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Antibody and cytokine responses in Dracunculus medinensis patients at distinct states of infection.
[dracunculiasis]
Dracunculiasis
is
a
promising
candidate
for
eradication
,
but
transmission
of
Dracunculus
medinensis
and
recrudescence
of
the
disease
have
been
observed
repeatedly
.
In
the
present
investigation
,
the
D
.
medinensis
-
specific
cellular
cytokine
response
profiles
and
the
parasite-
specific
antibody
subclass
reactivity
were
evaluated
in
dracunculiasis
patients
at
distinct
states
of
infection
.
Analysis
of
the
cellular
cytokine
response
in
dracunculiasis
patients
disclosed
a
D
.
medinensis
antigen-
specific
depression
of
IFN-gamma
production
with
patent
D
.
medinensis
infection
,
while
the
T
helper
type
2
cytokine
IL
-
10
was
similar
in
patent
,
post-
patent
and
control
individuals
,
and
IL
-
5
production
was
always
the
highest
in
controls
.
In
parallel
,
diminished
IFN-gamma
and
IL
-
12
responses
to
antigens
from
Ascaris
lumbricoides
,
Entamoeba
histolytica
and
mycobacteria
were
observed
in
patent
and
post-
patent
dracunculiasis
cases
.
The
parasite-
specific
IgG
(
1
)
and
IgG
(
4
)
subclass
reactivity
profiles
corresponded
with
the
D
.
medinensis
infection
state
,
and
a
clear
distinction
between
patent
and
post-
patent
patients
and
controls
was
found
.
Overall
a
depressed
cytokine
release
was
observed
with
patent
D
.
medinensis
,
which
extended
beyond
the
parasite-
specific
immune
responsiveness
.
The
detection
of
D
.
medinensis
-
specific
IgG
(
1
)
and
IgG
(
4
)
isotypes
may
help
to
distinguish
newly
exposed
,
patent
and
post-
patent
D
.
medinensis
infections
.
Diseases
Validation
Diseases presenting
"depression"
symptom
22q11.2 deletion syndrome
achondroplasia
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
aromatase deficiency
cadasil
child syndrome
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
dracunculiasis
fabry disease
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
krabbe disease
locked-in syndrome
malignant atrophic papulosis
oligodontia
oral submucous fibrosis
phenylketonuria
sneddon syndrome
triple a syndrome
trochlear dysplasia
von hippel-lindau disease
This symptom has already been validated