Helminthic therapy and infectious diseases
There are many different helminth species, belonging to different phyla. Since these may use different mechanisms from each other, the effects of one species can not be generalized to others.
Helminthic therapy and susceptibility to infectious diseases[edit | edit source]
People enquiring about helminthic therapy are often concerned that the treatment might reduce their ability to fight common infections, but the effect that helminths have on the immune system is complex and not simply a matter of reducing an excessive response. What helminths do is more a case of subtle modulation, i.e., balancing or quieting rather than suppression, of immunity, and they achieve this by deploying an orchestra of molecules with the intension of keeping themselves and their host alive and well for as long as possible. See The effects of helminths on the immune system.
In fact, we can be rather confident in the ability of helminths to modulate the immune system without immunocompromising the host, [2] a view supported by William Parker, whose team at Duke University found enhanced rather than suppressed immune function in animals with increased biodiversity.
- Worms, germs lead to better immune function
- Increased biodiversity in the environment improves the humoral response of rats
Parker says that, far from making the immune system lazy or less effective, helminths actually make it smarter.
There is also evidence from elsewhere that intestinal parasites may help the body ward off some infections.
- Epidemiological study of the association between malaria and helminth infections in Nigeria -- Full text | PDF (Children with helminths may be less likely to develop malaria.)
- Dueling Infections: One Keeps the Other at Bay
- Antagonism between two intestinal parasites in humans: the importance of co-infection for infection risk and recovery dynamics
- Intestinal worms boost immune system in a surprising way This study found that helminths had stimulated the production of more lymph nodes, which may be what was experienced by the self-treater who posted the following comment online.
After a year or two of starting the therapy, I suddenly noticed that lymph nodes in the neck around my jaw were constantly slightly swollen. This was a new phenomenon for me and HT was the only variable I could point to. I don’t ever remember having reactive lymph nodes to viral or bacterial exposure at any point in my life, but after HT, I now notice it when I have a cold or flu. I got extensive blood work and chest x-ray etc. to rule out any nefarious reasons for the lymphadenopathy, so the only thing I can point to is just a new immune response to my environment. Other than the slight annoyance, it doesn’t seem to cause any problems, and it has seemingly calmed down over time. [3]
The experience of helminth self-treaters[edit | edit source]
There are reports of both less, and more, infections while hosting worms, but the majority of self-treaters appear to experience a reduced incidence of infection.
In some cases, the normalisation of immune function by helminths can result in people who previously rarely got infections beginning to get them more frequently.
The duration of colds may be reduced while hosting helminths.
How infections impact the benefits of helminthic therapy[edit | edit source]
When someone who is hosting helminths gets an infection, such as COVID, a cold or the flu, this can cause a brief return of symptoms of whatever disease they are treating.
In one juvenile who is being treated with HDC, a candida flare was suggested as the likely cause of a loss of benefits. [24]
This return of disease symptoms does not occur because the infection has a direct effect on the worms themselves, which may continue to secrete their immune modulating molecules while the infection is active. However, since the effect of these excretory/secretory products is subtle, this may be overwhelmed by the increased activity of the immune system, resulting in the temporary reappearance of symptoms.
If any substance is taken which enhances the immune response, this may also increase the symptoms of autoimmune diseases, making it appear that the substance itself has adversely affected the worms. For example, this can occur with the use of elderberry. [25] [26] (Also see the comments here and here.)
When the immune system settles back to it’s normal level of activity after dealing with an infection and after the use of any immune enhancing substances has ceased, the impact of the worms’ subtle immune modulation will once again become evident, and disease symptoms will gradually subside.
Normal immune balance may be restored within 2-3 weeks after a cold or the flu but, in the case of the latter, it may take a while after the viral infection has been cleared, especially if a secondary bacterial infection develops in its wake.
