Reductions in microfilaridermia by repeated ivermectin treatment are associated with lower Plasmodium-specific Th17 immune responses in Onchocerca volvulus-infected individuals
Identifieur interne : 001909 ( Main/Exploration ); précédent : 001908; suivant : 001910Reductions in microfilaridermia by repeated ivermectin treatment are associated with lower Plasmodium-specific Th17 immune responses in Onchocerca volvulus-infected individuals
Auteurs : Kathrin Arndts [Allemagne] ; Ute Klarmann-Schulz [Allemagne] ; Linda Batsa [Ghana] ; Alexander Y. Debrah [Ghana] ; Christian Epp [Allemagne] ; Rolf Fimmers [Allemagne] ; Sabine Specht [Allemagne] ; Laura E. Layland [Allemagne] ; Achim Hoerauf [Allemagne]Source :
- Parasites & Vectors [ 1756-3305 ] ; 2015.
Abstract
37 million individuals are currently infected with
Isolated PBMCs from
IL-5, IL-13 and IFN-γ responses to MSP-1 were not altered between NEN and
Consequently, areas with a lowered infection pressure due to IVM MDA appear to influence bystander responses to
The online version of this article (doi:10.1186/s13071-015-0786-5) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s13071-015-0786-5
PubMed: 25889652
PubMed Central: 4391604
Affiliations:
- Allemagne, Ghana
- Bade-Wurtemberg, District de Cologne, District de Karlsruhe, Rhénanie-du-Nord-Westphalie
- Bonn, Heidelberg
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Le document en format XML
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Layland</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105 Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author><author><name sortKey="Hoerauf, Achim" sort="Hoerauf, Achim" uniqKey="Hoerauf A" first="Achim" last="Hoerauf">Achim Hoerauf</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105 Germany</nlm:aff><country 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Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105 Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author><author><name sortKey="Klarmann Schulz, Ute" sort="Klarmann Schulz, Ute" uniqKey="Klarmann Schulz U" first="Ute" last="Klarmann-Schulz">Ute Klarmann-Schulz</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105 Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Institute of Medical Biometry, Informatics and Epidemiology (IMBIE), University Hospital Bonn, Bonn, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Biometry, Informatics and Epidemiology (IMBIE), University Hospital Bonn, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author><author><name sortKey="Batsa, Linda" sort="Batsa, Linda" uniqKey="Batsa L" first="Linda" last="Batsa">Linda Batsa</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Kumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Debrah, Alexander Y" sort="Debrah, Alexander Y" uniqKey="Debrah A" first="Alexander Y" last="Debrah">Alexander Y. Debrah</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Kumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Faculty of Allied Health Sciences of the Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Faculty of Allied Health Sciences of the Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Epp, Christian" sort="Epp, Christian" uniqKey="Epp C" first="Christian" last="Epp">Christian Epp</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Centre for Infectious Diseases - Parasitology, University Hospital Heidelberg, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Centre for Infectious Diseases - Parasitology, University Hospital Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Fimmers, Rolf" sort="Fimmers, Rolf" uniqKey="Fimmers R" first="Rolf" last="Fimmers">Rolf Fimmers</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Institute of Medical Biometry, Informatics and Epidemiology (IMBIE), University Hospital Bonn, Bonn, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Biometry, Informatics and Epidemiology (IMBIE), University Hospital Bonn, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author><author><name sortKey="Specht, Sabine" sort="Specht, Sabine" uniqKey="Specht S" first="Sabine" last="Specht">Sabine Specht</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105 Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author><author><name sortKey="Layland, Laura E" sort="Layland, Laura E" uniqKey="Layland L" first="Laura E" last="Layland">Laura E. Layland</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105 Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author><author><name sortKey="Hoerauf, Achim" sort="Hoerauf, Achim" uniqKey="Hoerauf A" first="Achim" last="Hoerauf">Achim Hoerauf</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105 Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author></analytic><series><title level="j">Parasites & Vectors</title><idno type="eISSN">1756-3305</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>37 million individuals are currently infected with <italic>Onchocerca volvulus</italic> (<italic>O. volvulus</italic>), a parasitic nematode that elicits various dermal manifestations and eye damage in man. Disease control is primarily based on distributing ivermectin in mass drug administration (MDA) programmes which aim at breaking transmission by eliminating microfilariae (MF), the worm's offspring. The majority of infected individuals present generalized onchocerciasis, which is characterized by hyporesponsive immune responses and high parasite burden including MF. Recently, in areas that have been part of MDA programmes, individuals have been identified that present nodules but are amicrofilaridermic (a-MF) and our previous study showed that this group has a distinct immune profile. Expanding on those findings we determined the immune responses of <italic>O. volvulus</italic>-infected individuals to a <italic>Plasmodium-</italic>derived antigen MSP-1 (merozoite surface protein-1), which is required by the parasite to enter erythrocytes.