PMID- 19072134 OWN - NLM STAT- MEDLINE DCOM- 20090306 LR - 20211028 IS - 0022-1899 (Print) IS - 1537-6613 (Electronic) IS - 0022-1899 (Linking) VI - 199 IP - 2 DP - 2009 Jan 15 TI - Circulating CD23+ B cell subset correlates with the development of resistance to Schistosoma mansoni reinfection in occupationally exposed adults who have undergone multiple treatments. PG - 272-9 LID - 10.1086/595792 [doi] AB - BACKGROUND: Elevated immunoglobulin E (IgE) levels are often associated with resistance to reinfection in human schistosomiasis. However, Although B cells are the source of schistosome-specific IgE, little is known about B cell subsets or their functions in this infection. We evaluated B cells and their expression of the low-affinity IgE receptor (CD23) in a unique cohort of men occupationally exposed to Schistosoma mansoni and longitudinally followed up through multiple treatments with praziquantel, cures, and reinfections. METHODS: Resistance levels were calculated on the basis of documented water exposure and reinfection data over many years. The CD23(+) B cell subset was evaluated in whole blood by flow cytometry. Serum antibody isotype and soluble CD23 (sCD23) concentrations were measured by enzyme-linked immunosorbent assay. RESULTS: Expression of membrane CD23 (mCD23) on B cells correlated with the development of resistance against S. mansoni. Higher levels of plasma sCD23, the cleaved form of mCD23, also correlated with resistance and other markers of resistance to reinfection, such as eosinophilia. CONCLUSIONS: CD23 may be involved in the development of resistance to schistosome infection through its role in IgE regulation. Understanding these complex host-parasite interactions may lead to insights into the development, mechanisms, and regulation of resistance to reinfection with S. mansoni. FAU - Mwinzi, Pauline N M AU - Mwinzi PN AD - Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya. FAU - Ganley-Leal, Lisa AU - Ganley-Leal L FAU - Black, Carla L AU - Black CL FAU - Secor, W Evan AU - Secor WE FAU - Karanja, Diana M S AU - Karanja DM FAU - Colley, Daniel G AU - Colley DG LA - eng GR - R01 AI053695/AI/NIAID NIH HHS/United States GR - R21 AI074843-01A2/AI/NIAID NIH HHS/United States GR - T32 AI060546/AI/NIAID NIH HHS/United States GR - D43 TW007123/TW/FIC NIH HHS/United States GR - R21 AI074843/AI/NIAID NIH HHS/United States GR - AI 053692/AI/NIAID NIH HHS/United States GR - 083607/WT_/Wellcome Trust/United Kingdom GR - D43 T007123W/PHS HHS/United States GR - WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Anthelmintics) RN - 0 (Receptors, IgE) RN - 6490C9U457 (Praziquantel) SB - IM MH - Animals MH - Anthelmintics/administration & dosage/therapeutic use MH - B-Lymphocyte Subsets/*immunology/metabolism MH - Eosinophilia MH - Humans MH - Male MH - *Occupational Exposure MH - Praziquantel/administration & dosage/therapeutic use MH - Receptors, IgE/*metabolism MH - Recurrence MH - Schistosoma mansoni/*drug effects/pathogenicity MH - Schistosomiasis mansoni/*drug therapy/*immunology/parasitology PMC - PMC2636678 MID - NIHMS89681 EDAT- 2008/12/17 09:00 MHDA- 2009/03/07 09:00 PMCR- 2010/01/15 CRDT- 2008/12/17 09:00 PHST- 2008/12/17 09:00 [entrez] PHST- 2008/12/17 09:00 [pubmed] PHST- 2009/03/07 09:00 [medline] PHST- 2010/01/15 00:00 [pmc-release] AID - 10.1086/595792 [doi] PST - ppublish SO - J Infect Dis. 2009 Jan 15;199(2):272-9. doi: 10.1086/595792.