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1.
Lupus ; 20(5): 473-84, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21335401

RESUMO

Systemic lupus erythematosus (SLE) is a complex autoimmune disease characterized by a hyperactive immune system, including activation of autoreactive T and B cells. These studies demonstrate that administration of recombinant galectin-1, a ß-galactose binding protein, to SLE-prone (NZB × NZW) F1 mice reduced lymphocyte activation, inhibited serum anti-double-stranded DNA(dsDNA) IgG antibody production, decreased the incidence of proteinuria, and increased survival rate. In addition, recombinant galectin-1'-treated mice had a higher frequency of Foxp3 expression, which suggested an increase in the percentage of peripheral regulatory T cells. Consistent with the finding that there were fewer activated T lymphocytes, ex vivo T cells from mice treated with recombinant galectin-1 exhibited less proliferation in response to TCR stimulation. Furthermore, these cells were less efficient at lipid raft clustering in response to TCR/CD28 engagement, consistent with published reports that galectin-1 can reorganize the synaptic contact to interfere with TCR signaling and activation to prevent T cell activation. Aged galectin-1-deficient mice had higher serum levels of antibodies against dsDNA, elucidating a role for endogenous galectin-1 in decreasing susceptibility to autoimmunity. Together, the findings highlight galectin-1 as a novel potential therapeutic immune modulator for treatment of lupus-like disease.


Assuntos
Autoanticorpos/sangue , Galectina 1/uso terapêutico , Lúpus Eritematoso Sistêmico/tratamento farmacológico , Ativação Linfocitária/efeitos dos fármacos , Linfócitos T/efeitos dos fármacos , Animais , DNA/imunologia , Regulação para Baixo , Avaliação Pré-Clínica de Medicamentos , Feminino , Fatores de Transcrição Forkhead/metabolismo , Galectina 1/farmacologia , Humanos , Imunoglobulina G/imunologia , Lúpus Eritematoso Sistêmico/imunologia , Lúpus Eritematoso Sistêmico/metabolismo , Microdomínios da Membrana/efeitos dos fármacos , Camundongos , Camundongos da Linhagem 129 , Camundongos Endogâmicos NZB , Camundongos Knockout , Proteinúria/etiologia , Proteinúria/prevenção & controle , Receptores de Antígenos de Linfócitos T/metabolismo , Proteínas Recombinantes/uso terapêutico , Baço/metabolismo
2.
Scand J Immunol ; 66(2-3): 137-42, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17635791

RESUMO

Trypanosoma cruzi, the causative agent of Chagas' disease, may sabotage humoral response by affecting B cells at the different stages of its development. The present review highlights the contributions of our laboratory in understanding how T. cruzi hinders B-cell generation and B-cell expansion limiting host defence and favouring its chronic establishment. We discuss how homoeostatic mechanisms can be triggered to control exacerbated B-cell proliferation that favour T. cruzi infection by eliminating parasite-specific B cells. Specific targeting of evasion mechanisms displayed in T. cruzi infection, as in vivo Fas/FasL blockade or Gal-3 expression inhibition, allowed us to modulate B-cell responses enhancing the anti-parasite humoral immune response. A comprehensive understanding of the biology of the B cell in health and disease is strictly required to devise immunointervention strategies aimed at enhancing protective immune responses during infections.


Assuntos
Subpopulações de Linfócitos B/imunologia , Subpopulações de Linfócitos B/patologia , Doença de Chagas/imunologia , Doença de Chagas/parasitologia , Trypanosoma cruzi/crescimento & desenvolvimento , Trypanosoma cruzi/imunologia , Animais , Subpopulações de Linfócitos B/parasitologia , Diferenciação Celular/imunologia , Doença de Chagas/patologia , Humanos
3.
Cytokine Growth Factor Rev ; 18(1-2): 73-83, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17336579

RESUMO

The whole life of a B-cell from a stem cell to a mature plasma cell is governed, among other factors, by cytokines and growth factors in their microenvironment. Remarkable progress in the understanding of the mechanisms of cytokines action on the B-cell compartment was achieved by analysis of gene-targeted mice. The generation of mice deficient for individual cytokines or their receptors has shed light on the in vivo function of cytokines in B-cell responses. This review focuses on the role of cytokines in the development, maturation and differentiation of different B-cell subsets into antibody-secreting cells or memory B-cells.


