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Analysis of proteins from membrane and soluble fractions of Giardia duodenalis trophozoites of two Brazilian axenic strains

Análise de proteínas de frações de membranas e de frações solúveis de trofozoítos de duas cepas de Giardia duodenalis, isoladas e axenizadas no Brasil

Abstracts

In the present study, we have analyzed by sodium docecyl sulphate - polyacrilamide gel electrophoresis (SDS-PAGE), immunoblotting and Concanavalin A blotting (Con A blotting) proteins of membrane fractions and soluble fractions obtained from Giardia duodenalis trophozoites of two axenic strains isolated in Brazil from a symptomatic (BTU-11) and an asymptomatic patient (BTU-10), as compared to the reference strain Portland 1. Both Brazilian strains showed a complex and homogeneous electrophoretic pattern of proteins, but some differences could be observed. Several glycoproteins were detected, particularly the proteins of 81, 72, 59 kDa and the protein of 62 kDa in the membrane proteins and cytosol, respectively. Many antigenic components were revealed by anti-Giardia rabbit IgG antibodies in the immunoblotting analysis. Among these components, the membrane protein of 32 kDa and the cytosol protein of 30 kDa could be related to giardin, as previously demonstrated.

Giardia duodenalis; Axenic strains; Trophozoites; Proteins; Glycoproteins; Antigens


Foi realizada a análise de algumas características bioquímicas e antigênicas de duas cepas axênicas de Giardia duodenalis, isoladas em Botucatu, a partir de cistos obtidos de paciente sintomático (BTU-11) e assintomático (BTU-10), tendo por referência a cepa padrão Portland 1 (P-1), isolada e axenizada nos Estados Unidos. Preparações contendo proteínas de membranas e proteínas solúveis (citosol) de cada cepa foram empregadas na eletroforese das proteínas em gel de poliacrilamida (SDS-PAGE), na análise de glicoproteínas pela técnica de Con A blot e na análise antigênica pela técnica de "Immunoblotting". Na análise do perfil eletroforético os padrões de bandas de proteínas das cepas BTU-10 e BTU-11 foram complexos e na maior parte homogêneos; algumas diferenças foram detectadas entre as proteínas de membranas. Várias glicoproteínas foram demonstradas, destacando-se as de 81, 72, 59 kDa e a glicoproteína de 62 kDa, detectadas nas preparações de proteínas de membranas e proteínas solúveis, respectivamente. Entre estas glicoproteínas, a de 81 kDa foi detectada apenas entre as proteínas de membranas das cepas BTU-11 e P-1, isoladas de casos sintomáticos. Vários componentes antigênicos foram reconhecidos por anticorpos IgG de coelho pela técnica de "Immunoblotting". Entre estes componentes, as proteínas de 32 kDa, entre as proteínas de membranas e a de 30 kDa, entre as proteínas solúveis, parecem tratar-se de proteínas já caracterizadas como "giardinas". O presente trabalho possibilitou detectar glicoproteínas, proteínas e antígenos em trofozoítos de duas cepas autóctones de G. duodenalis. De modo geral, as análises dos perfis eletroforético e glicoproteico e do "immunoblotting" demonstraram similaridade entre as cepas.


ANALYSIS OF PROTEINS FROM MEMBRANE AND SOLUBLE FRACTIONS OF Giardia duodenalis TROPHOZOITES OF TWO BRAZILIAN AXENIC STRAINS

Semíramis GUIMARÃES(1 (1 ) Departamento de Parasitologia, Instituto de Biociências, Universidade Estadual Paulista, UNESP, Botucatu, São Paulo, Brasil (2 ) Departamento de Patologia, Escola Paulista de Medicina/Universidade Federal de São Paulo (Unifesp), São Paulo, SP Brasil ), Maria Inês T. Leme SOGAYAR(1 (1 ) Departamento de Parasitologia, Instituto de Biociências, Universidade Estadual Paulista, UNESP, Botucatu, São Paulo, Brasil (2 ) Departamento de Patologia, Escola Paulista de Medicina/Universidade Federal de São Paulo (Unifesp), São Paulo, SP Brasil ) & Marcello FRANCO(2 (1 ) Departamento de Parasitologia, Instituto de Biociências, Universidade Estadual Paulista, UNESP, Botucatu, São Paulo, Brasil (2 ) Departamento de Patologia, Escola Paulista de Medicina/Universidade Federal de São Paulo (Unifesp), São Paulo, SP Brasil )

