Cellular immune response of patients with chromoblastomycosis undergoing antifungal therapy

Mycopathologia. 2006 Aug;162(2):97-101. doi: 10.1007/s11046-006-0041-x.

Abstract

One of the most characteristic features of the chromoblastomycosis is its unresponsiveness to treatment. In order to analyzed whether during therapy could be observed a change of cellular immune response pattern, we evaluated the production of IL-10, TNF-alpha and IFN-gamma, as well as proliferation of peripheral blood mononuclear cell (PBMC) from patients in different periods of chemotherapy treatment. Our results showed that after 6 months of treatment cells from patients proliferated to fungal antigens and produced a significant level of IFN-gamma. However, after 1 year of treatment a low proliferation of T cells and production of IFN-gamma accompanied by an increase of IL-10 were observed when compared with 6 months of treatment.

MeSH terms

  • Adult
  • Aged
  • Antifungal Agents / therapeutic use*
  • Antigens, Fungal / immunology
  • Ascomycota / isolation & purification
  • Cell Proliferation
  • Chromoblastomycosis / drug therapy*
  • Chromoblastomycosis / immunology*
  • Drug Therapy, Combination
  • Female
  • Humans
  • Immunity, Cellular / immunology
  • Interferon-gamma / metabolism
  • Interleukin-10 / metabolism
  • Itraconazole / therapeutic use
  • Male
  • Middle Aged
  • Naphthalenes / therapeutic use
  • T-Lymphocytes / immunology*
  • Terbinafine
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Antifungal Agents
  • Antigens, Fungal
  • Naphthalenes
  • Tumor Necrosis Factor-alpha
  • Interleukin-10
  • Itraconazole
  • Interferon-gamma
  • Terbinafine