Immunomodulation by nematodes: a review.

There is current evidence that infections with Trichinella spiralis, Ascaris suum, Nippostrongylus brasiliensis, Nematospiroides dubius (syn. Heligmosomoides polygyrus) and diverse filariae affect the immune responsiveness of their hosts. T. spiralis, or its extracts, can depress or enhance the heterologous humoral or cell-mediated immunities, and affect macrophage activity or the response to other invaders. These effects are induced by products of the migratory and early muscle larvae and appear to obey more than one single-mechanism. A suum acute infections or extracts depress responses involving T cell activity, but stimulate polygonal expansion of B-cells. Nippostrongylus brasiliensis causes polyclonal stimulation of IgE-producing cells, enhances immune responses during the first week of infection and inhibits them later on. Nematospiroides dubius depresses homologous and heterologous immunity and facilitates the permanence of other intestinal nematodes. Filarial worms appear to depress the homologous cell-mediated immunity and the heterologous humoral response by induction of suppressor cells and humoral factors. These phenomena are probably the result of evolutionary pressures on the parasites that facilitate their survival. In the host, they are likely to aggravate the homologous infection, facilitate intercurrent conditions and interfere with immunoprophylaxis procedures.