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848

along with an remarkably attenuated IRF3 signaling by L-pampo

administration. However, at an effector phase, L-pampo and Pam3

comparably induced expansion of CXCR5

+

PD-1

+

follicular helper

T cells. Interestingly, during the memory phase, L-pampo showed

prominent maintenance of antigen-specific CD4 T cells together

with a high level of antibody titers when comparing to PolyI:C or

pam3 alone. Collectively, thesefindings suggest that combinationof

TLR2 and TLR3 ligands modulates cytokine production and prolong

CD4 T cells that may lead to prominent antibody response and

expansion ofmulti-functional CD4T cells uponboosting.

Adjuvant therapy of chronic uroinfections in colonised

patients

Vaskova,S.

1,2

,Blazickova,S.

2,3

1

LaboratoriaPiestany,Dept.ofClinicalMicrobiology,Piestany,Slovakia,

2

TrnavianUniversity,FacultyofHealthScienceand SocialWork,Trnava,

Slovakia,

3

LaboratoriaPiestany,Dept.ofClinicalImmunology,Piestany,

Slovakia

Introduction:

Urinary tract infections represent themost commonly

acquiredbacterialinfections.Identicalbacterialspecies permanently

isolated from urine of patients with chronic uroinfections are

supposed to colonize distal segment of genitourinary tract and to

form biofilm on mucous surface. Biofilms are the well-organized

microbial communities and decrease the susceptibility to the host

immune system and to the antimicrobial agents. Therefore, therapy

of chronic infections should be different than therapy of acute ones.

Aim:

To compare antibiotic therapy of chronic uroinfections with

adjuvant immunomodulatory therapy in colonised patients.

Material and methods:

36 patients with monobacterial chronic

uroinfections and bacterial species permanently isolated from urine

that produce biofilm

in vitro

. Patients were classed into two groups:

group A - patients treatedwith antibiotics (n = 29), group B - patients

treated with antibiotics and adjuvant immunomodulatory therapy

(n=7). Inflammatory andblood elements parameters were analysed

in thepatients.

Results:

We did not observe statistically significant differences

between clinical benefits in patients with antibiotic and adjuvant

immunomodulatory therapy. Clinical benefit after antibiotic

treatment was observed in 9 patients (31 %); clinical benefit after

adjuvant immunomodulatory therapy was observed in 4 (57 %)

patients. We did not see statistically significant changes in other

laboratory parameters.

Conclusion:

The present study is a pilot study. Adjuvant therapy

seems to have benefit for patients with chronic uroinfections.

We would like to focus on analyse changes in immune system in

colonised patients with chronic uroinfections and in patients with

acute uroinfections.

Keywords:

chronic uroinfections, biofilm, immunomodulatory

therapy

Strategies for the

in silico

selection of immunogenic epitopes

using non-model organisms: use case with

Histoplasma

capsulatum

RubioC.,M.

1,2

,CanoRestrepo,L.E.

1,3

,OchoaDeossa,R.A.

4

1

CorporaciónparaInvestigacionesBiológicas(CIB),MicologíaMédicay

Experimental,Medellín,Colombia,

2

Universidadde Antioquia,Instituto

deBiología,Medellín,Colombia,

3

UniversidaddeAntioquia,Escuelade

Microbiología,Medellín,Colombia,

4

UniversidaddeAntioquia,SIU-

PECET-CIEMTO,Medellín,Colombia

The dimorphic fungal pathogen

Histoplasma capsulatum (Hc)

causes respiratory and systemic diseases. The generation of

a protective immune response to the pathogenic fungus

Hc

is

critically dependent on the interaction between antigen-reactive

T cells and macrophages. Recently, new findings are available

about the proteome and secretome of this fungus. Nevertheless,

there is a huge gap in knowledge regarding interactions between

constituent molecules of the fungus and the host during infection.

Therefore, the evaluation of new immunological interfaces will

serve us to deepen in the pathogenesis of Histoplasmosis, and

then propose possible molecular targets for vaccine or diagnostic

tests. Approaches based on bioinformatics tools have contributed

to know more about the immunogenicity generated by CD8T cells,

optimizing and directing experimental efforts to elucidate the

problem. According to the principles of reverse vaccinology, we

propose a pipeline that involves: i) search for molecular patterns

from immunogenic/antigenic proteins experimentally proven; ii)

find the patterns on the complete set of annotated proteins to find

unique epitopes; iii) identify whether the proteins are secreted

and predict the feasibility of being recognized by CD8T cells.

Beta-lactamase, aryl-alcohol-dehydrogenase and GARP complex

component arepotential newtargets in

Hc

relatedwith the adaptive

immune response. Functionalities such as the union to penicillin,

catalysis of aromatic alcohol and protein transport between Golgi,

endosomal, and vacuolar compartments.are associated to these

targets respectively. The computational protocol was applied and

a set of epitopes predicted for further experimental validation.

Colciencias grant 221356933526.

Regulation of inflammasome during clinical sepsis:

a PCR array study

Esquerdo,K.F.

1

,Shama,N.K.

1

,Brunialti,M.K.C.

1

,Machado,F.R.

2

,Silva,E.

3

,

Rigato,O.

4

,Salomao,R.

1

1

DisciplinadeInfectologia,EscolaPaulistadeMedicina,HospitalSão

Paulo,UniversidadeFederaldeSãoPaulo-UNIFESP, Medicine, Sao

Paulo, Brazil,

2

DisciplinadeAnestesiologia, EscolaPaulistadeMedicina,

Hospital SãoPaulo, Universidade FederaldeSãoPaulo-UNIFESP,

Medicine,SaoPaulo,Brazil,

3

HospitalIsraelitaAlbertEinstein,Sao

Paulo,Brazil,

4

Hospital SírioLibanês,SaoPaulo,Brazil

Sepsis is a systemic inflammatory response triggered by an

infection. Nod like receptor family (NLR) is involved in this process

through inflammasome oligomerization. To study the regulation of

inflammasome under sepsis, we analyzed patients (survival n=19,

non-survival n=8) at admission and after 7days of follow-up (survival

n=13, non-survival n=5) with healthy volunteers (n=11). In brief,

mononuclear cells were separated, cDNA synthesized from isolated

RNA fromcells and analyzed by real time PCR array (35 genes). Genes

were considered differentially modulated when the expression

was higher than ±1.5 and p≤0.05. The resulted data was processed

through Ingenuity Pathway Analysis for functional analysis and

interactions. The gene expression study enables us to identify

alteration in 8 genes at admission and 7 genes after day 7 in survival,

16 genes at admission and 11 genes after day 7 in non-survival.