SUMMARY

In the present study, we have analyzed by sodium docecyl sulphate – polyacrilamide gel electrophoresis (SDS-PAGE), immunoblotting and Concanavalin A blotting (Con A blotting) proteins of membrane fractions and soluble fractions obtained from Giardia duodenalis trophozoites of two axenic strains isolated in Brazil from a symptomatic (BTU-11) and an asymptomatic patient (BTU-10), as compared to the reference strain Portland 1. Both Brazilian strains showed a complex and homogeneous electrophoretic pattern of proteins, but some differences could be observed. Several glycoproteins were detected, particularly the proteins of 81, 72, 59 kDa and the protein of 62 kDa in the membrane proteins and cytosol, respectively. Many antigenic components were revealed by anti-Giardia rabbit IgG antibodies in the immunoblotting analysis. Among these components, the membrane protein of 32 kDa and the cytosol protein of 30 kDa could be related to giardin, as previously demonstrated.

KEYWORDS:Giardia duodenalis; Axenic strains; Trophozoites; Proteins; Glycoproteins; Antigens.

INTRODUCTION

Giardia duodenalis (syn. Giardia lamblia, Giardia intestinalis), an important worldwide intestinal protozoa is one of the most common nonviral causes of diarrhoea both in developed and underdeveloped countries. Nowadays, the infection may reach a prevalence of 2-7% in Western countries and of 20-60% in developing countries22. About 200 million people in Asia, Africa and Latin America have symptomatic giardiasis and there are some 500000 new cases per year28.

Giardiasis has a range of clinical expression from asymptomatic cyst passage to a syndrome of chronic diarrhea, malabsorption, and weight loss. This clinical variability has been attributed to factors related to the parasite (mechanical, proteolytic, immunologic), host (diet, intestinal motility, nutritional and immunologic status) and host-parasite interactions (immune response and association with intestinal microflora). The specific pathogenic mechanisms of Giardia, the factors responsible for the conversion of an asymptomatic infection to a symptomatic one and their impact on the host-parasite relationship still need investigation. However, there is increasing evidence that a particular strain, or isolate, of Giardia may have a greater potential to cause disease in a particular host22.

Considering that the composition and complexity of Giardia strains might be associated with aspects of the host-parasite relationship, characterization of trophozoites proteins from axenic strains have been conducted in order to expand the knowledge of this parasite and to detect differences between strains2,5,6,7,12,21,25. The proteins of trophozoites have been studied in terms of their localization and with respect to their nature and properties.

The great part of these investigations has been carried out in countries where giardiasis is not endemic. Moreover, there is increasing interest to conduct studies in attempting to learn more about strains isolated and axenized in endemic areas.

Thus, the aim of this study was to identify and characterize proteins of G. duodenalis trophozoites of two axenic strains isolated in Brazil from a symptomatic (BTU-11) and an asymptomatic patient (BTU-10), as compared to the reference strain Portland 1.

MATERIAL AND METHODS

Parasites and culture - Trophozoites of three axenic strains of G. duodenalis were studied. Two of them were isolated in Brazil, at the Giardiasis Laboratory (IB/UNESP) in Botucatu, São Paulo: BTU-10 from a 21 year-old asymptomatic male and BTU-11 from a 40 year-old symptomatic male presenting diarrhea, flatulence and abdominal cramps. Both strains were obtained from cysts recovered from patient's feces. The reference strain Portland 1 (P1), originally isolated by MEYER (1976) from a 36 year-old symptomatic female from Portland, Oregon (USA), was obtained from H. W. Pillai (Division of Geographic Medicine Tufts University, New England Medical Center, Boston, USA) and it was used as a standard strain. Trophozoites were grown axenically in TYI-S-33 (Trypticase, yeast extract, iron-serum) medium11.

