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The experimental granuloma: a hypothesis to explain the persistence of the lesion

O granuloma experimental: uma hipótese para explicar a persistência da lesão

Abstracts

Granulomatous inflammation is the morphological substrate of a variety of important infectious diseases such as tuberculosis, leprosy, schistosomiasis and others. Nevertheless, although many aspects of this special type of inflammation are known, fundamental questions concerning granuloma formation, persistence, fate and significance for host-parasite relationships still remain to be elucidated. In this brief review, the basic and more relevant literature related to experimental investigations on granuloma physiopathology is presented. Based on recent investigations performed in our laboratory showing that MDF (Macrophage Deactivating Fator) secreted by epithelioid cells and characterized as the calcium-binding protein protein MRP-14 deactivates activated macrophages, a hypothesis to explain the persistence of granulomatous inflammation is put forward

Macrophage; Epithelioid cell; MDF; MRP-14; Granulona; Granulomatous inflammation


A inflamação glanulomatosa é o substrato morfológico de uma variedade de doenças infecciosas importantes tais como tuberculose, lepra, esquistossomose e outras. Embora muitos aspectos deste tipo especial de inflamação sejam conhecidos, questões fundamentais referentes à formação do granulona, persistência, destino e significado da relação hospedeiro-parasita permanecem para serem elucidados. Nesta revisão é apresentada a literatura básica e mais relevante relacionada à investigação experimental sobre a fisiopatologia do granuloma. Baseados em investigações recentes realizadas, em nosso laboratório mostrando que o fator de desativação do macrófago (MDF) secretado pelas células epitelióides e caracterizado pela proteína MRP-14, uma proteína ligante de cálcio, foi levantada hipótese para explicar a persistência da inflamação granulomatosa.


INVITED REVIEW

The experimental granuloma. A hypothesis to explain the persistence of the lesion

O granuloma experimental. Uma hipótese para explicar a persistência da lesão

M. Mariano

Department of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brasil

Correspondence to Correspondence to: Prof. Mario Mariano Av. Prof. Lineu Prestes, 2415 Cidade Universitária - 05508-900 São Paulo, SP, Brasil Fone: (011) 818 7375 - Fax: (011) 813 0845 E-mail: mmariano@fox.cce.usp.br

SUMMARY

Granulomatous inflammation is the morphological substrate of a variety of important infectious diseases such as tuberculosis, leprosy, schistosomiasis and others. Nevertheless, although many aspects of this special type of inflammation are known, fundamental questions concerning granuloma formation, persistence, fate and significance for host-parasite relationships still remain to be elucidated. In this brief review, the basic and more relevant literature related to experimental investigations on granuloma physiopathology is presented. Based on recent investigations performed in our laboratory showing that MDF (Macrophage Deactivating Fator) secreted by epithelioid cells and characterized as the calcium-binding protein protein MRP-14 deactivates activated macrophages, a hypothesis to explain the persistence of granulomatous inflammation is put forward.

Keywords: Macrophage; Epithelioid cell; MDF; MRP-14; Granulona; Granulomatous inflammation.

RESUMO

A inflamação glanulomatosa é o substrato morfológico de uma variedade de doenças infecciosas importantes tais como tuberculose, lepra, esquistossomose e outras. Embora muitos aspectos deste tipo especial de inflamação sejam conhecidos, questões fundamentais referentes à formação do granulona, persistência, destino e significado da relação hospedeiro-parasita permanecem para serem elucidados. Nesta revisão é apresentada a literatura básica e mais relevante relacionada à investigação experimental sobre a fisiopatologia do granuloma. Baseados em investigações recentes realizadas, em nosso laboratório mostrando que o fator de desativação do macrófago (MDF) secretado pelas células epitelióides e caracterizado pela proteína MRP-14, uma proteína ligante de cálcio, foi levantada hipótese para explicar a persistência da inflamação granulomatosa.

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ACKNOWLEDGMENTS

The constructive criticisms of this review by Werner Haas, Cord Sunderkötter, Clemens Sorg and Sonia Jancar are gratefully acknowledged.

Recebido para publicação em 13/07/1994

Aceito para publicação em 08/09/1994

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  • Correspondence to:

    Prof. Mario Mariano
    Av. Prof. Lineu Prestes, 2415
    Cidade Universitária - 05508-900 São Paulo, SP, Brasil
    Fone: (011) 818 7375 - Fax: (011) 813 0845
    E-mail:
  • Publication Dates

    • Publication in this collection
      22 Feb 2007
    • Date of issue
      Apr 1995

    History

    • Received
      13 July 1994
    • Accepted
      08 Sept 1994
    Instituto de Medicina Tropical de São Paulo Av. Dr. Enéas de Carvalho Aguiar, 470, 05403-000 - São Paulo - SP - Brazil, Tel. +55 11 3061-7005 - São Paulo - SP - Brazil
    E-mail: revimtsp@usp.br