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[Modulation of inflammatory cells in helminth infections].

In this review, different mechanisms by which helminthic parasites modulate the activities of inflammatory cells are considered. Examples are presented of parasitic products interfering with lymphocytes and their products such as antibodies, then modifying both regulation and effector response of the immune system. Furthermore, examples of interference on the complement system are illustrated. Parasites such as Ancylostoma caninum produce factors such as the neutrophil inhibitory factor (NIF) capable of inhibiting the neutrophil-endothelium adhesion, whereas Trichinella spiralis produces a glycoprotein, the 45gp, which inhibits different neutrophil functions. Parasites are also able to modulate the function of the monocytes-macrophages which in some infections play a crucial role; the modulation of NO synthesis is also relevant to the host-parasite relationship. Finally, the different anti-oxidant systems of helminthic parasites are described. The comprehension of such evasion mechanisms of the immune response is necessary to develop vaccines and new drugs, but it is also useful to clarify the contribution of parasites to immune system evolution.

Animals↗

Studies on helminthes infecting some local fishes in Kuwait.

A total of 37 silver pomfret (Pampus argenteus), 67 greasy grouper (Epinephelus tauvina), 52 red snapper (Lutjanus coccineus), and 56 silver croaker (Otolithes argenteus) were examined during the period form October 2001 to September 2002 for the purpose of studying the helminth parasites including Monogenea, Digenea, Cestoda, Nematoda and Acanthocephala. All examined fishes were free from any species of Cestoda, Trematoda or Acanthocephala. Only P. argenteus and L. coccineus were infected with Nematoda. The relationships between the helminthic infection rates and the environmental factors were studied.

Animals↗

Differential requirement for NF-kappa B family members in control of helminth infection and intestinal inflammation.

The NF-kappaB family of transcription factors is critical in controlling the expression of a wide range of immune response genes. However, whether individual family members perform specific roles in regulating immunity and inflammation remains unclear. Here we investigated the requirement for NF-kappaB1, NF-kappaB2, and c-Rel in the expression of Th2 cytokine responses, development of host protective immunity, and regulation of intestinal inflammation following infection with the gut-dwelling helminth parasite Trichuris muris. While mice deficient in c-Rel mounted sufficient Th2 responses to expel infection, NF-kappaB1 knockout (KO) and NF-kappaB2 KO mice developed chronic infections associated with elevated production of Ag-specific IFN-gamma. However, only infected NF-kappaB1 KO mice exhibited polarized IFN-gamma responses associated with the loss of intestinal goblet cells and the development of destructive colitis-like pathology. Furthermore, blockade of IL-12 (previously shown to confer resistance in susceptible strains) recovered Ag-specific IL-13 responses and resistance to infection in NF-kappaB2 KO, but not NF-kappaB1 KO mice. Therefore, unique infection, immunological, and pathological outcomes were observed in different NF-kappaB KO strains. Taken together, these results provide direct evidence of nonoverlapping functions for NF-kappaB family members in the development of Th2 cytokine-mediated resistance to T. muris and the control of infection-induced intestinal inflammation.

Animals↗

Relationship between helminthic infection and IgE response in atopic and nonatopic children in a tropical environment.

BACKGROUND: Although IgE antibody is clearly involved in allergic reactions to environmental allergens, this immunoglobulin is an important component of host-protective immune responses against the helminthic parasites that are endemic in the majority of the world population. However, these infections not only stimulate the production of antiparasite IgE antibody but can nonspecifically induce polyclonal IgE synthesis that results in highly elevated total serum IgE levels. Such polyclonal stimulation can diminish specific IgE antibody responses and cause saturation of mast cell Fc epsilon receptors, thus inhibiting allergic reactivity. This may represent a mechanism of immune evasion by the parasite. OBJECTIVE: Because an atopic disposition is generally recognized to be associated with elevated IgE synthesis against environmental allergens, the aim of this study was to evaluate the influence of atopy on the antiparasite response. To this end, we examined two groups of Venezuelan children in whom the intestinal helminth Ascaris lumbricoides is endemic but that differ greatly in their level of atopy. One group was from an island population (Coche Island) that has a very strong atopic background and in which the prevalence of allergic disease is extremely high. The other was a group of nonatopic children belonging to a mainland population (Barrio Los Erasos) that is of comparable socioeconomic level and has an exposure to helminthic infection similar to that of the island group but a relatively low expression of allergic diseases. RESULTS: Although the living conditions and the prevalence of Ascaris infection of the two groups were comparable, the intensity of the parasitic infection was considerably higher in the nonatopic mainland children (geometric mean values of eggs per gram of feces: Barrio Los Erasos, 7621; Coche Island, 1435; p < 0.001). In addition, their total serum IgE levels were significantly more elevated than in the atopic island group (geometric mean: Barrio Los Erasos, 2172; Coche Island, 941 IU/ml; p < 0.001). In contrast, the specific anti-Ascaris response was much stronger in the atopic children (geometric mean: Barrio Los Erasos, 0.30; Coche Island, 0.91 PRU/ml; p < 0.001), which resulted in the ratio of specific to total IgE being nine times higher than in the nonatopic mainland subjects. These differences were maintained even when the children were matched on the basis of infection intensity, thus indicating that the atopic children have an intrinsic propensity to favor specific over polyclonal IgE responses to the parasite. CONCLUSIONS: The children with a strong atopic background demonstrated IgE responses concordant with an enhanced protective response against helminthic parasites and had significantly lower intensities of infection than their nonatopic counterparts. These observations support the concept that the atopic state has conferred a selective evolutionary advantage that could compensate for its involvement in allergic disease.

