Chagas disease, also known as American trypanosomiasis, is a tropical parasitic disease caused by Trypanosoma cruzi. It is spread mostly by insects in the subfamily Triatominae, known as "kissing bugs". The symptoms change over the course of the infection. In the early stage, symptoms are typically either not present or mild, and may include fever, swollen lymph nodes, headaches, or swelling at the site of the bite. After four to eight weeks, untreated individuals enter the chronic phase of disease, which in most cases does not result in further symptoms. Up to 45% of people with chronic infections develop heart disease 10–30 years after the initial illness, which can lead to heart failure. Digestive complications, including an enlarged esophagus or an enlarged colon, may also occur in up to 21% of people, and up to 10% of people may experience nerve damage.
Leishmania is a parasitic protozoan, a single-celled organism of the genus Leishmania that is responsible for the disease leishmaniasis. They are spread by sandflies of the genus Phlebotomus in the Old World, and of the genus Lutzomyia in the New World. At least 93 sandfly species are proven or probable vectors worldwide. Their primary hosts are vertebrates; Leishmania commonly infects hyraxes, canids, rodents, and humans.
Trypanosomatida is a group of kinetoplastid unicellular organisms distinguished by having only a single flagellum. The name is derived from the Greek trypano (borer) and soma (body) because of the corkscrew-like motion of some trypanosomatid species. All members are exclusively parasitic, found primarily in insects. A few genera have life-cycles involving a secondary host, which may be a vertebrate, invertebrate or plant. These include several species that cause major diseases in humans. Some trypanosomatida are intracellular parasites, with the important exception of Trypanosoma brucei.
Tsetse are large, biting flies that inhabit much of tropical Africa. Tsetse flies include all the species in the genus Glossina, which are placed in their own family, Glossinidae. The tsetse is an obligate parasite, which lives by feeding on the blood of vertebrate animals. Tsetse has been extensively studied because of their role in transmitting disease. They have a pronounced economic impact in sub-Saharan Africa as the biological vectors of trypanosomes, causing human and animal trypanosomiasis.
Trypanosoma is a genus of kinetoplastids, a monophyletic group of unicellular parasitic flagellate protozoa. Trypanosoma is part of the phylum Euglenozoa. The name is derived from the Greek trypano- (borer) and soma (body) because of their corkscrew-like motion. Most trypanosomes are heteroxenous and most are transmitted via a vector. The majority of species are transmitted by blood-feeding invertebrates, but there are different mechanisms among the varying species. Trypanosoma equiperdum is spread between horses and other equine species by sexual contact. They are generally found in the intestine of their invertebrate host, but normally occupy the bloodstream or an intracellular environment in the vertebrate host.
Carlos Justiniano Ribeiro Chagas, or Carlos Chagas, was a Brazilian sanitary physician, scientist, and microbiologist who worked as a clinician and researcher. Most well known for the discovery of an eponymous protozoal infection called Chagas disease, also called American trypanosomiasis, he also discovered the causative fungi of the pneumocystis pneumonia. He described the two pathogens in 1909, while he was working at the Oswaldo Cruz Institute in Rio de Janeiro, and named the former Trypanosoma cruzi to honour his friend Oswaldo Cruz.
The members of the Triatominae, a subfamily of the Reduviidae, are also known as conenose bugs, kissing bugs, or vampire bugs. Other local names for them used in the Americas include barbeiros, vinchucas, pitos, chipos and chinches. Most of the 130 or more species of this subfamily feed on vertebrate blood; a very small portion of species feed on invertebrates. They are mainly found and widespread in the Americas, with a few species present in Asia and Africa. These bugs usually share shelter with nesting vertebrates, from which they suck blood. In areas where Chagas disease occurs, all triatomine species are potential vectors of the Chagas disease parasite Trypanosoma cruzi, but only those species that are well adapted to living with humans are considered important vectors. Also, proteins released from their bites have been known to induce anaphylaxis in sensitive and sensitized individuals.
Trypanosoma brucei is a species of parasitic kinetoplastid belonging to the genus Trypanosoma that is present in sub-Saharan Africa. Unlike other protozoan parasites that normally infect blood and tissue cells, it is exclusively extracellular and inhabits the blood plasma and body fluids. It causes deadly vector-borne diseases: African trypanosomiasis or sleeping sickness in humans, and animal trypanosomiasis or nagana in cattle and horses. It is a species complex grouped into three subspecies: T. b. brucei, T. b. gambiense and T. b. rhodesiense. The first is a parasite of non-human mammals and causes nagana, while the latter two are zoonotic infecting both humans and animals and cause African trypanosomiasis.
Panstrogylus geniculatus is a blood-sucking sylvatic insect noted as a putative vector of minor importance in the transmission of Trypanosoma cruzi to humans; this is a parasite, which causes Chagas disease. The insect is described as sylvatic; subsisting primarily in humid forests, and is also known to inhabit vertebrate nesting places such as those of the armadillo, and is also involved in enzootic transmission of T. cruzi to those species. It has wide distribution throughout 16 Latin American countries.
