, showed lower PKR expression. In addition, confocal analysis showed that L*-1-infected neurons exhibited a decrease in spine density. Treatment with poly (I:C), which is structurally related to dsRNA and is known to trigger IFN type I synthesis, reduced spine density even more. These results confirmed the use of mouse hippocampal neuron cultures as a model to study neuronal responses after TMEV infection, particularly in the formation of spine density.


Subject(s)
Theilovirus , Mice , Animals , Theilovirus/physiology , Neurons , Spine
2.
Front Immunol ; 10: 2499, 2019.
Article in English | MEDLINE | ID: mdl-31695702

ABSTRACT

The New World arenavirus Junin (JUNV) is the etiological agent of Argentine hemorrhagic fever (AHF). Previous studies of human macrophage infection by the Old-World arenaviruses Mopeia and Lassa showed that while the non-pathogenic Mopeia virus replicates and activates human macrophages, the pathogenic Lassa virus replicates but fails to activate human macrophages. Less is known in regard to the impact of New World arenavirus infection on the human macrophage immune response. Macrophage activation is critical for controlling infections but could also be usurped favoring immune evasion. Therefore, it is crucial to understand how the JUNV infection modulates macrophage plasticity to clarify its role in AHF pathogenesis. With this aim in mind, we compared infection with the attenuated Candid 1 (C#1) or the pathogenic P strains of the JUNV virus in human macrophage cultures. The results showed that both JUNV strains similarly replicated and induced morphological changes as early as 1 day post-infection. However, both strains differentially induced the expression of CD71, the receptor for cell entry, the activation and maturation molecules CD80, CD86, and HLA-DR and selectively modulated cytokine production. Higher levels of TNF-α, IL-10, and IL-12 were detected with C#1 strain, while the P strain induced only higher levels of IL-6. We also found that C#1 strain infection skewed macrophage polarization to M1, whereas the P strain shifted the response to an M2 phenotype. Interestingly, the MERTK receptor, that negatively regulates the immune response, was down-regulated by C#1 strain and up-regulated by P strain infection. Similarly, the target genes of MERTK activation, the cytokine suppressors SOCS1 and SOCS3, were also increased after P strain infection, in addition to IRF-1, that regulates type I IFN levels, which were higher with C#1 compared with P strain infection. Together, this differential activation/polarization pattern of macrophages elicited by P strain suggests a more evasive immune response and may have important implications in the pathogenesis of AHF and underpinning the development of new potential therapeutic strategies.


Subject(s)
Hemorrhagic Fever, American/immunology , Junin virus/immunology , Macrophage Activation , Macrophages/immunology , Animals , B7-1 Antigen/immunology , B7-2 Antigen/immunology , Chlorocebus aethiops , Cricetinae , Cytokines/immunology , HLA-DR Antigens/immunology , Hemorrhagic Fever, American/pathology , Humans , Species Specificity , Vero Cells
3.
Cell Microbiol ; 21(2): e12990, 2019 02.
Article in English | MEDLINE | ID: mdl-30537301

ABSTRACT

Leptospirosis is a global zoonosis caused by pathogenic Leptospira. Neutrophils are key cells against bacterial pathogens but can also contribute to tissue damage. Because the information regarding the role of human neutrophils in leptospirosis is scant, we comparatively analysed the human neutrophil's response to saprophytic Leptospira biflexa serovar Patoc (Patoc) and the pathogenic Leptospira interrogans serovar Copenhageni (LIC). Both species triggered neutrophil responses involved in migration, including the upregulation of CD11b expression, adhesion to collagen, and the release of IL-8. In addition, both species increased levels of pro-inflammatory IL-1ß and IL-6 associated with the inflammasome and NFκB pathway activation and delayed neutrophil apoptosis. LIC was observed on the neutrophil surface and not phagocytized. In contrast, Patoc generated intracellular ROS associated with its uptake. Neutrophils express the TYRO3, AXL, and MER receptor protein tyrosine kinases (TAM), but only LIC selectively increased the level of AXL. TLR2 but not TLR4-blocking antibodies abrogated the IL-8 secretion triggered by both Leptospira species. In summary, we demonstrate that Leptospira species trigger a robust neutrophil activation and pro-inflammatory response. These findings may be useful to find new diagnostic markers and therapeutic strategies against leptospirosis.


