T. cruzi (blue dots) thrives in cells lacking (bottom) TXA2 receptors.
Trypanosoma cruzi, the bug that causes Chagas' disease, initiates a short-lived acute infection in humans. A third of those infected, however, develop chronic cardiac disease that sets in after a long asymptomatic period. The mechanism by which the parasite facilitates this long-term pathology is still unclear.
Ashton et al. now show that the parasite infects vascular endothelial cells and secretes a bioactive lipid called thromboxane (TXA2). When produced by human cells, TXA2 has pro-inflammatory effects and can cause cardiac injury by triggering platelet aggregation, clotting, and vasoconstriction.
The parasitic TXA2 also promotes cardiac injury, the team...