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The Pathogenesis of Filarial Lymphedema

Identifieur interne : 003166 ( Istex/Corpus ); précédent : 003165; suivant : 003167

The Pathogenesis of Filarial Lymphedema

Auteurs : Patrick J. Lammie ; Karen T. Cuenco ; George A. Punkosdy

Source :

RBID : ISTEX:6A4EAA733479784BFC8C69A8DEA1176DA2DC19E0

Abstract

Abstract: Our understanding of the pathogenesis of filarial lymphedema, although evolving, is still limited. Recurrent bacterial infections play a major role in the progression of lymphedema to elephantiasis, but the host and parasite factors that trigger disease development are not known. Field studies in Haiti show that lymphedema and host responses to parasite antigens cluster in families, consistent with the hypothesis that host genes influence lymphedema susceptibility. The recent recognition that filarial parasites harbor the endosymbiotic bacteria, Wolbachia, also raises questions about the potential contribution of the inflammatory response to Wolbachia antigens to lymphedema development. In this review, we discuss potential risk factors for lymphedema and try to integrate these in a model of pathogenesis.

Url:
DOI: 10.1111/j.1749-6632.2002.tb04874.x

Links to Exploration step

ISTEX:6A4EAA733479784BFC8C69A8DEA1176DA2DC19E0

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<unparsedAffiliation>Department of Human Genetics, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA</unparsedAffiliation>
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<unparsedAffiliation>Department of Cell Biology, University of Georgia, Athens, Georgia, USA</unparsedAffiliation>
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<keyword xml:id="k1">Lymphatic filariasis</keyword>
<keyword xml:id="k2">Wuchereria bancrofti</keyword>
<keyword xml:id="k3">lymphedema</keyword>
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Our understanding of the pathogenesis of filarial lymphedema, although evolving, is still limited. Recurrent bacterial infections play a major role in the progression of lymphedema to elephantiasis, but the host and parasite factors that trigger disease development are not known. Field studies in Haiti show that lymphedema and host responses to parasite antigens cluster in families, consistent with the hypothesis that host genes influence lymphedema susceptibility. The recent recognition that filarial parasites harbor the endosymbiotic bacteria,
<i>Wolbachia,</i>
also raises questions about the potential contribution of the inflammatory response to
<i>Wolbachia</i>
antigens to lymphedema development. In this review, we discuss potential risk factors for lymphedema and try to integrate these in a model of pathogenesis.</p>
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<title>The Pathogenesis of Filarial Lymphedema</title>
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<title>The Pathogenesis of Filarial Lymphedema</title>
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<name type="personal">
<namePart type="given">PATRICK J.</namePart>
<namePart type="family">LAMMIE</namePart>
<affiliation>Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA</affiliation>
<affiliation>E-mail: PJL1@cdc.gov</affiliation>
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<name type="personal">
<namePart type="given">KAREN T.</namePart>
<namePart type="family">CUENCO</namePart>
<affiliation>Department of Human Genetics, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA</affiliation>
<role>
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<name type="personal">
<namePart type="given">GEORGE A.</namePart>
<namePart type="family">PUNKOSDY</namePart>
<affiliation>Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA</affiliation>
<affiliation>Department of Cell Biology, University of Georgia, Athens, Georgia, USA</affiliation>
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<dateIssued encoding="w3cdtf">2002-12</dateIssued>
<copyrightDate encoding="w3cdtf">2002</copyrightDate>
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<abstract>Abstract: Our understanding of the pathogenesis of filarial lymphedema, although evolving, is still limited. Recurrent bacterial infections play a major role in the progression of lymphedema to elephantiasis, but the host and parasite factors that trigger disease development are not known. Field studies in Haiti show that lymphedema and host responses to parasite antigens cluster in families, consistent with the hypothesis that host genes influence lymphedema susceptibility. The recent recognition that filarial parasites harbor the endosymbiotic bacteria, Wolbachia, also raises questions about the potential contribution of the inflammatory response to Wolbachia antigens to lymphedema development. In this review, we discuss potential risk factors for lymphedema and try to integrate these in a model of pathogenesis.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>Lymphatic filariasis</topic>
<topic>Wuchereria bancrofti</topic>
<topic>lymphedema</topic>
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<title>Annals of the New York Academy of Sciences</title>
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<genre type="journal">journal</genre>
<identifier type="ISSN">0077-8923</identifier>
<identifier type="eISSN">1749-6632</identifier>
<identifier type="DOI">10.1111/(ISSN)1749-6632</identifier>
<identifier type="PublisherID">NYAS</identifier>
<part>
<date>2002</date>
<detail type="title">
<title>THE LYMPHATIC CONTINUUM: Lymphatic Biology and Disease</title>
</detail>
<detail type="volume">
<caption>vol.</caption>
<number>979</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>1</number>
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<extent unit="pages">
<start>131</start>
<end>142</end>
<total>12</total>
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<identifier type="DOI">10.1111/j.1749-6632.2002.tb04874.x</identifier>
<identifier type="ArticleID">NYAS131</identifier>
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<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
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