Particular Features of Immune Response after Invasion of Different Species of Human Demodex Mites.

Oleg Eu. Akilov, Svetlana V. Kazanceva, Irina A. Vlasova
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Abstract

The purpose of the present study was to find peculiarities of the immune response to the invasion of Demodex folliculorum and Demodex brevis mites. Sixty-six patients with human demodicosis were included in this study. The Demodex mites' density was more than 5 per 1 cm(2). The immune response was evaluated by the identification of membrane markers of the different immune cells by monoclonal antibodies. A significant decrease of the percentage of various parameters was found: the decrease for CD5(+) cells was in 1.4, for CD3(+) in 1.7, for CD4(+) in 1.5, for CD8(+) in 1.5, for CD25(+) in 1.3, for CD71(+) in 1.5, for CD20(+) in 1.2, for IgM in 1.2 and for IgG in 1.1 times. On the other hand, some parameters appeared to be elevated: for CD25(+) B cells in 1.5, for IgA in 1.9 and for circulating immune complexes in 1.4 times in patients with D. brevis infection in comparison with patients with D. folliculorum. The development of two variants of the effector response to the invasion of two different Demodex mites' species was shown: the classic expansion of the humoral reaction with the production of IgM and IgG in the case of D. folliculorum, and the activation of non-specific defense cells in the case of D. brevis. The particular capability of D. brevis to suppress T-cell compartment of immunity was distinctly observed in our comparative study. Thus, there are sharp immune distinctions during an invasion of the two species of human Demodex mites.

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不同种人类蠕形螨入侵后免疫反应的特点。
本研究的目的是发现对毛囊蠕形螨和短蠕形螨入侵的免疫反应的特点。66例人类蠕虫病患者纳入本研究。蠕形螨密度大于5只/ 1 cm(2)。通过单克隆抗体鉴定不同免疫细胞的膜标记来评价免疫应答。各项参数的百分比均显著下降:CD5(+)细胞下降1.4倍,CD3(+)细胞下降1.7倍,CD4(+)细胞下降1.5倍,CD8(+)细胞下降1.5倍,CD25(+)细胞下降1.3倍,CD71(+)细胞下降1.5倍,CD20(+)细胞下降1.2倍,IgM细胞下降1.2倍,IgG细胞下降1.1倍。另一方面,与毛囊弓形虫患者相比,短梭菌感染患者的CD25(+) B细胞升高1.5倍,IgA升高1.9倍,循环免疫复合物升高1.4倍。研究显示,针对两种不同蠕形螨的入侵,效应反应发生了两种变体:卵泡蠕形螨的典型的扩大了免疫反应,产生了IgM和IgG,而短蠕形螨的非特异性防御细胞被激活。在我们的比较研究中明显观察到短梭菌抑制t细胞免疫区室的特殊能力。因此,在两种人类蠕形螨入侵期间存在明显的免疫差异。
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