Abstract

Chagas disease (Cd) or American human trypanosomiasis is caused by Trypanosoma cruzi and affects ~7 million people, mostly in Latin America. The infective trypomastigote forms of the parasite can invade several human blood cell populations, including monocytes and dendritic cells (DC). Although these cells display a wide functional diversity, their interactions with T. cruzi via cyclooxygenase (COX) and cyclic adenosine monophosphate (cAMP) dependent pathways have not been analyzed. To exploiting this mechanism, DC-enriched peripheral human blood mononuclear cell populations (DC-PBMC) were used as our model. Our results showed that the treatment of these cell populations with celecoxib (CEL), a cyclooxygenase-2 selective inhibitor or SQ 22,536, an adenilate cyclase inhibitor, significantly caused marked inhibition of T. cruzi infection. In contrast, aspirin (ASA, a non-selective COX-1 and COX-2 inhibitor) treatment did not inhibit the infection of the cells by the parasite and was independent of nitric oxide (NO) production. The expression of co-stimulatory molecules CD80 and CD86 were similar on cells treated or not with both COX-inhibitors. The infection stimulated the release of TNF-α, IL-1β, IL-6, IL-8, and IL-10 production by infected cells. Treatment with ASA or CEL did not affect TNF-α, IL-6, IL-8, IL-10, and NO production by infected cells, but increased IL-1β production by them. Our results suggest a key role of COX-2 and cAMP pathways in T. cruzi invasion process of human blood cells and these pathways may represent targets of new therapeutic options for Cd.

Highlights

  • The protozoan parasite Trypanosoma cruzi is the causative agent of Chagas disease (Cd) that is transmitted to humans from the feces of infected triatomine bugs

  • By comparing the different treatments with nonsteroidal antiinflammatory drugs (NSAIDs), we demonstrate that inhibition of COX-2 and cyclic adenosine monophosphate (cAMP) impair T. cruzi entry into dendritic cells (DC)-PBMCs and this is paralleled by higher IL-1β production by cells

  • We observed that treatments with COX-inhibitors did not interfere in DC-enriched peripheral human blood mononuclear cell populations (DC-PBMC) viability that was over 95% when analyzed by MTT reduction assay (Figures 2C,D)

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Summary

Introduction

The protozoan parasite Trypanosoma cruzi is the causative agent of Chagas disease (Cd) that is transmitted to humans from the feces of infected triatomine bugs. 7 million people worldwide are infected with T. cruzi, mainly in Latin America where the disease is endemic in many countries. Cd is currently treated with either benznidazole or nifurtimox and these drugs have carcinogenic properties attributed to their active nitrofuran and nitroimidazole chemical groups, respectively (Wilkinson et al, 2011). This disease presents itself in two phases. About 5–40% of the cases develop a chronic symptomatic phase, after decades of acute infection, characterized by cardiac, digestive, or neurological conditions that may lead to death, with considerable psychological, social, and economic impacts (Machado et al, 2012; Dias et al, 2016)

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