Schistosome immunity

Our sub-group is fascinated by the immunology of schistosomiasis. More than 200 million people worldwide—primarily in Africa—are infected with schistosomes, and this neglected tropical disease causes chronic, multi-organ morbidity, with severe disease developing in a substantial minority of individuals. Remarkably, adult schistosomes can survive for decades within human blood vessels, skilfully evading and regulating the immune system to avoid elimination.

Using controlled human schistosome infection models, we investigate how immune responses develop in non-endemic volunteers from the earliest stages of infection. Our studies show that initial inflammatory responses transition into type-2 and regulatory immune profiles directed at adult worms, even in the absence of egg production. We also observe strong anti-protein and anti-glycan antibody responses to schistosome antigens as a consistent feature of these infections. Whenever possible, we compare insights from these controlled models with data from endemic cohorts (Uganda) to assess how well our findings translate to naturally exposed populations.

While I we still lack a solid understanding of the fundamentals of schistosome immunology, I am equally motivated to translate the knowledge we have into interventions. I have systematically reviewed the schistosome vaccine literature and developed a searchable database to support the field (link: wormvaccines.nl). Currently, my group is developing a novel biologic designed to enhance protective immunity during ongoing infection, using in vitro parasite models and aiming to translate to in vivo testing in murine systems.

To comprehensively profile cellular, cytokine, and antibody responses, we apply high-dimensional technologies such as spectral flow cytometry, CyTOF, multiplex proteomics, and antibody arrays.


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Key LUMC collaborators

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https://wormvaccines.nl

 

Research Group 'Translational Parasitology' is part of Focus Areas: Innovative Vaccinology, Infection Immunology

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