Fattah D I, Maizels R M, McLaren D J, Spry C J
Exp Parasitol. 1986 Jun;61(3):421-31. doi: 10.1016/0014-4894(86)90198-0.
This study was carried out to investigate the nature of the immunological responses which took place in a child who had recently recovered from toxocariasis. She had developed a marked eosinophilia and had high titers of toxocara antibodies. Experiments were performed to examine whether Toxocara canis infective larvae could be killed in the presence of her serum and human eosinophils. Eosinophils with human complement, or this patient's serum, adhered to the surface of the larvae within 10 min. By 40 min, using both light and electron microscopy, it was shown that the cells had flattened against the cuticle and degranulated. However, by 3 hr, eosinophils had begun to detach, and the larvae remained alive for at least 1 week afterward. Further addition of serum or of eosinophils, which were shown to be able to immobilize T. spiralis infective larvae, failed to kill the T. canis larvae. It was concluded that, in this patient, the development of an inflammatory response to a T. canis infection was not associated with the appearance of antibodies capable of inducing eosinophil dependent toxicity to the larvae in vitro. Eosinophil dependent killing mechanisms may be less important than other components of the immune response, in immunity to this parasite in humans.
本研究旨在调查一名近期从弓蛔虫病中康复的儿童体内发生的免疫反应的性质。她出现了明显的嗜酸性粒细胞增多,并且弓蛔虫抗体滴度很高。进行了实验以检查犬弓蛔虫感染性幼虫在她的血清和人类嗜酸性粒细胞存在的情况下是否会被杀死。带有人类补体的嗜酸性粒细胞或该患者的血清在10分钟内就黏附到了幼虫表面。到40分钟时,通过光学显微镜和电子显微镜观察显示,细胞已贴附在角质层上并脱颗粒。然而,到3小时时,嗜酸性粒细胞开始脱离,之后幼虫至少存活了1周。进一步添加血清或已证明能够固定旋毛虫感染性幼虫的嗜酸性粒细胞,均未能杀死犬弓蛔虫幼虫。得出的结论是,在该患者中,对犬弓蛔虫感染的炎症反应的发展与体外能够诱导嗜酸性粒细胞对幼虫产生依赖性毒性的抗体的出现无关。在人类对这种寄生虫的免疫中,嗜酸性粒细胞依赖性杀伤机制可能不如免疫反应的其他成分重要。