Subject(s)
Leptospira/immunology , Leptospirosis/immunology , Leptospirosis/pathology , Neutrophil Activation/immunology , Neutrophils/immunology , CD11b Antigen/metabolism , Humans , Interleukin-1beta/metabolism , Interleukin-6/metabolism , Interleukin-8/metabolism , Leptospira interrogans/immunology , Leptospirosis/microbiology
4.
Article in English | MEDLINE | ID: mdl-30425972

ABSTRACT

Previous studies have suggested that macrophages may contribute to acute Leptospira dissemination, as well as having a major role in kidney fibrosis. Our aim was to characterize the role of macrophages and galectin 3 (Gal-3) on the survival, clinical course, bacterial burden, interstitial nephritis, and chronic kidney fibrosis in Leptospira interrogans serovar Copenhageni (LIC)-induced experimental murine leptospirosis. C57BL/6J mice depleted of macrophages by liposome-encapsulated clodronate treatment and infected with LIC presented a higher bacterial burden, had reduced subacute nephritis and enhanced chronic kidney fibrosis relative to untreated, infected mice. Moreover, LIC infection in mice whose Gal-3 was disrupted (Lgals3-/-) had a higher bacterial burden and enhanced subacute nephritis and chronic kidney fibrosis when compared to C57BL/6J wild-type mice. Chronic fibrosis did not correlate with higher transcription levels of TGF-ß1 or IL-13 in the kidneys. Kidney fibrosis was found in chronically infected rats as well as in wild infected rats. On the other hand, human fibroblast cultures exhibited enhanced differentiation to myofibroblasts after treatment with LIC. Our results demonstrate that macrophages and Gal-3 play a critical role in controlling the LIC burden but has a minor role in subsequent fibrosis. Instead, kidney fibrosis was better correlated with bacterial burden. Taken together, our results do not support a role for macrophages to disseminate leptospires during acute infection, nor in chronic kidney fibrosis.


Subject(s)
Bacterial Load , Fibrosis/pathology , Galectin 3/metabolism , Kidney Diseases/pathology , Leptospira interrogans/pathogenicity , Leptospirosis/pathology , Macrophages/immunology , Animals , Cells, Cultured , Disease Models, Animal , Fibrosis/microbiology , Humans , Kidney Diseases/microbiology , Leptospira interrogans/isolation & purification , Leptospirosis/microbiology , Mice, Inbred C57BL , Rats
5.
PLoS Negl Trop Dis ; 9(7): e0003927, 2015.
Article in English | MEDLINE | ID: mdl-26161745

ABSTRACT

NETosis is a process by which neutrophils extrude their DNA together with bactericidal proteins that trap and/or kill pathogens. In the present study, we evaluated the ability of Leptospira spp. to induce NETosis using human ex vivo and murine in vivo models. Microscopy and fluorometric studies showed that incubation of human neutrophils with Leptospira interrogans serovar Copenhageni strain Fiocruz L1-130 (LIC) resulted in the release of DNA extracellular traps (NETs). The bacteria number, pathogenicity and viability were relevant factors for induction of NETs, but bacteria motility was not. Entrapment of LIC in the NETs resulted in LIC death; however, pathogenic but not saprophytic Leptospira sp. exerted nuclease activity and degraded DNA. Mice infected with LIC showed circulating NETs after 2 days post-infection (dpi). Depletion of neutrophils with mAb1A8 significantly reduced the amount of intravascular NETs in LIC-infected mice, increasing bacteremia at 3 dpi. Although there was a low bacterial burden, scarce neutrophils and an absence of inflammation in the early stages of infection in the kidney and liver, at the beginning of the leptospiruric phase, the bacterial burden was significantly higher in kidneys of neutrophil-depleted-mice compared to non-depleted and infected mice. Surprisingly, interstitial nephritis was of similar intensity in both groups of infected mice. Taken together, these data suggest that LIC triggers NETs, and that the intravascular formation of these DNA traps appears to be critical not only to prevent early leptospiral dissemination but also to preclude further bacterial burden.


