Immunological mechanisms involved in macrophage activation and polarization in schistosomiasis

Human schistosomiasis is caused by helminths of the genus Schistosoma. Macrophages play a crucial role in the immune regulation of this disease. These cells acquire different phenotypes depending on the type of stimulus they receive. M1 macrophages can be ‘classically activated’ and can display a proinflammatory phenotype. M2 or ‘alternatively activated’ macrophages are considered anti-inflammatory cells. Despite the relevance of macrophages in controlling infections, the role of the functional types of these cells in schistosomiasis is unclear. This review highlights different molecules and/or macrophage activation and polarization pathways during Schistosoma mansoni and Schistosoma japonicum infection. This review is based on original and review articles obtained through searches in major databases, including Scopus, Google Scholar, ACS, PubMed, Wiley, Scielo, Web of Science, LILACS and ScienceDirect. Our findings emphasize the importance of S. mansoni and S. japonicum antigens in macrophage polarization, as they exert immunomodulatory effects in different stages of the disease and are therefore important as therapeutic targets for schistosomiasis and in vaccine development. A combination of different antigens can provide greater protection, as it possibly stimulates an adequate immune response for an M1 or M2 profile and leads to host resistance; however, this warrants in vitro and in vivo studies.

Praziquantel: An update on the mechanism of its action against schistosomiasis and new therapeutic perspectives

Praziquantel (PZQ) is the drug of choice for the treatment of all forms of schistosomiasis, although its mechanisms of action are not completely understood. PZQ acts largely on adult worms. This narrative literature review describes what is known about the mechanisms of action of PZQ against schistosomes from in vitro and in vivo studies and highlights the molecular targets in parasites and immune responses induced in definitive hosts by this drug. Moreover, new therapeutic uses of PZQ are discussed. Studies have demonstrated that in addition to impacting voltage-operated Ca2 + channels, PZQ may interact with other schistosome molecules, such as myosin regulatory light chain, glutathione S-transferase, and transient receptor potential channels. Following PZQ administration, increased T regulatory type 1 (Tr1) cell differentiation and decreased inflammation were observed, indicating that PZQ promotes immunoregulatory pathways. Although PZQ is widely used in mass drug administration schemes, the existence of resistant parasites has not been proven; however, it is a concern that should be constantly investigated in human populations. In addition, we discuss studies that evaluate health applications of PZQ (other than helminth infection), such as its effect in cancer therapy and its adjuvant action in vaccines against viruses.

Alterations in blood glucose concentration in wild rodents, Holochilus sciureus, naturally infected with Schistosoma mansoni

The present study aimed to evaluate the changes in peripheral blood glucose concentrations induced by Schistosoma mansoni infection in Holochilus sciureus rodents, a wild reservoir of the parasite. Glucose concentration was measured in the plasma of blood samples using a colorimetric enzymatic test. Biological parameters and S. mansoni burden in each rodent were also verified and correlated with glucose concentrations. A total of 76 H. sciureus were captured, out of which 20 (26%) were infected with S. mansoni (n=13 males and n=7 females). Although the parasite burden was comparable between the sexes, blood glucose concentration was lower in infected males and almost unchanged in females. Furthermore, histopathological data revealed that male rodents had a greater hepatic granulomatous inflammatory reaction than females. In addition, we also confirmed that the weight and total length of the analyzed animals had no effect on glucose levels. Therefore, natural infection with S. mansoni in H. sciureus may have a lower impact on glycemic homeostasis in females, which will help us understand the role of these rodents as reservoirs of S. mansoni.

Intense transmission of visceral leishmaniasis in a region of northeastern Brazil: a situation analysis after the discontinuance of a zoonosis control program

In São Luís, Maranhão, northeastern Brazil, the notification of visceral leishmaniasis (VL) cases intensified in 1982, showing endemic and epidemic patterns. In this city, the Center for Zoonoses Control (CZC) was an organization in charge of the control and prevention of the disease. However, technical and political reasons have led to a significant decline in the periodicity of its activities. Therefore, in this study we evaluated the epidemiological scenario of human visceral leishmaniasis (HVL) and the prevalence of the disease in dogs after the cessation of the CZC activities, covering the period of 2007 to 2016. The seroprevalence of canine leishmaniasis was determined based on clinical and serological profiles. HVL cases were notified using data provided by the Municipal Health Department of São Luís. A seropositivity rate of 45.8% (p = 0.0001) was found among dogs, 54% (p = 0.374) of which were asymptomatic. As for human cases, there were 415 notifications, with an increase in the incidence of the zoonosis observed during the aforementioned period. Thus, it can be inferred that after the control and surveillance activities were curtailed, there was an increase in the number of seropositive animals in circulation, acting as reservoirs of infection for dogs and humans.

