Abstract

Endoparasitic infections are usually regarded as detrimental to the host causing various diseases in humans and animals especially in tropical and sub-tropical countries. In recent years, the incidence of autoimmune and other inflammatory diseases increase in developed and industrial regions. The entry of any infectious disease is challenged by the body immune system through various branch of immunity among which T-helper branches of immunity (Th1 and Th2) play at the fore-front. However, the uncurbed imbalance of Th immune response where a surge in Th1 (IFNγ and TNFα) over Th2 response is implicated to cause various autoimmune and inflammatory disorders. In general, parasitic helminth infection is fought by the body as up-regulation of Th2 branch of immunity by secreting inflammatory cytokines (Interleukins like: IL-4, IL-5, IL-9 & IL-13) thereby executing antibody-dependent cellular cytotoxicity (ADCC). In recent years, exciting evidences revealed that the uncurbed Th1 surge is brought to balance by administration of parasite or parasite extracts thereby alleviating the clinical manifestation of autoimmune and inflammatory disorders. This paper describes works that have been carried out to control various autoimmune and inflammatory disorders using parasite or parasite extracts.

Highlights

  • Parasitic helminths and their hosts have coevolved ; have shared a long line of history

  • Th1 immune responses are characterized by release of cytokines like IFNγ and TNFα, both of which are thought to increase inflammation and worsen the progression of autoimmune disease and their symptoms

  • Most of the autoimmune diseases are believed to arise from the imbalance of the two arms of immune responses, such as, Th1 and Th2

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Summary

ORIGINAL ARTICLE

Endoparasitic infections are usually regarded as detrimental to the host causing various diseases in humans and animals especially in tropical and sub-tropical countries. The incidence of autoimmune and other inflammatory diseases increase in developed and industrial regions. The uncurbed imbalance of Th immune response where a surge in Th1 (IFNγ and TNFα) over Th2 response is implicated to cause various autoimmune and inflammatory disorders. Parasitic helminth infection is fought by the body as up-regulation of Th2 branch of immunity by secreting inflammatory cytokines (Interleukins like: IL-4, IL-5, IL-9 & IL-13) thereby executing antibody-dependent cellular cytotoxicity (ADCC). In recent years, exciting evidences revealed that the uncurbed Th1 surge is brought to balance by administration of parasite or parasite extracts thereby alleviating the clinical manifestation of autoimmune and inflammatory disorders. This paper describes works that have been carried out to control various autoimmune and inflammatory disorders using parasite or parasite extracts

Introduction
Mechanism of action of helminth therapy
What parasites are mainly used?
Helminths as therapy for immune mediated disease
Potential side effect
Conclusions

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