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Chagas disease: Present status of pathogenic mechanisms and chemotherapy.
Maya, Juan Diego; Orellana, Myriam; Ferreira, Jorge; Kemmerling, Ulrike; López-Muñoz, Rodrigo; Morello, Antonio.
Afiliação
  • Maya JD; Programa de Farmacología Molecular y Clínica, ICBM, Facultad de Medicina, Universidad de Chile, Chile. jmaya@med.uchile.cl
Biol Res ; 43(3): 323-31, 2010.
Article em En | MEDLINE | ID: mdl-21249304
There are approximately 7.8 million people in Latin America, including Chile, who suffer from Chagas disease and another 28 million who are at risk of contracting it. Chagas is caused by the flagellate protozoan Trypanosoma cruzi. It is a chronic disease, where 20%-30% of infected individuals develop severe cardiopathy, with heart failure and potentially fatal arrhythmias. Currently, Chagas disease treatment is more effective in the acute phase, but does not always produce complete parasite eradication during indeterminate and chronic phases. At present, only nifurtimox or benznidazole have been proven to be superior to new drugs being tested. Therefore, it is necessary to find alternative approaches to treatment of chronic Chagas. The current treatment may be rendered more effective by increasing the activity of anti-Chagasic drugs or by modifying the host's immune response. We have previously shown that glutathione synthesis inhibition increases nifurtimox and benznidazole activity. In addition, there is increasing evidence that cyclooxygenase inhibitors present an important effect on T. cruzi infection. Therefore, we found that aspirin reduced the intracellular infection in RAW 264.7 cells and, decreased myocarditis extension and mortality rates in mice. However, the long-term benefit of prostaglandin inhibition for Chagasic patients is still unknown.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tripanossomicidas / Trypanosoma cruzi / Doença de Chagas Limite: Animals / Humans Idioma: En Revista: Biol Res Assunto da revista: BIOLOGIA Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tripanossomicidas / Trypanosoma cruzi / Doença de Chagas Limite: Animals / Humans Idioma: En Revista: Biol Res Assunto da revista: BIOLOGIA Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido