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Translatability of helminth therapy in inflammatory bowel diseases
Open accessAbstract
Modern hygienic lifestyles are associated with the emergence of inflammatory bowel disease (IBD) which now afflicts millions of people in highly-developed countries. Meticulous hygiene interrupts conduits of transmission required for ubiquitous exposure to parasitic worms (helminths). We proposed that loss of exposure to helminths permits development of IBD. Early clinical trials suggested that exposure to helminths such as Trichuris suis or Necator americanus can improve IBD. Over the last several years, processes to "medicinalize"T. suis have been developed and use of this helminth is now being studied in large multi-center clinical trials. Concurrently, we and others have identified some of the immune regulatory mechanisms elicited by helminth exposure that suppress inappropriate intestinal inflammation. These efforts could soon result in new therapies for patients with IBD.
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“In 2005, the first helminth therapy trials (using live T. suis infection) showed impressive effects in IBD (Weinstock and Elliott, 2013)”
From Modulation of Host Immunity by Helminths: The Expanding Repertoire of Parasite Effector Molecules (2018) · cites this paper as Weinstock and Elliott, 2013
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Cited by
Sorted by citations
Modulation of Host Immunity by Helminths: The Expanding Repertoire of Parasite Effector Molecules
Maizels, R. M., Smits, H. H., & McSorley, H. J. (2018) · Immunity · doi:10.1016/j.immuni.2018.10.016 · Cited by 435
Hartmann, W., Schramm, C., & Breloer, M. (2015) · European Journal of Immunology · doi:10.1002/eji.201545503 · Cited by 22
Metadata
- Authors
- Weinstock, J. V., & Elliott, D. E.
- Affiliations
- Tufts Medical Center (US)
- University of Iowa (US)
- Corresponding author
- Weinstock, Joel V.
- Elliott, David E.
- Venue
- International Journal for Parasitology
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 43
- Issue
- 3-4
- Pages
- 245-251
- ISSN
- 0020-7519 (ISSN-L)
- PMC
- PMC3683647
- OpenAlex
- W1980609624
- Cited by
- 110
- References
- 2
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 5 · 2019: 12 · 2018: 12 · 2017: 4 · 2016: 14 · 2015: 13 · 2014: 27 · 2013: 4
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- International Journal for Parasitology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK058755, R56DK058755, R01DK058755, DK091987, R01DK091987)
- Topics
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Life Sciences › Immunology and Microbiology › Immunology › IL-33, ST2, and ILC Pathways
- Keywords
- inflammatory bowel disease, helminth therapy, Trichuris suis, Necator americanus, immune regulation, intestinal inflammation, hygiene hypothesis, translational medicine, clinical trials
- MeSH terms
- Animals, Helminths, Humans, Inflammatory Bowel Diseases, Therapy with Helminths
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