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Allergic Sensitization Underlies Hyperreactive Antigen-Specific CD4+ T Cell Responses in Coincident Filarial Infection
Abstract
Among the various hypotheses put forward to explain the modulatory influence of helminth infection on allergic effector responses in humans, the IL-10–induced suppression of Th2-associated responses has been the leading candidate. To explore this helminth/allergy interaction more fully, parasite- and allergen-specific CD4+ T cell responses in 12 subjects with filarial infections, and coincident allergic sensitization (filarial [Fil]+allergy [A]+) were compared with the responses to three appropriate control groups (Fil−A− [n = 13], Fil−A+ [n = 12], Fil+A− [n = 11]). The most important findings revealed that Fil+A+ had marked (p < 0.0001 for all cytokines) increases in parasite Ag-driven Th2 (IL-4, IL-5, IL-13), Th9 (IL-9), and the regulatory (IL-10) cytokines when compared with Fil+A−. Moreover, using multiparameter flow cytometry, filarial parasite Ag induced a marked increase in not only the frequency of CD4+ T cells producing IL-4, IL-5, IL-2, and TNF-α in Fil+A+ when compared with Fil+A− patients, but also in the frequencies of polyfunctional Th2-like (CD4+IL-4+IL-5+ and CD4+IL-2+IL-4+IL-5+TNF-α+) cells. The Th2-associated responses seen in the Fil+A+ group were correlated with serum IgE levels (p < 0.01, r = 0.5165 for IL-4; p < 0.001, r = 0.5544 for IL-5; and p < 0.001, r = 0.4901 for IL-13) and levels of circulating eosinophils (p < 0.0116, r = 0.5656) and their degranulation/activation products (major basic protein [p < 0.001, r = 0.7353] and eosinophil-derived neurotoxin [p < 0.01, r = 0.7059]). CD4+ responses to allergen were not different (to a large extent) among the groups. Taken together, our data suggest that allergic sensitization coincident with filarial infection drives parasite Ag-specific T cell hyperresponsiveness, which is characterized largely by an augmented Th2-dominated immune response.
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“In the case of the latter, cross-reactivity could help drive the exaggerated responses associated with inflammatory syndromes that have been reported in human helminth infections, such as tropical pulmonary eosinophilia in the case of lymphatic filariasis 45 and Loeffler syndrome in patients with ascariasis.46”
From Global issues in allergy and immunology: Parasitic infections and allergy (2017) · cites this paper as [45]
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Cooper, P. J. (2009) · Current Opinion in Allergy & Clinical Immunology · doi:10.1097/aci.0b013e32831f44a6 · Cited by 202
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Global issues in allergy and immunology: Parasitic infections and allergy
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Metadata
- Authors
- Gazzinelli-Guimarães, P. H., Bonne-Année, S., Fujiwara, R. T., Santiago, H. C., & Nutman, T. B.
- Affiliations
- National Institute of Allergy and Infectious Diseases, National Institutes of Health , Bethesda, MD 20892
- Department of Parasitology, Biological Sciences Institute, Federal University of Minas Gerais , Belo Horizonte 31270-901,
- Department of Immunology and Biochemistry, Biological Sciences Institute, Federal University of Minas Gerais , Belo Horizonte 31270-901,
- Venue
- The Journal of Immunology
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-10-01
- Volume
- 197
- Issue
- 7
- Pages
- 2772-2779
- ISSN
- 0022-1767
- 1550-6606
- PMC
- PMC5026971
- Cited by
- 15
- References
- 2
- Language
- en
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