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Chronic indeterminate phase of Chagas' disease: mitochondrial involvement in infection with two strains
Alejandra Lidia Báez1, María Silvina Lo Presti, Ricardo Fretes
1Cátedra de Física Biomédica, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, Argentina. alejandralidiab@hotmail.com
Insights
Chagasic cardiopathy affects cardiac mitochondria even in the chronic indeterminate stage. Trypanosoma cruzi infection alters mitochondrial structure and function, contributing to heart disease progression.
Area of Science:
- Cardiology
- Parasitology
- Mitochondrial Biology
Background:
- Chagasic cardiopathy is a major cause of heart failure and stroke in Latin America.
- Oxidative stress in myocytes targets mitochondria, impacting cellular energy supply.
- The chronic indeterminate phase of Chagas disease is often considered asymptomatic.
Purpose of the Study:
- To investigate the structural and functional effects of Trypanosoma cruzi infection on cardiac mitochondria during the chronic indeterminate stage.
- To compare the impact of two different T. cruzi strains (Tulahuen and SGO Z12) on mitochondrial alterations.
Main Methods:
- Infection of mice with Tulahuen and SGO Z12 strains of Trypanosoma cruzi.
- Analysis of cardiac mitochondria structure (matrix volume, diameter) at 75 days post-infection.
- Assessment of Krebs cycle and mitochondrial respiratory chain function via citrate synthase and complexes I-IV activity assays.
Main Results:
- Significant structural changes in cardiac mitochondria were observed in both infected groups.
- Tulahuen-infected mice showed mitochondrial matrix enlargement (83%), while SGO Z12-infected mice exhibited reduced mitochondrial diameter (91%).
- Krebs cycle and respiratory chain enzyme activities were similarly altered in both infected groups, indicating functional impairment.
Conclusions:
- The chronic indeterminate phase of Chagas disease is not 'silent' regarding cardiac pathology.
- Cardiac mitochondria are demonstrably involved in the development and progression of chronic chagasic cardiopathy.
- Host-parasite equilibrium disruption significantly impacts mitochondrial function in Chagas disease.
Abstract:
Chagasic cardiopathy has become one of the most frequent causes of heart failure and sudden death, as well as one of the most common causes of cardio-embolic stroke in Latin America. The myocyte response to oxidative stress involves the progression of cellular changes, primarily targeting the mitochondria and modifying therefore the energy supply. In this paper we analysed the effect of the infection of mice with 2 different strains of Trypanosoma cruzi (Tulahuen and SGO Z12) in the chronic indeterminate stage (75 days post-infection), upon the structure and function of cardiac mitochondria. The structural results showed that 83% of the mitochondria from the Tulahuen-infected mice presented an increase in their matrix and 91% of the mitochondria from the SGO Z12-infected group showed a reduction in their diameter (P < 0.05). When the Krebs cycle and mitochondrial respiratory chain functionality was analysed through the measurement of the citrate synthase and complexes I to IV activity, it showed that their activity was altered in all cases in a similar manner in both infected groups. In this paper we have demonstrated that the chronic indeterminate phase is not 'silent' and that cardiac mitochondria are clearly involved in the genesis and progression to the chronic chagasic cardiopathy when different factors alter the host-parasite equilibrium.
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