CommentGood Worms or Bad Worms: Do Worm Infections Affect the Epidemiological Patterns of Other Diseases?
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Worms and Immunoregulation
So, does chronic, life-long exposure to massive amounts of helminth antigen have any generalized immunoregulatory consequences? We know that infection results in potent, highly polarized immune responses characterized by elevated T-helper cell type 2 (Th2) cytokine and IgE production, eosinophilia and, in some cases, mastocytosis. Although, historically, research in this area has focused on whether or not these responses have consequences for the parasites – an issue that remains largely
Worms, TB and HIV
These observations suggest that helminth infection modifies the host responses to HIV and TB, and contributes to the spread of these diseases3, 11 (Fig. 1). The effect is said to be caused by a combination of increased susceptibility, decreased protection and faster disease progression11. The evidence for such an effect is drawn from a series of observations: (1) HIV and TB are more common, progression to AIDS more rapid and reactivation of latent TB more frequent in populations where helminths
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Frequency and intensity of exposure mediate resistance to experimental infection with the hookworm, Ancylostoma ceylanicum
2013, Experimental ParasitologyCitation Excerpt :Three hookworm species cause patent infection in humans, Necator americanus, Ancylostoma duodenale, and Ancylostoma ceylanicum (Bethony et al., 2006; Ngui et al., 2012). Although hookworm infection is rarely lethal, its geographic overlap with other globally important infectious diseases, e.g. malaria, HIV, and tuberculosis, may be associated with additive or synergistic co-morbidity (Borkow et al., 2007; Bundy et al., 2000). Hookworms infect up to 740 million people worldwide (WHO, 2012), including 198 million people in sub-Saharan Africa, making it the most prevalent of the neglected tropical diseases (NTDs) in that region (Hotez and Kamath, 2009).
Frequency of opportunistic and other intestinal parasitic infections in patients infected with human immunodeficiency virus in Bangladesh
2012, Tzu Chi Medical JournalCitation Excerpt :Individuals with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) are threatened by a great number of diseases including those caused by different kinds of biological agents. The progressive decline and ultimate collapse of immune system functions, which are characteristic of AIDS, usually result in morbidity leading to death due to opportunistic bacterial, viral, and parasitic infections, especially those that cause chronic diarrhea [2–14]. Infections caused by helminths and HIV have been reported to exhibit major adverse effects on the host immune response and such a co-infection is widespread [15].
Occurrence of filaria in domestic dogs of Samburu pastoralists in Northern Kenya and its associations with canine distemper
2011, Veterinary ParasitologyCitation Excerpt :In recent years, many studies focused on the host immune mechanisms induced by filarial nematodes, since its understanding is assumed to be necessary for the elimination of human lymphatic filariasis (Ravindran et al., 2003; Duerr et al., 2008). Interactions between filaria and other infectious agents are also broadly discussed, especially concerning the co-infection of human lymphatic filariasis and HIV (Bundy et al., 2000; Brown et al., 2006; Nielsen et al., 2007). Since both diseases are immunosuppressive, it was suggested that acquisition of one can predispose the host for the other (Nielsen et al., 2007).
Ancylostoma ceylanicum excretory-secretory protein 2 adopts a netrin-like fold and defines a novel family of nematode proteins
2011, Journal of Molecular BiologyEffect of single-dose anthelmintic treatment during pregnancy on an infant's response to immunisation and on susceptibility to infectious diseases in infancy: A randomised, double-blind, placebo-controlled trial
2011, The LancetCitation Excerpt :Soil-transmitted helminth infections and schistosomiasis are also prevalent in developing countries,7 and their geographical distribution has extensive overlap with areas in which rates of infectious diseases are highest and the effectiveness of BCG immunisation is lowest.8,9 Such overlap in disease distributions has led to the suggestion that chronic helminth infections could affect the epidemiological patterns of other diseases,10 through impairment of immune responses to immunisations and unrelated infections. This hypothesis was supported by the finding that T-helper-1 (Th1) cell responses (characterised by interferon-γ production, induced by viral and bacterial antigens, and required for protection against mycobacteria and other intracellular pathogens) and T-helper-2 (Th2) cell responses (characterised by production of interleukins 4, 5, and 13 and induced by allergens such as helminth antigens) are mutually inhibitory.11–13