2005
DOI: 10.1016/j.pt.2005.01.003
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Schistosomes: the road from host–parasite interactions to vaccines in clinical trials

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Cited by 131 publications
(111 citation statements)
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“…There are two main reasons for this: the availability of an effective and cheap drug, praziquantel, has contributed to the wrong perception that chemotherapy would represent the final solution for the control of schistosomiasis, and the disability adjusted life years as a measure of the impact of disease has been under evaluated because of rebound morbidity following chemotherapeutic intervention (Capron et al, 2005). Prevalence is thought to be rising mainly due to increasing travelers from the USA and Europe to these endemic regions for business or leisure.…”
Section: Introductionmentioning
confidence: 99%
“…There are two main reasons for this: the availability of an effective and cheap drug, praziquantel, has contributed to the wrong perception that chemotherapy would represent the final solution for the control of schistosomiasis, and the disability adjusted life years as a measure of the impact of disease has been under evaluated because of rebound morbidity following chemotherapeutic intervention (Capron et al, 2005). Prevalence is thought to be rising mainly due to increasing travelers from the USA and Europe to these endemic regions for business or leisure.…”
Section: Introductionmentioning
confidence: 99%
“…In addition, all these antigens, with the exception of Sm23, are not expected to display an extracellular location and are instead cytosolic or cytoskeletal components, which raises doubts about the mechanisms of how they trigger the immune effector system [21]. Currently, Phase I and II clinical trials in humans are underway using S. hematobium glutathione-S-transferase; on the basis of previous results it is hoped that vaccination with this antigen should help to limit pathology and improve the efficiency of Praziquantel [22].…”
Section: Introductionmentioning
confidence: 99%
“…In future studies it would be instructive to clarify the immuno-modulatory mechanisms responsible for its vaccine action along the lines reported by Capron and coworkers with recombinant 28 kDa glutathione-S-transferase of Schistosoma haematobium (rShGST28), which represents the first schistosome vaccine tested in humans. Capron et al (2005) noted that, in initial trials, rShGST28 produced in yeast and delivered in alum is safe and that it can engender significant antischistosomal effects. Given that S. japonicum infection is a true zoonosis, unlike the other species of schistosomes of public health consequence, it has been suggested that if a transmission blocking veterinary vaccine developed for bovines can be put into practice in combination with other control strategies such as human chemotherapy, elimination of S. japonicum from China may be achievable (McManus 2005).…”
Section: Discussionmentioning
confidence: 99%