LymphedemaV1, Ncbi, Curation, bibRecord, 007A57

Changes in Antibody Levels during and following an Episode of Acute Adenolymphangitis (ADL) among Lymphedema Patients in Léogâne, Haiti

Identifieur interne : 007A57 ( Ncbi/Curation ); précédent : 007A56; suivant : 007A58

Changes in Antibody Levels during and following an Episode of Acute Adenolymphangitis (ADL) among Lymphedema Patients in Léogâne, Haiti

Auteurs : Katherine E. Mues [États-Unis] ; Patrick J. Lammie [États-Unis] ; Mitchel Klein [États-Unis] ; David G. Kleinbaum [États-Unis] ; David Addiss [États-Unis] ; Leanne M. Fox [États-Unis]

Source :

PLoS ONE [ 1932-6203 ] ; 2015.

RBID : PMC:4619626

Descripteurs français

KwdFr :
- Adulte, Animaux, Anticorps antibactériens (immunologie), Anticorps antibactériens (sang), Anticorps antifongiques (immunologie), Anticorps antifongiques (sang), Anticorps antiprotozoaires (immunologie), Anticorps antiprotozoaires (sang), Femelle, Filariose lymphatique (étiologie), Haïti, Humains, Lymphangite (immunologie), Lymphangite (sang), Lymphangite (étiologie), Lymphoedème (immunologie), Lymphoedème (sang), Mâle, Streptococcus pyogenes (immunologie), Wuchereria bancrofti (immunologie), Études de cohortes.
MESH :
- immunologie : Anticorps antibactériens, Anticorps antifongiques, Anticorps antiprotozoaires, Lymphangite, Lymphoedème, Streptococcus pyogenes, Wuchereria bancrofti.
- sang : Anticorps antibactériens, Anticorps antifongiques, Anticorps antiprotozoaires, Lymphangite, Lymphoedème.
- étiologie : Filariose lymphatique, Lymphangite.
- Adulte, Animaux, Femelle, Haïti, Humains, Mâle, Études de cohortes.
Wicri :
- geographic : Haïti.

English descriptors

KwdEn :
- Adult, Animals, Antibodies, Bacterial (blood), Antibodies, Bacterial (immunology), Antibodies, Fungal (blood), Antibodies, Fungal (immunology), Antibodies, Protozoan (blood), Antibodies, Protozoan (immunology), Cohort Studies, Elephantiasis, Filarial (etiology), Female, Haiti, Humans, Lymphangitis (blood), Lymphangitis (etiology), Lymphangitis (immunology), Lymphedema (blood), Lymphedema (immunology), Male, Streptococcus pyogenes (immunology), Wuchereria bancrofti (immunology).
MESH :
- chemical , blood : Antibodies, Bacterial, Antibodies, Fungal, Antibodies, Protozoan.
- chemical , immunology : Antibodies, Bacterial, Antibodies, Fungal, Antibodies, Protozoan.
- geographic : Haiti.
- blood : Lymphangitis, Lymphedema.
- etiology : Elephantiasis, Filarial, Lymphangitis.
- immunology : Lymphangitis, Lymphedema, Streptococcus pyogenes, Wuchereria bancrofti.
- Adult, Animals, Cohort Studies, Female, Humans, Male.

Abstract

Introduction

Episodes of acute adenolymphangitis (ADL) are often the first clinical sign of lymphatic filariasis (LF). They are often accompanied by swelling of the affected limb, inflammation, fever, and general malaise and lead to the progression of lymphedema. Although ADL episodes have been studied for a century or more, questions still remain as to their etiology. We quantified antibody levels to pathogens that potentially contribute to ADL episodes during and after an episode among lymphedema patients in Léogâne, Haiti. We estimated the proportion of ADL episodes hypothesized to be attributed to specific pathogens.

Methods

We measured antibody levels to specific pathogens during and following an ADL episode among 41 lymphedema patients enrolled in a cohort study in Léogâne, Haiti. We calculated the absolute and relative changes in antibody levels between the ADL and convalescent time points. We calculated the proportion of episodes that demonstrated a two-fold increase in antibody level for several bacterial, fungal, and filarial pathogens.

Results

Our results showed the greatest proportion of two-fold changes in antibody levels for the carbohydrate antigen Streptococcus group A, followed by IgG2 responses to a soluble filarial antigen (BpG2), Streptococcal Pyrogenic Exotoxin B, and an antigen for the fungal pathogen Candida. When comparing the median antibody level during the ADL episode to the median antibody level at the convalescent time point, only the antigens for Pseudomonas species (P-value = 0.0351) and Streptolysin O (P-value = 0.0074) showed a significant result.

