Abstract

Infection with parasitic helminths affects humanity and animal welfare. Parasitic helminths have the capacity to modulate host immune responses to promote their survival in infected hosts, often for a long time leading to chronic infections. In contrast to many infectious microbes, however, the helminths are able to induce immune responses that show positive bystander effects such as the protection to several immune disorders, including multiple sclerosis, inflammatory bowel disease, and allergies. They generally promote the generation of a tolerogenic immune microenvironment including the induction of type 2 (Th2) responses and a sub-population of alternatively activated macrophages. It is proposed that this anti-inflammatory response enables helminths to survive in their hosts and protects the host from excessive pathology arising from infection with these large pathogens. In any case, there is an urgent need to enhance understanding of how helminths beneficially modulate inflammatory reactions, to identify the molecules involved and to promote approaches to exploit this knowledge for future therapeutic interventions. Evidence is increasing that C-type lectins play an important role in driving helminth-mediated immune responses. C-type lectins belong to a large family of calcium-dependent receptors with broad glycan specificity. They are abundantly present on immune cells, such as dendritic cells and macrophages, which are essential in shaping host immune responses. Here, we will focus on the role of the C-type lectin macrophage mannose receptor (MR) in helminth–host interactions, which is a critically understudied area in the field of helminth immunobiology. We give an overview of the structural aspects of the MR including its glycan specificity, and the functional implications of the MR in helminth–host interactions focusing on a few selected helminth species.

Highlights

  • Parasites have been a great burden to human health throughout many centuries

  • We recently showed that SEA, both untreated and heat-treated, potently suppressed LPS-induced TNF and IL12 production and upregulated suppressor of cytokine signaling-1 (SOCS-1), SHP-1, and OX40L expression in human dendritic cells (DCs) [65]; these are phenotypic and functional changes in DCs associated with Th2 polarization

  • The mannose receptor (MR) is an important C-type lectin receptors (CLRs) that interacts with a number of products generated by a variety of helminths, and clearly plays a role in modulating host immune responses, but many questions remain about its functional mechanisms

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Summary

INTRODUCTION

Parasites have been a great burden to human health throughout many centuries. Parasitic helminths (worms) are a large and important group of parasites that cause diseases, such as ascariasis, filariasis, and schistosomiasis, which are often endemic in tropical areas. The anti-inflammatory consequences of helminth infections are further supported by the observations that either infection with parasitic helminths or systemic treatment with helminth extracts can reduce the symptoms of allergic diseases [6] and inflammation associated with autoimmune diseases The latter include inflammatory bowel diseases [7, 8], multiple sclerosis [9,10,11,12], or rheumatoid arthritis [13, 14], as well as metabolic disorders such as obesities [15,16,17], diabetes [18, 19], or atherosclerosis [20]. Increased understanding of the nature of helminth effects on the immune system could enable new treatment options for parasitic diseases, or beneficially modulate inflammatory reactions Such studies could lead to identification of the molecules involved and promote approaches to exploit this knowledge for future therapeutic interventions. These lectins are abundantly present on immune cells that shape host immune responses and collectively they can recognize a wide variety of glycans

HELMINTH INFECTION AND HELMINTHINDUCED IMMUNE REACTIONS
Structural Properties of the MR
Glycan Specificity of the MR
Expression of the MR on Immune Cells
Flatworm Trematodes Interacting with the MR
Trichuris suis Trichuris muris Trichinella spiralis Ascaris suum
Whipworms Interacting with the MR
Findings
DISCUSSION AND FUTURE
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