Brazilian Journal of Medical and Biological Research (2006) 39: 1549-1562 Myocardial proteome profile in Chagas' disease 1549 ISSN 0100-879X Proteomic inventory of myocardial proteins from patients with chronic Chagas’ cardiomyopathy P.C. Teixeira1,3,4, L.K. Iwai1,4, 1Laboratório de Imunologia, 2Divisão de Cirurgia Torácica, Instituto do Coração, A.C.K. Kuramoto1,4, Hospital das Clínicas, 3Disciplina de Imunologia Clínica e Alergia, R. Honorato2, A. Fiorelli2, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil N. Stolf2, J. Kalil1,3,4 4Instituto de Investigação em Imunologia, Instituto do Milênio, CNPq/MCT, and E. Cunha-Neto1,3,4 São Paulo, SP, Brasil Abstract Correspondence Chronic Chagas’ disease cardiomyopathy (CCC) is an often fatal Key words E. Cunha-Neto outcome of Trypanosoma cruzi infection, with a poorer prognosis • Chagas’ disease Laboratório de Imunologia than other cardiomyopathies. CCC is refractory to heart failure treat- • Cardiomyopathy InCor-HC-FM, USP ments, and is the major indication of heart transplantation in Latin • Proteomic analysis Av. Dr. Eneas C. Aguiar, 44 America. A diffuse myocarditis, plus intense myocardial hypertrophy, • Two-dimensional Bloco II, 9º andar damage and fibrosis, in the presence of very few T. cruzi forms, are the electrophoresis 05403-000 São Paulo, SP • MALDI-ToF Brasil histopathological hallmarks of CCC. To gain a better understanding of Fax: +55-11-3069-5953 the pathophysiology of CCC, we analyzed the protein profile in the E-mail:
[email protected] affected CCC myocardium. Homogenates from left ventricular myo- cardial samples of end-stage CCC hearts explanted during heart Research supported by FAPESP transplantation were subjected to two-dimensional electrophoresis (Nos.