Acquired immunity and epidemiology of Schistosoma haematobium

Human immune responses to schistosome infection have been characterized in detail. But there has been controversy over the relative importance of ecological factors (variation in exposure to infection) and immunological factors (acquired immunity) in determining the relationships between levels of i...

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Veröffentlicht in:Nature (London) 1991-06, Vol.351 (6329), p.757-759
Hauptverfasser: Woolhouse, M. E. J, Taylor, P, Matanhire, D, Chandiwana, S. K
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Chandiwana, S. K
description Human immune responses to schistosome infection have been characterized in detail. But there has been controversy over the relative importance of ecological factors (variation in exposure to infection) and immunological factors (acquired immunity) in determining the relationships between levels of infection and age typically found in areas where infection is endemic. Independent effects of exposure and age on the rates of reinfection with Schistosoma haematobium after chemotherapy have been demonstrated in the Gambia and Zimbabwe. This age effect could be the result of acquired immunity to infection. Indeed, allowing for variation in exposure and age, low rates of reinfection in the Gambia are correlated with high amounts of specific IgE antibodies--human IgE can kill S. mansoni schistosomulae in vitro. Further, animals can acquire immunologically mediated resistance to S. mansoni infection, although nonimmunological factors could also be involved. Acquisition of this immunity seems to be related to the cumulative effects of repeated infection and provides only partial protection. These characteristics are consistent with immuno-epidemiological data for both S. mansoni and S. haematobium infections of humans. We have now analysed age-prevalence data for human infection with S. haematobium, and find patterns of variation that are indeed consistent with the epidemiological effects of acquired immunity predicted by mathematical models.
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subjects Adolescent
Aging
Animals
Antigens, Helminth - immunology
Biological and medical sciences
Child
Diseases caused by trematodes
Epidemiology
Helminthic diseases
Humans
Immunity (Disease)
Infections
Infectious diseases
Mathematical models
Mathematics
Medical sciences
Models, Biological
Parasites
Parasitic diseases
Schistosoma haematobium - immunology
Schistosomiases
Schistosomiasis haematobia - epidemiology
Schistosomiasis haematobia - immunology
title Acquired immunity and epidemiology of Schistosoma haematobium
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