Chagas cardiomyopathy manifestations and Trypanosoma cruzi genotypes circulating in chronic Chagasic patients

Juan David Ramírez1, Felipe Guhl, Lina María Rendón

  • 1Centro de investigaciones en Microbiología y Parasitología Tropical (CIMPAT), Facultad de Ciencias, Departamento de Ciencias Biológicas, Universidad de los Andes, Bogotá, Colombia.

Insights

In Colombia, Trypanosoma cruzi discrete taxonomic units (DTUs) TcI, TcIII, and TcIV were identified in chronic Chagas disease patients. TcI infections showed a higher prevalence of cardiac alterations compared to TcII.

Area of Science:

  • Infectious Diseases
  • Molecular Epidemiology
  • Parasitology

Background:

  • Chagas disease, caused by Trypanosoma cruzi, is a significant public health issue in Latin America.
  • Trypanosoma cruzi is classified into six discrete taxonomic units (DTUs): TcI–TcVI.
  • TcI exhibits genetic variability with genotypes Ia–Ie, and TcI and TcII are prevalent in Colombia, with mixed infections reported.

Purpose of the Study:

  • To determine circulating T. cruzi DTUs in Colombian chronic Chagasic patients.
  • To investigate the molecular epidemiology of Chagas disease in Colombia.
  • To correlate T. cruzi genetic variability with cardiac disease manifestations.

Main Methods:

  • Molecular characterization of T. cruzi using mini-exon gene, 24Sα and 18S rDNA, and satellite DNA.
  • Analysis of electrocardiographic, radiologic, and echocardiographic data.
  • Genotyping of TcI strains within the Colombian population.

Main Results:

  • Detection of T. cruzi DTUs I, II, III, and IV in Colombian patients.
  • Identification of mixed infections: TcI-TcII, TcI-TcIII, and TcI-TcIV.
  • TcI genotypes Ia and Id were found; TcI infections were associated with a higher prevalence of cardiac alterations than TcII.
  • First report of TcIII and TcIV in Colombian Chagasic patients.

Conclusions:

  • TcI is predominant in Colombia, with TcIII and TcIV newly reported.
  • Chagas cardiomyopathy is more correlated with TcI than TcII infections in Colombia.
  • Findings contribute to understanding Chagas disease molecular epidemiology and its clinical impact in Colombia.

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