Reseña Histórica Del Descubrimiento De Los Hongos Dermatofitos Desde El Siglo 1 A

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Reseña Histórica Del Descubrimiento De Los Hongos Dermatofitos Desde El Siglo 1 A Hongos dermatofitos Scientific International Journal™ ______ ORIGINAL ARTICLE RESEÑA HISTÓRICA DEL DESCUBRIMIENTO DE LOS HONGOS DERMATOFITOS DESDE EL SIGLO 1 A. C. HASTA LOS TRABAJOS ACTUALES Lourdes Echevarría García, PhD Profesora conferenciante Escuela de Ciencias Naturales y Tecnología Departamento de Biología Universidad del Turabo Puerto Rico [email protected] Resumen Los hongos dermatofitos son un grupo taxonómicamente relacionados entre sí. Tienen la capacidad de invadir tejidos queratinizados. Estos tejidos son la piel, pelo y uñas, tanto en los seres humanos como en los animales. Los dermatofitos corresponden a un grupo de hongos filamentosos integrados dentro de los géneros: Microsporum, Trichophyton y Epidermophyton (Spiewak et al., 1998). Esta revisión describe todos los trabajos de científicos y micólogos que trabajaron desde comienzo de siglo hasta el presente, mostrando la historia y evolución de este grupo de hongos filamentosos en el pasar de los años. Se describe la identificación de los dermatofitos por su morfología, pruebas serológicas, técnicas moleculares y técnicas de identificación de ADN fúngico basado en la cadena de la polimerasa (PCR, por sus siglas en inglés). Palabras claves: hongos filamentosos, dermatofitos, micólogos, morfología Abstract Dermatophyte fungi are a group taxonomically related. They have the ability to invade keratinized tissues. These tissues are skin, hair and nails, in both humans and animals. Dermatophytes are a group of filamentous fungi integrated within genders; Microsporum, Trichophyton and Epidermophyton (Spiewak et al., 1998). This review describes all scientific and mycologists’ work from the beginning of the century to the present, showing the history and evolution of this group of filamentous fungi over the years. It describes the identification of the dermatophytes by their morphology, serology tests, molecular techniques and identification techniques of fungal DNA based on the polymerase chain reaction (PCR). Keywords: filamentous fungi, dermatophytes, mycologists, morphology Vol. 13 No. 3 · September-December 2016 21 Echevarría García, L. Scientific International Journal™ INTRODUCCIÓN l término “dermatofito” fue empleado por primera vez en el año 1882. Sin embargo, a través de la historia de la humanidad se evidencia que las E infecciones causadas por estos hongos son tan antiguas como la existencia de la misma. Los aspectos trascendentales de los dermatofitos, desde la perspectiva de los grandes descubrimientos, se muestran a modo de resumen para plasmar un orden cronológico en la secuencia del desarrollo de este grupo taxonómico. DESCUBRIMIENTOS Y APORTACIONES l primer científico en comenzar investigaciones con estos hongos lo fue Aulus Cornelius Celsus, quien trabajó con los aspectos clínicos de algunas micosis E superficiales; estas fueron descritas desde la época de Hipócrates en el año 460- 377 a. C. Él fue el primero en documentar la candidosis seudomembranosa con el nombre de “afta alba”, lo cual fue corroborado posteriormente por Galeno en los años 130-200 d. C. Luego, Aulus Cornelius Celsus, en el Siglo 1 a. C., reconoció la tiña inflamatoria (querion) y el favus. Describió, en su tratado de medicina (Grive, 1837), la condición clínica de porrigo, que corresponde a la actual infección de tinea capitis tipo favus. Cassius, en el siglo V, indicó que los romanos acuñaron el término tinea, que significa “Apolillado”. El mismo fue utilizado por Cassius, en el siglo V, para referirse al cuadro clínico de la tinea capitis, creyendo que era causado por insectos o gusanos. En el siglo XVII, los grandes maestros de la pintura representaban en sus cuadros a niños con probables infecciones fúngicas en el cuero cabelludo que se confundían a menudo con la lepra. Bartolomé Esteban Murillo, en el siglo XVIII, plasmó en una pintura lo que representaban las clases sociales del siglo XVII y XVIII. La obra, Santa Isabel de Hungría, plasmaba a una monja que curaba a los enfermos tiñosos. Representaba las radioterapias, sales de talio y depilación mecánica que se utilizaban en la época como tratamiento. Fray Bernardino de Sahagún, en el siglo XVIII, fue autor de un gran número de obras en náhuatl, español y latín. En cada una, describe el padecimiento de dermatofitos en la piel de las personas. Robert Remark, en el 1834, trabajó en el Hospital La Charité de Berlín y demostró, por primera vez en la historia, que los escudetes fávicos estaban compuestos de cuerpos esféricos y fibras ramificadas, sin darse cuenta que se trataba de un hongo. Descubrió la tiña fávica que era causada por un hongo, al cual dio el nombre de Achorion shoenleinii, en Vol. 13 No. 3 · September-December 2016 