Assuntos
Subpopulações de Linfócitos B/imunologia , Diferenciação Celular/imunologia , Quimiocinas/imunologia , Citocinas/imunologia , Células-Tronco Hematopoéticas/imunologia , Plasmócitos/imunologia , Animais , Humanos , Memória Imunológica
4.
Biochem Biophys Res Commun ; 285(2): 393-9, 2001 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-11444855

RESUMO

Human very-low-density lipoprotein (VLDL) inhibits DNA synthesis in lymphocytes activated by the nonspecific mitogen concanavalin A (Con A). We studied the effects of VLDL on lymphocyte activation (IL-2 receptor expression), cell cycle progression, and production of IL-2 and of IL-4 (a proinflammatory and an anti-inflammatory interleukin, respectively) to understand why an atherogenic lipoprotein inhibits cell proliferation. After 48 h of stimulation with the mitogen, VLDL decreased the population of cells bearing IL-2 receptor and the population of T-cells that progress through the cell cycle, increasing the population of T-cells in G(0)/G(1). Cells cultured in the presence of Con A and VLDL produced higher levels of IL-2 and lower levels of IL-4 than cells cultured without VLDL. These results suggest that VLDL inhibits lymphocyte proliferation by reducing IL-2 receptor and enhancing the levels of IL-2. Probably, one atherogenic effect of VLDL is to modulate the cytokine secretion profile of lymphocytes to a predominantly proinflammatory response.


Assuntos
Citocinas/biossíntese , DNA/biossíntese , Lipoproteínas VLDL/farmacologia , Ativação Linfocitária/fisiologia , Linfócitos T/imunologia , Animais , Células Cultivadas , Concanavalina A/farmacologia , Citocinas/metabolismo , Citometria de Fluxo , Humanos , Imunofenotipagem , Inflamação , Interleucina-2/biossíntese , Interleucina-4/biossíntese , Lipoproteínas VLDL/sangue , Lipoproteínas VLDL/isolamento & purificação , Ativação Linfocitária/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos BALB C , Albumina Sérica/farmacologia , Baço/imunologia , Linfócitos T/citologia , Linfócitos T/efeitos dos fármacos , Timidina/metabolismo
5.
Am J Phys Anthropol ; 115(3): 199-203, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11424071

RESUMO

Mitochondrial DNA from 141 individuals was typed for diagnostic restriction sites and the 9-bp region V deletion to examine the distribution of the founding mtDNA lineage haplotypes in three Amerindian populations (Mataco, Toba, and Pilagá) who currently inhabit the Argentinian part of the Gran Chaco. All four lineages were identified in the three tribes and four population samples studied. Disregarding ethnic or geographic origin, haplogroups B and D exhibit high incidence among the Gran Chaco inhabitants, whereas haplogroups A and C are present in a lower frequency. Three individuals possess none of the characteristic markers and, therefore, could not be assigned to one of those lineages. A neighbor-joining representation of F(ST) distances reflects the current geographic location of the populations, and this also corresponds to their historic distribution. After separating South America into four major regions (Tropical Forest, Andes, Gran Chaco, and Patagonia-Tierra del Fuego), the Gran Chaco populations present the highest average intragroup variability (Hs = 0.64) as well as the lowest intergroup diversity (G(')(ST) = 0.06). These findings suggest high levels of gene flow among the Chaco tribes, as well as with neighbor populations from outside the region.


