1. Distinct immunity in patients with visceral leishmaniasis from that in subclinically infected and drug-cured people: implications for the mechanism underlying drug cure
- Author
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Joseph Olobo, Petrus A. Kager, Peter A. Bretscher, Juthika N. Menon, Asrat Hailu, Lashitew Gedamu, Nega Berhe, Thomas Hassard, Other departments, and Faculteit der Geneeskunde
- Subjects
Drug ,Adult ,Male ,Adolescent ,media_common.quotation_subject ,Antiprotozoal Agents ,Antibodies, Protozoan ,Enzyme-Linked Immunosorbent Assay ,Disease ,Immune system ,Immunity ,parasitic diseases ,medicine ,Immunology and Allergy ,Humans ,Child ,media_common ,Skin Tests ,biology ,Leishmaniasis ,Middle Aged ,medicine.disease ,Leishmania ,biology.organism_classification ,Virology ,Infectious Diseases ,Visceral leishmaniasis ,Antimony Sodium Gluconate ,Child, Preschool ,Immunoglobulin G ,Immunology ,biology.protein ,Leishmaniasis, Visceral ,Female ,Ethiopia ,Antibody - Abstract
2,b Significant levels of IgG3 and IgG4 and high levels of IgG1 leishmania-specific antibody differentiated the immune states in 10 patients with visceral leishmaniasis from those of vir- tually all 20 drug-cured and 18 subclinically infected subjects, whereas the level of IgG2 antibody was nondiscriminating. The most extreme "subclinically infected" outlier subse- quently developed disease. Overall, the immune states in subclinically infected and drug-cured persons were mutually indistinguishable but were readily distinguished from those of patients. These findings may have implications for the immunologic mechanism underlying drug cure in visceral leishmaniasis.
- Published
- 2001
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