Helminthic therapy and chronic infections[edit | edit source]
Some people with chronic infections have noticed an increase in the number and severity of outbreaks after introducing therapeutic helminths, especially those people who were already suffering frequent outbreaks prior to starting helminthic therapy. Infections such as tuberculosis (TB), Lyme disease, herpes, hepatitis, HIV and CMV, etc., may surge during the early response phase following helminth introduction, because this alters the immune reaction and may reduce the body's ability to suppress active infection. For example, some, but not all, subjects with Herpes may notice more frequent outbreaks after commencing helminthic therapy, and helminth providers may decline to supply someone with a more serous chronic and incurable infection, such as those who are HIV positive.
Anyone with an active chronic, or incurable, infection who does go ahead with helminthic therapy would be advised to consult their physician prior to treatment, and to take steps - for instance increasing prophylactic or suppression therapy - to ameliorate the immunomodulatory effect in the early stages of helminthic therapy.
See also:
General reviews[edit | edit source]
- 2025 Apr 22 Helminth Coinfections Modulate Disease Dynamics and Vaccination Success in the Era of Emerging Infectious Diseases -- Full text | Full text | PDF
- 2023 Oct 3 The impact of helminth-induced immunity on infection with bacteria or viruses -- Full text | PDF
- 2023 Aug 10 Soil-transmitted helminths: A critical review of the impact of co-infections and implications for control and elimination -- Full text | PDF
- 2020 Nov 23 Impact of Helminth Infections on Female Reproductive Health and Associated Diseases -- Full text | PDF
- 2018 Nov 8 The Influence of Parasite Infections on Host Immunity to Co-infection With Other Pathogens -- Full text | PDF
- 2018 Oct 16 Helminth Infections Induce Tissue Tolerance Mitigating Immunopathology but Enhancing Microbial Pathogen Susceptibility -- Full text | PDF
- 2018 Sep Helminth-Bacterial Interactions: Cause and Consequence -- Full text
- 2010 Feb 3 Immunity against Helminths: Interactions with the Host and the Intercurrent Infections -- Full text
- 2007 Jun Chronic helminth infections may negatively influence immunity against tuberculosis and other diseases of public health importance
See also
Helminthic therapy and viral infections[edit | edit source]
The precise interactions that occur between helminths and viruses are still poorly understood, but it is known that some latent viral infections, such as herpes, can be reactivated temporarily following infection with a parasite such as the one that causes malaria.
One study has revealed how signals from the immune system that help repel a common parasite can inadvertently cause the reactivation of a dormant herpes virus. [27]
However, the temporary reactivation of dormant viral infections does not happen in all cases and there may even be a reduction in viral activity following inoculation, with amelioration of pathology without any increase in susceptibility to, or persistence of, the viral infection. [28] [29] [30]
The rate of progression of HIV disease is no different in populations living in helminth endemic parts of the world compared with the western world, where helminth infections are now almost non-existent. By balancing interactions between inflammatory and regulatory responses, helminths may produce an effect that is at least neutral, and perhaps even protective, for example by reducing the progression of HIV. [31]
Helminths have a protective effect against pulmonary viral infections (VRS, COVID-19, Influenza):
- 2025 Jul 15 Helminth infection induces innate immune priming in plasmacytoid dendritic cells -- Full text
Helminthic therapy and herpes[edit | edit source]
As with other viral infections, herpes may be worsened or reactivated temporarily following the introduction of helminths. [32]
Any exacerbation following inoculation should only last up to approximately 6 months, and any doses added while the herpes flare is still active may cause an increase in symptoms, especially within the first 3 or 4 months, i.e., before the first cohort of worms is able to fully exert its suppressive effect on the immune response to itself.
Helminthic therapy should bring about a reduction in outbreaks of herpes once the worms have been hosted for a few months.
Occasionally, herpes may improve in the first few weeks following inoculation.
Supplementary doses may cause a temporary flare of herpes, especially following overly large doses.
There is also a possibility of a large hookworm dose - even a supplementary one - triggering shingles.