Hydroalcoholic extract of Caryocar brasiliense Cambess. leaves affect the development of Aedes aegypti mosquitoes

INTRODUCTION:

Curtailing the development of the aquatic immature stages of Aedes aegypti is one of the main measures to limit their spread and the diseases transmitted by them. The use of plant extracts is a promising approach in the development of natural insecticides. Thus, this research aimed to characterize the inhibitory effect of the hydroalcoholic extract of Caryocar brasiliense leaves on the emergence of adult A. aegypti and the main substances that constitute this extract.

METHODS:

C. brasiliense leaf extract was prepared by ethanol (70%) extraction. Bioassays using L3 larvae were performed at concentrations of 200, 300, 400, and 500 ppm. We identified the major secondary metabolites present in this extract, and performed toxicity tests on an off-target organism, Danio rerio.

RESULTS:

We observed a significant delay in the development of A. aegypti larvae mainly at a concentration of 500 ppm, and estimated an emergence inhibition for 50% of the population of 150 ppm. Moreover, the C. brasiliense leaf extracts exhibited low toxicity in D. rerio. The main compounds found in the extract were quercetin, violaxanthin, myricetin3-O-hexoside, methyl-elagic-3-arabinose acid, and isoquercitrin.

CONCLUSIONS:

Herein, we demonstrate the inhibition of mosquito development by the hydroalcoholic extract of C. brasiliense and suggest substances that may act as active principles.

Effectiveness of a handmade shell-based substrate for the breeding of Biomphalaria glabrata under laboratory conditions

Efficient snail production is essential for the proper maintenance of the Schistosoma mansoni life cycle in the laboratory. In order to improve the breeding of Biomphalaria glabrata under laboratory conditions, this study aimed to demonstrate the effectiveness of a handmade shell-based substrate on the physiological performance of B. glabrata. The shells used to make the substrate were cleaned, sterilized and macerated until a powder was obtained (yield of 92.3%). B. glabrata specimens were randomly assigned to three treatment groups: negative control group (NCG) exposed to a clay-only substrate; a positive control group (PCG) containing clay, oyster flour and calcium carbonate; and the test group (TG) with the shell-based substrate and clay. B. glabrata bred in the test group showed improved growth, sexual maturity, fertility, mortality rate, and shell morphology when compared to the NCG, and similar to the PCG. Therefore, the shell-based substrate proved to be efficient and has a low cost for the breeding of B. glabrata.

Parasitological and histological aspects of Holochilus sciureus naturally infected by Schistosoma mansoni

Schistosomiasis is a neglected disease that affects millions of people around the world, being common in the state of Maranhão. A total of 225 rodents of the Holochilus sciureus species from the Western Lowland Maranhão were studied, of which 144 animals (64%) exhibited Schistosoma eggs in their feces samples. Macroscopic lesions characterized as well-defined whitish areas on the liver and spleen surfaces were observed. Histopathological examination revealed multifocal granulomas in the esophagus, liver, spleen, pancreas and duodenum, with structures compatible with Schistosoma mansoni eggs, as well as severe hepatic micro-vacuolar degeneration, multifocal and coalescent, with proliferation of random bile ducts and associated epithelial hyperplasia to areas of fibrosis. Adult forms of the parasite were observed in the blood vessels of the portal space. The lungs exhibited moderate and diffuse interstitial pneumonia with intralesional S. mansoni eggs. In the kidneys, hyaline cylinders were observed in the pelvis and diffuse hemorrhage. In conclusion, H. sciureus displays a pathological picture similar to human being. This rodent plays a role as sentinel in Baixada Maranhense.

DISTRIBUIÇÃO DOS MOLUSCOS TRANSMISSORES DA ESQUISTOSSOMOSE NO MUNICÍPIO ENDÊMICO DE SÃO BENTO, MARANHÃO, BRASIL

Neste estudo, objetivou-se mapear os criadouros de Biomphalaria spp., transmissoras da esquistossomose mansoni, presentes no município de São Bento, localizado na região da Baixada Maranhense, área na qual esta doença é endêmica. Foram visitados 16 dos 22 bairros existentes na cidade durante o período de agosto de 2012 a julho de 2013. Os caramujos foram coletados com auxílio de conchas de captura e pinças, armazenados e transportados para o Laboratório de Parasitologia Humana da Universidade Estadual do Maranhão, em São Luís, onde foram acondicionados em aquários de vidro e alimentados com folhas de alface. Os moluscos foram submetidos à análise parasitológica à procura de estágios larvais de Schistosoma mansoni e identificados pela conquiliologia e por meio de dissecções. Em 18 criadouros mapeados foram obtidos 1.195 exemplares de Biomphalaria glabrata e de B. straminea. Nenhummolusco eliminou cercárias de S. mansoni. Considerando os resultados obtidos e os aspectos epidemiológicos relacionados à transmissão da esquistossomose, o mapeamento das espécies vetoras no município permitirá a localização e identificação dos criadouros, o que poderá auxiliar substancialmente os serviços de saúde locais nas atividades de vigilância e controle da esquistossomose, além de nortear futuros estudos epidemiológicos sobre a esquistossomose mansoni na região da Baixada Maranhense.

