Necator americanus and Helminth Co-Infections: Further Down-Modulation of Hookworm-Specific Type 1 Immune Responses
2011

Impact of Helminth Co-Infections on Hookworm Immune Responses

Sample size: 250 publication 10 minutes Evidence: moderate

Author Information

Author(s): Geiger Stefan Michael, Alexander Neal Douglas Edward, Fujiwara Ricardo Toshio, Brooker Simon, Cundill Bonnie, Diemert David Joseph, Correa-Oliveira Rodrigo, Bethony Jeffrey Michael

Primary Institution: Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil

Hypothesis

Co-infection with other helminths alters the immune response to hookworm.

Conclusion

Co-infected individuals showed a downmodulated Th1 cytokine response and increased humoral immune response to hookworm compared to mono-infected individuals.

Supporting Evidence

  • Co-infected individuals had a further downmodulated Th1 cytokine response.
  • Significant increase in hookworm-specific humoral immune response in co-infected individuals.
  • Changes in immune response did not correlate with reduced hookworm infection intensity.

Takeaway

When people have more than one type of worm infection, their body's response to hookworm changes, making it harder to fight it off.

Methodology

The study compared immune responses in individuals mono-infected with hookworm and those co-infected with other helminths using immunological assays.

Potential Biases

Potential biases due to the cross-sectional nature of the study and the specific population sampled.

Limitations

The cross-sectional design limits causal inferences, and the sample size may restrict the detection of small differences.

Participant Demographics

Participants included individuals from rural Brazil, with a mix of ages and genders.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% confidence intervals provided for various comparisons.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pntd.0001280

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