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The Changing Microbial Environment and Chronic Inflammatory Disorders
Abstract
There is much to be gained from examining human diseases within the expanding framework of Darwinian medicine. This is particularly true of those conditions that change in frequency as populations develop from the human "environment of evolutionary adaptedness" to the living conditions of the rich industrialized countries. This development entails major changes in lifestyle, leading to reductions in contact with environmental microorganisms and helminths that have evolved a physiologic role as drivers of immunoregulatory circuits. It is suggested that a deficit in immunoregulation in rich countries is contributing not only to increases in the incidence of allergic disorders but also to increases in other chronic inflammatory conditions that are exacerbated by a failure to terminate inappropriate inflammatory reponses. These include autoimmunity, neuroinflammatory disorders, atherosclerosis, depression associated with raised inflammatory cytokines, and some cancers.
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“Species that are poorly adapted to humans, recently introduced into human hosts, or involved in accidental host–parasite interactions may be more likely to induce intense inflammatory and allergic-type responses.”
From Parasites and allergies: a complex bidirectional relationship from evolutionary origins to modern therapeutics (2026) · cites this paper as Rook 2008
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“In contrast, helminths that have coevolved with their hosts over long periods may more efficiently induce regulatory pathways that facilitate chronic persistence and limit excessive inflammatory responses (Maizels and McSorley 2016; Perkin and Strachan 2022; Rook 2008).”
From Parasites and allergies: a complex bidirectional relationship from evolutionary origins to modern therapeutics (2026) · cites this paper as Rook 2008
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“The allergenic potential of parasitic worms may also depend on the degree of host–parasite adaptation.”
From Parasites and allergies: a complex bidirectional relationship from evolutionary origins to modern therapeutics (2026) · cites this paper as Rook 2008
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“In such cases, the parasite may fail to establish effective immune regulation, leading to stronger tissue inflammation, eosinophilia, IgE production, and allergy-like manifestations.”
From Parasites and allergies: a complex bidirectional relationship from evolutionary origins to modern therapeutics (2026) · cites this paper as Rook 2008
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Convergent adaptation of human lactase persistence in Africa and Europe
Tishkoff, S. A., Reed, F. A., Ranciaro, A., Voight, B. F., Babbitt, C. C., Silverman, J. S., Powell, K., Mortensen, H. M., Hirbo, J. B., Osman, M., et al. (2007) · Nature Genetics · doi:10.1038/ng1946 · Cited by 1,615
Exposure to farming in early life and development of asthma and allergy: a cross-sectional survey
Riedler, J., Braun-Fahrländer, C., Eder, W., Schreuer, M., Waser, M., Maisch, S., Carr, D., Schierl, R., Nowak, D., & von Mutius, E. (2001) · The Lancet · doi:10.1016/s0140-6736(01)06252-3 · Cited by 1,520
Paroxetine for the prevention of depression induced by high-dose interferon alfa.
Musselman, D. L., Lawson, D. H., Gumnick, J. F., Manatunga, A. K., Penna, S., Goodkin, R. S., Greiner, K., Nemeroff, C. B., & Miller, A. H. (2001) · New England Journal of Medicine · doi:10.1056/nejm200103293441303 · Cited by 1,120
The metabolic syndrome, inflammation, and risk of cognitive decline
Yaffe, K. (2004) · JAMA · doi:10.1001/jama.292.18.2237 · Cited by 1,025
Strachan, D., Sibbald, B., Weiland, S., Ait‐Khaled, N., Anabwani, G., Anderson, H. R., Asher, M. I., Beasley, R., Bjorksten, B., Burr, M., et al. (1997) · Pediatric Allergy and Immunology · doi:10.1111/j.1399-3038.1997.tb00156.x · Cited by 654
Th1, Th2, and Th3 cytokine alterations in major depression
MYINT, A., LEONARD, B., STEINBUSCH, H., & KIM, Y. (2005) · Journal of Affective Disorders · doi:10.1016/j.jad.2005.07.008 · Cited by 371
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Cited by
Sorted by citations
Packi, K., Świerczewski, D., Klimczak, S., Ochab, D., Gałęziewska, J., Gromek, P., Kruczkowska, W., Płuciennik, E., Kałuzińska-Kołat, Ż., & Kołat, D. (2026) · Antonie van Leeuwenhoek · doi:10.1007/s10482-026-02425-4
Metadata
- Authors
- Rook, G. A. W.
- Venue
- Allergy, Asthma & Clinical Immunology
- Published
- 2008-09
- Volume
- 4
- Issue
- 3
- ISSN
- 1710-1492
- PMC
- PMC2868866
- Cited by
- 9
- References
- 6
- Language
- en
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