Yıl: 2020 Cilt: 26 Sayı: 1 Sayfa Aralığı: 6 - 10 Metin Dili: İngilizce DOI: 10.5152/eurjther.2019.18078 İndeks Tarihi: 08-12-2020

Immune Response and its Effects on the Host during Helminthic Infections

Öz:
Helminths are multicellular organisms causing chronic infections affecting nearly one-third of the global population. They are experts at immunomodulation, and pathologic outcomes are generally observed in patients with immunodeficiencies or with exaggerated levels of anti-helminth immune responses. Elimination of helminths is usually mediated by T-helper type-2 (Th2) immune responses, characterized by the induction of Immunoglobulin E (IgE) release, increase in eosinophil and mast cell levels, and elevation in the production levels of Th2 cytokines. However, the triggered mechanisms may also depend on the location of the parasite. This is because tissue invasion, an immune evasion strategy for parasites, was considered to activate more Thelper type 1 (Th1) cells in tissues. During chronic infections, immune response regulatory pathways become more influential, there-by reducing the levels of the peripheral T-cell-mediated responses against parasitic antigens. The resultant immune response is termed as “modified Th2 response” and is characterized by enhanced levels of anti-inflammatory cytokine production and regu-latory immune cells as well as high IgG4/IgE ratios. Immunomodulation during chronic helminth infection is not limited to only parasite-specific responses. It can influence the efficiency of vaccination, host susceptibility to infections, and allergen or autoan-tigen responses. This review discusses anti-helminth immune responses. Moreover, it highlights current literature on the effects of chronic helminth infections on host health as well as their possible use as a treatment strategy against autoimmune, autoinflam-matory, and allergic diseases.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • 1. Smallwood TB, Giacomin PR, Loukas A, Mulvenna JP, Clark RJ, Miles JJ. Helminth immunomodulation in autoimmune disease. Front Im-munol 2017; 8: 453. [CrossRef ]
  • 2. McSorley HJ, Maizels RM. Helminth infections and host immune regulation. Clin Microbiol Rev 2012; 25: 585-608.[CrossRef ]
  • 3. Girgis NM, Gundra UM, Loke P. Immune regulation during helminth ınfections. PLoS Pathog 2013; 9: e1003250. [CrossRef ]
  • 4. Daniłowicz-Luebert E, O’Regan NL, Steinfelder S, Hartmann S. Mod-ulation of specific and allergy-related immune responses by hel-minths. J Biomed Biotechnol 2011; 821578. [CrossRef ]
  • 5. Wynn TA. Type 2 cytokines: mechanisms and therapeutic strategies. Nat Rev Immunol 2015; 15: 271-82. [CrossRef ]
  • 6. Taylan Özkan A, Babaoğlu A, Fidan I. İnsanlarda bağışık yanıt. Flora 2017; 22: 91-101. [CrossRef ]
  • 7. Zaph C, Cooper PJ, Harris NL. Mucosal immune responses following intestinal nematode infection. Parasite Immunology 2014; 36: 439-52. [CrossRef ]
  • 8. Price AE, Liang HE, Sullivan BM, Reinhardt RL, Eisley CJ, Erle DJ, et al. Systemically dispersed innate IL-13-expressing cells in type 2 immu-nity. Proc Natl Acad Sci 2010; 107: 11489-94.[CrossRef ]
  • 9. Neill DR, Wong SH, Bellosi A, Flynn RJ, Daly M, Langford TKA, et al. Nuocytes represent a new innate effector leukocyte that mediates type-2 immunity. Nature 2010; 464: 1367-70. [CrossRef ]
  • 10. Zaph C, Troy AE, Taylor BC, Berman-Booty LD, Guild KJ, Du Y, et al. Epithelial-cell-intrinsic IKK-beta expression regulates intestinal im-mune homeostasis. Nature 2007; 446: 552-6. [CrossRef ]
  • 11. Moreau E, Chauvin A. Immunity against helminths: Interactions with the host and the intercurrent infections. J Biomed Biotechnol 2010; 428593.[CrossRef ]
