Suchergebnisse

Trypanosoma cruzi belongs to the group of mitochondrion-containing eukaryotes and has a highly plastic genome, unusual gene organization, and complex mechanisms for gene expression (polycistronic transcription). We report here the genome sequence of strain Bug2148, the first genomic sequence belonging to cluster TcV, which has been related to vertical transmission. ; Consejo de Ciência, Tecnología e Innovación de Hidalgo (CITNOVA, Mexico); by Ministerio de Economía y Competitividad grant SAF2015-63868-R (MINECO/FEDER) to N.G. and SAF2016-75988-R (MINECO/FEDER) to M.F.; by Red de Investigación Colaborativa en Enfermedades Tropicales (RICET grant RD12/0018/0004) to M.F.; by the European Union (grant HEALTH-FE-2008-22303, ChagasEpiNet) to M.F.; and by the Comunidad de Madrid (grant S-2010/BMD-2332) and institutional grants from Fundación Ramón Areces. ; Peer Reviewed

Chagas disease, caused by the protozoan parasite Trypanosoma cruzi, affects several million people in Latin America. Myocarditis, observed during both the acute and chronic phases of the disease, is characterized by an inammatory mononuclear cell infiltrate that includes CD4+ T cells. It is known that Th1 cytokines help to control infection. The role that Treg and Th17 cells may play in disease outcome, however, has not been completely elucidated. We performed a comparative study of the dynamics of CD4+ T cell subsets after infection with the T. cruzi Y strain during both the acute and chronic phases of the disease using susceptible BALB/c and non-susceptible C57BL/6 mice infected with high or low parasite inocula. During the acute phase, infected C57BL/6 mice showed high levels of CD4+ T cell infiltration and expression of Th1 cytokines in the heart associated with the presence of Treg cells. In contrast, infected BALB/c mice had a high heart parasite burden, low heart CD4+ T cell infiltration and low levels of Th1 and inflammatory cytokines, but with an increased presence of Th17 cells. Moreover, an increase in the expression of IL-6 in susceptible mice was associated with lethality upon infection with a high parasite load. Chronically infected BALB/c mice continued to present higher parasite burdens than C57BL/6 mice and also higher levels of IFN-γ, TNF, IL-10 and TGF-β. Thus, the regulation of the Th1 response by Treg cells in the acute phase may play a protective role in non-susceptible mice irrespective of parasite numbers. On the other hand, Th17 cells may protect susceptible mice at low levels of infection, but could, in association with IL-6, be pathogenic at high parasite loads. © 2013 Sanoja et al. ; Ministerio de Ciencia y Tecnología'' (SAF2007-61716; SAF2005-02220); ''Fondo de Investigaciones Sanitarias'' (PS09/00538); ''Red Temática de Investigación en Enfermedades cardiovasculares'' (RECAVA RD06/0014/1013); ''Red de Investigación de Centros de Enfermedades Tropicales'' (RICET RD06/0021/0016); European Union (HEALTH-FE-2008-22303, ChagasEpiNet); ''Universidad Autónoma de Madrid'' and ''Comunidad de Madrid'' (CC08-UAM/SAL-4440/08); AECID cooperation with Argentine (A/025417/09) and ''Fundación Ramón Areces' ; Peer Reviewed

Chagas disease is a complex illness caused by the protozoan Trypanosoma cruzi displaying highly diverse clinical outcomes. In this sense, the genome sequence elucidation and comparison between strains may lead to disease understanding. Here, two new T. cruzi strains, have been sequenced, Y using Illumina and Bug2148 using PacBio, assembled, analyzed and compared with the T. cruzi annotated genomes available to date. The assembly stats from the new sequences show effective improvement of T. cruzi genome over the actual ones. Such as, the largest contig assembled (1.3 Mb in Bug2148) in de novo attempts and the highest mean assembly coverage (71X for Y). Our analysis reveals a new genomic expansion and greater complexity for those multi-copy gene families related to infection process and disease development, such as Trans-sialidases, Mucins and Mucin Associated Surface Proteins, among others. On one side, we demonstrate that multi-copy gene families are located near telomeric regions of the "chromosome-like" 1.3 Mb contig assembled of Bug2148, where they likely suffer high evolutive pressure. On the other hand, we identified several strain-specific single copy genes that might help to understand the differences in infectivity and physiology among strains. In summary, our results indicate that T. cruzi has a complex genomic architecture that may have promoted its evolution. ; Ministerio de Economía y competitividad" (SAF2015-63868-R (MINECO/FEDER) to N.G., SAF2016-75988-R (MINECO/FEDER) to M.F.); "Red de Investigación de Centros de Enfermedades Tropicales" (RICET RD12/0018/0004 to M.F.); European Union (HEALTH-FE-2008-22303, ChagasEpiNet to M.F.); Comunidad de Madrid (S-2010/BMD-2332 to M.F.); and Institutional grants from "Fundación Ramón Areces" and "Banco de Santander ; Peer Reviewed