22 Hongos dermatofitos Scientific International Journal™ honor a su maestro alemán Schonlein. No se le otorgó el crédito correspondiente; hizo sus publicaciones en el año 1845, en lo que se considera el primer tratado de micología. En la actualidad, todavía existe una controversia acerca de quién es el fundador de la micología dermatológica. Johann Lukas Schonlein, en el año 1839, estudió el hongo del favus, aunque sospechaba de su existencia desde 1827. En el año 1839, reconoció el origen micótico de estas infecciones. En el año 1840, Remark se inoculó el agente etiológico del favus para demostrar que era infeccioso. David Gruby, en los años 1841 y 1842, aisló el hongo de favus y reprodujo la enfermedad. También, descubrió la tiña microscópica y cultivó Microsporum audouinii. Lo denominó así por el tamaño pequeño de las esporas y en honor a Víctor Audouin. Demostró que la infección de tinea tenía origen micótico. También, estudió las infecciones del cuero cabelludo y describió el parasitismo de tipo ectotrix, causado por Microsporum audouinii, y el tipo endotrix, causado por Trichophyton tonsurans. Entre sus escritos, publicó sus descubrimientos en “Memoire sur une vegetation qui constituie la vraie teigne”. En el año 1842, presentó el verdadero hongo del algodoncillo ante la Academia de Ciencias de Paris e instaló un consultorio con gran éxito social al dedicarse a la medicina. En el año 1884, publicó un estudio acerca de Trichophyton tonsurans como agente etiológico de tiña con parasitación endothrix. Nunca fue aceptado verdaderamente por los franceses y fue refutado por los húngaros. Otro científico fue P. H. Malmsteen quien, en el año 1845, describió el género Trichophyton y las especies mentagrophytes y tonsurans. Escribió el libro “Historie Naturelle des vegétaux parasites”. C. Eichstedt, en el año 1846, encontró escamas de la piel infectadas con pitiriasis versicolor (también llamada tiña versicolor), un hongo al que llamó Microsporum furfur. Carl Otto Harz, en el año 1870, descubrió el organismo E. floccosum y el grano actinomicético en la mandíbula de un buey, lo cual llamó Actinomyces bovis. El científico Majocchi, junto con sus alumnos, realizó una descripción completa sobre la clínica, histopatología y micología de las tiñas profundas o granulomas dermatofíticos. Raymond Sabouraud, considerado uno de los eminentes micólogos del siglo XIX, inició el estudio sistemático de las dermatofitosis y, en el año 1892, publicó su primer trabajo “Etude clinique, histologique et bacteriologique sur la pluralité desTrichophytons de I’homme”. En el año 1894, escribió los resultados de sus primeros tres años de investigación en el libro “Les Trichophyties humaines”. Clasificó los agentes causales de las dermatofitosis en cuatro grupos: Achorion, Epidermophyton, Trichophyton y Microsporum. Sostuvo la idea de que las dermatofitosis eran Vol. 13 No. 3 · September-December 2016 23 Echevarría García, L. Scientific International Journal™ causadas por más de una especie de hongos. En el año 1910 publicó la enciclopedia “Maladies du cuir chevelu”; el tercer volumen de “Les teignes” fue el primer manual de micología dermatológica, considerado hoy un clásico de la medicina y un modelo de observación científica. Libero Ajello y Nannizzi, en el año 1927, descubrieron el primer estado de ascospora del dermatofito M. gypseum. Su trabajo fue criticado por Langeron y Milochevich. El reconocimiento ocurrió 30 años después, cuando se volvió a encontrar el estado perfecto del mismo hongo, lo que llevó a los estudiosos a dar el nombre de Nannissia a la etapa de ascospora en los dermatofitos pertenecientes al género Microsporum. Tres años después, en el año 1930, Langeron y Milochevich reordenaron a los dermatofitos y eliminaron el género Achorion. Langeron, Maurice, Charles, Pierre y S. Milochevich, en el 1930, modificaron la clasificación de Sabouraud de los dermatofitos y reconocieron la importancia de añadir ingredientes al medio de cultivo utilizando sustancias naturales para incrementar la capacidad de esporulación de los hongos. Establecieron la base de la nomenclatura actual de los hongos, tomando en cuenta los modos de reproducción. Además, lucharon por la utilización del latín en el lenguaje micológico. Sus ideas fueron seguidas por los estadounidenses, de tal manera que Norman Conant y, sobre todo, Chester Emmons, en el año 1934 reordenaron la nomenclatura, con lo cual disminuyeron las confusiones. También, propusieron la taxonomía actual para los dermatofitos. Incluyeron todas las especies de dermatofitos en tres géneros: Microsporum, Trichophyton y Epidermophyton. Dicha clasificación está basada en las características de las conidias, células reproducidas mediante fase asexual y única forma de reproducción conocida hasta ese entonces. Vanbreuseghem, en el año 1952, aisló el primer dermatofito geofílico,
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