Assuntos
DNA Mitocondrial/genética , Emigração e Imigração , Genética Populacional , Indígenas Norte-Americanos , Haplótipos , Humanos , Dinâmica Populacional , América do Sul
6.
Clin Immunol ; 97(2): 89-94, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11027448

RESUMO

The R13 peptide sequence (EEEDDDMGFGLFD) that corresponds to the C-terminal region of Trypanosoma cruzi ribosomal P1 and P2 proteins differs from the eukariotic P concensus sequence EESDDDMGFGLFD (H13) only in a nonconservative amino acid substitution. The immunization of BALB/c mice with R13 synthetic peptide coupled to a carrier protein (OVA) induces specific (anti-R13) and autoreactive (anti-H13 and anti-heart) antibodies as well as heart functional alterations. Since aged human and experimental animals are impaired in their responses to most foreign antigens but they produce greater amounts of autoantibodies, in this work we used aged mice as an experimental model able to exaggerate the autoimmune component of the R13-induced response in case it was present. We studied whether these antibodies generated in the absence of the parasite would induce pathological changes in heart tissues. The levels of antibodies against R13 (foreign antigen) and H13 (autoantigen) studied comparatively in 2- and 12-month-old mice 10 days after the third immunization with R13 coupled to OVA were, as we expected for a foreign antigen, higher in almost all sera from 2-month-old mice tested than in sera from 12-month-old mice. Besides, these specific and cross-reactive antibody response remain elevated as long as 150 days post third immunization. In addition, the isotype pattern that recognizes R13 and the self-sequence H13 showed no differences between sera from young and aged mice. Moreover, when ECG traces were obtained from immunized mice, the heart functional alterations observed at 10 days continued at 80 and 150 days after the third immunization, showing an association with the levels of antibodies. In addition, despite the fact that the heart tissue morphology showed no alterations 10 days post third immunization, several abnormalities in the tissue architecture were revealed at 80 and 150 days post third immunization. This report demonstrates the biological relevance of R13-induced cross-reactive antibodies in some of the electrophysiologic and histological changes found in T. cruzi-infected mammalians.


Assuntos
Envelhecimento/fisiologia , Anticorpos Antiprotozoários/imunologia , Coração/fisiologia , Proteínas de Protozoários/imunologia , Proteínas Ribossômicas/imunologia , Animais , Reações Cruzadas/imunologia , Feminino , Camundongos , Camundongos Endogâmicos BALB C , Miocárdio/patologia
7.
Clin Exp Immunol ; 119(3): 507-15, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10691924

RESUMO

Acute infection with Trypanosoma cruzi is characterized by multiple manifestations of immunosuppression of both cellular and humoral responses. B cells isolated at the acute stage of infection have shown marked impairment in their response to polyclonal activators in vitro. The present work aims at studying the B cell compartment in the context of acute T. cruzi infection to provide evidence for B cell activation, spontaneous apoptosis and arrest of the cell cycle upon mitogenic stimulation as a mechanism underlying B cell hyporesponse. We found that B cells from acutely infected mice, which fail to respond to the mitogen LPS, showed spontaneous proliferation and production of IgM, indicating a high level of B cell activation. Furthermore, these activated B cells also exhibited an increase in Fas expression and apoptosis in cultures without an exogenous stimulus. On the other hand, B cells from early acute and chronic infected mice did not present activation or apoptosis, and were able to respond properly to the mitogen. Upon in vitro stimulation with LPS, B cells from hyporesponder mice failed to progress through the cell cycle (G0/G1 arrest), nor did they increase the levels of apoptosis. These results indicate that B cell apoptosis and cell cycle arrest could be the mechanisms that control intense B cell expansion, but at the same time could be delaying the emergence of a specific immune response against the parasite.


Assuntos
Apoptose/imunologia , Linfócitos B/imunologia , Doença de Chagas/imunologia , Terapia de Imunossupressão , Lipopolissacarídeos/imunologia , Trypanosoma cruzi , Animais , Linfócitos B/patologia , Divisão Celular/imunologia , Doença de Chagas/patologia , Ativação Linfocitária , Camundongos , Camundongos Endogâmicos BALB C
8.
Clin Immunol ; 91(1): 17-24, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10219250

