Pinelli E, Withagen C, Fonville M, Verlaan A, Dormans J, van Loveren H, Nicoll G, Maizels R M, van der Giessen J
Diagnostic Laboratory for Infectious Diseases and Perinatal Screening, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Clin Exp Allergy. 2005 Jun;35(6):826-32. doi: 10.1111/j.1365-2222.2005.02250.x.
Infection with Toxocara canis, the roundworm of dogs, has been associated with asthmatic manifestations. Clinical symptoms such as wheezing, coughing and episodic airflow obstruction have been described for patients infected with this helminth.
In order to characterize the effect of T. canis infection on the lungs, we monitored immune responses, pulmonary pathology and lung function over a period of 60 days in BALB/c mice.
Infection was performed by a single oral administration of 1000 T. canis embryonated eggs. Airway responsiveness was measured in conscious, unrestrained mice at 7, 14, 30 and 60 days post-infection (p.i.).
Infection of mice resulted in airway hyper-responsiveness (AHR) that persisted up to 30 days p.i. Pulmonary inflammation as well as increased levels of IgE and eosinophils in bronchoalveolar lavage (BAL) persisted up to 60 days p.i. Cytokine analysis in BAL indicated increased levels of IL-5 at day 7 and 14 p.i., whereas the levels of IL-2, IFN-gamma, IL-4 and IL-10 did not differ from those of uninfected controls. Toxocara-specific stimulation of spleen cells using recombinant TES-70 protein resulted in the induction of IL-5 at day 7 and 14 p.i. and IL-10 at day 14 p.i. Production of all other cytokines did not differ from that of uninfected controls. Evaluation of larval burden revealed that T. canis was still present in the lungs of infected mice at 60 days p.i.
The presence of Toxocara larva in the lungs at 60 days p.i. following a single infection could explain the persistent pulmonary inflammation, airway hyper-reactivity, eosinophilia and increased IgE production observed in T. canis-infected BALB/c mice.
犬弓首蛔虫感染与哮喘表现相关。已描述了感染这种蠕虫的患者出现喘息、咳嗽和发作性气流阻塞等临床症状。
为了明确犬弓首蛔虫感染对肺部的影响,我们在60天内监测了BALB/c小鼠的免疫反应、肺部病理学和肺功能。
通过单次口服1000枚犬弓首蛔虫感染性虫卵进行感染。在感染后(p.i.)7、14、30和60天,对清醒、不受束缚的小鼠测量气道反应性。
小鼠感染导致气道高反应性(AHR)持续至感染后30天。肺部炎症以及支气管肺泡灌洗(BAL)中IgE和嗜酸性粒细胞水平升高持续至感染后60天。BAL中的细胞因子分析表明,感染后第7天和14天IL-5水平升高,而IL-2、IFN-γ、IL-4和IL-10水平与未感染对照组无差异。使用重组TES-70蛋白对脾细胞进行犬弓首蛔虫特异性刺激,在感染后第7天和14天诱导产生IL-5,在感染后第14天诱导产生IL-10。所有其他细胞因子的产生与未感染对照组无差异。幼虫负荷评估显示,感染后60天犬弓首蛔虫仍存在于感染小鼠的肺部。
单次感染后60天肺部存在犬弓首蛔虫幼虫,可以解释在感染犬弓首蛔虫的BALB/c小鼠中观察到的持续肺部炎症恶化、气道高反应性、嗜酸性粒细胞增多和IgE产生增加。