1992
DOI: 10.1590/s0074-02761992000800013
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Recent advances in immunity to human schistosomiasis

Abstract: For many years the epidemiological significance of immunity in human schistosomiasis has been the subject of inconclusive debate. Recently, the results of studies from Brazil and Kenya, on Schistosoma mansoni and from Zimbabwe and The Gambia on S. haematobium have confirmed the importance of protective immunity. In communities in endemic areas the development of immunity to infection only occurs after many years of exposure. In part this is due to the slow development of antibodies which are protective but als… Show more

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Cited by 10 publications
(5 citation statements)
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“…Human infection with the trematode Schistosoma mansoni is well known to correlate with a progressive increase of serum IgE levels [5] . S. mansoni infection usually peaks in early adolescence and declines in adulthood, a pattern that suggests that individuals in endemic areas can gradually acquire an age-related resistance to reinfection [6] , [7] . Progressive acquisition of anti-schistosome immunity coincides with natural death of worms (averaging 10–15 years of life), an event during which the parasites release and expose previously inaccessible antigens to the immune system [8] .…”
Section: Introductionmentioning
confidence: 99%
“…Human infection with the trematode Schistosoma mansoni is well known to correlate with a progressive increase of serum IgE levels [5] . S. mansoni infection usually peaks in early adolescence and declines in adulthood, a pattern that suggests that individuals in endemic areas can gradually acquire an age-related resistance to reinfection [6] , [7] . Progressive acquisition of anti-schistosome immunity coincides with natural death of worms (averaging 10–15 years of life), an event during which the parasites release and expose previously inaccessible antigens to the immune system [8] .…”
Section: Introductionmentioning
confidence: 99%
“…Immunological studies of subjects from areas of endemicity have demonstrated a naturally occurring resistance to reinfection (4, 19, 22-25, 27, 28). Both high levels of specific immunoglobulin E (IgE) in sera and gamma interferon (IFN-␥) in antigen-stimulated peripheral blood mononuclear cell (PBMC) cultures were associated with resistance to reinfection (1,22,24,25,27,28,56,57). These data suggest the participation of immunological mechanisms in human resistance to Schistosoma mansoni infection, with mixed cellular and humoral responses.…”
mentioning
confidence: 99%
“…4 shows the different response of specific IgE and IgG4 antibodies in a hypersensitive patient after starting a fish‐free diet and clearly demonstrates that IgG4 antibodies sharply dropped after antigen avoidance, while specific IgE remained elevated for at least 6 months and probably longer. This fact has been described in other parasitoses ( 18–24) and could perhaps be used to measure recent contacts with the parasite and in clinical follow‐up of the patients during elimination diets.…”
Section: Resultsmentioning
confidence: 72%