Subject(s)
Extracellular Traps/immunology , Leptospira/physiology , Leptospirosis/immunology , Neutrophils/immunology , Animals , Humans , Immunity, Innate , Leptospira/immunology , Leptospirosis/microbiology , Male , Mice , Mice, Inbred C57BL , Neutrophils/microbiology
6.
PLoS One ; 9(7): e102860, 2014.
Article in English | MEDLINE | ID: mdl-25032961

ABSTRACT

Leptospirosis is a global zoonosis caused by pathogenic Leptospira, which can colonize the proximal renal tubules and persist for long periods in the kidneys of infected hosts. Here, we characterized the infection of C57BL/6J wild-type and Daf1-/- mice, which have an enhanced host response, with a virulent Leptospira interrogans strain at 14 days post-infection, its persistence in the kidney, and its link to kidney fibrosis at 90 days post-infection. We found that Leptospira interrogans can induce acute moderate nephritis in wild-type mice and is able to persist in some animals, inducing fibrosis in the absence of mortality. In contrast, Daf1-/- mice showed acute mortality, with a higher bacterial burden. At the chronic stage, Daf1-/- mice showed greater inflammation and fibrosis than at 14 days post-infection and higher levels at all times than the wild-type counterpart. Compared with uninfected mice, infected wild-type mice showed higher levels of IL-4, IL-10 and IL-13, with similar levels of α-smooth muscle actin, galectin-3, TGF-ß1, IL-17, IFN-γ, and lower IL-12 levels at 90 days post-infection. In contrast, fibrosis in Daf1-/- mice was accompanied by high expression of α-smooth muscle actin, galectin-3, IL-10, IL-13, and IFN-γ, similar levels of TGF-ß1, IL-12, and IL-17 and lower IL-4 levels. This study demonstrates the link between Leptospira-induced murine chronic nephritis with renal fibrosis and shows a protective role of Daf1.


Subject(s)
CD55 Antigens/metabolism , Fibrosis/metabolism , Kidney Diseases/metabolism , Kidney Tubules, Proximal/metabolism , Leptospirosis/metabolism , Nephritis/metabolism , Actins/metabolism , Animals , Fibrosis/microbiology , Galectin 3/metabolism , Inflammation/metabolism , Inflammation/microbiology , Interferon-gamma/metabolism , Interleukins/metabolism , Kidney Diseases/microbiology , Kidney Tubules, Proximal/microbiology , Leptospira interrogans , Leptospirosis/microbiology , Mice , Mice, Inbred C57BL , Nephritis/mortality , Transforming Growth Factor beta1/metabolism
7.
Parasitology ; 141(6): 849-58, 2014 May.
Article in English | MEDLINE | ID: mdl-24533969

ABSTRACT

Chagas heart disease is a major public concern since 30% of infected patients develop cardiac alterations. The relationship between Trypanosoma cruzi discrete typing units (DTUs) and the biological properties exhibited by the parasite population has yet to be elucidated. In this study, we analysed the expression of α-smooth muscle actin (α-SMA) and galectin-3 (Gal-3) associated with cardiac extracellular matrix (ECM) remodelling a murine chronic cardiomyopathy induced by Tc I genotypes. We found the induction of myocarditis was associated with the upregulation of Col I, α-SMA, Gal-3, IFN-γ and IL-13, as analysed by q-PCR. In myocardial areas of fibrosis, the intensity of myocarditis and significant ECM remodelling correlated with the presence of Col I-, Gal-3- and α-SMA-positive cells. These results are promising for the further efforts to evaluate the relevance of Gal-3 in Chagas heart disease, since this galectin was proposed as a prognosis marker in heart failure patients.