RESUMO

The R13 peptide sequence (EEEDDDMGFGLFD) that corresponds to the C-terminal region of Trypanosoma cruzi ribosomal P1 and P2 proteins differs from the eukariotic P consensus sequence EESDDDMGFGLFD (H13) only in a nonconservative amino acid substitution. Since the immunization with R13 peptide coupled to a carrier protein like OVA would break the tolerance to a self-sequence and generate autoantibodies, we characterized the antibodies induced in mice by R13 immunization, analyzing by ELISA their capacity to bind to R13 and the self-sequence H13. Besides, we studied the course of these reactivities a long time after immunization. It was found that all R13-immunized mice had antibodies against H13 and this reactivity was always lower than R13 reactivity. The anti-H13 reactivity evaluated by competitive ELISA demonstrated that the H13 peptide is able to inhibit the binding of immune sera to R13 at high doses. When the levels and the avidity of anti-R13 and anti-H13 were evaluated at 10 and 80 days post third immunization, it was observed that anti-R13 levels were higher than anti-H13 levels in all sera from 10 days after the third immunization. However, avidity of both antibodies was high. In sera from 80 days post third immunization, anti-R13 and anti-H13 levels and avidity either remained elevated or showed a rise, whereas anti-OVA levels declined. Moreover, when ECG traces were obtained from immunized mice, the heart functional alterations observed at 10 days continued at 80 days after the third immunization, showing an association with the levels of the antibodies. In addition, the isotype pattern that recognizes R13 and the self-sequence H13 is different. For anti-R13 response, IgG1 reactivity was higher than IgG2; meanwhile, for anti-H13 response IgG2 reactivity was higher than IgG1. These results indicate that sera from R13-immunized mice bind the H13 sequence and this autoreactivity may be self-perpetuating.


Assuntos
Autoanticorpos/biossíntese , Fosfoproteínas/imunologia , Proteínas de Protozoários/imunologia , Proteínas Ribossômicas/imunologia , Trypanosoma cruzi/imunologia , Sequência de Aminoácidos , Animais , Anticorpos Antiprotozoários/biossíntese , Anticorpos Antiprotozoários/sangue , Afinidade de Anticorpos , Antígenos de Protozoários/administração & dosagem , Antígenos de Protozoários/genética , Autoanticorpos/sangue , Feminino , Imunização , Isotipos de Imunoglobulinas/biossíntese , Isotipos de Imunoglobulinas/sangue , Camundongos , Camundongos Endogâmicos BALB C , Fragmentos de Peptídeos/administração & dosagem , Fragmentos de Peptídeos/genética , Fragmentos de Peptídeos/imunologia , Fosfoproteínas/administração & dosagem , Fosfoproteínas/genética , Proteínas de Protozoários/administração & dosagem , Proteínas de Protozoários/genética , Proteínas Ribossômicas/administração & dosagem , Proteínas Ribossômicas/genética , Trypanosoma cruzi/genética
9.
Exp Parasitol ; 88(3): 223-30, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9562426

RESUMO

We report herein on the specific and autoimmune humoral response generated by the immunization of mice with the R13 synthetic peptide coupled to a carrier protein, OVA. This peptide corresponds to the C-terminal region of Trypanosoma cruzi ribosomal P1 and P2 proteins (EEEDDDMGFGLFD), a sequence that differs from the other eukariotic P consensus sequence (EESDDDMGFGLFD) only in a nonconservative amino acid substitution. The antibody response studied by ELISA revealed that all R13-immunized mice had antibodies against R13, consisting mainly of IgG1 and IgG2 isotypes, even though IgG3 and IgE isotypes were also observed. The self-reactivity of anti-R13 sera assayed by immunoblot, revealed that all sera contained IgG antibodies binding to mouse and human 38-kDa heart antigen. This antigenic band binds several immunoglobulin isotypes (IgG2 > IgG3 > IgE > IgG1). The specificity of anti-R13 antibodies analyzed by competitive inhibition of R13 ELISA using R13 and R7 (MGFGLFD) peptides revealed that the reactivity of the induced anti-P antibodies was not absorbed by R7. Therefore, the main immunogenic region of R13 for mouse would be EEEDDD, which contains the amino acid substitution. In parallel with this humoral response, both partial protection and heart damage were observed in R13-immunized mice. In fact, the R13-immunized mice showed significantly lower parasitemia and longer survival than the control animals. In addition, all R13-immunized mice showed electrocardiographic changes (bradycardia, prolonged PQ segment, and intraventricular conduction disturbances), which are typical findings in Chagas disease patients. This study represents the first definitive report in which one defined B-cell epitope, the single peptide R13 from T. cruzi, coupled to a carrier protein was able to induce specific and autoreactive antibodies as well as to generate heart functional alterations.