Chagas disease is a complex illness caused by the protozoan Trypanosoma cruzi displaying highly diverse clinical outcomes. In this sense, the genome sequence elucidation and comparison between strains may lead to disease understanding. Here, two new T. cruzi strains, have been sequenced, Y using Illumina and Bug2148 using PacBio, assembled, analyzed and compared with the T. cruzi annotated genomes available to date. The assembly stats from the new sequences show effective improvement of T. cruzi genome over the actual ones. Such as, the largest contig assembled (1.3 Mb in Bug2148) in de novo attempts and the highest mean assembly coverage (71X for Y). Our analysis reveals a new genomic expansion and greater complexity for those multi-copy gene families related to infection process and disease development, such as Trans-sialidases, Mucins and Mucin Associated Surface Proteins, among others. On one side, we demonstrate that multi-copy gene families are located near telomeric regions of the "chromosome-like" 1.3 Mb contig assembled of Bug2148, where they likely suffer high evolutive pressure. On the other hand, we identified several strain-specific single copy genes that might help to understand the differences in infectivity and physiology among strains. In summary, our results indicate that T. cruzi has a complex genomic architecture that may have promoted its evolution. ; This work was supported by the "Consejo Nacional de Ciencia y Tecnología" (CONACYT, México) through the FC-H Ph.D. studentship number 411595 and the "Consejo de Ciencia, Tecnología e Innovación de Hidalgo (CITNOVA, México);; "Ministerio de Economía y competitividad" (SAF2015-63868-R (MINECO/FEDER) to N.G., SAF2016-75988-R (MINECO/FEDER) to M.F.); "Red de Investigación de Centros de Enfermedades Tropicales" (RICET RD12/0018/0004 to M.F.); European Union (HEALTH-FE-2008-22303, ChagasEpiNet to M.F.); Comunidad de Madrid (S-2010/BMD-2332 to M.F.); and Institutional grants from "Fundación Ramón Areces" and "Banco de Santander"

Trypanosoma cruzi, the causative agent of Chagas' disease, induces multiple responses in the heart, a critical organ of infection and pathology in the host. Among diverse factors, eicosanoids and the vasoactive peptide endothelin-1 (ET-1) have been implicated in the pathogenesis of chronic chagasic cardiomyopathy. In the present study, we found that T. cruzi infection in mice induces myocardial gene expression of cyclooxygenase-2 (Cox2) and thromboxane synthase (Tbxas1) as well as endothelin-1 (Edn1) and atrial natriuretic peptide (Nppa). T. cruzi infection and ET-1 cooperatively activated the Ca2+/calcineurin (Cn)/nuclear factor of activated T cells (NFAT) signaling pathway in atrial myocytes, leading to COX-2 protein expression and increased eicosanoid (prostaglandins E2 and F2α, thromboxane A2) release. Moreover, T. cruzi infection of ET-1-stimulated cardiomyocytes resulted in significantly enhanced production of atrial natriuretic peptide (ANP), a prognostic marker for impairment in cardiac function of chagasic patients. Our findings support an important role for the Ca2+/Cn/NFAT cascade in T. cruzi-mediated myocardial production of inflammatory mediators and may help define novel therapeutic targets. © 2013 Corral et al. ; Ministerio de Ciencia y Tecnología, Spain (SAF2007-61716; SAF2005-02220); Red Temática de Investigación en Enfermedades Cardiovasculares (RECAVA RD06/0014/1013); Red de Investigación de Centros de Enfermedades Tropicales (RICET RD06/0021/0016); European Union (HEALTH-FE-2008-22303, ChagasEpiNet); Universidad Autónoma de Madrid and Comunidad de Madrid (CC08-UAM/SAL-4440/08); Fundación Ramón Areces and Agencia Española de Cooperación Internacional para el Desarrollo (AECID, A/9418/07 and A/017500/08 to M.F. and R.S.C.); and Fondo de Investigaciones Sanitarias (PS09/00538 to N.G.). R.S.C. is a Member of Research Career from Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina ; Peer Reviewed

