Abstract

Leptospirosis is considered a neglected disease with an estimated more than one million cases every year. Since rodents are at the same time the main reservoir and generally asymptomatic to Leptospira infection, understanding why some animal species are resistant and others are susceptible to this infection would shed some light in how to control this important zoonosis. The innate immune response against Leptospira is mainly dependent on phagocytosis and activation of the Complement System. In this context, cytokines may drive the early control of infection and the adaptive response. Since the Complement System is important to eliminate leptospires in vivo, we investigated if Complement C5 in A/J mice would modulate the cytokine production during infection by Leptospira interrogans serovar Kennewicki type Pomona Fromm (LPF). Thus, our aim was to investigate the systemic levels of pro- and anti-inflammatory cytokines during Leptospira infection in the blood, liver, lung, and kidney on the third and sixth days of infection in A/J C5+/+ and A/J C5−/− mice. Blood levels of TNF-α, IL-6, IFN-γ, and MCP-1 reached a peak on the third day. Although both mouse strains developed splenomegaly, similar histopathological alterations in the liver and the lung, levels of pro- and anti-inflammatory cytokines were different. A/J C5+/+ mice had higher levels of liver IL-10, IL-1β, IL-12p40, and IL-12p70 and kidney IL-1β, IL-12p40, and IL-12p70 on the sixth day of infection when compared to A/J C5−/− mice. Our results showed that in A/J genetic background, the Complement component C5 modulates a cytokine profile in the liver and kidney of infected mice, which may play a role in the control of disease progression.

Highlights

  • Leptospirosis is considered a neglected disease with more than one million cases every year causing approximately 60,000 deaths [1]

  • To quantify the histopathological alterations in the lung, we considered the following criteria: (a) presence of nodular interstitial pneumonitis (IP) was classified with a score of 1; (b) presence of diffuse IP was classified with a score of 2

  • Hepatic function integrity was indirectly evaluated by measuring alanine transaminase (ALT) and aspartate transaminase (AST) serum concentrations, while kidney function was evaluated by urea and uric acid (Bioclin Quibasa, Belo Horizonte, MG, Brazil) serum levels as described by Bavia et al [31]

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Summary

Introduction

Leptospirosis is considered a neglected disease with more than one million cases every year causing approximately 60,000 deaths [1]. This infection is caused by pathogenic Leptospira, generally transmitted through abraded or damaged skin or mucosa when in contact with water or soil contaminated with rodents’ urine. This disease is an important health issue mainly in developing countries with tropical and subtropical temperatures and with inadequate waste and sewage management systems [2,3,4]. Production of specific antibodies is observed only 5-6 days postinfection [7, 8]

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