RESUMO
Patients coinfected with Leishmania/HIV can develop atypical forms of visceral leishmaniasis (VL), making it indispensable to identify the etiological agent. We are presenting a post-mortem specie definition by ITS1-PCR-RFLP in a larynx tissue of a patient presented coinfection Leishmania/HIV. This patient was from a leishmaniasis endemic region in São Paulo (SP), Brazil, and was diagnosed clinically with mucocutaneous leishmaniasis. Before a rK39 immunochromatographic test positive, a tiny stored paraffin-embedded larynx tissue was obtained post-mortem and submitted to 3 conventional PCR assays: kDNA (K20/K22 and RV1/RV2), and ITS1 (LITSR/L5.8S). The last one was followed by RFLP (HaeIII) and analyzed by 4% Metaphor agarose gel electrophoresis. Leishmania genus and Leishmania (Leishmania) subgenus were defined by kDNA-PCR, with K20/K22 (120 bp) and RV1/RV2 (145 bp), respectively. ITS1-PCR-RFLP identified L. (L.) infantum chagasi species visualized by the restriction patterns of 180, 70 and 50 bp. This case draws attention to the necessity for a clear identification of the etiological agent causing infection, especially in endemic regions of cutaneous and visceral leishmaniasis, and particularly in patients with comorbidities who often present atypical forms of the disease. L. (L.) infantum chagasi, which is usually responsible for VL, had changed its clinical spectrum for mucocutaneous. Unequivocal identification was carried out by ITS-PCR-RFLP, therefore confirming rK39 result. These techniques, which complemented each other, have a convenient cost-benefit ratio that makes them suitable to be applied in developing countries.
RESUMO
El virus de la hepatitis C (HCV) ha sido caracterizado en profundidad a nivel molecular en la última década. La partícula viral envuelta alberga una nucleocápside, estructura constituida principalmente por una proteína básica que está en estrecha interacción con el genoma viral representado por una molécula de ARN de cadena simple con polaridad positiva. La organización genómica del HCV es similar a la de Pestivirus y Flavivirus. Diferentes receptores celulares se han postulado en su participación para el ingreso del virus a la célula blanco. Su estrategia de multiplicación deja avizorar los blancos de acción de nuevas drogas para controlar la replicación. Si bien comparte con el HIV - desde su naturaleza de ARN virus - entre otras características virológicas la magnífica plasticidad genómica, otras por el contrario revisten claras diferencias. Ambos virus constituyen un enorme desafío en Salud
The hepatitis C virus (HCV) has been deeply characterized at molecular level during the last decade. The enveloped viral particle protects the nucleocapsid that is essentially constituted by a basic protein that interacts with the viral genome, a single strand RNA with positive polarity. The genomic organization of the HCV is similar to the Pestivirus and Flavivirus. Different cellular receptors have been postulated to play a role to the virus entry in the cellular target. The replication strategy exhibit the different plausible target of antiviral action with new drugs in order to control the replication. The HCV shares with the HIV the vast genomic plasticity because both are RNA viruses but other characteristics are different between them. Both viruses are an enormous trial for human health
Assuntos
Humanos , Período de Replicação do DNA , Genoma Viral/imunologia , HIV , Hepacivirus/genética , RNA , Replicação Viral/imunologia , Sequência de Bases/genéticaRESUMO
El virus de la hepatitis C (HCV) ha sido caracterizado en profundidad a nivel molecular en la última década. La partícula viral envuelta alberga una nucleocápside, estructura constituida principalmente por una proteína básica que está en estrecha interacción con el genoma viral representado por una molécula de ARN de cadena simple con polaridad positiva. La organización genómica del HCV es similar a la de Pestivirus y Flavivirus. Diferentes receptores celulares se han postulado en su participación para el ingreso del virus a la célula blanco. Su estrategia de multiplicación deja avizorar los blancos de acción de nuevas drogas para controlar la replicación. Si bien comparte con el HIV - desde su naturaleza de ARN virus - entre otras características virológicas la magnífica plasticidad genómica, otras por el contrario revisten claras diferencias. Ambos virus constituyen un enorme desafío en Salud (AU)
The hepatitis C virus (HCV) has been deeply characterized at molecular level during the last decade. The enveloped viral particle protects the nucleocapsid that is essentially constituted by a basic protein that interacts with the viral genome, a single strand RNA with positive polarity. The genomic organization of the HCV is similar to the Pestivirus and Flavivirus. Different cellular receptors have been postulated to play a role to the virus entry in the cellular target. The replication strategy exhibit the different plausible target of antiviral action with new drugs in order to control the replication. The HCV shares with the HIV the vast genomic plasticity because both are RNA viruses but other characteristics are different between them. Both viruses are an enormous trial for human health (AU)