Abstract
Decrease of Nitrergic Innervation in the Esophagus of Patients with Chagas Disease: Correlation with Loss of Interstitial Cells of Cajal
Highlights
Chagas disease is caused by the intracellular parasite Trypanosoma cruzi and affects approximately 6-7 millions individuals in Latin America still today [1]
Using one antibody specific for neuronal Nitric Oxide Synthase and another specific for Protein Gene Product 9.5 (PGP-9.5), which is a pan-neuronal marker, we demonstrated the relative area of nitrergic innervation
Considering data from the literature, we raised the hypothesis that the loss of nitrergic nerve fibers and ICCs could be view as an interdependent phenomenon occurring in the esophagus of T. cruzi infected individuals and that it could contribute to peristalsis disturbances, to achalasia and to megaesophagus development
Summary
Chagas disease is caused by the intracellular parasite Trypanosoma cruzi and affects approximately 6-7 millions individuals in Latin America still today [1]. Structural damage of the Enteric Nervous System (ENS), denervation above 90% in the myenteric plexus [7], ganglionitis and periganglionitis have been widely described in the digestive form of Chagas disease [8,9]. It is well known, that motility regulation in the GI tract and lower esophageal sphincter relaxation is influenced by neuromediators, as Nitric Oxide (NO), and by Interstitial Cells of Cajal (ICCs) [10,11,12,13]
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More From: International Journal of Pathology and Clinical Research
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