A influência do metabolismo redox na transmissão da doença de Chagas

Abstract

Trypanosoma cruzi epimastigotes proliferate and differentiate inside different compartments of the triatomines gut. These environments are antagonic in terms of nutrient content, pH and redox status. All these factors represent a challenge to the protozoan due to the presence of molecules and factors which are able to induce different signals to the parasite. Thus, we tested the influence of abundant metabolism products of the vector, with distinct redox status, in the proliferation and metacyclogenesis in vitro and in vivo. These molecules are heme and hemozoin, both byproducts of hemoglobin digestion, and urate, present in the urine of insects. Heme is a ubiquitous molecule present in all living organisms. Our group studied its role in T. cruzi growth in vitro, showing that this signal is governed by the redox-sensitive enzyme CaMKII (Lara et al., 2007; Souza et al., 2009). Indeed, it seems to rely on a redox signaling pathway in which heme, but not its analogs, induces ROS formation, thus modulating CaMKII activity (Nogueira et al., 2011). Although it induces ROS in epimastigotes, the heme molecule had no deleterious effect upon the parasites ultrastructure, suggesting an adaptation to oxidative environments. In addition, FCCP inhibited mitochondrial ROS formation, then decreasing the parasite proliferation. On the other hand, AA drastically increased mitochondrial ROS production leading to cell death. These results corroborate the hypothesis of redox regulation of epimastigotes proliferation. Hemozoin (β- hematin) formation is an elegant strategy to minimize the toxic effect of heme in hematophagous insects. However, β-hematin had no influence upon the proliferation or metacyclogenesis in vitro. Also, urate, GSH and NAC impaired epimastigote proliferation. These effects were partially reversed when the antioxidants were incubated along with heme. During metacyclogenesis in vitro, NAC and urate induced a significant increment of trypomastigotes and decreased the percentage of epimastigotes. Heme and β-hematin presented the opposite effect diminishing the percentage of trypomastigotes and increasing the percentage of epimastigotes. To confirm the influence of the redox status in the parasite biology in vivo, we quantified the parasite loads in the anterior and posterior midguts and in the rectum of the triatomine vector fed with or without NAC and urate by qPCR. The treatment with the antioxidants increased the parasite loads in all midgut sections analyzed. Afterwards, in order to distinguish the evolutive forms responsible for the increment of parasite loads, we performed differential counting of the midgut sections. Five days post infection we observed an increment of trypomastigotes and a decrease of epimastigote forms in vivo. Taken together, these data suggests that, as well as nutrient content and pH, the redox status may also influence T. cruzi biology in the vector. In this scenario, oxidants act to turn on proliferation and in contrast, antioxidants seem to switch the cycle towards metacyclogenesis.