Extraction of proteins from axenic cultures - Trophozoites harvested in log-phase growth within 72 to 96 h postinoculation, after chilling in wet ice for 15 min, were washed four times in phosphate buffered saline (PBS) by centrifugation at 250 x g for 20 min at 4 oC and the pellet stored at -60 oC. Trophozoite masses were thawed at room temperature and processed according to the method described by MOSS et al.15. Briefly, each suspension (2 x 108 trophozoites) was treated with protease inhibitors [phenylmethylsulfonyl fluoride (PMSF, 1mM), N-tosyl-L-phenylalanine chlorometyl ketone (TPCK, 1mM), N-a-p-tosyl-L-lysine chlorometyl ketone (TLCK, 1mM), iodacetamide (IAA, 1mM)] and lysed by freeze-and-thaw three times. The lysates were centrifuged at 24,000 x g for 30 min at 4 oC and fractionated into cytosol and membrane fractions. The supernatants were collected and labeled "water-soluble (WS) protein fractions", and stored at -60 oC. The sediments containing the membranous material were centrifuged at 24,000 x g for 30 min at 4 oC. The supernatants were removed and the pellets were solubilized overnight in 8 M urea-0.05 M Tris HCl-0.3 M KCl-0.2 mM EDTA, pH 8.0, at 4 oC. The suspensions were submitted to ultrasonic disruption with a Vibra cell ultrasonic processor (VCX-400) and the extracts were centrifuged at 24,000 x g for 30 min at 4 oC. The supernatants were collected, dialyzed and concentrated against 40 mM Tris HCl-54 mM boric acid-1 mM EDTA, pH 8.3. The samples were labeled "membrane-bound (MB) protein fractions" and stored at –60 oC until required for use. The protein contents of water soluble (WS) and membrane-bound (MB) protein fractions were determined by the method of BRADFORD1.

Preparation of anti-Giardia IgG - Immune sera to Giardia were raised by immunizing rabbits according to GUIMARÃES et al.8. For each strain, two rabbits were immunized with four doses and the interval between each one was fifteen days. In the first dose, animals were given 5 x 106 whole trophozoites by intraperitoneal route; in the second dose, 5 x 106 freeze-and-thaw disrupted trophozoites emulsified in Freund's Complete Adjuvant (v/v) on the rabbit's back; in the third dose, 5 x 106 freeze-and-thaw disrupted trophozoites emulsified in Freund's Incomplete Adjuvant (v/v) on the haunch. The booster dose of 2 x 106 disrupted trophozoites in PBS was given subcutaneously in the pads. The animals were bled on day ten after the booster and the serum collected, aliquoted and stored at –20 oC.

To fractionate IgG, each rabbit immune sera was applied to a protein A Sepharose affinity chromatography column. The bounded anti-Giardia antibodies (IgG) were eluted with 0.1 M glycine (pH 2.5), neutralized and collected in aliquots. Protein concentration was determined by absorbance at 280 nm and the IgG was dialyzed against PBS at 4 oC.

Protein electrophoresis (SDS-PAGE) - WS and MB protein fractions from each strain were separated by SDS-PAGE, as described by LAEMMLI13, using a 7-14% separating gel and a 3% stacking gel. The samples were solubilized in sample buffer (1% SDS-128 mM 2-mercaptoethanol-10% glycerol-0.05% bromophenol blue-500 mM Tris HCl, pH 6.8), boiled for 3 min and either 4 mg (silver staining) or 30 mg (immunoblotting and Con-A blotting) were applied to the gels. After electrophoresis, gels were either stained with ammoniacal silver solution27 or prepared for immunoblotting and Con-A blotting as described below. Molecular weight markers were used.

Antigenic analysis by immunoblotting - For immunoblotting assays, protein fractions (WS and MB) separated by SDS-PAGE were transferred to nitrocellulose (0.45 mm) according to TOWBIN et al.23. After the transfer, the nitrocellulose sheets were blocked with 5% skim milk in 10 mM Tris saline (pH 7.4) for 2 h at room temperature. The strips were incubated overnight at 4 oC with specific rabbit anti-Giardia IgG (1:100) in Tris saline with 1% skim milk. Negative controls were included in all reactions. After incubation, the sheets were washed four times with Tris saline and exposed to a 1:4000 dilution of horseradish peroxidase-conjugated goat anti-rabbit IgG for 2 h at room temperature. The blot was then rinsed and the color reaction was developed using 1 mg/ml of 3,3'-diaminobenzidine tetrahydrochloride and 0.5 mg/ml of 4-chloro, 1-a-naphthol in Tris saline containing 0.1% hydrogen peroxide. The reaction was stopped by washing the strips in distilled water.