Herpes appears to be treatable using high doses of vitamin C, a course of which could be taken prior to, or concurrent with helminthic therapy. [45] [46] (PDF)
Necator Americanus induces IFN-gamma production [47]. "IFNG has a significant anti-viral effect in herpes simplex virus I (HSV) infection. IFNG compromises the microtubules that HSV relies upon for transport into an infected cell's nucleus, inhibiting the ability of HSV to replicate. Studies in mice on acyclovir resistant herpes have shown that IFNG treatment can significantly reduce herpes viral load. The mechanism by which IFNG inhibits herpes reproduction is independent of T-cells, which means that IFNG may be an effective treatment in individuals with low T-cells." (Wikipedia
See also
- 2025 Aug 8 Exploring Gene Expression Changes in Murine Female Genital Tract Tissues Following Single and Co-Infection with Nippostrongylus brasiliensis and Herpes Simplex Virus Type 2 -- Full text | PDF
- 2025 Jul 24 Characterization of microRNA Expression Profiles of Murine Female Genital Tracts Following Nippostrongylus brasiliensis and Herpes Simplex Virus Type 2 Co-Infection
- 2024 Dec 4 Herpes simplex virus type 2 in sub-Saharan Africa and the potential impact of helminth immune modulation -- Full text | PDF
- 2021 Apr 14 Il4ra-independent vaginal eosinophil accumulation following helminth infection exacerbates epithelial ulcerative pathology of HSV-2 infection -- Full text | PDF
- 2018 Oct 30 Helminth-induced IL-4 expands bystander memory CD8+ T cells for early control of viral infection -- Full text | PDF
Helminthic therapy and Epstein–Barr virus (EBV)[edit | edit source]
As with other viruses, an existing infection with the Epstein-Barr virus (human herpesvirus 4 (HHV-4)) may theoretically be temporarily worsened or reactivated following an initial inoculation with helminths, or after a large supplementary dose. However, one study found that therapeutic inoculation with NA was not associated with EBV reactivation. [48]
There is no evidence to suggest that helminths might kill the EB virus, but, due to them being effective against inflammation, allergy and autoimmune disease, helminths might help those with EBV by protecting them from the ravages of the inflammation that this infection is known to cause. Helminths might also turn off allergy to EBV and prevent the development of autoimmune diseases which develop more frequently in those infected by this virus. And, since there is evidence that helminths may prevent the development of cancer (see Helminthic therapy and cancer), it is possible they might offer a degree of protection against cancers developing as a sequela of EBV infection.
There is anecdotal evidence that hosting helminths can improve a person's health in spite of them having an EBV infection.
Someone else was able to reap numerous health benefits from hosting hookworms, in spite of having a long-term EBV infection.
List of scientific papers
- 2025 Nov Metabolic state of tissue resident macrophages is altered by preexisting helminth infection
- 2023 Oct 17 Preexisting helminth challenge exacerbates infection and reactivation of gammaherpesvirus in tissue resident macrophages -- Full text | PDF
- 2021 Mar 25 Th2 Cytokine Modulates Herpesvirus Reactivation in a Cell Type Specific Manner -- Full text | PDF
- 2020 Aug 28 An Absence of Epstein-Barr Virus Reactivation and Associations with Disease Activity in People with Multiple Sclerosis Undergoing Therapeutic Hookworm Vaccination -- Full text | PDF
- 2014 Aug 1 Helminth infection reactivates latent γ-herpesvirus via cytokine competition at a viral promoter -- Full text | PDF
Helminthic Therapy and COVID-19[edit | edit source]
See the separate page dedicated to this disease:
Helminths and influenza[edit | edit source]
- 2025 Nov Maternal helminth infection promotes offspring long-term antiviral immunity via microbiota (Also see this interview: 2025 Sep 29 A Small Worm Offers Big Clues About the Human Immune System)
- 2025 Jul 15 Helminth infection induces innate immune priming in plasmacytoid dendritic cells -- Full text
Our findings may partly explain the mechanism of the antiviral protection previously reported in acute helminth infections
- 2023 May Enteric helminth infection confers protection against lethal respiratory influenza virus infection
- 2021 Sep Interleukin-4 protects mice against lethal influenza and Streptococcus pneumoniae co-infected pneumonia -- Full text | PDF
- 2019 Nov 19 Helminth Infections Suppress the Efficacy of Vaccination against Seasonal Influenza -- Full text -- Full text | PDF
- 2014 Nov 14 S. mansoni bolsters anti-viral immunity in the murine respiratory tract -- Full text | PDF
- 2009 Jan Review series on helminths, immune modulation and the hygiene hypothesis: immunity against helminths and immunological phenomena in modern human populations: coevolutionary legacies? -- Full text | PDF
- 2006 Mar Amelioration of influenza-induced pathology in mice by coinfection with Trichinella spiralis -- Full text | [49]
see also :
- 2025 Jul ILC2 Diversity, Location, and Function in Pulmonary Disease -- Full text | PDF (see 11. Pulmonary ILC2 in Response to Respiratory Viral Infection)
In sum, ILC2 are important in restoring lung barrier integrity in the context of both prototypical type‐1 (viral) and type‐2 (helminth) pathogens by limiting prolonged and detrimental lung inflammation.
