Freitas FRN. Immune and parasitological evaluation of experimental multiple infection with Leishmania (Leishmania) infantum promastigotes in BALB/c wild type and IFNγ knockout mice. [dissertation]. São Paulo: "Faculdade de Medicina, Universidade de São Paulo"; 2023. Leishmaniases are a group of tropical diseases caused by protozoa of the genus Leishmania sp. Visceral leishmaniasis (VL) is the most severe form and can be fatal if left untreated. VL mainly affects children, adults over 50 years old, individuals with comorbidities, or immunosuppressed individuals. The majority of VL cases occur in Brazil, East Africa, and India. Transmission is carried out by sandflies, with dogs acting as the main sources of infection for these vectors. Many infected individuals remain asymptomatic, indicating an effective immune response. This study aims to understand how this effective immune response functions in asymptomatic VL patients. This is important for developing vaccines and effective treatments. The objective of this study is to investigate the impact of multiple infections on parasite load in mice. To do this, we assessed how different quantities of Leishmania (Leishmania) infantum promastigotes inocula influence experimental infection.Initially, we standardized the model using wild-type (WT) BALB/c mice. The animals were randomly assigned to three groups, respectively named Control Group, G1 Group, and G2 Group. Control Group animals remained uninfected, while G1 Group animals were subjected to a single inoculation containing 1x10 7 L. (L) infantum promastigotes. G2 Group animals, on the other hand, were subjected to four similar inoculations. Subsequently, for analysis and comparison between groups, the sample size was increased. Additionally, to investigate the role of interferon-gamma (IFN-γ), knockout mice for this gene (GKO) were included in the study and distributed into groups similar to the WT model. After 30 days of infection, the animals were euthanized, and biological samples (tail blood, total blood, spleen, liver) were collected. We used real-time PCR to measure parasite density (parasites/mg of proteins) in the organs. We conducted serological assays, including conventional ELISA (ELISAc) for anti-Leishmania IgG antibodies, and dissociative ELISA (ELISAd) for circulating immune complexes (CIC). We used flow cytometry to analyze lymphocytes. We also examined tissues through hematoxylin and eosin-stained microscopy. It was observed that a single dose of L.(L) infantum promastigotes is more effective in inducing liver and spleen infection compared to multiple doses. This resulted in lower production of specific antibodies and was not influenced by IFN-γ. The study also established a measure of parasite density in the organs, allowing for the quantification of L. (L) infantum infection in BALB/c mice. With repeated weekly inocula, lower tissue infection was observed, along with increased antibody production and increased antibody-producing cells in the mice. The absence of IFN-γ did not affect single infect...