Population level changes in schistosome-specific antibody levels following chemotherapy.


Journal

Parasite immunology
ISSN: 1365-3024
Titre abrégé: Parasite Immunol
Pays: England
ID NLM: 7910948

Informations de publication

Date de publication:
01 2019
Historique:
received: 22 06 2018
accepted: 13 11 2018
pubmed: 24 11 2018
medline: 24 5 2019
entrez: 24 11 2018
Statut: ppublish

Résumé

Previous studies have reported that chemotherapy of schistosomiasis by praziquantel in humans boosts protective antibody responses against S mansoni and S haematobium. A number of studies have reported schistosome-specific antibody levels before and after chemotherapy. Using these reports, a meta-analysis was conducted to identify predictors of population level change in schistosome-specific antibody levels after chemotherapy. Following a systematic review, 92 observations from 26 articles published between 1988 and 2013 were included in this study. Observations were grouped by antigen type and antibody isotypes for the classification and regression tree (CART) analysis. The study showed that the change in antibody levels was variable: (a) between different human populations and (b) according to the parasite antigen and antibody isotypes. Thus, while anti-worm responses predominantly increased after chemotherapy, anti-egg responses decreased or did not show a significant trend. The change in antibody levels depended on a combination of age and infection intensity for anti-egg IgA, IgM, IgG1, IgG2 and anti-worm IgM and IgG. The study results are consistent with praziquantel treatment boosting anti-worm antibody responses. However, there is considerable heterogeneity in post-treatment changes in specific antibody levels that is related to host age and pre-treatment infection intensity.

Identifiants

pubmed: 30467873
doi: 10.1111/pim.12604
pmc: PMC6492179
doi:

Substances chimiques

Anthelmintics 0
Antibodies, Helminth 0
Praziquantel 6490C9U457

Types de publication

Journal Article Meta-Analysis Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e12604

Subventions

Organisme : Japan Student Services Organization
Pays : International
Organisme : Wellcome Trust
ID : WT082028MA
Pays : United Kingdom
Organisme : Thrasher Research Fund
ID : 9150
Pays : International

Informations de copyright

© 2018 The Authors. Parasite Immunology Published by John Wiley & Sons Ltd.

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Auteurs

Mizuho Fukushige (M)

Centre for Immunity, Infection & Evolution, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.

Francisca Mutapi (F)

Institute of Immunology and Infection Research, Centre for Immunity, Infection & Evolution, School of Biological Sciences, NIHR Global Health Research Unit Tackling Infections to Benefit Africa (TIBA), University of Edinburgh, Edinburgh, UK.

Mark E J Woolhouse (MEJ)

Centre for Immunity, Infection & Evolution, and Usher Institute of Population Health Sciences & Informatics, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.

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Classifications MeSH