Animals↗

A theoretical framework for the immunoepidemiology of blocking antibodies to helminth infection.

Epidemiological evidence is widely cited in support of the hypothesis that certain antibody responses to human helminth, especially schistosome, infection exhibit blocking activity. This evidence includes positive correlations between antibody levels and the rate of re-establishment of infection following chemotherapy, antibody levels which peak in younger and more susceptible age classes, lower ratios of blocking antibodies to others in older and less susceptible age classes. In this paper simple mathematical models are used to explore expected age-specific relationships between antibody levels, parasite burdens and re-establishment rates for different combinations of protective, neutral and blocking immune responses. In general, all the above cited patterns may be generated without invoking blocking activity, especially if the abilities to produce different antibody responses have different immunological memories, i.e. persist for different lengths of time in the absence of continued exposure to antigen. None of these patterns, including a positive correlation between antibody levels and rates of re-establishment following chemotherapy, offers unambiguous evidence for blocking activity. Blocking activity is also predicted to affect the shape of the age-intensity curve and the relationship between susceptibility to infection and age in ways which are not necessarily consistent with the epidemiological evidence. The importance of the blocking activity, which has been convincingly demonstrated in vitro, to population level immunoepidemiological patterns in the field therefore remains uncertain.

Adolescent↗

Epidemiology and control of helminth infections in pigs under intensive and non-intensive production systems.

Swine production systems are characterised by a high diversity with regard to management type and the level of intensity of management. The number of helminth species and their infection levels are strongly influenced by the different systems. The present paper focuses on the situation in northern Europe, with examples from Denmark, and describes a decrease in both the number of helminth species and in their infection levels as a result of a shift from non-intensive to highly intensive production systems. Differences in the basic biological requirements of the pre-infective larvae, and in the transmission characteristics and immunogenicity of the various helminth species, explain why some species are more vulnerable to manage mental changes than others. Finally, control measures for the different production systems are discussed. Even though it is well documented that proper hygiene and management may prevent transmission of helminths, use of anthelmintics is still the single most important action taken by pig farmers to control worm infections. It is emphasised that anthelmintics should not be used uncritically, but should be integrated with management practices and the production system to achieve optimum effect and to avoid development of anthelmintic resistance.

Animal Husbandry↗

Helminthic infections in the acquired immunodeficiency syndrome.

Strongyloides stercoralis, the only helminthic parasite that can complete its life cycle in the human host, is also the only helminthic parasite that has been reported with any frequency in AIDS patients. Symptoms include hives, skin eruptions, abdominal pain, perianal pruitis, diarrhea, and pneumonitis. Diagnosis is made by demonstrating rhabditiform larvae in the stool or female parasitic worms and eggs in the small intestinal mucosa; in disseminated cases, rhabditiform or filariform larvae can be found in liver, heart, lungs, thyroid, kidneys, adrenals, pancreas, lymph nodes, and central nervous system. Successful treatment has been achieved with thiabendazol. Strongyloidiasis is uncommon, but since cell-mediated immunity is important in combatting this organism, and since T-lymphocyte function is impaired in AIDS patients, strongyloidiasis should not be overlooked in the diagnosis of opportunistic illnesses in these individuals.

Acquired Immunodeficiency Syndrome↗

Glycans modulate immune responses in helminth infections and allergy.

Infections of humans and animals by parasitic helminths share key features with atopic diseases, such as allergic asthma. Both diseases lead to the induction of high levels of Th2- type cytokines associated with abundant IgE production and eosinophilia. This immunological association has raised strong interest in the nature of the molecules that promote Th2 and regulatory T cell responses, and the molecular mechanism. Complex carbohydrates are potent inducers of Th2 responses, and carbohydrate antigens (Ags) can stimulate the production of different classes of glycan-specific antibodies (Abs), including Th2 associated IgG but also non-specific IgE. In this review we focus on the immunological responses towards glycan Ags derived from allergens and parasitic helminths, especially schistosomes. Biological effects of carbohydrate Ags are dependent on recognition of these Ags by carbohydrate- binding proteins (lectins). Cell-surface C-type lectin receptors (CLRs), such as DCSIGN, L-SIGN, the mannose receptor, macrophage galactose binding lectin, and other lectins, such as the soluble collectins and galectin-3, recognize particular glycan Ags of schistosomes and allergens, which may contribute to orchestrate Th2 associated adaptive responses. Remarkably, schistosomes express 'self glycan' Ags that are recognized by CLRs on DCs, whose principal function is thought to capture self-glycan Ags and generate regulatory T-cells to induce tolerance to these Ags. By expressing such self-glycan Ags, schistosomes may deceive the host immune system to their own benefit. The host protects itself against too much damage by down-regulating helminth-induced Th2 immune responses, and may thus simultaneously be protected against excessive Th2 cell-mediated allergic responses.

Animals↗

Helminths infecting Mabuya dorsivittata (Lacertilia, Scincidae) from a high-altitude habitat in Itatiaia National Park, Rio de Janeiro State, southeastern Brazil.

We analysed the helminth fauna associated with the lizard Mabuya dorsivittata (Scincidae) from a high-altitude area in Itatiaia National Park, Rio de Janeiro State, Brazil. Of the 16 lizards examined, 12 (75%) were infected by at least one helminth. Only two helminth species were found: Physaloptera retusa and Skrjabinodon spinosulus (Nematoda), the former with a prevalence of 68.8% and a mean infection intensity of 3.6 +/- 2.8 and the latter with a prevalence of 56.3% and a mean infection intensity of 2.6 +/- 2.6. The helminth fauna of the studied population of Mabuya dorsivittata was considerably poorer than those of other previously studied populations of congeners.

Altitude↗