Evidence map›Paper›PMID 21909439›Full record

ArticlePLoS neglected tropical diseases2011

Necator americanus and helminth co-infections: further down-modulation of hookworm-specific type 1 immune responses.

Stefan Michael Geiger, Neal Douglas Edward Alexander, Ricardo Toshio Fujiwara, Simon Brooker, Bonnie Cundill, David Joseph Diemert, Rodrigo Correa-Oliveira, Jeffrey Michael Bethony

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
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  6. Health science reports · 2022
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  8. Profiles of CD4Medical microbiology and immunology · 2022
    Article
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  11. Complex interactions in soil-transmitted helminth co-infections from a cross-sectional study in Sri Lanka.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2018
    Article
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Stefan Michael GeigerCentro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil. stefan@cpqrr.fiocruz.br
Neal Douglas Edward Alexander
Ricardo Toshio Fujiwara
Simon Brooker
Bonnie Cundill
David Joseph Diemert
Rodrigo Correa-Oliveira
Jeffrey Michael Bethony
London School of Hygiene & Tropical Medicine · GBFundação Oswaldo Cruz · BRGeorge Washington University · USUniversidade Federal de Minas Gerais · BR

Funding

Medical Research Council G0700837Wellcome TrustWellcome Trust 081673
6 · The paper itself

Abstract

backgroundHelminth co-infection in humans is common in tropical regions of the world where transmission of soil-transmitted helminths such as Ascaris lumbricoides, Trichuris trichiura, and the hookworms Necator americanus and Ancylostoma duodenale as well as other helminths such as Schistosoma mansoni often occur simultaneously. METHODOLOGY: We investigated whether co-infection with another helminth(s) altered the human immune response to crude antigen extracts from either different stages of N. americanus infection (infective third stage or adult) or different crude antigen extract preparations (adult somatic and adult excretory/secretory). Using these antigens, we compared the cellular and humoral immune responses of individuals mono-infected with hookworm (N. americanus) and individuals co-infected with hookworm and other helminth infections, namely co-infection with either A. lumbricoides, Schistosoma mansoni, or both. Immunological variables were compared between hookworm infection group (mono- versus co-infected) by bootstrap, and principal component analysis (PCA) was used as a data reduction method.

conclusionsContrary to several animal studies of helminth co-infection, we found that co-infected individuals had a further downmodulated Th1 cytokine response (e.g., reduced INF-γ), accompanied by a significant increase in the hookworm-specific humoral immune response (e.g. higher levels of IgE or IgG4 to crude antigen extracts) compared with mono- infected individuals. Neither of these changes was associated with a reduction of hookworm infection intensity in helminth co-infected individuals. From the standpoint of hookworm vaccine development, these results are relevant; i.e., the specific immune response to hookworm vaccine antigens might be altered by infection with another helminth.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsAntibodies, HelminthAntigens, HelminthAscariasisAscaris lumbricoidesChildCoinfectionFemaleHumansImmunoglobulin EImmunoglobulin GInterferon-gammaAntibodies, HelminthAntigens, HelminthImmunoglobulin EImmunoglobulin GInterferon-gamma

Identifiers

PMID21909439
PMCPMC3167770
OpenAlexW1997227652

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.