Concanavalin-A (Con-A) blot - Glycoproteins binding Con-A were detected on nitrocellulose sheets by a modification of the method of HAWKES9. Water-soluble (WS) and membrane-bound (MB) protein fractions were fractionated by SDS-PAGE and transferred to nitrocellulose as described above. The sheets were washed in PBS-0.3% Tween 20 (PBS-TW) and incubated overnight at 4 oC with PBS-TW containing 50 mg/ml Con-A. The next day the sheets were washed and incubated with a solution containing 50 mg/ml horseradish in PBS-TW. After 1 h at room temperature, the sheets were washed twice, 10 min each in PBS-TW, followed by two 10 min washes in PBS alone. The sheets were then exposed to the substrate solution as described above for immunoblotting reaction. To confirm the specific reaction of glycoproteins with Con-A, some strips were incubated with a solution of PBS-TW and others were incubated with a solution containing Con-A and a competing sugar, 0.1M a-D-methylmannoside.

Molecular masses determination – Molecular masses of fractionated proteins were determined by analysis in Image Master VDS (Pharmacia).

Reagents– Electrophoresis reagents, blot reagents, molecular weight marker and protease inhibitors were purchased from Sigma Chemicals Corporation Ltd.

RESULTS

Figure 1 shows the SDS-PAGE profile of membrane-bound (Fig. 1A) and water-soluble (Fig. 1B) protein fractions of two Brazilian strains (BTU-10 and BTU-11) and the reference strain P-1. The membrane fractions of all strains revealed a large number (26-30) of bands with molecular masses ranging from 182 to 10 kDa (Fig. 1A). The protein patterns were similar and many bands were common to the three strains. However, heterogeneity could be detected among some proteins into the groups with molecular masses between 182 to 64 kDa, 55 to 49 kDa and 38 to 25 kDa. The bands below 25 kDa were faint, mainly in the pattern of strain BTU-11. The band at approximately 97 kDa was striking in the three strains. The profile of soluble fractions (Fig. 1B) were composed of approximately 16 bands with molecular masses ranging from 122 to 10 kDa. The protein bands detected were for the most part homogeneous. All strains profiles revealed a prominent component having a molecular mass of 38 kDa.


Figure 2 shows the Con-A blot pattern of protein fractions of the three strains. Many of the membrane components of the three strains reacted with the lectin Con-A and revealed glycoprotein bands at molecular masses between 123 to 32 kDa (Fig. 2A). Although the strains were similar, some differences could be identified. The profile of BTU-10 glycoproteins showed faint bands. However, strains P-1 and BTU-11 revealed prominent components such as the bands at approximately 81 kDa (P-1 and BTU-11), 72 kDa (P-1 and BTU-11) and 59 kDa (P-1). The most marked component was the band at 81 kDa (Fig. 2A). More homogeneous profiles could be identified in the soluble fraction when Con-A was the probe (Fig. 2 B). One sized 62 kDa band was the most consistent component recognized in all strains (Fig. 2 B).



Antigens were recognized among the membrane-bound and water-soluble protein fractions of all three strains, using immunoblot technique and homologous rabbit anti-Giardia IgG (Fig. 3). The antigenic profiles of membrane fractions showed bands ranging in molecular masses from 210 to 32 kDa; the majority of the bands were in the range between 210 to 59 kDa (Fig. 3A). Many bands in the 210-116 kDa region were common for all strains. These included the bands at the 210, 188, 167, 145, 134, 124 and 116 kDa. An evident band at 32 kDa was recognized in all strains. Heterogeneity was seen among antigens identified in the 97-50 kDa range of P-1 and BTU-11 protein fraction in comparison to strain BTU-10, demonstrating differences in this region (Fig. 3A). Fewer antigens were found in the soluble protein fractions of the three strains (Fig. 3B). The antigenic profiles revealed common antigens for the strains, but distinct differences were observed such as the antigens of 92, 66, 52 and 30 kDa in the strain BTU-10 and the components of 64 and 62 kDa in the strains BTU-11 and P-1 (Fig. 3B).