Trypanosoma cruzi, the causative agent of Chagas' disease, induces multiple responses in the heart, a critical organ of infection and pathology in the host. Among diverse factors, eicosanoids and the vasoactive peptide endothelin-1 (ET-1) have been implicated in the pathogenesis of chronic chagasic cardiomyopathy. In the present study, we found that T. cruzi infection in mice induces myocardial gene expression of cyclooxygenase-2 (Cox2) and thromboxane synthase (Tbxas1) as well as endothelin-1 (Edn1) and atrial natriuretic peptide (Nppa). T. cruzi infection and ET-1 cooperatively activated the Ca2+/calcineurin (Cn)/nuclear factor of activated T cells (NFAT) signaling pathway in atrial myocytes, leading to COX-2 protein expression and increased eicosanoid (prostaglandins E2 and F2α, thromboxane A2) release. Moreover, T. cruzi infection of ET-1-stimulated cardiomyocytes resulted in significantly enhanced production of atrial natriuretic peptide (ANP), a prognostic marker for impairment in cardiac function of chagasic patients. Our findings support an important role for the Ca2+/Cn/NFAT cascade in T. cruzi-mediated myocardial production of inflammatory mediators and may help define novel therapeutic targets. © 2013 Corral et al. ; Ministerio de Ciencia y Tecnología, Spain; Red Temática de Investigación en Enfermedades Cardiovasculares (RECAVA RD06/0014/1013); Red de Investigación de Centros de Enfermedades Tropicales; European Union (HEALTH-FE-2008-22303, ChagasEpiNet); Universidad Autónoma de Madrid and Comunidad de Madrid (CC08-UAM/SAL-4440/08); Fundación Ramón Areces and Agencia Española de Cooperación Internacional para el Desarrollo; Fondo de Investigaciones Sanitarias (PS09/00538 to N.G.) ; Peer Reviewed

Trypanosoma cruzi, the protozoan parasite responsible for Chagas' disease, causes severe myocarditis often resulting in death. Here, we report that Slamf1-/- mice, which lack the hematopoietic cell surface receptor Slamf1, are completely protected from an acute lethal parasite challenge. Cardiac damage was reduced in Slamf1-/- mice compared to wild type mice, infected with the same doses of parasites, as a result of a decrease of the number of parasites in the heart even the parasitemia was only marginally less. Both in vivo and in vitro experiments reveal that Slamf1-defIcient myeloid cells are impaired in their ability to replicate the parasite and show altered production of cytokines. Importantly, IFN-γ production in the heart of Slamf1 deficient mice was much lower than in the heart of wt mice even though the number of infiltrating dendritic cells, macrophages, CD4 and CD8 T lymphocytes were comparable. Administration of an anti-Slamf1 monoclonal antibody also reduced the number of parasites and IFN-γ in the heart. These observations not only explain the reduced susceptibility to in vivo infection by the parasite, but they also suggest human Slamf1 as a potential target for therapeutic target against T. cruzi infection. ; Fondo de Investigación Sanitaria (PI040993); Ministerio de Ciencia e Innovación (SAF2005-02220, SAF2007-61716 and SAF2010-18733); European Union (Eicosanox and ChagasEpiNet); CSIC-CONICET; BSCH/UAM; Comunidad de Madrid S2010/BMD-2332; RED RECAVA RD06/0014/1013; RED RICET RD06/0021/0016; Fundacion Ramon Areces; Government of Panama ; Peer reviewed