  • 12. Anthony RM, Rutitzky LI, Urban JF, Stadecker MJ, Gause WC. Protec-tive immune mechanisms in helminth infection. Nat Rev Immunol 2007; 7: 975-87. [CrossRef ]
  • 13. Gause WC, Urban JF, Stadecker MJ. The immune response to para-sitic helminths: Insights from murine models. Trends Immunol 2003; 24: 269-77. [CrossRef ]
  • 14. Wynn TA. Fibrotic disease and the TH1/TH2 paradigm. Nat Rev Im-munol 2004; 4: 583-94. [CrossRef ]
  • 15. Galioto AM, Hess JA, Nolan TJ, Schad GA, Lee JJ, Abraham D. Role of eosinophils and neutrophils in innate and adaptive protective immunity to larval Strongyloides stercoralis in mice. Infect Immun 2006; 74: 5730-8. [CrossRef ]
  • 16. Sica A, Mantovani A. Macrophage plasticity and polarization: In vivo veritas. J Clin Invest 2012; 122: 787-95. [CrossRef ]
  • 17. Zhao A, Urban JF, Anthony RM, Sun R, Stiltz J, van Rooijen N, et al. Th2 cytokine-ınduced alterations in ıntestinal smooth muscle func-tion depend on alternatively activated macrophages. Gastroenter-ology 2008; 135: 217-25.e1. [CrossRef ]
  • 18. Perrigoue JG, Saenz SA, Siracusa MC, Allenspach EJ, Taylor BC, Gia-comin PR, et al. MHC class II-dependent basophil-CD4+T cell inter-actions promote TH2 cytokine-dependent immunity. Nat Immunol 2009; 10: 697-705. [CrossRef ]
  • 19. Sakaguchi S, Yamaguchi T, Nomura T, Ono M. Regulatory t cells and ımmune tolerance. Cell 2008; 133: 775-87.[CrossRef ]
  • 20. Metenou S, Dembele B, Konate S, Dolo H, Coulibaly SY, Coulibaly YI, et al. At homeostasis filarial ınfections have expanded adaptive T regulatory but not classical Th2 cells. J Immunol 2010; 184: 5375-82.[CrossRef ]
  • 21. Wammes LJ, Hamid F, Wiria AE, Wibowo H, Sartono E, Maizels RM, et al. Regulatory T cells in human lymphatic filariasis: Stronger functional ac-tivity in microfilaremics. PLoS Negl Trop Dis 2012; 6: e1655.[CrossRef ]
  • 22. Babu S, Bhat SQ, Kumar NP, Lipira AB, Kumar S, Karthik C, et al. Filar-ial lymphedema is characterized by antigen-specific Th1 and Th17 proinflammatory responses and a lack of regulatory T cells. PLoS Negl Trop Dis 2009; 3: e420. [CrossRef ]
  • 23. Satoguina J, Mempel M, Larbi J, Badusche M, Löliger C, Adjei O, et al. Antigen-specific T regulatory-1 cells are associated with immu-nosuppression in a chronic helminth infection (onchocerciasis). Mi-crobes Infect 2002; 4: 1291-300. [CrossRef ]
  • 24. Doetze A, Satoguina J, Burchard G, Rau T, Löliger C, Fleischer B, et al. Antigen-specific cellular hyporesponsiveness in a chronic human helminth infection is mediated by Th3/Tr1-type cytokines IL-10 and transforming growth factor-β but not by a Th1 to Th2 shift. Int Im-munol 2000; 12: 623-30. [CrossRef ]
  • 25. Yang M, Rui K, Wang S, Lu L. Regulatory B cells in autoimmune dis-eases. Cell Mol Immunol 2013; 10: 122-32. [CrossRef ]
  • 26. Hussaarts L, Van Der Vlugt LEPM, Yazdanbakhsh M, Smits HH. Reg-ulatory B-cell induction by helminths: Implications for allergic dis-ease. J Allergy and Clin Immunol 2011; 128: 733-9. [CrossRef ]
  • 27. Balic A, Harcus Y, Holland MJ, Maizels RM. Selective maturation of den-dritic cells by Nippostrongylus brasiliensis-secreted proteins drives Th2 immune responses. Eur J Immunol 2004; 34: 3047-59. [CrossRef ]
  • 28. Li Z, Liu G, Chen Y, Liu Y, Liu B, Su Z. The phenotype and function of naturally existing regulatory dendritic cells in nematode-infected mice. Int J Parasitol 2011; 41: 1129-37.[CrossRef ]
  • 29. Steinfelder S, O’Regan NL, Hartmann S. Diplomatic assistance: can helminth-modulated macrophages act as treatment for ın-flammatory disease? PLoS Pathog 2016; 12: e1005480. https://doi.org/10.1371/journal.ppat.1005480 [CrossRef ]
