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An Overview of Leishmanization Experience: A Successful Control Measure and a Tool to Evaluate Candidate Vaccines Publisher Pubmed



Mohebali M1, 2 ; Nadim A3 ; Khamesipour A4
Authors
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Authors Affiliations
  1. 1. Department of Medical Parasitology & Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Research Center for Endemic Parasites of Iran, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Continuously member of Academy of Medical Sciences, Tehran, Iran
  4. 4. Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, 14166-13675, Iran

Source: Acta Tropica Published:2019


Abstract

Leishmanization (LZ) is an intradermal inoculation of live Leishmania to induce an artificial cutaneous leishmaniasis (CL) lesion in a covered part of the body to protect against further natural CL lesion development. Leishmanization has been used from ancient times and when NNN medium was developed continued with using Leishmania from culture media. The objective of this study was to review LZ published experiences. This article is a review of LZ experiences and historical studies initiated since 1910 when Leishmania promastigotes were harvested from culture media and used for LZ. This review includes LZ experiences in Israel, some countries of Former Soviet Union and Iran. The results of LZ in Israel, some countries of Former Soviet Union and Iran showed that despite limitations, using this method significantly reduced the incidence rate of CL among leishmanized individuals in endemic areas. In conclusion, leishmanization using Leishmania major produced under GMP guideline is a valuable tool to protect against CL, there are limitations which need further study. © 2019 Elsevier B.V.
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