Chagas disease is caused by Trypanosoma cruzi infection, being cardiomyopathy the more frequent manifestation. New chemotherapeutic drugs are needed but there are no good biomarkers for monitoring treatment efficacy. There is growing evidence linking immune response and metabolism in inflammatory processes and specifically in Chagas disease. Thus, some metabolites are able to enhance and/or inhibit the immune response. Metabolite levels found in the host during an ongoing infection could provide valuable information on the pathogenesis and/or identify deregulated metabolic pathway that can be potential candidates for treatment and being potential specific biomarkers of the disease. To gain more insight into those aspects in Chagas disease, we performed an unprecedented metabolomic analysis in heart and plasma of mice infected with T. cruzi. Many metabolic pathways were profoundly affected by T. cruzi infection, such as glucose uptake, sorbitol pathway, fatty acid and phospholipid synthesis that were increased in heart tissue but decreased in plasma. Tricarboxylic acid cycle was decreased in heart tissue and plasma whereas reactive oxygen species production and uric acid formation were also deeply increased in infected hearts suggesting a stressful condition in the heart. While specific metabolites allantoin, kynurenine and p-cresol sulfate, resulting from nucleotide, tryptophan and phenylalanine/tyrosine metabolism, respectively, were increased in heart tissue and also in plasma. These results provide new valuable information on the pathogenesis of acute Chagas disease, unravel several new metabolic pathways susceptible of clinical management and identify metabolites useful as potential specific biomarkers for monitoring treatment and clinical severity in patients ; This work was supported by ''Ministerio de Ciencia e Innovación'' (SAF2010-17833); ''Fondo de Investigaciones Sanitarias'' (PS09/00538 and PI12/00289); ''Red de Investigación de Centros de Enfermedades Tropicales'' (RICET RD12/0018/0004); European Union (HEALTH-FE-2008-22303, ChagasEpiNet); ''Universidad Autónoma de Madrid'' and ''Comunidad de Madrid'' (CC08-UAM/SAL-4440/08); AECID Cooperation with Argentine (A/025417/09 and A/031735/10), Comunidad de Madrid (S-2010/BMD-2332) and ''Fundación Ramón Areces''

© 2014 Gironès et al. Chagas disease is caused by Trypanosoma cruzi infection, being cardiomyopathy the more frequent manifestation. New chemotherapeutic drugs are needed but there are no good biomarkers for monitoring treatment efficacy. There is growing evidence linking immune response and metabolism in inflammatory processes and specifically in Chagas disease. Thus, some metabolites are able to enhance and/or inhibit the immune response. Metabolite levels found in the host during an ongoing infection could provide valuable information on the pathogenesis and/or identify deregulated metabolic pathway that can be potential candidates for treatment and being potential specific biomarkers of the disease. To gain more insight into those aspects in Chagas disease, we performed an unprecedented metabolomic analysis in heart and plasma of mice infected with T. cruzi. Many metabolic pathways were profoundly affected by T. cruzi infection, such as glucose uptake, sorbitol pathway, fatty acid and phospholipid synthesis that were increased in heart tissue but decreased in plasma. Tricarboxylic acid cycle was decreased in heart tissue and plasma whereas reactive oxygen species production and uric acid formation were also deeply increased in infected hearts suggesting a stressful condition in the heart. While specific metabolites allantoin, kynurenine and p-cresol sulfate, resulting from nucleotide, tryptophan and phenylalanine/tyrosine metabolism, respectively, were increased in heart tissue and also in plasma. These results provide new valuable information on the pathogenesis of acute Chagas disease, unravel several new metabolic pathways susceptible of clinical management and identify metabolites useful as potential specific biomarkers for monitoring treatment and clinical severity in patients. ; Ministerio de Ciencia e Innovación'' (SAF2010-17833); ''Fondo de Investigaciones Sanitarias'' (PS09/00538 and PI12/00289); ''Red de Investigación de Centros de Enfermedades Tropicales'' (RICET RD12/0018/0004); European Union (HEALTH-FE-2008-22303, hagasEpiNet); ''Universidad Autónoma de Madrid'' and ''Comunidad de Madrid'' (CC08-UAM/SAL-4440/08); AECID Cooperation with Argentine (A/025417/09 and A/031735/10), Comunidad de Madrid (S-2010/BMD-2332) and ''Fundación Ramón Areces''. ; Peer Reviewed