- 2024 Aug ILC2-derived LIF licences progress from tissue to systemic immunity -- Full text | [50] (Nature)
- 2022 Jan 14 BATF promotes group 2 innate lymphoid cell-mediated lung tissue protection during acute respiratory virus infection -- Full text | Full text
- 2015 Aug 27 A Distinct Function of Regulatory T Cells in Tissue Protection -- Full text | PDF
- 2013 Sep Group 2 innate lymphoid cell production of IL-5 is regulated by NKT cells during influenza virus infection – Full text | PDF
- 2011 Nov Innate lymphoid cells promote lung-tissue homeostasis after infection with influenza virus -- Full text | PDF
Helminths and respiratory syncytial virus (RSV)[edit | edit source]
- 2025 Nov Maternal helminth infection promotes offspring long-term antiviral immunity via microbiota (Also see this interview: 2025 Sep 29 A Small Worm Offers Big Clues About the Human Immune System)
We saw that the exposed offspring were protected against both RSV and influenza. Specifically, we found that this helminth infection in the mother transforms the epithelial cells that line the baby’s lungs. These cells protect against viruses by producing a powerful antiviral protein that we didn’t see in our control group.
- 2025 Jul 15 Helminth infection induces innate immune priming in plasmacytoid dendritic cells -- Full text
Our findings may partly explain the mechanism of the antiviral protection previously reported in acute helminth infections
- 2024 Aug Helminth induced monocytosis conveys protection from respiratory syncytial virus infection in mice -- Full text
- 2024 Heligmosomoides polygyrus-induced serum factors limit respiratory syncytial virus titres; a potential role for CCL8 -- PDF (Master of science)
- 2017 Oct Enteric helminth-induced type I interferon signaling protects against pulmonary virus infection through interaction with the microbiota -- Full text | PDF
These data demonstrate that a strictly enteric helminth infection can have remote protective antiviral effects in the lung through induction of a microbiota-dependent type I interferon response.
- 2014 Nov 14 S. mansoni bolsters anti-viral immunity in the murine respiratory tract -- Full text | PDF
See also
Helminths and adenovirus[edit | edit source]
Helminths and astrovirus[edit | edit source]
- 2021 May Murine astrovirus tropism for goblet cells and enterocytes facilitates an IFN-λ response in vivo and in enteroid cultures -- Full text
Helminths and flaviviruses[edit | edit source]
West Nile virus, Zika virus, and Powassan virus
- 2021 Mar 4 Enteric helminth coinfection enhances host susceptibility to neurotropic flaviviruses via a tuft cell-IL-4 receptor signaling axis -- Full text | PDF (see also comment Worm holes in immunity
Helminths and chikungunya virus (CHIKV)[edit | edit source]
There is relationships between chikungunya virus exposure with long-lasting rheumatic musculoskeletal pain and chronic fatigue.
