Current Molecular Medicine

David W. Li  
College of Medicine
University of Nebraska Medical Center
Omaha, NE


Chagas Heart Disease Pathogenesis: One Mechanism or Many?

Author(s): Kevin M. Bonney and David M. Engman

Affiliation: Northwestern University, Department of Pathology, 303 E. Chicago Ave. Ward 6- 140, Chicago, Illinois 60611, USA.


Chagas heart disease (CHD), caused by the protozoan parasite Trypanosoma cruzi, is the leading cause of infectious myocarditis in the world. The etiology of CHD is unclear and multiple mechanisms have been proposed to explain the pathogenesis of the disease. This review describes the proposed mechanisms of CHD pathogenesis and evaluates the historical significance and evidence supporting each. Although the majority of CHD-related pathologies are currently attributed to parasite persistence in the myocardium and autoimmunity, there is strong evidence that CHD develops as a result of additive and even synergistic effects of several distinct mechanisms rather than one factor.

Keywords: Pathogenesis, Chages heart disease (CHD), infectious myocarditis, etiology, myocardium, autoimmunity, synergistic effects, family Trypanosomatidae, Trypanosomatidae cruzi

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Article Details

Page: [510 - 518]
Pages: 9
DOI: 10.2174/156652408785748004
Price: $58