© 2014 Gironès et al. Chagas disease is caused by Trypanosoma cruzi infection, being cardiomyopathy the more frequent manifestation. New chemotherapeutic drugs are needed but there are no good biomarkers for monitoring treatment efficacy. There is growing evidence linking immune response and metabolism in inflammatory processes and specifically in Chagas disease. Thus, some metabolites are able to enhance and/or inhibit the immune response. Metabolite levels found in the host during an ongoing infection could provide valuable information on the pathogenesis and/or identify deregulated metabolic pathway that can be potential candidates for treatment and being potential specific biomarkers of the disease. To gain more insight into those aspects in Chagas disease, we performed an unprecedented metabolomic analysis in heart and plasma of mice infected with T. cruzi. Many metabolic pathways were profoundly affected by T. cruzi infection, such as glucose uptake, sorbitol pathway, fatty acid and phospholipid synthesis that were increased in heart tissue but decreased in plasma. Tricarboxylic acid cycle was decreased in heart tissue and plasma whereas reactive oxygen species production and uric acid formation were also deeply increased in infected hearts suggesting a stressful condition in the heart. While specific metabolites allantoin, kynurenine and p-cresol sulfate, resulting from nucleotide, tryptophan and phenylalanine/tyrosine metabolism, respectively, were increased in heart tissue and also in plasma. These results provide new valuable information on the pathogenesis of acute Chagas disease, unravel several new metabolic pathways susceptible of clinical management and identify metabolites useful as potential specific biomarkers for monitoring treatment and clinical severity in patients. ; This work was supported by ''Ministerio de Ciencia e Innovación'' (SAF2010-17833); ''Fondo de Investigaciones Sanitarias'' (PS09/00538 and PI12/00289); ''Red de Investigación de Centros de Enfermedades Tropicales'' (RICET RD12/0018/0004); European Union (HEALTH-FE-2008-22303, ChagasEpiNet);''Universidad Autónoma de Madrid'' and ''Comunidad de Madrid'' (CC08-UAM/SAL-4440/08); AECID Cooperation with Argentine (A/025417/09 and A/031735/10), Comunidad de Madrid (S-2010/BMD-2332) and ''Fundación Ramón Areces' ; Peer Reviewed

Aims. Chagas disease pathology is dependent on the infecting T. cruzi strain. However, the relationship between the extent and type of myocarditis caused by different T. cruzi strains in the acute and chronic phases of infection has not been studied in detail. To address this, we infected mice with three genetically distant T. cruzi strains as well as infected in vitro different cell types. Methods and Results. Parasitemia was detected in mice infected with the Y and VFRA strains, but not with the Sc43 strain; however, only the Y strain was lethal. When infected with VFRA, mice showed higher inflammation and parasitism in the heart than with Sc43 strain. Y and VFRA caused homogeneous pancarditis with inflammatory infiltrates along the epicardium, whereas Sc43 caused inflammation preferentially in the auricles in association with intracellular parasite localization. We observed intramyocardic perivasculitis in mice infected with the VFRA and Y strains, but not with Sc43, during the acute phase, which suggests that endothelial cells may be involved in heart colonization by these more virulent strains. In in vitro infection assays, the Y strain had the highest parasite-cell ratio in epithelial, macrophage and endothelial cell lines, but Y and VFRA strains were higher than Sc43 in cardiomyocytes. Conclusions. This study supports parasite variability as a cause for the diverse cardiac outcomes observed in Chagas disease, and suggests that endothelial cells could be involved in heart infection during the acute phase. ; This work was partially supported by grants from "Fondo de Investigaciones Sanitarias" (PS09/00538 and PI12/00289); "Ministerio de Ciencia e Innovación" (SAF2010-18733); The European Union (ChagasEpiNet); "Comunidad de Madrid" S2010/BMD-2332; RED RECAVA RD06/0014/1013;RED RICET RD12/0018/004 and an institutional grant from "Fundación Ramon Areces"

