Title Levels of circulating anti-muscarinic and anti-adrenergic antibodies and their effect on cardiac arrhythmias and dysautonomia in murine models of Chagas disease.
Author Daliry, Anissa; Pereira, Isabela Resende; Pereira-Junior, Pedro Paulo; Ramos, Isalira Peroba; Vilar-Pereira, Glaucia; Silvares, Raquel Rangel; Lannes-Vieira, Joseli; Campos De Carvalho, Antonio Carlos
Journal Parasitology Publication Year/Month 2014-Nov
PMID 25093253 PMCID -N/A-
Affiliation + expend 1.Laboratorio de Investigacao Cardiovascular,Instituto Oswaldo Cruz,Fiocruz, Rio de Janeiro, RJ,Brazil.

SUMMARY Antibodies (Ab) recognizing G-protein coupled receptors, such as beta 1 and beta 2 adrenergic (anti-beta 1-AR and anti-beta 2-AR, respectively) and muscarinic cholinergic receptors (anti-M2-CR) may contribute to cardiac damage, however their role in chronic chagasic cardiomyopathy is still controversial. We describe that Trypanosoma cruzi-infected C3H/He mice show increased P and QRS wave duration, and PR and QTc intervals, while the most significant ECG alterations in C57BL/6 are prolonged P wave and PR interval. Echocardiogram analyses show right ventricle dilation in infected animals of both mouse lineages. Analyses of heart rate variability (HRV) in chronically infected C3H/He mice show no alteration of the evaluated parameters, while C57BL/6 infected mice display significantly lower values of HRV components, suggesting autonomic dysfunction. The time-course analysis of anti-beta 1-AR, anti-beta 2-AR and anti-M2-CR Ab titres in C3H/He infected mice indicate that anti-beta 1-AR Ab are detected only in the chronic phase, while anti-beta 2-AR and anti-M2-CR are observed in the acute phase, diminish at 60 dpi and increase again in the chronic phase. Chronically infected C57BL/6 mice presented a significant increase in only anti-M2-CR Ab titres. Furthermore, anti-beta 1-AR, anti-beta 2-AR and anti-M2-CR, exhibit significantly higher prevalence in chronically T. cruzi-infected C3H/He mice when compared with C57BL/6. These observations suggest that T. cruzi infection leads to host-specific cardiac electric alterations.

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