Hrckova Gabriela, Velebný Samuel, Kogan Grigorij
Parasitological Institute of the Slovak Academy of Sciences, Hlinkova 3, 04001 Kosice, Slovak Republic.
Parasitol Res. 2007 May;100(6):1351-9. doi: 10.1007/s00436-006-0434-2. Epub 2007 Jan 25.
The therapeutic effect of praziquantel (PZQ) involves synergy with the humoral immune response during helminth infections, which is modulated by parasitic antigens. During experimental murine infections with the larval stage of cestoda Mesocestoides vogae (syn. M. corti), dynamic changes in the IgG and IgM antibody serum levels to both soluble somatic and secretory larval antigens were investigated after administration of PZQ alone and after its co-administration with the immunomodulator (l-->3)-beta-D-glucan entrapped in liposomes (lip.glucan). During the 2 weeks of follow-up after termination of therapy, specific IgG and IgM serum levels to the somatic antigens (enzyme-linked immunosorbent assay test) significantly decreased, whereas concentrations of the antibodies to the secretory antigens moderately increased, both in comparison with the control. Moreover, the number of immunogenic larval antigens (analysed by Western blot) was higher after combined therapy in comparison with single drug administration, which correlated with the intensity of reduction of the larval counts in the liver and peritoneal cavity of mice. Our data showed that administration of PZQ alone and in combination with lip.glucan resulted in marked changes in the dynamics of IgG and IgM antibodies to the somatic larval antigens, which were probably induced by the newly exposed antigens. In this respect, glucan can enhance chemotherapeutic activity of PZQ against larval cestodes by means of stimulation of the macrophage/monocyte effector functions, which seemed to contribute to the more intense larval damage.
吡喹酮(PZQ)的治疗作用涉及在蠕虫感染期间与体液免疫反应协同作用,而这种反应受寄生虫抗原调节。在用绦虫中殖孔绦虫(同物异名:短膜壳绦虫)幼虫期进行实验性小鼠感染期间,分别研究了单独给予PZQ以及将其与包裹在脂质体中的免疫调节剂(1→3)-β-D-葡聚糖(脂质体葡聚糖)联合给药后,针对可溶性虫体和分泌性幼虫抗原的IgG和IgM抗体血清水平的动态变化。在治疗结束后的2周随访期内,与对照组相比,针对虫体抗原的特异性IgG和IgM血清水平(酶联免疫吸附测定试验)显著降低,而针对分泌性抗原的抗体浓度适度升高。此外,联合治疗后免疫原性幼虫抗原的数量(通过蛋白质印迹分析)高于单一药物给药,这与小鼠肝脏和腹腔内幼虫数量减少的强度相关。我们的数据表明,单独给予PZQ以及与脂质体葡聚糖联合给药导致针对幼虫虫体抗原的IgG和IgM抗体动态发生显著变化,这可能是由新暴露的抗原诱导的。在这方面葡聚糖可通过刺激巨噬细胞/单核细胞效应功能来增强PZQ对幼虫绦虫的化疗活性,这似乎有助于更强烈地损伤幼虫。