Assuntos
Miocárdio/imunologia , Fosfoproteínas/imunologia , Proteínas de Protozoários/imunologia , Trypanosoma cruzi/imunologia , Animais , Anticorpos Antiprotozoários/biossíntese , Anticorpos Antiprotozoários/imunologia , Autoanticorpos/biossíntese , Autoanticorpos/imunologia , Autoantígenos/imunologia , Doença de Chagas/imunologia , Doença de Chagas/patologia , Doença de Chagas/fisiopatologia , Relação Dose-Resposta Imunológica , Eletrocardiografia , Ensaio de Imunoadsorção Enzimática , Epitopos/imunologia , Feminino , Coração/fisiopatologia , Humanos , Imunização , Immunoblotting , Imunoglobulinas/biossíntese , Imunoglobulinas/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Miocárdio/patologia , Parasitemia/imunologia , Parasitemia/patologia , Parasitemia/fisiopatologia , Proteínas Ribossômicas
10.
Int J Parasitol ; 26(11): 1249-54, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9024869

RESUMO

This study examined the immune responses induced by cruzipain, a well-characterized T. cruzi antigen, to determine whether it is a relevant immunogen among the parasite acidic antigens (FIII), for which some biological properties have been studied previously. Humoral and cellular immune responses were investigated in BALB/C mice after immunization with cruzipain or FIII. Skin tests revealed immediate type-hypersensitivity (ITH) and delayed-type hypersensitivity (DTH) reactions to cruzipain in both groups of immunized mice. IgG1 and IgE isotypes against cruzipain were detected by ELISA in both groups and immunoblot studies showed that these antibodies recognized a major protein band of 50 kDa, cruzipain. The antigen-specific proliferative responses of spleen lymphocytes from both groups of immunized mice were also increased. Immunization with cruzipain of FIII antigen significantly enhanced the percentage survival of mice challenged with 10(3) trypomastigotes. The results revealed high cross-reactivity between cruzipain and FIII, suggesting the cruzipain is a relevant immunogen among the parasite acidic antigens.


Assuntos
Antígenos de Protozoários/imunologia , Doença de Chagas/imunologia , Cisteína Endopeptidases/imunologia , Vacinas Protozoárias , Trypanosoma cruzi/enzimologia , Trypanosoma cruzi/imunologia , Animais , Anticorpos Antiprotozoários/sangue , Formação de Anticorpos , Doença de Chagas/prevenção & controle , Ensaio de Imunoadsorção Enzimática , Hipersensibilidade Tardia , Hipersensibilidade Imediata , Imunidade Celular , Imunoglobulina E/sangue , Imunoglobulina G/sangue , Camundongos , Camundongos Endogâmicos BALB C , Proteínas de Protozoários , Testes Cutâneos
11.
Parasite Immunol ; 18(1): 43-8, 1996 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9223155

RESUMO

Infection with Trypanosoma cruzi is characterized by hyporesponsiveness of the immune system during the acute phase of infection. To better understand the immunological mechanisms affected by T. cruzi, we studied if a reduced T cell proliferative response could originate from an inability of T cells to proliferate or a functional deficiency at the level of accessory cells (AC). The inhibitory effect exerted by T. cruzi was during the induction phase of the lymphoproliferative response, suggesting the participation of AC in the hyporesponse. Then we further investigated the potential of the parasite to interfere with accessory cell-dependent and -independent pathways of human T cell proliferation. Peripheral blood mononuclear cells and peripheral blood lymphocytes from healthy individuals, enriched for T cells, were analysed with regard to their proliferative capacity using: phytohaemagglutinin, immobilized anti-CD3 monoclonal antibody (MoAb) and MoAb to the CD28 antigen, anti-CD3 MoAb and recombinant IL-2 and anti-CD3 MoAb plus phorbol myristate acetate in the presence of parasites. Significant suppression of the proliferative response was caused by the parasite only when AC were present. The parasite markedly reduced the surface expression of HLA-DR and CD11b antigens, key molecules in PHA-induced proliferation. Addition of indomethacin to the culture failed to reverse the inhibitory effect of the parasites, suggesting that prostaglandin E2 was not involved. These data suggest that AC in contact with T. cruzi become incompetent as antigen presenting cell because they are unable to induce a normal proliferative response in T lymphocytes.


