Division of Immunobiology, Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Semin Immunopathol. 2012 Nov;34(6):863-71. doi: 10.1007/s00281-012-0354-4. Epub 2012 Nov 9.
Schistosomiasis is caused by infection with parasitic flatworms of the genus Schistosoma. It is characterized by the development of strong CD4(+) T cell and B cell responses that, during primary infection, fail to eliminate the parasites, but in collaboration with cells of the innate immune system allow survival in the face of ongoing tissue damage caused by the lodging of parasite eggs in the liver and the passage of eggs across the intestinal epithelium. Mounting a tightly controlled Th2 response is key to this outcome, and while this type of response is a risk factor for the development of fibrosis, it also underpins the development of resistance to further infection; as such, understanding how Th2 responses are induced and regulated in schistosomiasis remains a critical area of research.
血吸虫病是由寄生扁形动物血吸虫属的感染引起的。其特征是产生强烈的 CD4(+) T 细胞和 B 细胞应答,但在初次感染时,这些应答无法消除寄生虫,而是与先天免疫系统的细胞协同作用,使寄生虫在肝脏中产卵和卵穿过肠上皮导致持续的组织损伤的情况下得以存活。产生严格控制的 Th2 反应是这种结果的关键,虽然这种类型的反应是纤维化发展的危险因素,但它也为进一步感染的抵抗力的发展奠定了基础;因此,了解 Th2 反应在血吸虫病中的诱导和调节仍然是一个关键的研究领域。