“…These observations have been associated with identification of several cross-reacting antibodies and T cells to support the autoimmune hypothesis (15,24). However, more sensitive parasite detection techniques have confirmed that parasites persist in tissues and correlated this persistence with tissue damage (31,32). Furthermore, it is well accepted that a T helper 1 (Th1) type of immune response is required for clearing the parasite from infected mice (18,28,33,38,42,49), while such a response has also been associated with the intensity of the pathology during the chronic phase in humans (1,16).…”