DISCUSSION

Biochemical and antigenic analysis of trophozoite proteins are an important step in expanding the knowledge on Giardia strains and to detect differences among them.

In the present study, membrane and soluble fraction associated proteins of trophozoites from two Brazilian axenic strains (BTU-10 and BTU-11) and the reference strain Portland 1 (P-1) were examined. We have demonstrated multiple proteins, glycoproteins and antigens in membranes as well as in soluble fractions of trophozoites from the three strains. Overall, the strains BTU-10 and BTU-11 showed a complex and homogeneous profiles of proteins, glycoproteins and antigens. In addition to some similarity among the strains, differences could be detected mainly in membrane-bound protein fractions. According to DEN HOLLANDER et al.4, differences among Giardia isolates can be most pronounced in the membrane fractions, although differences may exist in other fractions as well.

The complexity of protein fractions of Giardia duodenalis trophozoites has been reported by several authors2,5,6,7,12,21,25. In our study, the analysis of electrophoretic protein patterns of the Brazilian strains (BTU-10 and BTU-11), similarity to the reference strain P-1 revealed complex profiles with the detection of multiple bands with molecular masses ranging from 182 to 10 kDa and 122 to 10 kDa in membrane fractions and soluble fractions, respectively. In general, the electrophoretic patterns reported are complex and homogeneous, with the detection of multiple protein bands ranging from 140 to 10 kDa21, 122 to 10 kDa2 or 250 to 14 kDa24. The overall homogeneity of the protein patterns is consistent with the results showed in previous investigations2,7,21,24,25 that employed other strains. Heterogeneity has been observed in the 20-25 kDa and 50-56 kDa regions7,26.

Glycoproteins were identified among membrane-bound and water-soluble protein fractions in trophozoites of the three strains. According to JACOBSON & DOYLE10, all parasites have carbohydrates on their surfaces, as part of their cytoskeletons or in their internal structures. Sugars such as D-mannose, D-glucose, N-acetyl-D-glucosamine, L-fucose, D-galactose and N-acetyl-D-galactosamine have been detected in trophozoites of the reference strain WB by other investigators18. Based on the specific binding of Con-A to the proteins, our study could indicate that mannose and glucose are part of the sugar composition in G. duodenalis trophozoites of the strains isolated and axenized in Brazil and in the reference strain P-1. Con-A blot revealed a major glycoprotein of 81 kDa found on the membrane-bound protein fractions of the strains BTU-11 and P-1, both obtained from a symptomatic patient. EINFELD & STIBBS6, identified and characterized a glycoprotein with molecular mass of 82 kDa that was detected on the trophozoite surface of strains isolated from symptomatic patients in USA (P-1), Afghanistan (WB) Puerto Rico (LT) and from an asymptomatic carrier from Ecuador (RS).

Antigenic components with molecular masses ranging from 295 to 32 kDa and 198 to 30 kDa were detected among membrane and soluble fractions, respectively. It is important to emphasize that the proteins of 32 kDa and 30 kDa detected in membranes and soluble fractions, respectively. The present study and early investigations have described a variety of antigenic proteins of Giardia duodenalis trophozoites like as those of 88, 82, 66, 62, 52, 38 and 30-34 kDa2,5,6,7,25,26. Among these antigens, the protein of 32 kDa have been recognized as an important component in a variety of strains2,7,25,26. CROSSLEY & HOLBERTON3 detected a group of proteins associated with microtubules of ventral disc in the 30 kDa range that these authors termed giardins. In a further study, these components were defined as a group of proteins in the 29 to 38 kDa range19. WENMAN et al.26, using immunoelectron microscopy, found the 32 kDa antigen on the trophozoite ventral disc and on the membrane. It is possible that the 32 kDa and 30 kDa components that we reported here may be giardin.

The great part of antigens recognized among the protein fractions were common to Brazilian strains and to reference strain Portland. This observation confirms the presence of common components among different strains. In relation to some heterogeneity in protein patterns and antigens among the three strains, this fact suggests that certain components can be characteristic of a particular strain.

