Immunology of lymphatic filariasis
Open accessAbstract
The immune responses to filarial parasites encompass a complex network of innate and adaptive cells whose interaction with the parasite underlies a spectrum of clinical manifestations. The predominant immunological feature of lymphatic filariasis is an antigen-specific Th2 response and an expansion of IL-10 producing CD4(+) T cells that is accompanied by a muted Th1 response. This antigen-specific T-cell hyporesponsiveness appears to be crucial for the maintenance of the sustained, long-standing infection often with high parasite densities. While the correlates of protective immunity to lymphatic filariasis are still incompletely understood, primarily due to the lack of suitable animal models to study susceptibility, it is clear that T cells and to a certain extent B cells are required for protective immunity. Host immune responses, especially CD4(+) T-cell responses clearly play a role in mediating pathological manifestations of LF, including lymphedema, hydrocele and elephantiasis. The main underlying defect in the development of clinical pathology appears to be a failure to induce T-cell hyporesponsiveness in the face of antigenic stimulation. Finally, another intriguing feature of filarial infections is their propensity to induce bystander effects on a variety of immune responses, including responses to vaccinations, allergens and to other infectious agents. The complexity of the immune response to filarial infection therefore provides an important gateway to understanding the regulation of immune responses to chronic infections, in general.
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The predominant immunological response during filarial infection is antigen-specific Th2 stimulation, leading to an expansion of IL-10, along with inhibition of Th1 response.
“The predominant immunological response during filarial infection is antigen-specific Th2 stimulation, leading to an expansion of IL-10, along with the inhibition of Th1 response, Babu and Nutman [18].”
From Emergent and Neglected Equine Filariosis in Egypt: Species Diversity and Host Immune Response (2022) · cites this paper as Babu and Nutman [18]
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Lymphatic filariasis and onchocerciasis
Taylor, M. J., Hoerauf, A., & Bockarie, M. (2010) · The Lancet · doi:10.1016/s0140-6736(10)60586-7 · Cited by 686 · see citing works
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Emergent and Neglected Equine Filariosis in Egypt: Species Diversity and Host Immune Response
Abo-Aziza, F. A. M., Hendawy, S. H. M., Abdullah, H. H. A. M., El Namaky, A., Laidoudi, Y., & Mediannikov, O. (2022) · Pathogens · doi:10.3390/pathogens11090979 · Cited by 4 · see citing works
“The predominant immunological response during filarial infection is antigen-specific Th2 stimulation, leading to an expansion of IL-10, along with the inhibition of Th1 response, Babu and Nutman [18].”
Background
- Authors
- Babu, S., & Nutman, T. B.
- Affiliations
- National Institute of Research in Tuberculosis (IN)
- National Institute of Allergy and Infectious Diseases (US)
- Corresponding author
- Babu, S.
- Venue
- Parasite Immunology
- Publisher
- Wiley
- Published
- 2014-08
- Volume
- 36
- Issue
- 8
- Pages
- 338-346
- ISSN
- 0141-9838 (ISSN-L)
- 1365-3024
- PMC
- PMC3990654
- OpenAlex
- W2073067741
- Cited by
- 183
- References
- 2
- Citations by year
- 2026: 12 · 2025: 25 · 2024: 13 · 2023: 19 · 2022: 19 · 2021: 25 · 2020: 13 · 2019: 12 · 2018: 11 · 2017: 13 · 2016: 7 · 2015: 11 · 2014: 3
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Parasite Immunology (publishedVersion, public-domain)
- PubMed (publishedVersion)
- NIRT Institutional Scholarship Repository (National Institute of Research in Tuberculosis) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases
- Topics
- Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Life Sciences › Immunology and Microbiology › Immunology › Invertebrate Immune Response Mechanisms
- Keywords
- lymphatic filariasis, Th2 immune response, IL-10, CD4+ T cells, T cell hyporesponsiveness, protective immunity, lymphedema, hydrocele, elephantiasis, chronic infection, innate and adaptive immunity, B cells
- MeSH terms
- Animals, Brugia, Disease Models, Animal, Elephantiasis, Filarial, Humans, Immunity, Cellular, Wuchereria bancrofti, CD4-Positive T-Lymphocytes, Interleukin-10
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