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Published ahead of print on November 22, 2006, doi:10.1164/rccm.200601-054OC

Am. J. Respir. Crit. Care Med., Volume 175, Number 4, February 2007, 336-344

A more recent version of this article appeared on February 15, 2007
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Submitted on January 13, 2006
Accepted on November 22, 2006

Helminth Derived Products Inhibit the Development of Allergic Responses in Mice

Claudia M Trujillo-Vargas1, Melanie Werner-Klein2, Gisela Wohlleben3, Tobias Polte4, Gesine Hansen4, Stefan Ehlers5, and Klaus J Erb6*

1 Center for Infectious Diseases, University of Wuerzburg, Wuerzburg, Germany; Grupo de Inmunodeficiencias Primarias, Universidad de Antioquia, Medellin, Colombia, 2 Department of Pulmonary Research, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach a.d. Riss, Germany, 3 Center for Infectious Diseases, University of Wuerzburg, Wuerzburg, Germany, 4 Department of Pediatrics, Division of Allergy and Pulmonology, Martin-Luther-University Halle-Wittenberg, Halle, Germany, 5 Molecular Infection Biology, Leibniz Centre for Medicine and Biosciences, Research Center Borstel, Borstel, Germany, 6 Center for Infectious Diseases, University of Wuerzburg, Wuerzburg, Germany; Department of Pulmonary Research, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach a.d. Riss, Germany

* To whom correspondence should be addressed. E-mail: Klaus.Erb{at}bc.boehringer-ingelheim.com.

Rationale: Epidemiological studies suggest that infections with helminths protect from the development of asthma. Supporting this view is our published finding that infection with Nippostrongylus brasiliensis decreased ovalbumin-induced Th2 responses in the lung of mice. Objectives: To evaluate if Nippostrongylus brasiliensis excretory/secretory products also prevent the development of asthma. Methods: Mice were immunized with ovalbumin/alum intraperitoneally in the absence/presence of helminthic products and then challenged intranasally with ovalbumin. Six days later we analyzed if the mice developed Th2 responses in the lung. Main results: The application of the helminthic products together with ovalbumin/alum during the sensitization period totally inhibited the development of eosinophilia and goblet cell metaplasia in the airways and also strongly reduced the development of airway hyperreactivity. Allergen-specific IgG1 and IgE serum levels were also strongly reduced. These findings correlated with decreased levels of IL-4 and IL-5 in the airways in product-treated animals. The suppressive effects on the development of allergic responses were independent of the presence of toll-like receptor -2, -4, IFN-{gamma} and most importantly IL-10. Interestingly, suppression was still observed when the helminthic products were heated or treated with proteinase K. Paradoxically, we found that strong helminth product-specific Th2 responses were induced in parallel with the inhibition of ovalbumin-specific responses. Conclusion: Our results suggests that helminths suppress the development of asthma by secreting substances, which modulate allergic responses without affecting the generation of helminth-specific Th2 immunity. The identification of these products may lead to the design of novel therapeutic intervention strategies for the treatment of asthma.


Key words: Asthma, helminth, Nippostrongylus brasiliensis, products, inhibition




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