2015
DOI: 10.1111/pim.12192
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Identifying the immunomodulatory components of helminths

Abstract: Immunomodulatory components of helminths offer great promise as an entirely new class of biologics for the treatment of inflammatory diseases. Here, we discuss the emerging themes in helminth-driven immunomodulation in the context of therapeutic drug discovery. We broadly define the approaches that are currently applied by researchers to identify these helminth molecules, highlighting key areas of potential exploitation that have been mostly neglected thus far, notably small molecules. Finally, we propose that… Show more

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Cited by 55 publications
(43 citation statements)
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References 159 publications
(205 reference statements)
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“…Large proportions of proteases (38% of serine carboxypeptidases, 36% of trypsins, 23% of eukaryotic aspartyl proteases, and 18% of zinc carboxypeptidases) and protease inhibitors (33% of trypsin inhibitor-like cysteine-rich domain and 19% of Kunitz/Bovine pancreatic trypsin inhibitor domain) contained in the genome are found in the venom. 17% of Shk domain-containing proteins that are predicted to be toxins [4, 46] are present in the venom. A gene tree was constructed for Shk domain-containing proteins from S .…”
Section: Resultsmentioning
confidence: 99%
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“…Large proportions of proteases (38% of serine carboxypeptidases, 36% of trypsins, 23% of eukaryotic aspartyl proteases, and 18% of zinc carboxypeptidases) and protease inhibitors (33% of trypsin inhibitor-like cysteine-rich domain and 19% of Kunitz/Bovine pancreatic trypsin inhibitor domain) contained in the genome are found in the venom. 17% of Shk domain-containing proteins that are predicted to be toxins [4, 46] are present in the venom. A gene tree was constructed for Shk domain-containing proteins from S .…”
Section: Resultsmentioning
confidence: 99%
“…The immunomodulatory and pathogenic properties of parasitic nematodes are largely attributed to the excretory/secretory (ES) products they release during infection [3, 4]. ES products are complex mixtures and often include small molecules, proteins, and nucleic acids.…”
Section: Introductionmentioning
confidence: 99%
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“…For example, the human response to helminths is spectral, and only a subset might gain benefit from live infection; each helminth species inhabits a particular anatomic niche that might or might not affect the site of inflammatory disease; the dynamics of any protective effect in terms of parasite dose and duration of infection are unknown; and therapy of an established inflammatory disorder might require a particularly high parasite load or long-term infection. For each of these reasons, a more analytic approach of identifying immunomodulatory mechanisms and molecular mediators from helminths is advocated as the best strategy for developing new therapies inspired by the immunosuppressive capacities of parasites 100, 101, 102. By this means, individual molecular products can be assessed, validated, and developed as defined pharmaceuticals, which can then be delivered in a manner most consistent with the indication in question.…”
Section: Protection From Allergy Autoimmunity and Allograft Rejectionmentioning
confidence: 99%
“…One of these potential mechanisms is likely to rely on the production of immune-modulatory excretory/secretory products (ES) by hookworms, which include homologues of mammalian C-type lectins, galectins and cytokines91011; however, it is likely that other biological and environmental factors are involved in these processes. In particular, given the primary role played by gastrointestinal dysbiosis in the pathogenesis of CeD12, it has been proposed that one of the mechanisms by which hookworms can support intestinal immune homeostasis in inflammatory disorders (such as CeD), is via the alteration of the composition of the gut microbiota and relative abundance of individual microbial species81314151617.…”
mentioning
confidence: 99%