  • 30. Babu S, Kumaraswami V, Nutman TB. Alternatively Activated and ım-munoregulatory monocytes in human filarial ınfections. J Infect Dis 2009; 199: 1827-37. [CrossRef ]
  • 31. Semnani RT, Mahapatra L, Moore V, Sanprasert V, Nutman TB. Func-tional and phenotypic characteristics of alternative activation in-duced in human monocytes by interleukin-4 or the parasitic nema-tode Brugia malayi. Infect Immun 2011; 79: 3957-65. [CrossRef ]
  • 32. O’Regan NL, Steinfelder S, Venugopal G, Rao GB, Lucius R, Srikantam A, et al. Brugia malayi microfilariae ınduce a regulatory monocyte/macrophage phenotype that suppresses ınnate and adaptive ım-mune responses. PLoS Negl Trop Dis 2014; 8: e3206. [CrossRef ]
  • 33. Finlay CM, Walsh KP, Mills KHG. Induction of regulatory cells by hel-minth parasites: Exploitation for the treatment of inflammatory dis-eases. Immunol Rev 2014; 259: 206-30. [CrossRef ]
  • 34. Cooper PJ, Chico M, Sandoval C, Espinel I, Guevara A, Levine MM, et al. Human infection with Ascaris lumbricoides is associated with suppression of the interleukin-2 response to recombinant cholera toxin B subunit following vaccination with the live oral cholera vac-cine CVD 103-HgR. Infect Immun 2001; 69: 1574-80. [CrossRef ]
  • 35. Cooper PJ, Espinel I, Paredes W, Guderian RH, Nutman TB. Impaired tetanus‐specific cellular and humoral responses following tetanus vaccination in human onchocerciasis: a possible role for ınterleu-kin‐10. J Infect Dis 1998; 178: 1133-8. [CrossRef ]
  • 36. Nookala S, Srinivasan S, Kaliraj P, Narayanan RB, Nutman TB. Impair-ment of tetanus-specific cellular and humoral responses following tetanus vaccination in human lymphatic filariasis. Infect Immun 2004; 72: 2598-604. [CrossRef ]
  • 37. Sabin E a, Araujo MI, Carvalho EM, Pearce EJ. Impairment of tetanus toxoid-specific Th1-like immune responses in humans infected with Schistosoma mansoni. J Infect Dis 1996; 173: 269-72. [CrossRef ]
  • 38. Elias D, Britton S, Aseffa A, Engers H, Akuffo H. Poor immunogenicity of BCG in helminth infected population is associated with increased in vitro TGF-β production. Vaccine 2008; 26: 3897-902. [CrossRef ]
  • 39. Elias D, Britton S, Kassu A, Akuffo H. Chronic helminth infections may negatively influence immunity against tuberculosis and other diseases of public health importance. Expert Rev Anti Infect Ther 2007; 5: 475-84. [CrossRef ]
  • 40. Metenou S, Dembele B, Konate S, Dolo H, Coulibaly SY, Coulibaly YI, et al. Patent filarial ınfection modulates malaria-specific type 1 cytokine responses in an ıl-10-dependent manner in a filaria/malar-ia-coinfected population. J Immunol 2009; 183: 916-24.[CrossRef ]
  • 41. Metenou S, Dembele B, Konate S, Dolo H, Coulibaly YI, Diallo AA, et al. filarial ınfection suppresses malaria-specific multifunctional th1 and th17 responses in malaria and filarial coinfections. J Immunol 2011; 186: 4725-33.[CrossRef ]
  • 42. Babu S, Bhat SQ, Kumar NP, Jayantasri S, Rukmani S, Kumaran P, et al. Human Type 1 and 17 responses in latent tuberculosis are modulated by coincident filarial ınfection through cytotoxic t lymphocyte antigen-4 and programmed death-1. J Infect Dis 2009; 200: 288-98. [CrossRef ]
  • 43. McElroy MD, Elrefaei M, Jones N, Ssali F, Mugyenyi P, Barugahare B, et al. Coinfection with Schistosoma mansoni is associated with decreased HIV-specific cytolysis and increased IL-10 production. J Immunol 2005; 174: 5119-23. [CrossRef ]
  • 44. Summers RW. Trichuris suis therapy in Crohn’s disease. Gut 2005; 54: 87-90.[CrossRef ]
