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Plasma cytokines during acute human fascioliasis
Catalina Aron-Said1, Martin Montes1,2, A Clinton White3,4
1Instituto de Medicina Tropical "Alexander Von Humboldt" and Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru.
Insights
Acute fascioliasis in children is linked to significant immune system changes, specifically higher levels of Interleukin-5 (IL-5) and Interleukin-17 (IL-17). These cytokine alterations correlate with eosinophilia, indicating a distinct immune response in acute infection.
Area of Science:
- Immunology
- Infectious Diseases
- Parasitology
Background:
- Fascioliasis, a foodborne parasitic disease, disproportionately affects children globally.
- Understanding the immune response in different stages of fascioliasis is crucial for effective management.
Purpose of the Study:
- To investigate and compare cytokine profiles in children with acute fascioliasis, chronic fascioliasis, and no helminth infection.
- To determine if acute fascioliasis elicits a more pronounced immune response than chronic infection.
Main Methods:
- A study involving 33 children from the Peruvian highlands, categorized into acute fascioliasis, chronic fascioliasis, and control groups.
- Plasma levels of Th1, Th2, and Th17 cytokines were quantified using cytometric bead array analysis.
Main Results:
- Children with acute fascioliasis exhibited significantly elevated levels of Interleukin-5 (IL-5) and Interleukin-17 (IL-17) compared to the control group.
- The increased IL-5 concentrations in acute cases were directly associated with observed eosinophilia.
Conclusions:
- Acute fascioliasis in children is characterized by distinct and heightened Th2 (IL-5) and Th17 (IL-17) cytokine responses.
- These findings suggest a specific immune activation pattern during the acute phase of human fascioliasis.
Abstract:
Fascioliasis is a foodborne trematode endemic worldwide. Children under 15 years have the highest prevalence of infection. We hypothesized that acute fascioliasis would be associated with more pronounced cytokine changes than in chronic disease or no helminth infections. To test this hypothesis, 33 children who lived in the Peruvian highlands were classified into 3 groups: acute fascioliasis, chronic fascioliasis, and no helminth infection. Type Th1, Th2, and Th17 cytokines were measured in plasma by cytometric bead array. Children with acute infection had higher levels of IL-5 and IL-17 compared with controls (p < 0.001 and p < 0.007, respectively). The increased IL-5 plasma concentration in children with acute infection was associated with the eosinophilia found in that group.
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