%0 Journal Article %9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES %A Courtin, David %A Jamonneau, Vincent %A Mathieu, J.F. %A Koffi, M. %A Milet, J. %A Yeminanga, Claude Sese %A Kumeso, V.K.B. %A Cuny, Gérard %A Bilengue, C.M.M. %A Garcia, André %T Comparison of cytokine plasma levels in human African trypanosomiasis %D 2006 %L fdi:010035631 %G ENG %J Tropical Medicine and International Health %@ 1360-2276 %K gamma interferon ; human African trypanosomiasis ; interleukin ; Trypanosoma brucei gambiense ; tumour necrosis factor alpha %K AFRIQUE SUBSAHARIENNE %K REPUBLIQUE DEMOCRATIQUE DU CONGO %M CC:0002370978-0011 %N 5 %P 647-653 %R 10.1111/j.1365-3156.2006.01612.x %U https://www.documentation.ird.fr/hor/fdi:010035631 %> https://www.documentation.ird.fr/intranet/publi/2006/05/010035631.pdf %V 11 %W Horizon (IRD) %X Background: Immunological studies suggest that human African trypanosomiasis (HAT) is associated with inflammatory responses. A better understanding of the complex cytokine interactions regulating HAT infections is essential to elucidate the mechanisms of generalized immunosuppression. Method: We determined levels of interleukin (IL)-2, IL-4, IL-6, IL-10, tumour necrosis factor (TNF)-alpha and interferon (IFN)-gamma protein levels in plasma samples from three groups of individuals from the Democratic Republic of Congo: (i) HAT cases; (ii) seropositive individuals for whom parasite detection was negative and (ii) controls. Results: Plasma levels of six cytokines were significantly higher in HAT cases than in both controls (P < 0.003) and seropositive individuals (P < 0.016). IL-2 and IL-10 concentrations were significantly lower (P < 0.02) in the seropositive group than in the control one. Conclusion: Human African trypanosomiasis leads to the development of strong cytokine responses, indicating the potential involvement of IL-2 and IL-10 in the phenomenon of seropositivity without parasitological confirmation. This strongly suggests the involvement of immunity in this particular aspect of HAT epidemiology. %$ 052