Trypanosoma cruzi-triggered meningoencephalitis is a CCR1/CCR5-independent inflammatory process

Andréa Alice Silva1, Ester Roffê, Helton Santiago

  • 1Laboratory of Autoimmunity and Immunoregulation, Institute Oswaldo Cruz, Fiocruz, Av. Brasil 4365, Rio de Janeiro, 21045900, Brazil.

Insights

Acute Trypanosoma cruzi infection can cause meningoencephalitis, involving CD8 cells and specific cytokine mRNA. However, this inflammation is independent of CCR1/CCR5 pathways, despite increased CCR5 cells in infected mice.

Area of Science:

  • Immunology
  • Neuroscience
  • Infectious Diseases

Background:

  • Encephalitis is a rare complication of acute Trypanosoma cruzi infection.
  • The central nervous system (CNS) is a primary site for Trypanosoma cruzi reactivation in immunocompromised individuals.

Purpose of the Study:

  • To investigate the role of chemokine receptors, specifically CCR5, in T. cruzi-induced meningoencephalitis.
  • To determine if CCR1/CCR5 pathways mediate inflammation during acute T. cruzi infection.

Main Methods:

  • Analyzing gene expression of CCL3/MIP-1alpha and CCL5/RANTES in the CNS of infected mice.
  • Quantifying CCR5-bearing cells in peripheral blood mononuclear cells (PBMC) of infected mice.
  • Assessing the effect of the CCR1/CCR5 antagonist Met-RANTES on PBMC migration in vitro and on CNS inflammation and parasitism in vivo.

Main Results:

  • Acute T. cruzi infection induced CD8-enriched meningoencephalitis with parallel in situ expression of CCL3/MIP-1alpha and CCL5/RANTES mRNA.
  • Increased frequency of CCR5-bearing cells was observed in PBMCs from infected mice.
  • In vitro, Met-RANTES partially inhibited CCL5/RANTES-driven PBMC migration, but in vivo treatment did not alter parasitism or CNS inflammation.

Conclusions:

  • T. cruzi-elicited meningoencephalitis in acute infection is independent of CCR1/CCR5 signaling.
  • While CCR5-bearing cells increase and chemokines are expressed, these pathways do not drive the observed CNS inflammation in this model.

Related Concept Videos

American Trypanosomiasis01:22

American Trypanosomiasis

Chagas disease, or American trypanosomiasis, is a vector-borne parasitic infection caused by Trypanosoma cruzi, a flagellated protozoan (kinetoplastid) of the family Trypanosomatidae. The disease is endemic in Latin America, although cases are increasingly reported worldwide due to human migration. Transmission most commonly occurs when feces of infected triatomine bugs contaminate bite wounds or mucosal surfaces; additional routes include congenital, transfusional, transplant-related, and oral...
Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
Toxoplasmosis01:28

Toxoplasmosis

Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...
Arboviral Encephalitis01:25

Arboviral Encephalitis

Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...