PMID- 28459817 OWN - NLM STAT- MEDLINE DCOM- 20170720 LR - 20190202 IS - 1935-2735 (Electronic) IS - 1935-2727 (Print) IS - 1935-2727 (Linking) VI - 11 IP - 5 DP - 2017 May TI - Modulation of Mycobacterium tuberculosis-specific humoral immune responses is associated with Strongyloides stercoralis co-infection. PG - e0005569 LID - 10.1371/journal.pntd.0005569 [doi] LID - e0005569 AB - BACKGROUND / OBJECTIVES: Helminth infections are known to influence T cell responses in latent tuberculosis (LTBI). Whether helminth infections also modulate B cell responses in helminth-tuberculosis co-infection is not known. METHODS: We assessed Mycobacterium tuberculosis (Mtb)-antigen specific IgM and IgG levels, circulating levels of the B cell growth factors, BAFF and APRIL and the absolute numbers of the various B cell subsets in individuals with LTBI, LTBI with coincident Strongyloides stercoralis (Ss) infection (LTBI/Ss) and in those with Ss infection alone (Ss). We also measured the above-mentioned parameters in the LTBI-Ss group after anthelmintic therapy. RESULTS: Our data reveal that LTBI-Ss exhibit significantly diminished levels of Mtb-specific IgM and IgG, BAFF and APRIL levels in comparison to those with LTBI. Similarly, those with LTBI-Ss had significantly diminished numbers of all B cell subsets (naive, immature, classical memory, activated memory, atypical memory and plasma cells) compared to those with LTBI. There was a positive correlation between Mtb-antigen specific IgM and IgG levels and BAFF and APRIL levels that were in turn related to the numbers of activated memory B cells, atypical memory B cells and plasma cells. Finally, anthelmintic treatment resulted in significantly increased levels of Mtb-antigen specific IgM and IgG levels and the numbers of each of the B cell subsets. CONCLUSIONS: Our data, therefore, reveal that Ss infection is associated with significant modulation of Mtb-specific antibody responses, the levels of B cell growth factors and the numbers of B cells (and their component subsets). FAU - Anuradha, Rajamanickam AU - Anuradha R AD - National Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India. FAU - Munisankar, Saravanan AU - Munisankar S AD - National Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India. FAU - Bhootra, Yukti AU - Bhootra Y AD - National Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India. FAU - Dolla, Chandrakumar AU - Dolla C AD - National Institute for Research in Tuberculosis, Chennai, India. FAU - Kumaran, Paul AU - Kumaran P AD - National Institute for Research in Tuberculosis, Chennai, India. FAU - Nutman, Thomas B AU - Nutman TB AD - Laboratory of Parasitic Diseases, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America. FAU - Babu, Subash AU - Babu S AUID- ORCID: 0000-0001-9783-8042 AD - National Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India. AD - Laboratory of Parasitic Diseases, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America. LA - eng PT - Journal Article DEP - 20170501 PL - United States TA - PLoS Negl Trop Dis JT - PLoS neglected tropical diseases JID - 101291488 RN - 0 (Antibodies, Bacterial) RN - 0 (B-Cell Activating Factor) RN - 0 (Cytokines) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulin M) RN - 0 (TNFSF13 protein, human) RN - 0 (TNFSF13B protein, human) RN - 0 (Tumor Necrosis Factor Ligand Superfamily Member 13) SB - IM MH - Adult MH - Animals MH - Antibodies, Bacterial/blood MH - B-Cell Activating Factor/blood MH - B-Lymphocyte Subsets/*immunology MH - Coinfection/*immunology MH - Cytokines/immunology MH - Female MH - Humans MH - *Immunity, Humoral MH - Immunoglobulin G/blood MH - Immunoglobulin M/blood MH - India MH - Latent Tuberculosis/*immunology MH - Male MH - Middle Aged MH - Mycobacterium tuberculosis MH - Strongyloides stercoralis MH - Strongyloidiasis/*immunology MH - Tumor Necrosis Factor Ligand Superfamily Member 13/blood MH - Young Adult PMC - PMC5426788 COIS- The authors have declared that no competing interests exist. EDAT- 2017/05/02 06:00 MHDA- 2017/07/21 06:00 PMCR- 2017/05/01 CRDT- 2017/05/02 06:00 PHST- 2017/01/06 00:00 [received] PHST- 2017/04/14 00:00 [accepted] PHST- 2017/05/11 00:00 [revised] PHST- 2017/05/02 06:00 [pubmed] PHST- 2017/07/21 06:00 [medline] PHST- 2017/05/02 06:00 [entrez] PHST- 2017/05/01 00:00 [pmc-release] AID - PNTD-D-17-00020 [pii] AID - 10.1371/journal.pntd.0005569 [doi] PST - epublish SO - PLoS Negl Trop Dis. 2017 May 1;11(5):e0005569. doi: 10.1371/journal.pntd.0005569. eCollection 2017 May.