This study investigated the hypothesis that dietary deficiency of readily available carbohydrate (raCHO) modifies the immune response of lambs to the gastrointestinal nematode Trichostrongylus colubriformis. Sixty helminthologically naive Merino lambs were fed throughout the experiment diets containing three levels of raCHO that provided adequate, moderate or low intakes according to recommended standards and were given primary or both primary and secondary infections of T. colubriformis. A further 20 uninfected lambs received the low diet for 9 weeks, after which they were returned to the standard diet. Immune status was assessed by the measurement of plasma and jejunal antibody concentrations and blood and jejunal cell numbers and function. Diets low in carbohydrate resulted in a failure of the lambs to gain weight and decreases in plasma glucose concentration, blood lymphocytes expressing CD8 or Tcrcd, monocytes, eosinophils, platelets and red blood cells, jejunal and plasma antibody concentrations, lymphocyte proliferation to worm antigen and numbers of jejunal CD8 + and Tcrdc + lymphocytes, eosinophils and CD1b + dendritic cells. Thus, a low dietary concentration of raCHOs impaired the constitutive availability of lymphocytes and antigen-presenting cells, and the cellular and humoral immunological responses. A hypothesis is suggested for the mechanism and for the possible wider implications. In addition to determining the precipitating cause, the control and prevention of many diseases requires the understanding of the predisposing factors and the mechanism by which they allow the precipitating causes to act. Host resistance and immunity are pivotal to infectious disease prevention, and many chronic diseases involve immune dysfunction, irrespective of the precipitating cause. 1,2 A major predisposing cause of immune dysfunction is inadequate or unbalanced nutrient intake. There is a very basic expectation that adequate nutritional status is necessary for resistance of animals, including humans, to infectious diseases. 3,4 However, in practice it is largely ignored, possibly because within the umbrella of malnutrition, the specific nutrients and their pathogenesis are inadequately defined. Malnutrition deserves attention for at least two reasons. It occurs with a significant frequency in both livestock and human populations, and in the latter in both low and high socio-economic conditions. 5,6 Also, malnutrition is a factor that, if adequately understood, is practically and economically avoidable.In the case of endoparasitism of sheep, a considerable body of work has investigated the interactions between nutrition and resistance, concentrating largely on proteins. [7][8][9][10] Two studies on the effect of age, liveweight and diet on susceptibility of lambs to the gastrointestinal nematode Trichostrongylus (T.) colubriformis demonstrated that lambs weighing less than 23 kg at the time of first exposure and thus lacking body reserves have an impaired ability to develop protective gut immunity against a second...