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2017 ; 39
(5
): ä Nephropedia Template TP
gab.com Text
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English Wikipedia
Nematodes and human therapeutic trials for inflammatory disease
#MMPMID27977856
Elliott DE
; Weinstock JV
Parasite Immunol
2017[May]; 39
(5
): ä PMID27977856
show ga
Helminth infections likely provide a protective influence against some
immune-mediated and metabolic diseases because helminth infection dramatically
decreased in developed countries shortly before the explosive rise in the
prevalence of these diseases. The capacity of helminths to activate
immune-regulatory circuits in their hosts and to modulate the composition of
intestinal flora appears to be the mechanisms of protective action. Animal models
of disease show that various helminth species prevent and/or block inflammation
in various organs in a diverse range of diseases. Clinical trials have
demonstrated that medicinal exposure to Trichuris suis or small numbers of
Necator americanus is safe with minor, if any, reported adverse effects. This
includes exposure of inflamed intestine to T. suis, asthmathic lung to
N. americanus and in patients with atopy. Efficacy has been suggested in some
small studies, but is absent in others. Factors that may have led to inconclusive
results in some trials are discussed. To date, there have been no registered
clinical trials using helminths to treat metabolic syndrome or its component
conditions. However, the excellent safety profile of T. suis or N. americanus
suggests that such studies should be possible.