In vitro models for investigation of the host-parasite interface - possible applications in acute Chagas disease

Natália Martins Breyner1, Mariana Hecht2, Nadjar Nitz2

  • 1Toxalim (Research Center in Food Toxicology), Université de Toulouse, INRA, ENVT, INP-Purpan, UPS, 31300 Toulouse, France.

Acta Tropica
|November 11, 2019
PubMed

Insights

Chagas disease (CD) research benefits from in vitro models for studying the host-parasite interaction. This review critically analyzes current and emerging in vitro models for cardiac and intestinal CD.

Area of Science:

  • Parasitology
  • Infectious Diseases
  • Cell Biology

Background:

  • Chagas disease (CD), caused by Trypanosoma cruzi, is a significant parasitic illness in the Western Hemisphere with growing prevalence in non-endemic areas.
  • CD is marked by cardiomegaly and mega viscera, but predicting clinical outcomes remains challenging, highlighting the need for deeper pathophysiological understanding.
  • While in vivo models dominate CD research, in vitro alternatives offer ethical, rapidly advancing, and physiologically relevant approaches.

Purpose of the Study:

  • To review and critically analyze existing and novel in vitro models for studying the host-parasite interface in Chagas disease.
  • To assess the possibilities and limitations of current in vitro models for cardiac and intestinal CD research.
  • To provide insights into the evolution and future directions of in vitro models for Chagas disease investigation.

Main Methods:

  • Literature review of past and recent in vitro models for Chagas disease research.
  • Critical analysis of the physiological relevance, possibilities, and limitations of various in vitro models.
  • Focus on models simulating cardiac and intestinal manifestations of Chagas disease.

Main Results:

  • In vitro models provide an ethical and evolving platform for investigating the Trypanosoma cruzi host-parasite interaction.
  • Current models offer varying degrees of physiological relevance for studying cardiac and intestinal CD.
  • State-of-the-art alternatives present both opportunities and challenges for Chagas disease research.

Conclusions:

  • In vitro models are crucial for advancing Chagas disease research, offering ethical and adaptable alternatives to in vivo studies.
  • Continued development and critical evaluation of in vitro models are essential for understanding CD pathophysiology and host-parasite dynamics.
  • These models hold significant potential for future translational research in Chagas disease, particularly for cardiac and intestinal disease.

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