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The Hygiene Theory Harnessing Helminths and Their Ova to Treat Autoimmunity

Ben-Ami Shor, Dana, Harel, Michal, Eliakim, Rami, Shoenfeld, Yehuda·2013·Clinical Reviews in Allergy & Immunology
DOI 10.1007/s12016-012-8352-9
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Abstract

The incidence of autoimmune diseases is increasing in Western countries, possibly due to the improved sanitary conditions and reduced exposure to infections in childhood (the hygiene hypothesis). There is an ongoing debate whether infection prevents or precipitates autoimmune diseases. Various helminths species used in several animal models were shown to limit inflammatory activity in a variety of diseases including inflammatory bowel disease, multiple sclerosis, type 1 diabetes, rheumatoid arthritis, and systemic lupus erythematosus. At present the scientific data is based mostly on experimental animal models; however, there is an increasing body of evidence in a number of clinical trials being conducted. Herein we review several clinical trials evaluating the anti-inflammatory effects of helminths and assessing their association with different autoimmune diseases, including inflammatory bowel disease, multiple sclerosis, and autoimmune liver diseases. We also describe the common pathways by which helminths induce immune modulation and the key changes observed in the host immune system following exposure to helminths. These common pathways include the inhibition of IFN-γ and IL-17 production, promotion of IL-4, IL-10 and TGF-β release, induction of CD4(+) T cell FoxP3(+) expression, and generation of regulatory macrophages, dendritic cells, and B cells. Helminths products are becoming significant candidates for anti-inflammatory agents in this context. However, further resea…

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Metadata

Authors
Ben-Ami Shor, D., Harel, M., Eliakim, R., & Shoenfeld, Y.
Venue
Clinical Reviews in Allergy & Immunology
Publisher
Springer Science and Business Media LLC
Published
2013-01-17
Volume
45
Issue
2
Pages
211-216
ISSN
  • 1080-0549
  • 1559-0267
DOI
10.1007/s12016-012-8352-9
Cited by
57
References
1
Language
en
Licence
www.springer.com/tdm (tdm)

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CoChat. (2026). Citation check: The Hygiene Theory Harnessing Helminths and Their Ova to Treat Autoimmunity. https://app.cochat.ai/papers/10.1007/s12016-012-8352-9
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Ben-Ami Shor, D., Harel, M., Eliakim, R., & Shoenfeld, Y. (2013). The Hygiene Theory Harnessing Helminths and Their Ova to Treat Autoimmunity. Clinical Reviews in Allergy & Immunology. https://doi.org/10.1007/s12016-012-8352-9