TY - JOUR KW - T-Lymphocytes, Regulatory KW - Signal Transduction KW - Mice KW - Immunomodulation KW - Immunity, Innate KW - Hypersensitivity KW - Humans KW - Helminths KW - Helminthiasis KW - Epithelial Cells KW - Down-Regulation KW - Dendritic Cells KW - Chronic Disease KW - B-Lymphocytes KW - Animals AU - Smits HH AU - Everts B AU - Hartgers F AU - Yazdanbakhsh M AB -

Developed countries are suffering from an epidemic rise in immunologic disorders, such as allergy-related diseases and certain autoimmunities. Several studies have demonstrated a negative association between helminth infections and inflammatory diseases (eg, allergy), providing a strong case for the involvement of helminth infections in this respect. However, some studies point in the opposite direction. The discrepancy may be explained by differences in frequency, dose, time, and type of helminth. In this review, new studies are discussed that may support the concept that chronic helminth infections in particular-but not acute infections-are associated with the expression of regulatory networks necessary for downmodulating allergic immune responses to harmless antigens. Furthermore, different components of regulatory networks are highlighted, such as the role of regulatory T and B cells, modulation of dendritic cells, early innate signals from structural cells (eg, epithelial cells), and their individual contributions to protection against allergic diseases. It is of great interest to define and characterize specific helminth molecules that have profound immunomodulatory capacities as targets for therapeutic application in the treatment or prophylaxis of allergic manifestations.

BT - Current allergy and asthma reports C1 -

http://www.ncbi.nlm.nih.gov/pubmed/20425508?dopt=Abstract

DO - 10.1007/s11882-009-0085-3 IS - 1 J2 - Curr Allergy Asthma Rep LA - eng N2 -

Developed countries are suffering from an epidemic rise in immunologic disorders, such as allergy-related diseases and certain autoimmunities. Several studies have demonstrated a negative association between helminth infections and inflammatory diseases (eg, allergy), providing a strong case for the involvement of helminth infections in this respect. However, some studies point in the opposite direction. The discrepancy may be explained by differences in frequency, dose, time, and type of helminth. In this review, new studies are discussed that may support the concept that chronic helminth infections in particular-but not acute infections-are associated with the expression of regulatory networks necessary for downmodulating allergic immune responses to harmless antigens. Furthermore, different components of regulatory networks are highlighted, such as the role of regulatory T and B cells, modulation of dendritic cells, early innate signals from structural cells (eg, epithelial cells), and their individual contributions to protection against allergic diseases. It is of great interest to define and characterize specific helminth molecules that have profound immunomodulatory capacities as targets for therapeutic application in the treatment or prophylaxis of allergic manifestations.

PY - 2010 SP - 3 EP - 12 T2 - Current allergy and asthma reports TI - Chronic helminth infections protect against allergic diseases by active regulatory processes. UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2816799/pdf/11882_2009_Article_85.pdf VL - 10 SN - 1534-6315 ER -