[Background] Changas disease is caused by the protozoan Trypanosoma cruzi and is characterized by heart failure and sudden death. Identifying which factors are involved in evolution and treatment response is actually challenging. Thus, the aim of this work was to determine the Th1/Th17 (IL-6, IL-2, TNF, IL-17 and IFN-γ) and Th2 (IL-4 and IL-10) serum profile in Venezuelan Chagasic patients stratified according amiodarone treatment, hypertension and arrhythmias. ; [Methods] Sera from 38 chagasic patients were analyzed to determine the level of cytokines by Multiplexed Bead-Based Immunoassays. ANOVA test was applied to determine differences for each group. Additionally, a Linear Discriminant Analysis (LDA) was applied to observe the accuracy of different cytokines to discriminate between the groups. ; [Results] The levels of several cytokines were significantly higher in the high-risk of sudden death and untreated group. LDA showed that IL-2, IFN-γ and IL-10 were the best cytokines for discriminating between high-risk of sudden death and untreated patients versus low-risk of sudden death, treated and control groups. ; [Conclusions] High IL-2 levels seem to identify patients with high-risk of sudden death and seems adequate as treatment efficacy marker. To our knowledge, this is the first report about the anti-inflammatory role of the amiodarone in Chagas disease, suggesting an inmunomodulatory effect that may be exploited as coadjutant therapy in chronic Chagas disease. ; This work was supported by MF grant (SN/2013) and NG grant (CEAL-AL/2015-12) from "UAM-Banco Santander" for collaboration with Latin America; by NG grants from "Fondo de Investigaciones Sanitarias/FEDER" (PS09/00538 and PI12/00289), MINECO/FEDER (SAF2015-63868-R) "Universidad Autónoma de Madrid" and "Comunidad de Madrid" (CC08-UAM/SAL-4440/08); by MF grants from "Ministerio de Ciencia e Innovación" (SAF2010-17833 and SAF2013-42850-R), MINECO/FEDER (SAF2016-75998-R), "Red de Investigación de Centros de Enfermedades Tropicales" (RICET RD12/0018/0004; RICET RD16/0027/0006); European Union (HEALTH-FE-2008-22303, ChagasEpiNet, HOMIN - 317057 - FP7-PEOPLE-2012-ITN); AECID (A/025417/09 and A/031735/10), Comunidad de Madrid (S-2010/BMD-2332), Proyecto Excelencia BIOIMID - IIS La Princesa and "Fundación Ramón Areces"; and by HR and AM grants from Instituto Venezolano de Investigaciones Científicas (IVIC-1365). ; Peer reviewed

The extreme genetic diversity of the protozoan Trypanosoma cruzi has been proposed to be associated with the clinical outcomes of the disease it provokes: Chagas disease (CD). To address this question, we analysed the similarities and differences in the CD pathophysiogenesis caused by different parasite strains. Using syngeneic mice infected acutely or chronically with 6 distant parasite strains, we integrated simultaneously 66 parameters: parasite tropism (7 parameters), organ and immune responses (local and systemic; 57 parameters), and clinical presentations of CD (2 parameters). While the parasite genetic background consistently impacts most of these parameters, they remain highly variable, as observed in patients, impeding reliable one-dimensional association with phases, strains, and damage. However, multi-dimensional statistics overcame this extreme intra-group variability for each individual parameter and revealed some pathophysiological patterns that accurately allow defining (i) the infection phase, (ii) the infecting parasite strains, and (iii) organ damage type and intensity. Our results demonstrated a greater variability of clinical outcomes and host responses to T. cruzi infection than previously thought, while our multi-parametric analysis defined common pathophysiological patterns linked to clinical outcome of CD, conserved among the genetically diverse infecting strains. ; Ministerio de Ciencia e Innovación" (SAF2013-42850-R); "Fondo de Investigaciones Sanitarias" (PI12/00289); "Red de Investigación de Centros de Enfermedades Tropicales" (RICET 2010RD12/0018/0004); European Union (HEALTH-FE-2008-22303, ChagasEpiNet); "Universidad Autónoma de Madrid" and "Comunidad de Madrid" (CC08-UAM/SAL-4440/08); AECID Cooperation with Argentine ; Peer Reviewed

