Publications by authors named "Noelle L O'Regan"

Lymphatic filariasis (LF) is a parasitic infection, caused by three closely related nematodes, namely , , and . Previously, we have shown that lysate from microfilariae induces the expression of interleukin and programmed death-ligand on monocytes, which lead to inhibition of CD4 T-cell responses. In this study, we investigated associations of and programmed cell death pathway gene polymorphisms with clinical manifestation in LF.

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Helminths have evolved numerous pathways to prevent their expulsion or elimination from the host to ensure long-term survival. During infection, they target numerous host cells, including macrophages, to induce an alternatively activated phenotype, which aids elimination of infection, tissue repair, and wound healing. Multiple animal-based studies have demonstrated a significant reduction or complete reversal of disease by helminth infection, treatment with helminth products, or helminth-modulated macrophages in models of allergy, autoimmunity, and sepsis.

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Article Synopsis
  • Monocytes stimulated by microfilarial lysate from the Brugia malayi parasite develop a regulatory phenotype that inhibits immune responses, characterized by high levels of IL-10 and PD-L1 expression.
  • This regulatory effect is also observed in monocytes from asymptomatic filariasis patients, unlike those with pathology, indicating a unique immune modulation in asymptomatic cases.
  • Overall, the study highlights how microfilariae may induce changes in monocyte and macrophage function, potentially contributing to immune dysfunction in human filariasis.
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Helminths are master regulators of host immune responses utilising complex mechanisms to dampen host protective Th2-type responses and favour long-term persistence. Such evasion mechanisms ensure mutual survival of both the parasite and the host. In this paper, we present recent findings on the cells that are targeted by helminths and the molecules and mechanisms that are induced during infection.

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