Macrophage and TGF-beta immunohistochemical expression in Jorge Lobo's disease.
Jorge Lobo's disease, or lacaziosis, is a chronic deep mycosis that clinically manifests as solid, variable-sized nodular parakeloidal lesions. Few studies have characterized the in situ cellular and humoral immune response, especially the involvement of cytokines with immunosuppressive effects such as TGF-beta. The objective this paper was to analyze the expression of TGF-beta in cutaneous lesions in lacaziosis and investigate its importance in the etiopathogy of the disease. The results indicate that the abundance of collagen bands, together with weak immunolabeling for CD68 seen in macrophages, indicates a concomitant effect of TGF-beta inhibiting macrophages and inducing fibrosis, which is responsible for the keloid aspect frequently acquired by these lesions. Finally, the evolution of the infection supports the hypothesis that TGF-beta plays a fundamental role in the etiopathology of Lacazia loboi infection, either by inhibiting the cellular immune response mainly mediated by macrophages or by inducing fibrosis. Further studies are necessary to better characterize the phenotype of the inflammatory infiltrate as well as the participation of other cytokines and growth factors in the tissue response of the host in Jorge Lobo's disease.
Xavier
Marilia Brasil
MB
Núcleo de Medicina Tropical, Universidade Federal do Pará, Belém-PA 66055-240, Brazil.
Libonati
Rosana Maria Feio
RM
Unger
Débora
D
Oliveira
Clívia
C
Corbett
Carlos Eduardo Pereira
CE
de Brito
Arival Cardoso
AC
Quaresma
Juarez Antonio Simões
JA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007150:Immunohistochemistry / Q000379:methods*; D008264:Macrophages / Q000378:metabolism* / Q000382:microbiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010228:Paracoccidioides / Q000166:cytology / Q000276:immunology / Q000302:isolation & purification; D010229:Paracoccidioidomycosis / Q000378:metabolism* / Q000382:microbiology / Q000473:pathology; D016212:Transforming Growth Factor beta / Q000378:metabolism*
D016212:Transforming Growth Factor beta