CD16+ monocytes in human cutaneous leishmaniasis: increased ex vivo levels and correlation with clinical data

George Soares1, Aldina Barral, Jackson M Costa

  • 1LIMI, LIP, Gonçalo Moniz Research Center, Oswaldo Cruz Fundation, Salvador-Bahia, Brazil.

Insights

Peripheral blood monocytes expressing CD16 (Fc receptor for immunoglobulin G III) are elevated in leishmaniasis patients. Higher CD16 levels correlate with disease severity and may indicate a worse prognosis.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Dermatology

Background:

  • CD16 (Fc receptor for immunoglobulin G III)-positive monocytes are implicated in various pathologies.
  • Limited data exist regarding CD16+ monocyte roles in leishmaniasis.

Purpose of the Study:

  • To investigate the presence and significance of CD16+ monocytes in cutaneous leishmaniasis.
  • To explore the correlation between CD16+ monocytes and disease parameters.

Main Methods:

  • Flow cytometry analysis of peripheral blood monocytes from 15 cutaneous leishmaniasis patients and healthy controls.
  • Quantification of CD16 expression (percentage and mean fluorescent intensity).
  • Correlation analysis with lesion size and plasma levels of transforming growth factor-beta.

Main Results:

  • Cutaneous leishmaniasis patients showed significantly increased percentages and expression levels of CD16+ monocytes compared to controls.
  • A positive correlation was found between CD16+ monocyte percentage and lesion size (r=0.75) and active transforming growth factor-beta levels (r=0.78).
  • Patients with nonhealing lesions exhibited high CD16 levels at diagnosis.

Conclusions:

  • CD16+ monocytes may play a detrimental role in human leishmaniasis.
  • Elevated CD16 expression on monocytes could serve as a biomarker for disease severity and adverse outcomes in leishmaniasis.