Modulation of fibroblast behavior by Leishmania: a pathway to understanding disease progression in cutaneous leishmaniasis

Abstract Leishmaniasis is a parasitic infection caused by obligatory intracellular protozoa of the Leishmania genus. Macrophages are the main cell for Leishmania parasites that play a key role in immune response against it. Interestingly, both the promastigote and amastigote forms of the parasite ha...

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Main Authors: Tarcisio Navegante de Queiroz Filho, Brenda Furtado Costa, Ana Paula Drummond Rodrigues
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Microbiology
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Online Access:https://doi.org/10.1186/s12866-025-04098-x
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author Tarcisio Navegante de Queiroz Filho
Brenda Furtado Costa
Ana Paula Drummond Rodrigues
author_facet Tarcisio Navegante de Queiroz Filho
Brenda Furtado Costa
Ana Paula Drummond Rodrigues
author_sort Tarcisio Navegante de Queiroz Filho
collection DOAJ
description Abstract Leishmaniasis is a parasitic infection caused by obligatory intracellular protozoa of the Leishmania genus. Macrophages are the main cell for Leishmania parasites that play a key role in immune response against it. Interestingly, both the promastigote and amastigote forms of the parasite have also been detected in fibroblasts, revealing the complex interactions during the infection. Cutaneous leishmaniasis, caused by different Leishmania species, presents different clinical outcomes, largely influenced by the interactions between the parasite and host immune cells. This study aimed to determine how macrophages infected by Leishmania amazonensis or L. braziliensis, obtained from different clinical forms, modulate the response of dermal fibroblasts in an in vitro model. Our research shows that after 24 h; fibroblast migration was reduced by 1.5-fold with conditioned medium from L. braziliensis-infected macrophages. After 48 h, the G1-phase in fibroblasts was reduced by up to 54% compared to controls. Fibroblasts treated with L. amazonensis-infected macrophages showed a 75% decrease in MMP-2 activity at 24 h and 44% at 48 h, while L. braziliensis-treated fibroblasts showed a 24% decrease. IL-6 levels were significantly lower (91% for L. amazonensis and 84% for L. braziliensis) in fibroblasts after 24 h, with IL-6 increasing 1.6-fold in L. amazonensis-treated fibroblasts after 48 h. Correlation analysis showed that TNF-α levels were strongly negatively correlated with wound size, while IL-6 levels were negatively correlated with MMP-9 activity. These findings suggest that L. amazonensis promotes tissue repair through reduced MMP-2 activity and lower IL-6, whereas L. braziliensis enhances inflammation and extracellular matrix remodeling. In conclusion, this study highlights the pivotal role of fibroblasts as active participants in the immune response to Leishmania, with L. amazonensis promoting a more favorable environment for tissue repair and L. braziliensis promoting inflammation and tissue damage. This knowledge on host-Leishmania interactions could help improve knowledge of chronic or asymptomatic infections lead to more well-defined and efficient responses for controlling cutaneous leishmaniasis.
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spelling doaj-art-454de60c684f416e8ca20edcdf6814002025-08-20T03:04:22ZengBMCBMC Microbiology1471-21802025-08-0125111010.1186/s12866-025-04098-xModulation of fibroblast behavior by Leishmania: a pathway to understanding disease progression in cutaneous leishmaniasisTarcisio Navegante de Queiroz Filho0Brenda Furtado Costa1Ana Paula Drummond Rodrigues2Department of Microbiology, Immunology and Parasitology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP)Multiuser Cellular Biology and Ultrastructure Laboratory, Section of Hepatology, Instituto Evandro Chagas (IEC)Multiuser Cellular Biology and Ultrastructure Laboratory, Section of Hepatology, Instituto Evandro Chagas (IEC)Abstract Leishmaniasis is a parasitic infection caused by obligatory intracellular protozoa of the Leishmania genus. Macrophages are the main cell for Leishmania parasites that play a key role in immune response against it. Interestingly, both the promastigote and amastigote forms of the parasite have also been detected in fibroblasts, revealing the complex interactions during the infection. Cutaneous leishmaniasis, caused by different Leishmania species, presents different clinical outcomes, largely influenced by the interactions between the parasite and host immune cells. This study aimed to determine how macrophages infected by Leishmania amazonensis or L. braziliensis, obtained from different clinical forms, modulate the response of dermal fibroblasts in an in vitro model. Our research shows that after 24 h; fibroblast migration was reduced by 1.5-fold with conditioned medium from L. braziliensis-infected macrophages. After 48 h, the G1-phase in fibroblasts was reduced by up to 54% compared to controls. Fibroblasts treated with L. amazonensis-infected macrophages showed a 75% decrease in MMP-2 activity at 24 h and 44% at 48 h, while L. braziliensis-treated fibroblasts showed a 24% decrease. IL-6 levels were significantly lower (91% for L. amazonensis and 84% for L. braziliensis) in fibroblasts after 24 h, with IL-6 increasing 1.6-fold in L. amazonensis-treated fibroblasts after 48 h. Correlation analysis showed that TNF-α levels were strongly negatively correlated with wound size, while IL-6 levels were negatively correlated with MMP-9 activity. These findings suggest that L. amazonensis promotes tissue repair through reduced MMP-2 activity and lower IL-6, whereas L. braziliensis enhances inflammation and extracellular matrix remodeling. In conclusion, this study highlights the pivotal role of fibroblasts as active participants in the immune response to Leishmania, with L. amazonensis promoting a more favorable environment for tissue repair and L. braziliensis promoting inflammation and tissue damage. This knowledge on host-Leishmania interactions could help improve knowledge of chronic or asymptomatic infections lead to more well-defined and efficient responses for controlling cutaneous leishmaniasis.https://doi.org/10.1186/s12866-025-04098-xFibroblastConditioned mediumMetalloproteinasesMacrophageLeishmania amazonensisLeishmania braziliensis
spellingShingle Tarcisio Navegante de Queiroz Filho
Brenda Furtado Costa
Ana Paula Drummond Rodrigues
Modulation of fibroblast behavior by Leishmania: a pathway to understanding disease progression in cutaneous leishmaniasis
BMC Microbiology
Fibroblast
Conditioned medium
Metalloproteinases
Macrophage
Leishmania amazonensis
Leishmania braziliensis
title Modulation of fibroblast behavior by Leishmania: a pathway to understanding disease progression in cutaneous leishmaniasis
title_full Modulation of fibroblast behavior by Leishmania: a pathway to understanding disease progression in cutaneous leishmaniasis
title_fullStr Modulation of fibroblast behavior by Leishmania: a pathway to understanding disease progression in cutaneous leishmaniasis
title_full_unstemmed Modulation of fibroblast behavior by Leishmania: a pathway to understanding disease progression in cutaneous leishmaniasis
title_short Modulation of fibroblast behavior by Leishmania: a pathway to understanding disease progression in cutaneous leishmaniasis
title_sort modulation of fibroblast behavior by leishmania a pathway to understanding disease progression in cutaneous leishmaniasis
topic Fibroblast
Conditioned medium
Metalloproteinases
Macrophage
Leishmania amazonensis
Leishmania braziliensis
url https://doi.org/10.1186/s12866-025-04098-x
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