“…Helminth parasites are well known for their capacity to modulate the parasite-directed host immune response (1,2); with long-standing infection these parasites modulate the host response to bystander antigens/pathogens (3)(4)(5), to allergic diseases (6,7), and to both orally and parenterally administered vaccines (8,9). More controversially and largely on the basis of murine models, helminths have been implicated in ameliorating the severity of inflammatory bowel disease (10,11), diabetes (12,13), and arthritis (14), findings that have driven the concept of using these parasites or their excreted/secreted products, including their extracellular vesicles (15), for the treatment of inflammatory diseases (16,17).…”