Subject(s)
Chagas Cardiomyopathy/pathology , Galectin 3/metabolism , Trypanosoma cruzi/physiology , Animals , Chagas Cardiomyopathy/parasitology , Collagen/genetics , Collagen/metabolism , Disease Models, Animal , Fibrosis/parasitology , Fibrosis/pathology , Galectin 3/genetics , Gene Expression Regulation , Genotype , Humans , Male , Mice , Myocarditis/parasitology , Myocarditis/pathology , Parasite Load , Up-Regulation
8.
Muscle Nerve ; 46(4): 582-7, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22987701

ABSTRACT

INTRODUCTION: Murine infection with Trypanosoma cruzi (Tc) has been used to study the role of T-cells in the pathogenesis of human inflammatory idiopathic myositis. Absence of decay-accelerating factor 1 (Daf1) has been shown to enhance murine T-cell responses and autoimmunity. METHODS: To determine whether Daf1 deficiency can exacerbate Tc-induced myositis, C57BL/6 DAF(+/+) and DAF(-/-) mice were inoculated with 5 × 10(4) trypomastigotes, and their morbidity, parasitemia, parasite burden, histopathology, and T-cell expansion were studied in the acute and chronic stages. RESULTS: DAF(-/-) mice had lower parasitemia and parasite burden but higher morbidity, muscle histopathology, and increased number of CD44(+) (activated/memory phenotype) splenic CD4(+) and CD8(+) T-cells. CONCLUSIONS: An enhanced CD8(+) T-cell immune-specific response may explain the lower parasitemia and parasite burden levels and the increase in histopathological lesions. We propose that Tc-inoculated DAF(-/-) mice are a useful model to study T-cell mediated immunity in skeletal muscle tissues.


Subject(s)
CD55 Antigens/genetics , Chagas Disease/immunology , Myositis/immunology , Myositis/parasitology , Trypanosoma cruzi/immunology , Animals , CD55 Antigens/metabolism , Chagas Disease/genetics , Chagas Disease/parasitology , Chronic Disease , Disease Models, Animal , Humans , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Myositis/genetics , T-Lymphocytes/immunology , T-Lymphocytes/metabolism , T-Lymphocytes/pathology , Trypanosoma cruzi/growth & development
9.
J Med Virol ; 83(9): 1571-81, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21739448

ABSTRACT

To understand better how different genomic regions may confer pathogenicity for the coxsackievirus B (CVB), two intratypic CVB1 variants, and a number of recombinant viruses were studied. Sequencing analysis showed 23 nucleotide changes between the parental non-pathogenic CVB1N and the pathogenic CVB1Nm. Mutations present in CVB1Nm were more conserved than those in CVB1N when compared to other CVB sequences. Inoculation in C3H/HeJ mice showed that the P1 region is critical for pathogenicity in murine pancreas and heart. The molecular determinants of disease for these organs partially overlap. Several P1 region amino acid differences appear to be located in the decay-accelerating factor (DAF) footprint CVBs. CVB1N and CVB1Nm interacted with human CAR, but only CVB1N seemed to interact with human DAF, as determined using soluble receptors in a plaque-reduction assay. However, the murine homolog Daf-1 did not interact with any virus assessed by hemagglutination. The results of this study suggest that an unknown receptor interaction with the virus play an important role in the pathogenicity of CVB1Nm. Further in vivo studies may clarify this issue.


Subject(s)
Coxsackievirus Infections/virology , Enterovirus B, Human/genetics , Enterovirus B, Human/pathogenicity , Amino Acid Sequence , Animals , Base Sequence , Binding Sites , CD55 Antigens/genetics , CD55 Antigens/metabolism , Coxsackie and Adenovirus Receptor-Like Membrane Protein , HeLa Cells , Humans , Male , Mice , Mice, Inbred C3H , Mutation , Receptors, Virus/metabolism , Sequence Analysis, DNA , Viral Plaque Assay
10.
Neurosci Lett ; 501(3): 163-6, 2011 Sep 01.
Article in English | MEDLINE | ID: mdl-21782004