Helminthic therapy could be an interesting avenue to explore. A distinction must be made between a study of the effects on acute co-infection and the effect on secondary symptoms.
Helminths and norovirus[edit | edit source]
- 2014 Aug 1 Virus-helminth co-infection reveals a microbiota-independent mechanism of immuno-modulation -- Full text (Science)
See also (not directly related)
- 2019 Oct IFN-I and IL-22 mediate protective effects of intestinal viral infection -- Full text | PDF
Helminths and rhinovirus[edit | edit source]
See also
- 2017 Feb IFN-γ Blocks Development of an Asthma Phenotype in Rhinovirus-Infected Baby Mice by Inhibiting Type 2 Innate Lymphoid Cells -- Full text | [51]
- 2014 Aug Neonatal rhinovirus induces mucous metaplasia and airways hyperresponsiveness through IL-25 and type 2 innate lymphoid cells -- Full text | PDF
Helminths and papillomavirus[edit | edit source]
- 2025 Aug 5 Understanding the association between immune modulating helminths and human papillomavirus or cervical cancer: a scoping review (preprint)
- 2024 Jan Regulation of HPV infection and cervical cancer development following a helminth infection -- PDF (thesis)
Together, these findings show that helminth infection can protect against distal viral infection and suppress the growth and cancer cell behaviour of HPV associated cervical cancer
- 2022 Oct 18 Hookworm infection associates with a vaginal Type 1/Type 2 immune signature and increased HPV load -- Full text | PDF
- 2021 Jul 19 Gut Helminth Infection-Induced Immunotolerance and Consequences for Human Papillomavirus Persistence -- Full text | PDF
- 2018 Aug 1 Hookworm exposure decreases human papillomavirus uptake and cervical cancer cell migration through systemic regulation of epithelial-mesenchymal transition marker expression -- Full text | PDF
- 2018 Aug Cancer cell behaviour following parasite exposure -- PDF (Master thesis)
- 2016 Mar 1 Soil-Transmitted Helminth Infections Are Associated With an Increase in Human Papillomavirus Prevalence and a T-Helper Type 2 Cytokine Signature in Cervical Fluids -- Full text | PDF
See also Papillomavirus induced cervical cancer
Helminths and HIV[edit | edit source]
- 2025 Sep 8 Gut virome remodeling in HIV–helminth co-infection reflects colorectal cancer–associated signatures in a South African cohort also Virome restructuring in HIV-helminth co-infection reveals potential biomarkers for colorectal cancer in a South African cohort
- 2025 Mar 20 HIV-Helminth Co-Infections and Immune Checkpoints: Implications for Cancer Risk in South Africa -- Full text | PDF
- 2023 Jan-Fev Immunological interaction during helminth and HIV co-infection: Integrative research needs for sub-Saharan Africa
- 2019 Sept 5 Schistosoma mansoni soluble egg antigen (SEA) and recombinant Omega-1 modulate induced CD4+ T-lymphocyte responses and HIV-1 infection in vitro -- Full text | PDF (Also reported by Healio. [52])
- 2018 Oct 17 Effect of schistosomiasis on the outcome of patients infected with HIV-1 starting antiretroviral therapy in rural Tanzania -- Full text |PDF
- 2017 May 25 Hookworm infection is associated with decreased CD4+ T cell counts in HIV-infected adult Ugandans -- Full text | PDF
- 2013 Oct HIV and helminths: time for a new direction -- Full text
- 2012 Jul 1 The effect of anthelmintic treatment during pregnancy on HIV plasma viral load: results from a randomized, double-blind, placebo-controlled trial in Uganda -- Full text
- 2012 Jul 1 Effect of schistosomiasis on the outcome of patients infected with HIV-1 starting antiretroviral therapy in rural Tanzania -- Full text | PDF
- 2010 Mar 30 Prevalence and correlates of helminth co-infection in Kenyan HIV-1 infected adults -- Full text | PDF
- 2008 Aug 20 Albendazole treatment of HIV-1 and helminth co-infection: a randomized, double-blind, placebo-controlled trial -- Full text | PDF (comments 2009 Jan 14 Which helminth coinfections really affect HIV disease progression?)
