Table 3.
Helminth regulation of rheumatoid arthritis.
| Helminth involved | Autoimmune model | Incidence | Clinical score¶ | Histopathology | Humoral immunity | Cytokines | Leukocytes | Ref. |
|---|---|---|---|---|---|---|---|---|
| T. crassiceps | CFA monoarthritis | 100% | 2/4 | Similar damage in the infected group | High IgG1 and IgG2a | Low IFN-γ and IL-4 | AAMs | [65] |
| S. j ap on ic um* | DBA.1 mice | 60% | ≈3/9 | Ameliorated sinovial hyperplasia, mononuclear cell infiltration, and angiogenesis | Low IgG2a; high IgG1 | High IL-4/10; low IL-1β/6 TNF-α, IFN-γ | Th2 cells, Tregs | [66] |
| S. oblevata | CFA monoarthritis | 21% | 1.45/4 | N.S. | N.S. | N.S. | N.S. | [67] |
| S. mansoni | DBA.1 mice | 0% | 0/6 | N.S. | Low IgG1 and IgG2a | High IL-4/10; low IFN-γ | Tregs | [68] |
| S. j ap on ic um** | DBA.1 | N.S. | ≈1/9 | No synovial hyperplasia, inflammatory infiltrate, or bon/cartilage destruction | Low IgG2a | High IL-4/10 RANKL; low IL-17-α, IFN-γ, TNF-α | No Tregs | [69] |
| H. diminuta | CFA monoarthritis | N.S. | N.S. | Any knee swelling | N.S. | High IL-4/10; low TNF-α, IL-12p40 | AAMs, Th2 and B2 cells, less granulocyte infiltration | [70] |
CFA: complete Freund's adjuvant; *two-week preinfected mice; **seven-week preinfected mice; N.S.: not specified. ¶see original references, as disease severity is differentially evaluated between models.