ABSTRACT

Argentine haemorrhagic fever (AHF) is a systemic febrile syndrome characterized by several haematological and neurological alterations caused by Junín virus (JUNV), a member of the Arenaviridae family. Newborn mice are highly susceptible to JUNV and the course of infection has been associated with the viral strain used. Galectin-3 (Gal-3) is an animal lectin that has been proposed to play an important role in some central nervous system (CNS) diseases. In this study, we analysed Gal-3 expression at the transcriptional and translational expression levels during JUNV-induced CNS disease. We found that Candid 1 strain induced, with relatively low mortality, a subacute/chronic CNS disease with significant glia activation and upregulation of Gal-3 in microglia cells as well as in reactive astrocytes that correlated with viral levels. Our results suggest an important role for Gal-3 in viral-induced CNS disease.


Subject(s)
Arenaviridae Infections/metabolism , Encephalitis, Viral/metabolism , Galectin 3/biosynthesis , Junin virus/pathogenicity , Neuroglia/metabolism , Neuroglia/virology , Up-Regulation/physiology , Animals , Animals, Newborn , Arenaviridae Infections/pathology , Astrocytes/metabolism , Astrocytes/pathology , Astrocytes/virology , Disease Models, Animal , Encephalitis, Viral/pathology , Hemorrhagic Fever, American/metabolism , Hemorrhagic Fever, American/pathology , Hemorrhagic Fever, American/virology , Mice , Mice, Inbred C57BL , Microglia/metabolism , Microglia/pathology , Microglia/virology , Neuroglia/pathology
11.
Microbes Infect ; 13(4): 303-11, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21238601

ABSTRACT

Junín virus of the Arenaviridae family is the etiological agent of Argentine hemorrhagic fever, a febrile syndrome causing hematological and neurological symptoms. We review historical perspectives of current knowledge on the disease, and update information related to the virion and its potential pathogenic mechanisms.


Subject(s)
Hemorrhagic Fever, American/physiopathology , Junin virus/physiology , Junin virus/pathogenicity , Animals , Hemorrhagic Fever, American/virology , Humans , Junin virus/classification , Junin virus/ultrastructure , Models, Animal , Virus Replication/physiology
12.
Stem Cell Res ; 6(1): 13-22, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20951660

ABSTRACT

We studied the susceptibility of human embryonic stem cells and derived contractile embryoid bodies from WAO9, HUES-5 and HUES-16 cell lines to Coxsackievirus B infection. After validating stem cell-like properties and cardiac phenotype, Coxsackievirus B receptors CAR and DAF, as well as type I interferon receptors were detected in all cell lines and differentiation stages studied. Real-time PCR analysis showed that CAR mRNA levels were 3.4-fold higher in undifferentiated cells, while DAF transcript levels were 2.78-fold more abundant in differentiated cultures (P<0.05). All cell lines were susceptible to Coxsackievirus serotypes B1-5 infection as shown by RT-PCR detection of viral RNA, immunofluorescence detection of viral protein and infectivity titration of cell culture supernatants resulting in cell death. Supernatants infectivity titers 24-48 h post-infection ranged from 105-106 plaque forming units (PFU)/ml, the highest titers were detected in undifferentiated cells. Cell viability detected by a colorimetric assay, showed inverse correlation with infectivity titers of cell culture supernatants. Treatment with 100 U of interferon Iß significantly reduced viral replication and associated cell death during a 24-48 h observation period, as detected by reduced infectivity titers in the supernatants and increased cell viability by a colorimetric assay, respectively. We propose human embryonic stem cell and derived contractile embryoid bodies as a valid model to study cardiac Coxsackievirus B infection.


