Cellular immune response to common mycobacterial antigens in subjects seropositive for Trypanosoma cruzi

Lancet. 1994 Dec 3;344(8936):1540-1. doi: 10.1016/s0140-6736(94)90351-4.

Abstract

The immune response is impaired in the silent stage of Chagas' disease. We used quadruple skin-testing with new tuberculins in 37 adults who were symptom-free but seropositive for Trypanosoma cruzi and in 37 matched seronegative controls. Whereas 19% of controls responded to common mycobacterial antigens, none of the Chagas' seropositive group responded to them (p < 0.006), demonstrating specificity in their unresponsiveness. The enhanced tuberculin reactivity after BCG vaccination in the control group was suppressed in seropositive subjects (p < 0.002). Selective loss of response to common mycobacterial antigens may have implications for the autoimmune pathology of Chagas' disease, and for susceptibility to tuberculosis, leprosy, and HIV disease.

MeSH terms

  • Adult
  • Animals
  • Antigens, Protozoan / blood
  • Antigens, Protozoan / immunology
  • Chagas Disease / immunology*
  • Female
  • Humans
  • Immunity, Cellular
  • Male
  • Mycobacterium bovis / immunology
  • Skin Tests
  • Trypanosoma cruzi / immunology*
  • Tuberculin Test

Substances

  • Antigens, Protozoan