Necator americanus and helminth co-infections: further down-modulation of hookworm-specific type 1 immune responses.

Bibliographic Details
Title: Necator americanus and helminth co-infections: further down-modulation of hookworm-specific type 1 immune responses.
Authors: Stefan Michael Geiger, Neal Douglas Edward Alexander, Ricardo Toshio Fujiwara, Simon Brooker, Bonnie Cundill, David Joseph Diemert, Rodrigo Correa-Oliveira, Jeffrey Michael Bethony
Source: PLoS Neglected Tropical Diseases, Vol 5, Iss 9, p e1280 (2011)
Publisher Information: Public Library of Science (PLoS), 2011.
Publication Year: 2011
Collection: LCC:Arctic medicine. Tropical medicine
LCC:Public aspects of medicine
Subject Terms: Arctic medicine. Tropical medicine, RC955-962, Public aspects of medicine, RA1-1270
More Details: Helminth co-infection in humans is common in tropical regions of the world where transmission of soil-transmitted helminths such as Ascaris lumbricoides, Trichuris trichiura, and the hookworms Necator americanus and Ancylostoma duodenale as well as other helminths such as Schistosoma mansoni often occur simultaneously.We investigated whether co-infection with another helminth(s) altered the human immune response to crude antigen extracts from either different stages of N. americanus infection (infective third stage or adult) or different crude antigen extract preparations (adult somatic and adult excretory/secretory). Using these antigens, we compared the cellular and humoral immune responses of individuals mono-infected with hookworm (N. americanus) and individuals co-infected with hookworm and other helminth infections, namely co-infection with either A. lumbricoides, Schistosoma mansoni, or both. Immunological variables were compared between hookworm infection group (mono- versus co-infected) by bootstrap, and principal component analysis (PCA) was used as a data reduction method.Contrary to several animal studies of helminth co-infection, we found that co-infected individuals had a further downmodulated Th1 cytokine response (e.g., reduced INF-γ), accompanied by a significant increase in the hookworm-specific humoral immune response (e.g. higher levels of IgE or IgG4 to crude antigen extracts) compared with mono- infected individuals. Neither of these changes was associated with a reduction of hookworm infection intensity in helminth co-infected individuals. From the standpoint of hookworm vaccine development, these results are relevant; i.e., the specific immune response to hookworm vaccine antigens might be altered by infection with another helminth.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1935-2727
1935-2735
Relation: http://europepmc.org/articles/PMC3167770?pdf=render; https://doaj.org/toc/1935-2727; https://doaj.org/toc/1935-2735
DOI: 10.1371/journal.pntd.0001280
Access URL: https://doaj.org/article/53cb2bb2fbd941aab0d4ef24150eaa7d
Accession Number: edsdoj.53cb2bb2fbd941aab0d4ef24150eaa7d
Database: Directory of Open Access Journals
More Details
ISSN:19352727
19352735
DOI:10.1371/journal.pntd.0001280
Published in:PLoS Neglected Tropical Diseases
Language:English