Subject(s)
Coxsackievirus Infections/virology , Embryoid Bodies/virology , Embryonic Stem Cells/virology , Enterovirus B, Human/physiology , Interferon-beta/pharmacology , Cell Line , Coxsackievirus Infections/genetics , Coxsackievirus Infections/metabolism , Embryoid Bodies/drug effects , Embryonic Stem Cells/drug effects , Enterovirus B, Human/drug effects , Humans , Receptors, Virus/genetics , Receptors, Virus/metabolism , Virus Replication/drug effects
13.
Curr Microbiol ; 62(2): 526-31, 2011 Feb.
Article in English | MEDLINE | ID: mdl-20721666

ABSTRACT

Leptospirosis is one of the most widespread zoonosis in the world. The development of a recombinant leptospira vaccine remains a challenge. In this study, we cloned the Leptospira interrogans open reading frame (ORF) coding the external membrane protein LipL32, an immunodominant antigen found in all pathogenic leptospira, downstream of the highly immunogenic cholera toxin B subunit (CTB) ORF. Expression and assembly of the CTB-LipL32 fusion protein into oligomeric structures of pentameric size were observed in soluble fractions by Western blot analysis. The CTB-LipL32 protein demonstrated strong affinity for monosialotetrahexosylgaglioside (GM1-ganglioside) in an enzyme-linked immunosorbent assay (ELISA), suggesting that the antigenic sites for binding and proper folding of the pentameric CTB structure were conserved. Furthermore, antisera against LipL32 also recognized the CTB-LipL32 fusion protein, suggesting that LipL32 also conserved its antigenic sites, a fact confirmed by an ELISA assay showing soluble CTB-LipL32 recognition by sera from convalescent patients. In addition, soluble CTB-LipL32 generated higher specific titers in mice immunized without external adjuvant than co-administration of CTB with LipL32. The data presented here provide support for CTB-LipL32 as a promising antigen for use in the control and study of leptospirosis.


Subject(s)
Bacterial Outer Membrane Proteins/immunology , Bacterial Vaccines/immunology , Cholera Toxin/immunology , Leptospira interrogans/immunology , Lipoproteins/immunology , Animals , Antibodies, Bacterial/blood , Bacterial Outer Membrane Proteins/genetics , Bacterial Vaccines/genetics , Blotting, Western , Cholera Toxin/genetics , Enzyme-Linked Immunosorbent Assay , Female , G(M1) Ganglioside/metabolism , Leptospira interrogans/genetics , Lipoproteins/genetics , Mice , Mice, Inbred BALB C , Protein Binding , Protein Multimerization , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/immunology , Vaccines, Synthetic/genetics , Vaccines, Synthetic/immunology
14.
Current Microbiology ; 62(2): 526-531, 2011.
Article in English | Sec. Est. Saúde SP, SESSP-IBPROD, Sec. Est. Saúde SP, SESSP-IBACERVO | ID: biblio-1062312

ABSTRACT

Leptospirosis is one of the most widespread zoonosis in the world. The development of a recombinant leptospira vaccine remains a challenge. In this study, we cloned the Leptospira interrogans open reading frame (ORF) coding the external membrane protein LipL32, an immunodominant antigen found in all pathogenic leptospira, downstream of the highly immunogenic cholera toxin B subunit (CTB) ORF. Expression and assembly of the CTB-LipL32 fusion protein into oligomeric structures of pentameric size were observed in soluble fractions by Western blot analysis. The CTB-LipL32 protein demonstrated strong affinity for monosialotetrahexosylgaglioside (GM1-ganglioside) in an enzyme-linked immunosorbent assay (ELISA), suggesting that the antigenic sites for binding and proper folding of the pentameric CTB structure were conserved. Furthermore, antisera against LipL32 also recognized the CTB-LipL32 fusion protein, suggesting that LipL32 also conserved its antigenic sites, a fact confirmed by an ELISA assay showing soluble CTB-LipL32 recognition by sera from convalescent patients. In addition, soluble CTB-LipL32 generated higher specific titers in mice immunized without external adjuvant than co-administration of CTB with LipL32. The data presented here provide support for CTB-LipL32 as a promising antigen for use in the control and study of leptospirosis.


Subject(s)
Guinea Pigs , Mice , Leptospira interrogans/immunology , Leptospira interrogans/pathogenicity , Recombinant Fusion Proteins/immunology , Recombinant Fusion Proteins/isolation & purification , Recombinant Fusion Proteins/therapeutic use , Leptospirosis/complications , Leptospirosis/epidemiology , Leptospirosis/etiology , Leptospirosis/immunology , Leptospirosis/pathology , Blotting, Western/methods
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