Evidence That Lipopolisaccharide May Contribute to the Cytokine Storm and Cellular Activation in Patients with Visceral Leishmaniasis
2011

LPS and Immune Activation in Visceral Leishmaniasis

Sample size: 10 publication 10 minutes Evidence: moderate

Author Information

Author(s): Santos-Oliveira Joanna R., Regis Eduardo G., Leal Cássia R. B., Cunha Rivaldo V., Bozza Patrícia T., Da-Cruz Alda M.

Primary Institution: Instituto Oswaldo Cruz – FIOCRUZ, Brazil

Hypothesis

LPS may be elevated in leishmaniasis, contributing to cell activation.

Conclusion

Elevated levels of LPS in VL correlate with T-cell activation and increased pro-inflammatory cytokines, suggesting a role in immune dysfunction.

Supporting Evidence

  • Higher LPS levels were found in VL patients compared to healthy subjects.
  • LPS levels negatively correlated with CD4+ and CD8+ T-cell counts.
  • Pro-inflammatory cytokines were elevated in VL patients.
  • Significant correlation between LPS and sCD14 levels was observed.
  • IFABP levels were higher in VL patients, indicating gut barrier damage.

Takeaway

In patients with visceral leishmaniasis, a substance from bacteria called LPS is higher, which can make their immune system work too hard and hurt their T-cells.

Methodology

Flow cytometry and immunoassays were used to analyze T-cells and soluble factors in VL patients and healthy subjects.

Potential Biases

Potential selection bias due to the small number of participants.

Limitations

Small sample size and lack of long-term follow-up data.

Participant Demographics

10 VL patients (6 males, ages 18-60) and 8 healthy subjects (5 males, ages 24-32).

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pntd.0001198

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication