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dc.contributor.authorBotana, Laura
dc.contributor.authorIbarra Meneses, Ana Victoria
dc.contributor.authorSánchez, Carmen
dc.contributor.authorMatia, Belén
dc.contributor.authorSan Martín, Juan Víctor
dc.contributor.authorMoreno, Javier
dc.contributor.authorCarrillo, Eugenia
dc.date.accessioned2021-09-29T11:23:43Z
dc.date.available2021-09-29T11:23:43Z
dc.date.issued2021
dc.identifier.issn1935-2735spa
dc.identifier.urihttp://hdl.handle.net/10641/2439
dc.description.abstractVisceral leishmaniasis (VL) in patients receiving immunosuppressant drugs for autoimmune disease has been on the rise. It is important—but difficult—to know when cure has been achieved in these patients since the withdrawal of immunosuppressants during antileishmania treatment is commonly required, and there is a risk of relapse when immunosuppression is restored. The prevalence of asymptomatic infection among those immunosuppressed for autoimmune disease is also uncertain. The present work describes how cytokine release assays can be used to confirm the cure of VL, and to determine the prevalence of asymptomatic infection, in such patients. After collection of blood from volunteers (n = 108), SLA-stimulation of peripheral blood mononuclear cell cultures and of whole blood was found to induce the production of different combinations of cytokines that served to confirm recovery from VL, and asymptomatic Leishmania infection. Indeed, cure was confirmed in 14 patients, all of whom showed a specific Th1 immune response against Leishmania, and the prevalence of asymptomatic infection was determined as 21.27%. Cytokine profiles could be used to manage VL in patients with autoimmune disease, and to identify and better protect those with asymptomatic infection who are at risk of developing this disease.spa
dc.language.isoengspa
dc.publisherPLOS Neglected Tropical Diseasesspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.titleLeishmaniasis: A new method for confirming cure and detecting asymptomatic infection in patients receiving immunosuppressive treatment for autoimmune disease.spa
dc.typejournal articlespa
dc.type.hasVersionAMspa
dc.rights.accessRightsopen accessspa
dc.description.extent1034 KBspa
dc.identifier.doi10.1371/journal.pntd.0009662spa
dc.relation.publisherversionhttps://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0009662spa


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