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Citations to this article

Immunoregulation in onchocerciasis. Functional and phenotypic abnormalities of lymphocyte subsets and changes with therapy.
D O Freedman, … , C Gonzalez-Peralta, T B Nutman
D O Freedman, … , C Gonzalez-Peralta, T B Nutman
Published July 1, 1991
Citation Information: J Clin Invest. 1991;88(1):231-238. https://doi.org/10.1172/JCI115282.
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Research Article

Immunoregulation in onchocerciasis. Functional and phenotypic abnormalities of lymphocyte subsets and changes with therapy.

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Abstract

To help define the immunoregulatory defects in patients with onchocerciasis, flow cytometric analysis of circulating lymphocyte subpopulations was performed in parallel with functional assays. No significant differences in CD4/CD8 ratios were seen when microfilariae-positive individuals from Guatemala were compared with Guatemalan controls. However, the infected individuals had significantly increased numbers of circulating CD4+CD45RA+ lymphocytes (mean 38.3%) when compared with controls (mean 16.0%). Coexpression of the activation marker HLA-DR was significantly increased on CD4+ cells from infected individuals. In contrast, no up-regulation of HLA-DR was seen on CD8+ or CD19+ cells. At 1 year after initiation of treatment with semiannual doses of the microfilaricide ivermectin, there were significant increases (P less than 0.05) in the percentage of CD4+CD45RA- cells, the percentage of CD4+HLA-DR+ cells, and mitogen-induced lymphokine production (IL-2, IL-4). Despite these changes, parasite-specific IL-2 and IL-4 production which had been undetectable before treatment did not manifest itself even by the 2-yr follow-up. Defects in the T-cell activation pathway in Onchocerca volvulus-infected individuals may thus exist at several independent points; a state of parasite antigen-specific tolerance appears to remain even after the relative reversal of other generalized immunoregulatory defects.

Authors

D O Freedman, A Lujan-Trangay, C Steel, C Gonzalez-Peralta, T B Nutman

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JS Jaffe, SP James, GE Mullins, L Braun-Elwert, I Lubensky, DD Metcalfe
Journal of Clinical Immunology 1994
Changes in interleukin-2 and interleukin-4 production in asymptomatic, human immunodeficiency virus-seropositive individuals
M Clerici, FT Hakim, DJ Venzon, S Blatt, CW Hendrix, TA Wynn, GM Shearer
Journal of Clinical Investigation 1993
Experimental onchocerciasis in chimpanzees: cellular responses and antigen recognition after immunization and challenge with Onchocerca volvulus infective third-stage larvae
CG Lüder, PT Soboslay, AM Prince, BM Greene, R Lucius, H Schulz-Key
Parasitology 1993
Type 2 cytokines and negative immune regulation in human infections
RL Modlin, TB Nutman
Current Opinion in Immunology 1993
A TH1→TH2 switch is a critical step in the etiology of HIV infection
M Clerici, GM Shearer
Immunology Today 1993
Ivermectin-facilitated immunity in onchocerciasis. Reversal of lymphocytopenia, cellular anergy and deficient cytokine production after single treatment
PT Soboslay, CM Dreweck, WH Hoffmann, CG Lüder, C Heuschkel, H Görgen, M Banla, H Schulz-Key
Clinical & Experimental Immunology 1992
Ivermectin-facilitated immunity in onchocerciasis. Reversal of lymphocytopenia, cellular anergy and deficient cytokine production after single treatment.
Soboslay PT, Dreweck CM, Hoffmann WH, Lüder CG, Heuschkel C, Görgen H, Banla M, Schulz-Key H
Clinical & Experimental Immunology 1992

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