Extract of adult Ascaris suum (ASC) worms attenuated the liver damage in experimental autoimmune hepatitis (EAH) with induction of Th2 immune response, but fibrosis occurred. N-acetyl-L-cysteine (NAC) has protective effects against liver fibrosis. Evaluate the association ASC+NAC on the T- and B-cell activation, inflammation and fibrogenic markers in the liver in EAH. Experimental autoimmune hepatitis was induced intravenously with concanavalin A in BALB/c mice. EAH+ASC+NAC group received NAC and ASC; EAH+ASC group received ASC;EAH group received PBS. Doubly labelled CD4+ T (CD28, CTLA-4, CD40L or IL-10) and CD45R+ B lymphocytes (IL-10) and CD4+ CD25+ FoxP3+ cells were evaluated, along with gene expression of Col1a1, α-SMA, Fizz1, Arg1 and PPAR-γ and histomorphometry. Experimental autoimmune hepatitis group showed high frequency of CD28+ and CD40L+ T lymphocytes, butnot the EAH+ASC group. In relation to EAH group, the Fizz1expression was lowerin both groups treated, but Arg1expressionwas lower in only EAH+ASC+NAC group. In the EAH+ASC+NACgroup, there were higher frequencies ofCD4+ IL-10+ andCD4+ CD25+ FoxP3+ cells,but not CD45R+ IL-10+ , along withmitigated inflammation and collagen production. Ascaris suum favoured immunosuppression in EAHlimiting the T cells activation. However, association ASC and NAC was necessary forattenuating the inflammatory process andcollagen production.
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