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Toxocara canis: interaction of human blood eosinophils with the infective larvae
Authors:D I Fattah  R M Maizels  D J McLaren  C J Spry
Institution:1. Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA;2. National Surgical Quality Improvement Program, American College of Surgeons, Chicago, IL, USA;3. Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA;4. Department of Surgery, Washington University School of Medicine at St. Louis, St. Louis, MO, USA;5. Department of Surgery, Temple University Health System, Philadelphia, PA, USA;6. Department of Surgery, The Urban Meyer III and Shelley Meyer Chair for Cancer Research Wexner Medical Center at The Ohio State University, 395 W. 12th Avenue, Suite 670, 43210, Columbus, OH, USA;1. Department of General Surgery, The Fifth People''s Hospital of Changshu, Changshu, Jiangsu, China;2. Department of Gastroenterology, Changzheng Hospital, Second Military Medical University, Shanghai, China;3. Department of Gastroenterology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China
Abstract:This study was carried out to investigate the nature of the immunological responses which took place in a child who had recently recovered from toxocariasis. She had developed a marked eosinophilia and had high titers of toxocara antibodies. Experiments were performed to examine whether Toxocara canis infective larvae could be killed in the presence of her serum and human eosinophils. Eosinophils with human complement, or this patient's serum, adhered to the surface of the larvae within 10 min. By 40 min, using both light and electron microscopy, it was shown that the cells had flattened against the cuticle and degranulated. However, by 3 hr, eosinophils had begun to detach, and the larvae remained alive for at least 1 week afterward. Further addition of serum or of eosinophils, which were shown to be able to immobilize T. spiralis infective larvae, failed to kill the T. canis larvae. It was concluded that, in this patient, the development of an inflammatory response to a T. canis infection was not associated with the appearance of antibodies capable of inducing eosinophil dependent toxicity to the larvae in vitro. Eosinophil dependent killing mechanisms may be less important than other components of the immune response, in immunity to this parasite in humans.
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