</p></sec><sec><title>Methods</title><p>Isolated PBMCs from <italic>O. volvulus</italic>-infected individuals (164 MF<sup>+</sup> and 46 a-MF) and non-infected volunteers from the same region (NEN), were stimulated with MSP-1 and the resulting supernatant screened for the presence of IL-5, IL-13, IFN-γ, TNF-α, IL-6, IL-17A and IL-10. These findings were then further analyzed following regression analysis using the covariates MF, ivermectin (IVM) and region. The latter referred to the Central or Ashanti regions of Ghana, which, at the time sampling, had received 8 or 1 round of MDA respectively.</p></sec><sec><title>Results</title><p>IL-5, IL-13 and IFN-γ responses to MSP-1 were not altered between NEN and <italic>O. volvulus</italic>-infected individuals nor were any associations revealed in the regression analysis. IL-10, IL-6 and TNF-α MSP-1 responses were, however, significantly elevated in cultures from infected individuals. Interestingly, when compared to a-MF individuals, MSP-induced IL-17A responses were significantly higher in MF<sup>+</sup> patients. Following multivariable regression analysis these IL-10, IL-6, TNF-α and IL-17A responses were all dominantly associated with the regional covariate.</p></sec><sec><title>Conclusions</title><p>Consequently, areas with a lowered infection pressure due to IVM MDA appear to influence bystander responses to <italic>Plasmodium</italic>-derived antigens in community members even if they have not regularly participated in the therapy.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s13071-015-0786-5) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Taylor, Mj" uniqKey="Taylor M">MJ Taylor</name></author><author><name sortKey="Hoerauf, A" uniqKey="Hoerauf A">A Hoerauf</name></author><author><name sortKey="Bockarie, M" uniqKey="Bockarie M">M Bockarie</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hoerauf, A" uniqKey="Hoerauf A">A Hoerauf</name></author><author><name sortKey="Pfarr, K" uniqKey="Pfarr K">K Pfarr</name></author><author><name sortKey="Mand, S" uniqKey="Mand S">S Mand</name></author><author><name sortKey="Debrah, Ay" uniqKey="Debrah A">AY Debrah</name></author><author><name sortKey="Specht, S" uniqKey="Specht S">S Specht</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Diawara, L" uniqKey="Diawara L">L Diawara</name></author><author><name sortKey="Traore, Mo" uniqKey="Traore M">MO Traore</name></author><author><name sortKey="Badji, A" uniqKey="Badji A">A Badji</name></author><author><name sortKey="Bissan, Y" uniqKey="Bissan Y">Y Bissan</name></author><author><name sortKey="Doumbia, K" uniqKey="Doumbia K">K Doumbia</name></author><author><name sortKey="Goita, Sf" uniqKey="Goita S">SF 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Walker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Clark, Ia" uniqKey="Clark I">IA Clark</name></author><author><name sortKey="Alleva, Lm" uniqKey="Alleva L">LM Alleva</name></author><author><name sortKey="Budd, Ac" uniqKey="Budd A">AC Budd</name></author><author><name sortKey="Cowden, Wb" uniqKey="Cowden W">WB Cowden</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Ghana</li></country><region><li>Bade-Wurtemberg</li><li>District de Cologne</li><li>District de Karlsruhe</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Bonn</li><li>Heidelberg</li></settlement></list><tree><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Arndts, Kathrin" sort="Arndts, Kathrin" uniqKey="Arndts K" first="Kathrin" last="Arndts">Kathrin Arndts</name></region><name sortKey="Epp, Christian" sort="Epp, Christian" uniqKey="Epp C" first="Christian" last="Epp">Christian Epp</name><name sortKey="Fimmers, Rolf" sort="Fimmers, Rolf" uniqKey="Fimmers R" first="Rolf" last="Fimmers">Rolf Fimmers</name><name sortKey="Hoerauf, Achim" sort="Hoerauf, Achim" uniqKey="Hoerauf A" first="Achim" last="Hoerauf">Achim Hoerauf</name><name sortKey="Klarmann Schulz, Ute" sort="Klarmann Schulz, Ute" uniqKey="Klarmann Schulz U" first="Ute" last="Klarmann-Schulz">Ute Klarmann-Schulz</name><name sortKey="Klarmann Schulz, Ute" sort="Klarmann Schulz, Ute" uniqKey="Klarmann Schulz U" first="Ute" last="Klarmann-Schulz">Ute Klarmann-Schulz</name><name sortKey="Layland, Laura E" sort="Layland, Laura E" uniqKey="Layland L" first="Laura E" last="Layland">Laura E. Layland</name><name sortKey="Specht, Sabine" sort="Specht, Sabine" uniqKey="Specht S" first="Sabine" last="Specht">Sabine Specht</name></country><country name="Ghana"><noRegion><name sortKey="Batsa, Linda" sort="Batsa, Linda" uniqKey="Batsa L" first="Linda" last="Batsa">Linda Batsa</name></noRegion><name sortKey="Debrah, Alexander Y" sort="Debrah, Alexander Y" uniqKey="Debrah A" first="Alexander Y" last="Debrah">Alexander Y. Debrah</name><name sortKey="Debrah, Alexander Y" sort="Debrah, Alexander Y" uniqKey="Debrah A" first="Alexander Y" last="Debrah">Alexander Y. Debrah</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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