Chagas disease is a chronic infection caused by Trypanosoma
cruzi. The first-line drugs approved for treatment have several
limitations and are associated with toxicity. The recombinant TSA-1-C4
and Tc24-C4 proteins have been profiled as promising candidates for the
formulation of therapeutic vaccines, leading us to propose them in
combination as a bivalent recombinant protein strategy. In this study,
we evaluated the immunomodulatory effect of TSA-1-C4 plus Tc24-C4
recombinant protein combination by in-vitro assays. Macrophages
from naïve BALB/c mice were isolated and stimulated with
TSA-1-C4+Tc24-C4 proteins, supernatants were recovered to measure NO, H
O , and, TNF-α, IL-1β, IL-6 and IL-10
cytokines. Stimulated macrophages were co-cultured with CD8
T cells from naïve mice, and inflammatory
cytokine-profile was measured from supernatants. Additionally, by
experimental T. cruzi acute infection model, cytotoxicity was
evaluated in mice after the treatment with TSA-1-C4+Tc24-C4 proteins in
presence of a TLR-4 agonist adjuvant, E6020-SE. We observed that the
bivalent recombinant protein strategy activates macrophages by NO and H
O production, also induced a
significant Th1 immune-response compared to either TSA-1-C4 or Tc24-C4
stimulated macrophages. Moreover, naïve CD8 T cells
in presence of TSA-1-C4+Tc24-C4 stimulated-macrophages similarly boosted
Th1 profile by significant production of IFN-γ and TNF-α cytokines.
These results support the synergistic effect of the bivalent recombinant
protein strategy, which leads activation of peritoneal macrophages and
CD8 T cells eliciting the Th1 immune response.
Although the administration of TSA-1-C4+Tc24-C4+E6020-SE showed
cytotoxic activity in T. cruzi-infected mice, there was not a
benefit compared to stimulate with TSA-1-C4 or Tc24-C4 antigens
formulated with E6020-SE adjuvant.