RESUMO
Knowledge of the role of Tregs in the immunopathogenesis of the different clinical outcomes within the leprosy spectrum remains limited due to the lack of studies directly assessing their suppression capacity. We thus tested a protocol to expand Tregs from the peripheral blood of patients across the leprosy spectrum and analyzed their suppressive capacity in autologous TCD4+ responses. Results of these pilot assays show that Tregs can be expanded and exert suppressive capacity, but also that their rate of expansion and suppressive capacity are influenced by the patient's clinical classification, suggesting that they possibly retain some in vivo characteristics.
Assuntos
Hanseníase/imunologia , Linfócitos T Reguladores/imunologia , Proliferação de Células , Humanos , Tolerância Imunológica , Hanseníase/sangue , Hanseníase/classificação , Mycobacterium lepraemurium , Projetos PilotoRESUMO
The placement of sentinel birds in a commercial poultry flock infected with low pathogenic avian influenza virus (LPAIV) may be an effective way of detecting subsequent change in the isolate to a high pathogenic avian influenza virus (HPAIV). Data collected from the 2002 Chilean HPAIV outbreak, along with information from a literature review of laboratory studies involving A/chicken/Chile/176822/02 (H7N3/LP) and A/chicken/Chile/184240-1/02 (H7N3/HP) viruses, were used to construct a computer simulation model. Mortality rates of the original LPAIV-infected population and the sentinel population were compared to detect the presence of HPAIV. A total of 12 increased mortality threshold scenarios were examined, using one-day absolute (2, 3, or 4 birds) or relative (0.5, 1.0, or 1.5%) mortality thresholds, and two-day absolute (1, 2, or 3 birds) or relative (0.25, 0.50, or 1.00%) mortality thresholds, to indicate the change from LPAIV to HPAIV in the sentinel and original populations, respectively. Results showed that following a one-day approach, threshold mortalities occurred on average at 7.35, 7.82, and 8.17 (0.5, 1.0, or 1.5%) and 6.21, 6.38, and 6.45 (2, 3, or 4 birds) days after the first infectious case for the original and sentinel populations, respectively. The two-day approach delayed the occurrence of threshold mortalities, on average, to 7.64, 8.05, and 8.62 (0.25, 0.50, or 1.00%) and 6.86, 6.78, and 7.23 (1, 2, or 3 birds) days after the first infectious case for the original and sentinel populations, respectively. Although, significant (p<0.10) differences were observed among different combinations of detection times for the original and sentinel populations, the use of sentinel birds has a maximum mean advantage, over monitoring mortality exclusively in the original population, of 1.96 and 1.84 days for one- and two-day threshold moralities, respectively. Additionally, the early warning system based on a sentinel vs. original population presented a decrease of the probabilities of a false alarm, from 0.04-0.45 to <0.01-0.10%. These findings may be used by decision makers to evaluate the risk of not depopulating a flock infected with a H5 or H7 LPAIV strain and the benefit of using sentinel birds as an early warning system of a change to HPAIV.