title: Characterization of the cellular immunity in patients presenting extensive dermatophytoses due to Trichophyton rubrum.
abstract: Dermatophytes invade the stratum corneum of the skin and other keratinized tissues such as hair and nails, and Trichophyton rubrum causes approximately 80% of cutaneous mycoses in humans. To evaluate the cellular immune response of patients with extensive dermatophytosis caused by T. rubrum, we evaluated lymphocyte populations, the lymphoproliferative response to: phytohaemagglutinin (PHA); anti-CD3 (OKT3); and pokeweed mitogen (PWM), Candida sp. (CMA), an extract of T. rubrum, and the main fungal epitope TriR2 (T). We also evaluated interleukin (IL)-4, IL-10, IL-12 and IFN-γ after stimulation by PHA, CMA and TriR2. The immunophenotyping showed no differences between patients and controls. The lymphoproliferation test showed significant differences between the groups stimulated by PWM and CMA, as well as against TriR2, being significantly higher for the control group. Conversely, there were similar results for the groups after stimulation by the extract. The cytokines' quantification showed a significant difference between the groups only for IFN-γ stimulated by PHA and TriR2. We can conclude that the fungal extract can stimulate lymphoproliferation by both groups' lymphocytes. However, the response to Tri r2 was more specific. We showed that some patients with extensive dermatophytosis have normal cellular response, recognising both the extract and TriR2.
authors.affiliation: Laboratory of Medical Investigation in Dermatology and Immunodeficiencies (LIM/56) and Primary Immunodeficiency Outpatient Unit (ADEE-3003), Department of Dermatology, Faculdade de Medicina, da Universidade de São Paulo, Sao Paulo, Brazil.
authors.forename: V O
authors.initials: VO
authors.lastname: Bressani
authors.forename: T N
authors.initials: TN
authors.lastname: Santi
authors.forename: M
authors.initials: M
authors.lastname: Domingues-Ferreira
authors.forename: A
authors.initials: A
authors.lastname: Almeida
authors.forename: A J S
authors.initials: AJ
authors.lastname: Duarte
authors.forename: D
authors.initials: D
authors.lastname: Moraes-Vasconcelos
mesh_terms: D000946:Antigens, Fungal / Q000276:immunology; D002175:Candida / Q000276:immunology; D016022:Case-Control Studies; D049109:Cell Proliferation; D000939:Epitopes / Q000276:immunology; D005500:Follow-Up Studies; D006801:Humans; D007111:Immunity, Cellular; D016130:Immunophenotyping; D007371:Interferon-gamma / Q000276:immunology; D016753:Interleukin-10 / Q000276:immunology; D015847:Interleukin-4 / Q000276:immunology; D008213:Lymphocyte Activation; D018655:Lymphocyte Count; D016853:Muromonab-CD3 / Q000276:immunology; D010835:Phytohemagglutinins / Q000276:immunology; D011043:Pokeweed Mitogens / Q000276:immunology; D014005:Tinea / Q000276:immunology* / Q000382:microbiology; D014249:Trichophyton / Q000276:immunology*
chemical_list: D000946:Antigens, Fungal; D000939:Epitopes; C508609:IL10 protein, human; C508598:IL4 protein, human; D016853:Muromonab-CD3; D010835:Phytohemagglutinins; D011043:Pokeweed Mitogens; D016753:Interleukin-10; D015847:Interleukin-4; D007371:Interferon-gamma