Immunotherapeutic Potential of Interleukin-32 and Trained Immunity for Leishmaniasis Treatment

Item does not contain fulltextNeglected tropical diseases annually account for several million infections worldwide. Efficacious treatment for these poorly understood infectious diseases is often limited to ineffective, expensive, and toxic therapies such as the SbV used for leishmaniasis patients. Here, we review the latest discoveries and literature on the molecular pathways, cell types, and immune mediators involved in the immune response to infection with New World Leishmania spp. in humans and their interaction with the adaptive and innate immune system. Novel developments in the field of trained innate immunity and the recently described role of IL-32 are emphasized as potential immunotherapeutic treatments for the management of leishmaniasis

Urban Water Reuse: Microbial Pathogens Control By Direct Filtration And Ultraviolet Disinfection.

Physicochemical treatment efficiency for unrestricted urban water reuse was evaluated at a conventional activated-sludge wastewater treatment plant (WWTP). Pilot plant set-up consisted of an alum coagulation step, granular media upflow flocculation and direct downflow dual-media filtration followed by ultraviolet disinfection (dose of 95 mJ cm-2). Optimum aluminum sulfate dosage of 10 mg L-1 and coagulation pH 7.0 were preset based on bench scale tests. Under WWTP stable operation, water quality met United States Environmental Protection Agency (USEPA) suggested guidelines for unrestricted urban reuse regarding turbidity (mean value 1.3 NTU) and suspended solids (mean value 2.1 mg L-1). When WWTP overall plant performance dropped from 90 to 80% (although BOD value stayed below 6 mg O2 L-1, suggesting unrestricted reuse), solids breakthrough in filtrate was observed. Microorganism removal rates were: total coliforms 60.0%, Escherichia coli 63.0%, Giardia spp. 81.0%, and helminth eggs 62.5%; thus organisms still remained in filtrate. Ultraviolet (UV) disinfection efficiency was 4.1- and 3.8-log for total coliforms and E. coli, respectively. Considering low UV efficiency obtained for helminths and the survival of protozoa and helminths in the environment, effluent quality presents risk to public health if destined for unrestricted urban reuse.12346547