  • 45. Summers RW, Elliott DE, Urban JF, Thompson RA, Weinstock JV. Trichuris suis therapy for active ulcerative colitis: A randomized con-trolled trial. Gastroenterology 2005; 128: 825-32. [CrossRef ]
  • 46. Summers RW, Elliott DE, Qadir K, Urban JF, Thompson R, Weinstock JV. Trichuris suis seems to be safe and possibly effective in the treatment of inflammatory bowel disease. Am J Gastroenterol 2003; 98: 2034-41. [CrossRef ]
  • 47. Fleming J, Isaak A, Lee J, Luzzio C, Carrithers M, Cook T, et al. Probiot-ic helminth administration in relapsing-remitting multiple sclerosis: a phase 1 study. Mult Scler J 2011; 17: 743-54. [CrossRef ]
  • 48. McSorley HJ, Gaze S, Daveson J, Jones D, Anderson RP, Clouston A, et al. Suppression of inflammatory immune responses in celiac disease by experimental hookworm infection. PLoS One 2011; 6: e24092.[CrossRef ]
  • 49. Croese J, Giacomin P, Navarro S, Clouston A, McCann L, Dougall A, et al. Experimental hookworm infection and gluten micro challenge promote tolerance in celiac disease. J Allergy Clin Immunol 2015; 135: 508-16. [CrossRef ]
  • 50. Gazi U, Taylan Ozkan A. Helminthotherapy. Flora 2017; 22: 91-106. [CrossRef ]
APA Gazi U, Taylan Ozkan A (2020). Immune Response and its Effects on the Host during Helminthic Infections. , 6 - 10. 10.5152/eurjther.2019.18078
Chicago Gazi Umut,Taylan Ozkan Aysegul Immune Response and its Effects on the Host during Helminthic Infections. (2020): 6 - 10. 10.5152/eurjther.2019.18078
MLA Gazi Umut,Taylan Ozkan Aysegul Immune Response and its Effects on the Host during Helminthic Infections. , 2020, ss.6 - 10. 10.5152/eurjther.2019.18078
AMA Gazi U,Taylan Ozkan A Immune Response and its Effects on the Host during Helminthic Infections. . 2020; 6 - 10. 10.5152/eurjther.2019.18078
Vancouver Gazi U,Taylan Ozkan A Immune Response and its Effects on the Host during Helminthic Infections. . 2020; 6 - 10. 10.5152/eurjther.2019.18078
IEEE Gazi U,Taylan Ozkan A "Immune Response and its Effects on the Host during Helminthic Infections." , ss.6 - 10, 2020. 10.5152/eurjther.2019.18078
ISNAD Gazi, Umut - Taylan Ozkan, Aysegul. "Immune Response and its Effects on the Host during Helminthic Infections". (2020), 6-10. https://doi.org/10.5152/eurjther.2019.18078
APA Gazi U, Taylan Ozkan A (2020). Immune Response and its Effects on the Host during Helminthic Infections. European Journal of Therapeutics, 26(1), 6 - 10. 10.5152/eurjther.2019.18078
Chicago Gazi Umut,Taylan Ozkan Aysegul Immune Response and its Effects on the Host during Helminthic Infections. European Journal of Therapeutics 26, no.1 (2020): 6 - 10. 10.5152/eurjther.2019.18078
MLA Gazi Umut,Taylan Ozkan Aysegul Immune Response and its Effects on the Host during Helminthic Infections. European Journal of Therapeutics, vol.26, no.1, 2020, ss.6 - 10. 10.5152/eurjther.2019.18078
AMA Gazi U,Taylan Ozkan A Immune Response and its Effects on the Host during Helminthic Infections. European Journal of Therapeutics. 2020; 26(1): 6 - 10. 10.5152/eurjther.2019.18078
Vancouver Gazi U,Taylan Ozkan A Immune Response and its Effects on the Host during Helminthic Infections. European Journal of Therapeutics. 2020; 26(1): 6 - 10. 10.5152/eurjther.2019.18078
IEEE Gazi U,Taylan Ozkan A "Immune Response and its Effects on the Host during Helminthic Infections." European Journal of Therapeutics, 26, ss.6 - 10, 2020. 10.5152/eurjther.2019.18078
ISNAD Gazi, Umut - Taylan Ozkan, Aysegul. "Immune Response and its Effects on the Host during Helminthic Infections". European Journal of Therapeutics 26/1 (2020), 6-10. https://doi.org/10.5152/eurjther.2019.18078