The cellular and humoral immune response to Schistosoma mansoni infections in inbred rats. V. Prerequisite mechanisms for the development of optimal protective immunity.

The mechanisms whereby natural infection or artificial immunization lead to the development of optimal protective immunity against reinfection by homologous Schistosoma mansoni were investigated. Animals, exposed to normal or irradiated cercariae, demonstrated strong resistance to reinfection by S. mansoni. They also developed a population of T lymphocytes, which could adoptively transfer resistance in vivo and specifically interact with immunogen in vitro. Subsequently these animals produced antibody capable of adoptively transferring resistance and possessing a variety of antischistosomal activities. Animals exposed to soluble cercarial immunogen demonstrated moderate resistance upon reexposure. They failed to produce a significant population of sensitized T lymphocytes. Moreover, although these animals produced unimpaired levels of cytotoxic, complement-fixing, and hemagglutinating antibody, their sera did not adoptively transfer resistance. Adult worm and egg immunogens were even less effective than cercarial immunogen in stimulating resistance. In addition, these membrane-derived immunogens directly stimulated B-lymphocyte blastogenesis in vitro. These studies suggest that the optimal production of protective immunity requires the stimulation of T-dependent mechanisms by stage-specific immunogens. This stimulation is produced more effectively by the use of natural infection or irradiated cercariae than by the use of soluble schistosome immunogens which may be working through relatively T-independent mechanisms.