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Effect of Chemotherapy and Reinfection on IgE-Containing and IgG-Containing Circulating Immune Complexes, Serum IgE and IgE Antibodies in Patients Chronically Infected with <i>Schistosoma mansoni</i> and <i>Schistosoma haematobium</i>

Authors: Hermann Feldmeier; Wim J. Stevens; Chris H. Bridts; Asim A. Daffalla; Dietrich W. Büttner;

Effect of Chemotherapy and Reinfection on IgE-Containing and IgG-Containing Circulating Immune Complexes, Serum IgE and IgE Antibodies in Patients Chronically Infected with <i>Schistosoma mansoni</i> and <i>Schistosoma haematobium</i>

Abstract

The effect of chemotherapy and reinfection on circulating immune complexes (CIC), serum IgE, and parasite-specific IgE antibodies was studied in patients concomitantly infected with <i>Schistosoma mansoni</i> and <i>Schistosoma haematobium</i>. Before chemotherapy IgE- and IgG-containing CIC were present in high concentrations in all patients and IgE antibodies to <i>S. mansoni</i> and to <i>S. haematobium</i> in almost 80% of the cases. Serum IgE was excessively high (median 4,900 ku/1), but decreased to half of its initial value 2 months after chemotherapy. When reinfection with <i>S. haematobium</i> occurred onwards from month 4, the serum IgE reincreased and reached almost the pretreatment level at month 16. Effective chemotherapy was also followed by a rapid decrease of IgE-containing CIC and a slower, but significant, decrease of IgG-containing CIC. However, in contrast to IgE and IgE antibodies, the reinfection did not lead to a reincrease of CIC. It was interesting to note that the concentration of IgE as well as that of IgE-containing CIC was significantly correlated to the intensity of the infection. These investigations demonstrated that high levels of IgE- and IgG-containing CIC are present in chronic human schistosomiasis, but that the concentrations of CIC fall to normal values, when the parasites are eliminated by chemotherapy.

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
20
Average
Top 10%
Average