Conclusion

Although our results are limited by the lack of a control group and few antibody responses, they provide some evidence for infection with Streptococcus A as a potential contributing factor to ADL episodes. Our results add to the current evidence and illustrate the importance of determining the causal role of bacterial and fungal pathogens and immunological antifilarial response in ADL episodes.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4619626

DOI: 10.1371/journal.pone.0141047
PubMed: 26492462
PubMed Central: 4619626

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<term>Animals</term>
<term>Antibodies, Bacterial (blood)</term>
<term>Antibodies, Bacterial (immunology)</term>
<term>Antibodies, Fungal (blood)</term>
<term>Antibodies, Fungal (immunology)</term>
<term>Antibodies, Protozoan (blood)</term>
<term>Antibodies, Protozoan (immunology)</term>
<term>Cohort Studies</term>
<term>Elephantiasis, Filarial (etiology)</term>
<term>Female</term>
<term>Haiti</term>
<term>Humans</term>
<term>Lymphangitis (blood)</term>
<term>Lymphangitis (etiology)</term>
<term>Lymphangitis (immunology)</term>
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<term>Streptococcus pyogenes (immunology)</term>
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<term>Animaux</term>
<term>Anticorps antibactériens (immunologie)</term>
<term>Anticorps antibactériens (sang)</term>
<term>Anticorps antifongiques (immunologie)</term>
<term>Anticorps antifongiques (sang)</term>
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<term>Anticorps antiprotozoaires (sang)</term>
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<term>Filariose lymphatique (étiologie)</term>
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<term>Lymphangite (immunologie)</term>
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<term>Lymphangite (étiologie)</term>
<term>Lymphoedème (immunologie)</term>
<term>Lymphoedème (sang)</term>
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<term>Streptococcus pyogenes (immunologie)</term>
<term>Wuchereria bancrofti (immunologie)</term>
<term>Études de cohortes</term>
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<term>Antibodies, Fungal</term>
<term>Antibodies, Protozoan</term>
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<term>Antibodies, Fungal</term>
<term>Antibodies, Protozoan</term>
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<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Lymphangitis</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Lymphangitis</term>
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<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Anticorps antibactériens</term>
<term>Anticorps antifongiques</term>
<term>Anticorps antiprotozoaires</term>
<term>Lymphangite</term>
<term>Lymphoedème</term>
<term>Streptococcus pyogenes</term>
<term>Wuchereria bancrofti</term>
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<keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Lymphangitis</term>
<term>Lymphedema</term>
<term>Streptococcus pyogenes</term>
<term>Wuchereria bancrofti</term>
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<term>Anticorps antifongiques</term>
<term>Anticorps antiprotozoaires</term>
<term>Lymphangite</term>
<term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Filariose lymphatique</term>
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<term>Femelle</term>
<term>Haïti</term>
<term>Humains</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Introduction</title>
<p>Episodes of acute adenolymphangitis (ADL) are often the first clinical sign of lymphatic filariasis (LF). They are often accompanied by swelling of the affected limb, inflammation, fever, and general malaise and lead to the progression of lymphedema. Although ADL episodes have been studied for a century or more, questions still remain as to their etiology. We quantified antibody levels to pathogens that potentially contribute to ADL episodes during and after an episode among lymphedema patients in Léogâne, Haiti. We estimated the proportion of ADL episodes hypothesized to be attributed to specific pathogens.</p>
</sec>
<sec id="sec002"><title>Methods</title>
<p>We measured antibody levels to specific pathogens during and following an ADL episode among 41 lymphedema patients enrolled in a cohort study in Léogâne, Haiti. We calculated the absolute and relative changes in antibody levels between the ADL and convalescent time points. We calculated the proportion of episodes that demonstrated a two-fold increase in antibody level for several bacterial, fungal, and filarial pathogens.</p>
</sec>
<sec id="sec003"><title>Results</title>
<p>Our results showed the greatest proportion of two-fold changes in antibody levels for the carbohydrate antigen <italic>Streptococcus</italic>
 group A, followed by IgG2 responses to a soluble filarial antigen (BpG2), Streptococcal Pyrogenic Exotoxin B, and an antigen for the fungal pathogen <italic>Candida</italic>
. When comparing the median antibody level during the ADL episode to the median antibody level at the convalescent time point, only the antigens for <italic>Pseudomonas</italic>
 species (P-value = 0.0351) and Streptolysin O (P-value = 0.0074) showed a significant result.</p>
</sec>
<sec id="sec004"><title>Conclusion</title>
<p>Although our results are limited by the lack of a control group and few antibody responses, they provide some evidence for infection with <italic>Streptococcus A</italic>
 as a potential contributing factor to ADL episodes. Our results add to the current evidence and illustrate the importance of determining the causal role of bacterial and fungal pathogens and immunological antifilarial response in ADL episodes.</p>
</sec>
</div>
</front>
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Changes in Antibody Levels during and following an Episode of Acute Adenolymphangitis (ADL) among Lymphedema Patients in Léogâne, Haiti

Changes in Antibody Levels during and following an Episode of Acute Adenolymphangitis (ADL) among Lymphedema Patients in Léogâne, Haiti

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