Thus, IgG-mediated protective immunity https://www.selleckchem.com/products/ensartinib-x-396.html appears to act predominately against the larval stages of the parasite, which are also the major stimulus for acquired immunity and the target of acquired responses [36]. The next challenge will be to determine the mechanisms by which IgG antibodies target H. p. bakeri larvae. Numerous possibilities exist, perhaps acting in parallel or even synergistically, including neutralization of larval products required for tissue migration/feeding and for evasion of the

immune response or antibody-dependent cellular activation and the consequent destruction or trapping of larvae by immune cells. Of note, macrophages are also required for protective immunity against H. p. bakeri [73], and both antibodies and macrophages are abundant in the Th2-type granuloma surrounding the larvae [55, 73]. These findings raise the possibility that antibodies may activate macrophages to kill or trap parasitic larvae. Whether this occurs still needs to be determined, but it is known that larvae can survive in the granuloma for a long time, as they can be re-activated to continue their growth and maturation into fecund adults by treatment with immunosuppressive corticosteroids as

long as 3 weeks after challenge infection [74]. The entrapment of larvae in granuloma and their eventual destruction could involve binding of IgG to the high- or low-affinity receptors, FcγRI and FcγRIII, known to be expressed by macrophages [75]. Alternatively, antibodies may act in an indirect manner GSK-3 inhibitor by promoting the recruitment of immune cells into

the granuloma or by activating complement. In this Metformin regard, a recent publication indicated that antibodies play an important role in mediating the production of basophils within the bone marrow following H. p. bakeri infection [72]. However, specific depletion of basophils had a minor impact on larval killing, indicating that this is not the major pathway of antibody-mediated protective immunity [72]. As discussed, H. p. bakeri forms a chronic infection in most mouse strains following primary infection. In the poor responder strain, C57BL/6, B-cell deficiency had little impact on the development of adult worms 14 days following infection [55]. However, fecundity was strikingly increased and remained high for several weeks following primary infection of B cell–deficient mice [55]. Primary infection with H. p. bakeri infection elicits a striking, but largely polyclonal, IgG and IgE response, and the observed impact on worm fecundity could be ascribed to low-affinity IgG antibodies, [55]. These low-affinity IgG antibodies were present even in naïve animals presumably in response to environmental antigens or intestinal bacteria and were amplified by infection [55]. This contrasts with the ability of antibodies to provide protective immunity against challenge infections, where high-affinity parasite-specific antibodies are necessary. Thus, early production of polyclonal antibodies following primary infection with H.