See also HIV-Helminth co-infections and cancer risk
Other studies[edit | edit source]
- 2025 Sep 12 Protective or pathogenic? Tuft cells shape divergent immune outcomes in helminth and viral infections
- 2025 Aug 11 Helminth infections affect host immune responses to viral infections and vaccines -- Full text
- 2025 Jul 15 Helminth infection induces innate immune priming in plasmacytoid dendritic cells -- Full text
Trichinella spiralis infection does not disrupt the host’s humoral or cellular immune response to SARS-CoV-2, suggesting that the use of Trichinella antigens for the treatment of chronic inflammatory disorders, which is promising, will not affect the host’s ability to respond to future viral challenges.
- 2023 May 24 Infection with soil-transmitted helminths and their impact on coinfections -- Full text | PDF
- 1993 Feb 1 Helminth infection results in decreased virus-specific CD8+ cytotoxic T-cell and Th1 cytokine responses as well as delayed virus clearance -- Full text
Helminthic therapy and bacterial infections[edit | edit source]
Helminthic therapy and Clostridium difficile[edit | edit source]
Helminths may have a positive impact on C. difficile infection.
The type-2 immune response that is most often associated with helminth infections, allergy and asthma, may be protective during C. difficile infection :
Recent work has begun to show that a type-2 immune response, most often associated with helminth infections, allergy, and asthma, may be protective during C. difficile infection.
Helminths and Helicobacter pylori[edit | edit source]
- 2025 Aug 19 Co-Infection Dynamics of Helicobacter pylori and Helminths: A Double-Edged Sword -- Full text | PDF
- 2022 Dec 9 The impact of Helicobacter pylori and intestinal helminth infections on gastric adenocarcinoma and inflammatory bowel disease in Sub-Saharan Africa -- Full text | PDF
- 2020 Apr Dual infective burden of Helicobacter pylori and intestinal parasites: Good or bad news for the host? -- Full text
- 2020 May 20 Changes in the Severity of Gastric Mucosal Inflammation Associated With Helicobacter Pylori in Humans Coinfected With Intestinal Helminths -- Full text
- 2017 Frequency and immunological consequences of Helicobacter pylori and intestinal parasite co-infections: a brief review -- PDF
- 2014 Apr Helminth co-infection in Helicobacter pylori infected INS-GAS mice attenuates gastric premalignant lesions of epithelial dysplasia and glandular atrophy and preserves colonization resistance of the stomach to lower bowel microbiota -- Full text | PDF
we found evidence to support the hypothesis of a protective effect of H. pylori infection on the risk of allergic disease
- 2007 Mar Helicobacter pylori and intestinal parasites are not detrimental to the nutritional status of Amerindians -- Full text (PDF)
- 2006 Jan Helicobacter pylori and Schistosoma japonicum co-infection in a Chinese population: helminth infection alters humoral responses to H. pylori and serum pepsinogen I/II ratio -- Full text
- 2000 May Concurrent enteric helminth infection modulates inflammation and gastric immune responses and reduces helicobacter-induced gastric atrophy -- Full text (comment 2001 Jul The African enigma: the parasite's perspective, in reply to The 'African enigma' – another explanation)
- 2000 Apr Intestinal helminth infection modulates inflammation and reduces gastric atrophy in a mouse model of Helicobacter infection -- PDF
See also:
- 2023 Jun 27 Helicobacter spp. are prevalent in wild mice and protect from lethal Citrobacter rodentium infection in the absence of adaptive immunity -- Full text
- 2017 Feb From inflammation to gastric cancer: Role of Helicobacter pylori -- Full text | PDF
- 2012 May 9 Diabetes, insulin use and Helicobacter pylori eradication: a retrospective cohort study -- Full text | PDF
Helminths and lyme[edit | edit source]
See Helminthic therapy and Lyme disease
Helminths and Pseudomonas aeruginosa[edit | edit source]
