Molecular Identification ofTrypanosoma cruziDiscrete Typing Units in End‐Stage Chronic Chagas Heart Disease and Reactivation after Heart Transplantation
Author(s) -
Juan M. Burgos,
Mirta Díez,
Carlos Vigliano,
Margarita Bisio,
Marikena G. Risso,
Tomás Duffy,
Carolina Cura,
Betina Brusses,
Liliana Favaloro,
María Susana Leguizamón,
Raúl Horacio Lucero,
Rubén P. Laguens,
Mariano Jorge Levin,
Roberto Favaloro,
Alejandro G. Schijman
Publication year - 2010
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/655680
Subject(s) - chagas disease , trypanosoma cruzi , heart transplantation , typing , transplantation , myocarditis , genotype , biology , medicine , immunology , pathology , genetics , parasite hosting , gene , world wide web , computer science
One hundred years after the discovery of Chagas disease, it remains a major neglected tropical disease. Chronic Chagas heart disease (cChHD) is the most severe manifestation. Heart transplantation is the proper treatment for end-stage heart failure, although reactivation of disease may result after receipt of immunosuppressive therapy. T. cruzi strains cluster into 6 discrete typing units (DTUs; I-VI) associated with different geographical distribution, transmission cycles and varying disease symptoms. In the southern cone of South America, T. cruzi II, V, and VI populations appear to be associated with Chagas disease and T. cruzi I with sylvatic cycles.
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