Moluscos límnicos como hospedeiros de trematódeos digenéticos de uma região metropolitana da ilha do Maranhão, Brasil

Este estudo se trata do primeiro levantamento malacológico de água doce e de larvas de trematódeos associadas, sem restrição, somente às espécies transmissoras da esquistossomose na região metropolitana da ilha do Maranhão. Dessa forma, objetivou-se caracterizar a diversidade de moluscos límnicos e de sua helmintofauna em ambientes com aspectos ecológicos variados. Os espécimes de gastrópodes foram coletados mensalmente no município de São Luís (MA), entre o período de novembro de 2014 a junho de 2015, em quatro pontos de coleta (P1 – lêntico e impactado, P2- lótico e impactado, P3 – lótico e alterado, P4 – lótico e conservado). Para cada local foram registrados o pH e Oxigênio Dissolvido, além de análise de Coliformes Totais e Escherichia coli. Foi coletado um total de 4112 moluscos límnicos, classificados como se segue: Biomphalaria glabrata Say, 1818 (62,86%), B. straminea Dunker, 1848 (24,71%), Pomacea sp. Perry, 1810 (7,91%), Physa sp. Draparnaud, 1801 (3,41%) e Drepanotrema sp. Crosse & Fischer, 1880 (1,11%). Destes, B. glabrata apresentou-se positivo para cercárias de Schistosoma mansoni e exemplares de Physa sp. e Pomacea sp. estavam infectados com xifidiocercárias. Houve correlação positiva e significativa em relação à pluviometria e a quantidade de moluscos (p<0,05). A maior abundância de espécimes foi registrada em áreas impactadas, bem como maior grau de parasitismo. A ocorrência de xifidiocercária representa o primeiro relato para a região metropolitana da ilha do Maranhão.

ASPECTOS BIOLÓGICOS DE Holochilus sp., HOSPEDEIRO NATURAL DA ESQUISTOSSOMOSE

Resumo Neste estudo objetivou-se analisar os aspectos reprodutivos (período estacional e quantidade de embriões) e a positividade para S. mansoni em roedores do gênero Holochilus, no município de São Bento - MA. Para isso, foram realizadas capturas mensais de até 10 roedores Holochilus sp., aleatoriamente quanto ao sexo, anotando-se o período estacional do município de São Bento nos meses de captura. Em laboratório, os roedores tiveram as fezes analisadas quanto à positividade para S. mansoni pelo método Kato-Katz. Após a análise, os animais foram anestesiados para a obtenção do comprimento total, peso corporal e determinação do sexo. Nas fêmeas, foi realizada a incisão da porção ventral do corpo, para a verificação da presença de embriões e contagem dos mesmos. Dentre os roedores capturados, ocorreu dominância de machos em quase todos os meses e eles tenderam a ser mais pesados e apresentaram maior porte que as fêmeas. Os animais mostraram elevado potencial reprodutivo. A positividade para S. mansoni e a reprodução dos Holochilus sp. foram maiores no período chuvoso de São Bento. Quanto ao número de embriões, constatou-se que, no período chuvoso, foram encontrados em maior quantidade por fêmea. Em suma, a intensa atividade reprodutiva juntamente à suscetibilidade para S. mansoni apresentada pelos roedores são fatores que ajudam na manutenção e agravam a esquistossomose na Baixada Maranhense.

MONITORAMENTO DE POSITIVIDADE PARA Schistosoma mansoni EM ROEDORES Holochilus sp. NATURALMENTE INFECTADOS

<title>Resumo</title><p>A ocorrência de mamíferos não humanos como reservatório da esquistossomose sempre foi um fator agravante a ser estudado. Roedores da família dos cricetídeos, como o <italic>Nectomys</italic> sp, parecem desempenhar importante papel na potencialização da disseminação da mesma. No entanto, para <italic>Holochilus</italic> sp (Rodentia: <italic>Cricetidae),</italic>encontrado no Maranhão, estudos com essa finalidade parecem pouco elucidativos. Desse modo, objetivou-se analisar o índice de infecção desses animais por <italic>S. mansoni</italic> na cidade de São Bento - MA, área endêmica para o parasito. Para tanto, foi realizado um monitoramento desses roedores durante 12 meses, através de armadilhas do tipo Tomahawk para captura e triplicatas de lâminas cropológicas, confeccionadas por meio do kit Kato-Katz, para exame parasitológico. Foram contabilizados um total de 101 roedores, sendo que 28,7% apresentaram- se naturalmente infectados para <italic>S. mansoni,</italic>(17,3% fêmeas e 82,7% machos). Tal análise evidenciou que, por mês, uma média de 2,4 roedores estavam infectados para o período de um ano. Sendo possível encontrar animais positivos em quase todas as coletas. Portanto, o roedor <italic>Holochilus</italic> sp. é um possível candidato à manutenção do ciclo da esquistossomose na região em estudo.</p>