- 2019 Oct 31 Intestinal helminth infection enhances bacteria-induced recruitment of neutrophils to the airspace -- Full text | PDF
Helminths and Streptococcus pneumoniae[edit | edit source]
- 2021 Sep Interleukin-4 protects mice against lethal influenza and Streptococcus pneumoniae co-infected pneumonia -- Full text | PDF
- 2021 Mar 26 Intestinal helminth co-infection is an unrecognised risk factor for increased pneumococcal carriage density and invasive disease -- Full text | PDF
- 2019 Sept The impact of soil-transmitted helminth and respiratory viral infections on Streptococcus pneumoniae nasopharyngeal carriage -- PDF (Thesis)
- 2014 Oct Helminth infections predispose mice to pneumococcal pneumonia but not to other pneumonic pathogens
- 2014 Sep 22 Chronic helminth infections impair pneumococcal vaccine responses
Helminths and tuberculosis (TB)[edit | edit source]
Certain helminths may enhance TB infection, whether newly acquired or reactivated [54] and some helminth species may reduce the effect of any anti-TB therapy. [55]
In order to combat TB, a certain degree of immune vigilance is required, but a hyper-vigilant immune system will increase the risk of autoimmune disease. The effects of helminthic therapy in TB must be seen in relation to this dynamic.
Below are several further examples of the research into the interactions between helminths and TB. As can be seen, three of these papers addressed the effects of specific helminths that are not used in helminthic therapy. These include Schistosoma mansoni, a blood fluke, the eggs of which penetrate body cavities such as the lungs where, unlike the therapeutic helminths, they actually cause inflammation and promote reinfection and relapse in TB.
- 2024 Jan 5 Comparison of Cytokines Profiles and Monocyte Response Among Tuberculosis Patients Versus Patients Coinfected With Intestinal Helminth and Tuberculosis -- Full text | PDF
- 2023 Jun 29 No impact of helminth coinfection in patients with smear positive tuberculosis on immunoglobulin levels using a novel method measuring Mycobacterium tuberculosis-specific antibodies -- Full text | PDF
- 2023 Mar 20 Immunomodulation resulting of helminth infection could be an opportunity for immunization against tuberculosis and mucosal pathogens -- Full text | PDF
- 2023 Feb 8 IL-4 and helminth infection downregulate MINCLE-dependent macrophage response to mycobacteria and Th17 adjuvanticity -- Full text | PDF
- 2021 Mar 2 Helminth species specific expansion and increased TNF-alpha production of non-classical monocytes during active tuberculosis -- Full text | PDF
- 2019 Mar 1 Coexistent Helminth Infection-Mediated Modulation of Chemokine Responses in Latent Tuberculosis -- Full text | PDF
- 2018 Epidemiology of co-infections in Tuberculosis patients in Tanzania: HIV, helminth infection and respiratory pathogens (thesis)
- 2018 Dec 14 Human Hookworm Infection Enhances Mycobacterial Growth Inhibition and Associates With Reduced Risk of Tuberculosis Infection -- Full text | PDF (NA)
- There is a reduced prevalence of latent TB infection among individuals hosting hookworms
- 2017 Jan 13 Intestinal helminth co-infection and associated factors among tuberculosis patients in Arba Minch, Ethiopia -- Full text | PDF
- Infection with the human whipworm, Trichuris trichiura, may also provide protection against acquiring a TB infection.
- 2017 Review: Impact of Helminth Infection on Antimycobacterial Immunity - A Focus on the Macrophage -- Full text | PDF
It is now evident that helminth infestations can influence the host response to MTB at multiple levels, from the initial encounter between macrophage and bacilli, to the type of adaptive T cell immunity, and to the development of immunopathology. At the same time, many open questions remain to be answered, both at the clinical–epidemiological level (e.g., regarding the benefit of anthelmintic treatment) and at the fundamental level of immune regulation during coinfection.