Another point to be considered is that some proteins, glycoproteins and antigens detected in our study showed similar or close molecular masses to those of proteins associated with plasma membrane identified in early investigations5,6,16,17,25. In the present study, the method employed to obtain subcellular fractions of trophozoites did not allow the fractionation of plasma membrane proteins from those bound to the internal membranes. So, we did not analyse the surface proteins but those associated with all membranes of the trophozoites. Therefore, according to DEN HOLLANDER et al.4, as Giardia spp have few internal demonstrated membrane-bound organelles, the membrane differences among isolates may involve polypeptides of plasma membrane.

Our attempt to identify and characterize proteins of G. duodenalis allowed us to demonstrated multiple glycoproteins and antigens in membranes and soluble fractions of trophozoites of two Brazilian axenic strains. In Brazil, no previous studies have, to our knowledge, analysed the antigenic and glycoproteic profiles of autochtonous strains. ROCHA et al.20 reported the characterization of a strain obtained from an asymptomatic patient in Minas Gerais. Electrophoretic and isoenzyme patterns of protein extracts revealed differences between the strain BHRF92 and the reference strain Portland.

Despite the importance of G. duodenalis in developing countries, little is known about the biochemical and antigenic characteristics of strains isolated in our country. The present study is a preliminary step in the characterization of autochtonous strains isolated from individuals with asymptomatic giardiasis and from symptomatic patients. Our results hold the perspective for the understanding about the proteins, glycoproteins and antigens of G. duodenalis trophozoites of axenic strains isolated in an endemic area.

RESUMO

Análise de proteínas de frações de membranas e de frações solúveis de trofozoítos de duas cepas de Giardia duodenalis, isoladas e axenizadas no Brasil

Foi realizada a análise de algumas características bioquímicas e antigênicas de duas cepas axênicas de Giardia duodenalis, isoladas em Botucatu, a partir de cistos obtidos de paciente sintomático (BTU-11) e assintomático (BTU-10), tendo por referência a cepa padrão Portland 1 (P-1), isolada e axenizada nos Estados Unidos.

Preparações contendo proteínas de membranas e proteínas solúveis (citosol) de cada cepa foram empregadas na eletroforese das proteínas em gel de poliacrilamida (SDS-PAGE), na análise de glicoproteínas pela técnica de Con A blot e na análise antigênica pela técnica de "Immunoblotting".

Na análise do perfil eletroforético os padrões de bandas de proteínas das cepas BTU-10 e BTU-11 foram complexos e na maior parte homogêneos; algumas diferenças foram detectadas entre as proteínas de membranas.

Várias glicoproteínas foram demonstradas, destacando-se as de 81, 72, 59 kDa e a glicoproteína de 62 kDa, detectadas nas preparações de proteínas de membranas e proteínas solúveis, respectivamente. Entre estas glicoproteínas, a de 81 kDa foi detectada apenas entre as proteínas de membranas das cepas BTU-11 e P-1, isoladas de casos sintomáticos.

Vários componentes antigênicos foram reconhecidos por anticorpos IgG de coelho pela técnica de "Immunoblotting". Entre estes componentes, as proteínas de 32 kDa, entre as proteínas de membranas e a de 30 kDa, entre as proteínas solúveis, parecem tratar-se de proteínas já caracterizadas como "giardinas".

O presente trabalho possibilitou detectar glicoproteínas, proteínas e antígenos em trofozoítos de duas cepas autóctones de G. duodenalis. De modo geral, as análises dos perfis eletroforético e glicoproteico e do "immunoblotting" demonstraram similaridade entre as cepas.

ACKNOWLEDGMENTS

This work was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo-FAPESP (Grant no. 94/2946-6).

Received: 21 March 2002

Accepted: 11 July 2002

Correspondence to: Semíramis Guimarães. Departamento de Parasitologia, Instituto de Biociências, Universidade Estadual Paulista, 18618-000 Botucatu, São Paulo, Brasil. Fax: +55 14 6821 3744. e-mail: sgviana@ibb.unesp.br

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  • (1
    ) Departamento de Parasitologia, Instituto de Biociências, Universidade Estadual Paulista, UNESP, Botucatu, São Paulo, Brasil
    (2
    ) Departamento de Patologia, Escola Paulista de Medicina/Universidade Federal de São Paulo (Unifesp), São Paulo, SP Brasil
  • Publication Dates

    • Publication in this collection
      12 Nov 2002
    • Date of issue
      Oct 2002

    History

    • Accepted
      11 July 2002
    • Received
      21 Mar 2002
    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