Review Article

Helminths: Immunoregulation and Inflammatory Diseases—Which Side Are Trichinella spp. and Toxocara spp. on?

Table 1

Helminth-derived antigens with immunoregulatory properties.

Helminth AntigenImmunoregulatory mechanismReferences

Schistosoma mansoni LNFPIII (lacto-N-fucopentaoseIII)/SEA (soluble egg antigen)Interact with TLR4 to produce Th2 polarizing DCs[60]

Schistosoma mansoni Schistosome lysophosphatidylserineInteract with TLR2 to induce Treg polarizing DCs[61]

Acanthocheilonema viteae ES-62Exert immunomodulatory effects on macrophages and DCs by a TLR4-dependent mechanism with consequent Th2 polarisation [6264]

Nippostrongylus brasiliensis Excretory-secretory antigen (NES)Potently induce Th2 type of response via DC[65]

Brugia malayi adultCystatins (cysteine protease inhibitors) CIP-2Interfere with antigen processing in human cells and inhibits B cells[66, 67]
Cytokine homologue MIF-1/2Alternatively activate macrophages[68]

Brugia malayi microfilariaeSerpins (serine protease inhibitors) SPN-2Block neutrophil protease and promote Th1 type of response[69]

Brugia malayi L3 larvaeALT-1/2 proteinsInhibit macrophage resistance and present good filarial vaccine candidate[70]

Toxocara canis TES32—C type lectin (CTL)Inhibit TLR responses on DC and compete with host lectins for ligands, thereby blocking host immunity[71, 72]

Heligmosomoides polygyrus Excretory-secretory antigen (HES)Induce regulatory T cells through TGF-βR[37]

Teladorsagia circumcincta Excretory-secretory antigenInduce generation of Foxp3+ regulatory T cells through TGF-β mimicking effect[73]

Trichinella spiralis Adult excretory-secretory antigen (AdES); newborn larvae antigen (NBL);
crude muscle larvae antigen (MLCr)
All antigens from different life stages induce polarization towards mixed Th1/Th2 with predominance of Th2 response, via semimatured DC[74]
Excretory secretory muscle larvae antigenInduce mixed Th1/Th2 response with the predominance of Th2 component and elicit regulatory arm of immune response[75]
Excretory secretory muscle larvae antigenInterfere with LPS-induced DC maturation and induce expansion of Foxp3+ regulatory T cells [22]

Fasciola hepatica Thioredoxin peroxidesAlternatively activated macrophages[76]