Journal article
Visceral Leishmaniasis and the Skin: Dermal Parasite Transmission to Sand Flies
Pathogens (Basel), Vol.11(6), p.610
01/01/2022
DOI: 10.3390/pathogens11060610
PMCID: PMC9228576
PMID: 35745464
Abstract
Visceral leishmaniasis is a parasitic disease with significant dermal tropism. The skin is an important site of infection contributing to parasite transmission to naïve sand flies, but understanding how parasitism of host skin and the related immune microenvironment supports or prevents skin parasite replication is now the focus of major investigation in the field of leishmaniasis research. Here, we review dermatoimmunology during visceral leishmaniasis (VL), dermal Leishmania parasite burden, and the role of skin parasitism in transmissibility to sand fly vectors. First, we discuss the epidemiology of VL amongst dogs, the primary zoonotic reservoir for human infection. We explore the association between spatial distribution and the burden of parasites in the skin in driving outward transmission. Factors associated with parasite persistence in the skin are examined. We discuss systemic immunity during VL and what is known about immunological correlates in the skin microenvironment. Finally, we touch on factors egested into the skin during Leishmania inoculation by sand flies. Throughout, we discuss factors associated with the early and chronic establishment of Leishmania parasites in the skin and the role of the dermal immune response.
Details
- Title: Subtitle
- Visceral Leishmaniasis and the Skin: Dermal Parasite Transmission to Sand Flies
- Creators
- Sahaana ArumugamBreanna M ScorzaChristine Petersen
- Resource Type
- Journal article
- Publication Details
- Pathogens (Basel), Vol.11(6), p.610
- DOI
- 10.3390/pathogens11060610
- PMID
- 35745464
- PMCID
- PMC9228576
- NLM abbreviation
- Pathogens
- eISSN
- 2076-0817
- Publisher
- MDPI AG
- Language
- English
- Date published
- 01/01/2022
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9984268759302771
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