Trypanosoma cruzi is a species of parasitic euglenoids. Among the protozoa, the trypanosomes characteristically bore tissue in another organism and feed on blood (primarily) and also lymph. This behaviour causes disease or the likelihood of disease that varies with the organism: Chagas disease in humans, dourine and surra in horses, and a brucellosis-like disease in cattle. Parasites need a host body and the haematophagous insect triatomine is the major vector in accord with a mechanism of infection. The triatomine likes the nests of vertebrate animals for shelter, where it bites and sucks blood for food. Individual triatomines infected with protozoa from other contact with animals transmit trypanosomes when the triatomine deposits its faeces on the host's skin surface and then bites. Penetration of the infected faeces is further facilitated by the scratching of the bite area by the human or animal host.
Triatoma nigromaculata is a sylvatic species of insect usually found in hollow trees, in vertebrate nests on trees and occasionally in human dwellings. It usually lives in relatively humid forests at high altitudes on mountain regions and foot hills. As all members of the subfamily Triatominae, T. nigromaculata is a blood-sucking bug and a potential vector of Chagas disease. This species is distributed mainly in Venezuela, but some specimens have also been found in Perú and Colombia (Cauca).
Pneumocystis jirovecii is a yeast-like fungus of the genus Pneumocystis. The causative organism of Pneumocystis pneumonia, it is an important human pathogen, particularly among immunocompromised hosts. Prior to its discovery as a human-specific pathogen, P. jirovecii was known as P. carinii.
Triatoma brasiliensis is now considered the most important Chagas disease vector in the semiarid areas of northeastern Brazil. T. brasiliensis occurs in 12 Brazilian states, including Maranhão, Piauí, Ceará, Rio Grande do Norte, and Paraíba.
Triatoma rubrovaria is a species of triatomine that is ubiquitous to Uruguay, neighboring parts of northeastern Argentina, and in the southern states of Paraná and Rio Grande do Sul in Brazil. It was earlier reported as T. (triatoma) rubrovaria, a sylvatic species believed to be a highly competent vector of Trypanosoma cruzi, the causative agent of Chagas disease.
Cruzipain is a cysteine protease expressed by Trypanosoma cruzi.
The Chagas: Time to Treat Campaign is an international campaign started by the Drugs for Neglected Diseases initiative to advocate for increased research and development of treatments for Chagas disease. Chagas is a potentially fatal neglected disease that affects between 8 and 13 million people worldwide. DNDi's Time to Treat campaign is pushing for increased political interest in new treatments for Chagas disease, increased public awareness of the disease and treatment limitations and increased public and private investment in R&D.
Rhodnius nasutus is a Chagas disease vector native to the northeast of Brazil. It belongs to the family Reduviidae and subfamily Triatominae, which are commonly known as "kissing bugs" or "assassin bugs". They are considered a highly important species concerning the infectious Chagas disease as they carry the parasite Trypanosoma cruzi, that can be transmitted to the blood of mammals, including humans. This disease is an important issue in Brazil and central America due to the large number of Rhodnius species inhabiting these areas, however in recent efforts to reduce human infection, multiple variations of pesticides have dramatically reduced Triatomine populations. Therefore, the understanding and knowledge of Rhodnius nasutus greatly benefits our efforts in reducing life threatening infections.
Trypanosoma lewisi is a globally distributed parasite of Rattus species and other rodents such as mice, and of kangaroo rats in America. Among these host species were two endemic species of rats: Rattus macleari and Rattus nativitatis. Both are now believed to be extinct. It is not very clear whether or not the same parasite infected both species. However, both parasites are very similar. The northern rat flea acts as the vector for the parasite, harboring the epimastigote stage in its midgut. The trypomastigote is the stage that is present in the main host, the rodent. The epimastigote form attaches itself to the rectum of the insect using its flagella to burrow through the rectal walls. The parasites also appear in the flea's feces. Ingestion of either the flea or its feces during grooming infects the host rodent with the parasites. T. lewisi is normally non-pathogenic but is known to have produced fatal infections in rats.
Triatoma indictiva is an arthropod in the assassin bug family of Reduviidae, and is an important vector of Trypanosoma cruzi. T. cruzi is the protozoan that causes Chagas Disease, which affects approximately eight million people a year in the western hemisphere alone. Triatoma indictiva is found in Mexico and throughout the southern United States, including Arizona and Texas.
Hertha Meyer was a Brazilian biologist and director of the Carlos Chagas Filho Biophysics Institute at the Federal University of Rio de Janeiro. Born in Germany, she was educated in a technical course in infectious diseases in Berlin. Following Jewish persecution under the Nazi regime, she moved to Italy to work under Giuseppe Levi at the University of Turin. As antisemitism rose in Italy, she emigrated to Brazil where she joined the faculty of Oswaldo Cruz Institute. She transferred to the Federal University of Rio de Janeiro to head the Carlos Chagas Filho Biophysics Institute, where a separate laboratory called Laboratório de Ultraestrutura Celular Hertha Meyer was established in her name.