Assuntos
Células Apresentadoras de Antígenos/imunologia , Ativação Linfocitária , Linfócitos T/imunologia , Trypanosoma cruzi/imunologia , Animais , Comunicação Celular/imunologia , Doença de Chagas/imunologia , Inibidores de Ciclo-Oxigenase/farmacologia , Antígenos HLA-DR/metabolismo , Interações Hospedeiro-Parasita/imunologia , Humanos , Tolerância Imunológica/efeitos dos fármacos , Técnicas In Vitro , Indometacina/farmacologia , Ativação Linfocitária/efeitos dos fármacos , Antígeno de Macrófago 1/metabolismo , Camundongos , Camundongos Endogâmicos BALB C
12.
Acta Trop ; 58(3-4): 337-43, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7709872

RESUMO

This paper shows that a polyclonal monospecific rabbit antiserum to cruzipain, the major T. cruzi cystein proteinase, cross-reacts with a cytosol acidic antigen (F IV) isolated from the epimastigote stage of the same parasite. In addition, antibodies specific for F IV purified from chagasic patient sera or murine anti F IV sera, also react with cruzipain. This was demonstrated by ELISA, DOT-ELISA, native and electrophoretic Immunoblot. These findings suggest that F IV contains an antigen immunologically cross-reactive with cruzipain.


Assuntos
Anticorpos Antiprotozoários/imunologia , Antígenos de Protozoários/imunologia , Doença de Chagas/imunologia , Cisteína Endopeptidases/imunologia , Trypanosoma cruzi/imunologia , Animais , Doença de Chagas/sangue , Reações Cruzadas , Citosol , Humanos , Camundongos , Camundongos Endogâmicos BALB C , Proteínas de Protozoários , Trypanosoma cruzi/metabolismo
13.
Acta Trop ; 58(2): 105-14, 1994 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7887336

RESUMO

The isotype distribution of the antibody response against one Trypanosoma cruzi antigenic fraction, FIV, and the putative association to heart disease were analyzed in patients of two apparently genetically distinct Amerindian populations, Mataco (M) and Toba (T), infected with this parasite. The isotypes profiles were analyzed by ELISA, and the antigen specificity of IgG immune response was determined by the immunoblot method. The percentages of infected individuals with abnormal electrocardiograms (GII) were 50% for population M and 10% for population T. Many individuals from both populations had measureable IgG2, IgG3 and IgG4 antibodies to FIV, but the level and frequency (%) of positive sera in population T was considerably higher than in population M (70% vs 15% for IgG2; 75% vs 40% for IgG3; 85% vs 20% for IgG4). The level and frequency of IgG1 reactivity against FIV were similar in the two populations. When the sera were titrated, the most remarkable difference in isotype levels between populations T and M was seen for IgG2 and IgG4, the T population showing the highest titer. No association between clinical state and a particular isotype profile was found by ELISA in any population. When the antigen specificity of antibody response was determined by immunoblot, the antigen patterns recognized by sera from the two clinical groups showed some differences only in population M. All sera assayed from GII of population M fixed more IgG than those with normal electrocardiograms (GI). Two bands of 36 and 43 kD were revealed only in GII of this population. Similar antigenic patterns between the two clinical groups from population T were observed, and they were comparable with those obtained with GI from population M.


Assuntos
Anticorpos Antiprotozoários/análise , Doença de Chagas/imunologia , Grupos Raciais , Trypanosoma cruzi/imunologia , Animais , Especificidade de Anticorpos , Antígenos de Protozoários/imunologia , Cardiomiopatia Chagásica/imunologia , Doença de Chagas/genética , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Isotipos de Imunoglobulinas/análise , Indígenas Sul-Americanos , Masculino
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