The extreme genetic diversity of the protozoan Trypanosoma cruzi has been proposed to be associated with the clinical outcomes of the disease it provokes: Chagas disease (CD). To address this question, we analysed the similarities and differences in the CD pathophysiogenesis caused by different parasite strains. Using syngeneic mice infected acutely or chronically with 6 distant parasite strains, we integrated simultaneously 66 parameters: parasite tropism (7 parameters), organ and immune responses (local and systemic; 57 parameters), and clinical presentations of CD (2 parameters). While the parasite genetic background consistently impacts most of these parameters, they remain highly variable, as observed in patients, impeding reliable one-dimensional association with phases, strains, and damage. However, multi-dimensional statistics overcame this extreme intra-group variability for each individual parameter and revealed some pathophysiological patterns that accurately allow defining (i) the infection phase, (ii) the infecting parasite strains, and (iii) organ damage type and intensity. Our results demonstrated a greater variability of clinical outcomes and host responses to T. cruzi infection than previously thought, while our multi- parametric analysis defined common pathophysiological patterns linked to clinical outcome of CD, conserved among the genetically diverse infecting strains ; This work was supported by "Ministerio de Ciencia e Innovación" (SAF2013-42850-R); "Fondo de Investigaciones Sanitarias" (PI12/00289); "Red de Investigación de Centros de Enfermedades Tropicales" (RICET 2010RD12/0018/0004); European Union (HEALTH-FE-2008-22303, ChagasEpiNet); "Universidad Autónoma de Madrid" and "Comunidad de Madrid" (CC08-UAM/SAL-4440/08); AECID Cooperation with Argentine (A/025417/09 and A/031735/10), Comunidad de Madrid (S-2010/BMD-2332) and "Fundación Ramón Areces"

Inflammation plays an important role in the pathophysiology of Chagas disease, caused by Trypanosoma cruzi. Prostanoids are regulators of homeostasis and inflammation and are produced mainly by myeloid cells, being cyclooxygenases, COX-1 and COX-2, the key enzymes in their biosynthesis from arachidonic acid (AA). Here, we have investigated the expression of enzymes involved in AA metabolism during T. cruzi infection. Our results show an increase in the expression of several of these enzymes in acute T. cruzi infected heart. Interestingly, COX-2 was expressed by CD68 + myeloid heart-infiltrating cells. In addition, infiltrating myeloid CD11b + Ly6G - cells purified from infected heart tissue express COX-2 and produce prostaglandin E 2 (PGE 2 ) ex vivo. T. cruzi infections in COX-2 or PGE 2 - dependent prostaglandin receptor EP-2 deficient mice indicate that both, COX-2 and EP-2 signaling contribute significantly to the heart leukocyte infiltration and to the release of chemokines and inflammatory cytokines in the heart of T. cruzi infected mice. In conclusion, COX-2 plays a detrimental role in acute Chagas disease myocarditis and points to COX-2 as a potential target for immune intervention. ; This work was supported by (NG) grants from "Fondo de Investigaciones Sanitarias" (PS09/00538 and PI12/00289); "Universidad Autónoma de Madrid" and "Comunidad de Madrid" (CC08-UAM/SAL-4440/08); by (MF) grants from "Ministerio de Ciencia e Innovación" (SAF2010-17833); "Red de Investigación de Centros de Enfermedades Tropicales" (RICET RD12/0018/0004); European Union (HEALTH-FE-2008-22303, ChagasEpiNet); AECID Cooperation with Argentine (A/025417/09 and A/031735/10), Comunidad de Madrid (S-2010/BMD- 2332) and "Fundación Ramón Areces". NAG was recipient of a ISCIII Ph.D. fellowship financed by the Spanish "Ministerio de Sanidad". CCM and HC were recipients of contracts from SAF2010-17833 and PI060388, respectively. ; Peer Reviewed