Localized CL is the most frequent clinical form of ATL [18,36,39]. It can be caused by all pathogenic Leishmania species with dermal tropism, including L. braziliensis and L. amazonensis[18]. Clinical and histopathological differences have been described between human infections with these two species: L. braziliensis causes mucosal leishmaniasis, a clinical form associated with the up-regulation of Th1-type responses [15–18], whereas L. amazonensis is the aetiological agent of anergic diffuse cutaneous Selleck XL765 leishmaniasis, a condition associated with specific impairment of the

cell-mediated immune response [3,10,18,37,40]. Furthermore, a respectable amount of data in the murine model indicates impairment in multiple immune functions after L. amazonensis infection [41–47]. Taken together, these observations suggest major differences in cell-mediated immunity against these Leishmania species, and that the mechanisms responsible for susceptibility to L. amazonensis are complex and deserve more

thorough investigation. In the present study, we were able to show that crude promastigotes extracts obtained from ATR inhibitor L. braziliensis and L. amazonensis induce a different magnitude and quality of the Th1 response in PBMCs from healed CL patients. To our knowledge, this is the first time that multifunctional Erythromycin CD4+T cells have been evaluated in human leishmaniasis. Corroborating previous data [48], in this study we confirmed that LbAg induces higher levels of IFN-γ than LaAg, and are now able to demonstrate that this fact was related not to a higher percentage of cytokine-producing cells, but to a higher

amount of protein produced by individual CD4+T cells (Fig. 1a and b). Furthermore, using multiparametric flow cytometry approach, we were also able to indicate that it might be associated to differences in the quality of Th1 CD4+T cells induced by both antigen extracts (Fig. 2). Because the same results regarding IFN-γ levels induced by LbAg and LaAg were observed in PBMCs obtained from ATL patients before therapy [48], and that parasites isolated from patients of the former and current studies were characterized as L braziliensis, it could be expected that their T cells would respond more strongly to antigens from the homologous species with which they have been infected than to antigens from species belonging to a different subgenus. Conversely, it has been demonstrated that LbAg is a more potent stimulator of T cell response than LaAg in individuals infected with L. amazonensis, as well as in individuals infected with parasites from the Viannia subgenus, before and after therapy [49]. It has also been shown that LaAg or live L.