It is clear that there is great degree of interaction in the initiation and maintenance of host immune responses to concomitant or co-existing helminth infections and TB. Whether this antigen-specific crosstalk actually alters clinical outcomes remains an important question.
- 2015 Dec Hookworm infection among patients with pulmonary tuberculosis: Impact of co-infection on the therapeutic failure of pulmonary tuberculosis -- Full text
- 2015 Aug 6 Asymptomatic Helminth Infection in Active Tuberculosis Is Associated with Increased Regulatory and Th-2 Responses and a Lower Sputum Smear Positivity -- Full text | PDF
- 2015 Helminth-induced arginase-1 exacerbates lung inflammation and disease severity in tuberculosis -- Full text | PDF (Schistosoma mansoni)
- 2014 Coincident helminth infection modulates systemic inflammation and immune activation in active pulmonary tuberculosis -- Full text | PDF (Strongyloides stercoralis)
- 2012 Aug 29 The Impact of Asymptomatic Helminth Co-Infection in Patients with Newly Diagnosed Tuberculosis in North-West Ethiopia -- Full text | PDF
- 2011 Aug 29 Preexisting helminth infection induces inhibition of innate pulmonary anti-tuberculosis defense by engaging the IL-4 receptor pathway -- Full text | PDF
- 2005 Low dose chronic Schistosoma mansoni infection increases susceptibility to Mycobacterium bovis BCG infection in mice -- Full text | PDF (Schistosoma mansoni)
- 2001 Feb Effect of deworming on human T cell responses to mycobacterial antigens in helminth-exposed individuals before and after bacille Calmette-Guérin (BCG) vaccination -- Full text | PDF
- 2000 Eradication of helminthic infections may be essential for successful vaccination against HIV and tuberculosis PDF
Helminths and Salmonella[edit | edit source]
Note: "The impaired control of Salmonella in the coinfected pigs (with Ascaris) was associated with repressed interferon gamma responses in the small intestine (...)"[56]. Necator americanus stimulates interferon gamma responses. So the impact might be different with Necator Americanus.
- 2024 Sep 25 Concurrent Ascaris infection modulates host immunity resulting in impaired control of Salmonella infection in pigs -- Full text
- 2021 Aug 14 Lectin-Mediated Bacterial Modulation by the Intestinal Nematode Ascaris suum -- Full text | PDF
- 2021 Jan 20 Impaired host resistance to Salmonella during helminth co-infection is restored by anthelmintic treatment prior to bacterial challenge -- Full text | PDF
- 2019 Prevalence and coincidence of helminth and salmonella infection in a cohort of hospital patients in Cameroon -- PDF
- 2017 Mar 25 Enteric Helminths Promote Salmonella Coinfection by Altering the Intestinal Metabolome -- Full txt | PDF
- 2017 Mar 23 Macrophage origin limits functional plasticity in helminth-bacterial co-infection -- Full text | PDF
- 2014 Sep Coinfection with an intestinal helminth impairs host innate immunity against Salmonella enterica serovar Typhimurium and exacerbates intestinal inflammation in mice -- Full text | PDF
- 2023 Jun The influence of maternal Nippostrongylus brasiliensis infection on immunity in offspring -- PDF (Master thesis)
- 2011 Jun 28 Schistosoma-associated Salmonella resist antibiotics via specific fimbrial attachments to the flatworm -- Full text
- 2006 Jun 30 Studies on the interaction between Salmonella enterica ser. Typhimurium and intestinal helminths in pigs -- Full text
- 2002 Mar Are intestinal helminths a risk factor for non-typhoidal Salmonella bacteraemia in adults in Africa who are seropositive for HIV? A case-control study -- Full text
Helminths and Bordetella Pertussis[edit | edit source]
- 2022 Nov 8 Gastrointestinal helminths increase Bordetella bronchiseptica shedding and host variation in supershedding -- Full text | PDF (University coverage)
- 2013 Immunomodulatory role of helminth-derived antigens and C-type lectin receptors on inflammatory mast cells -- PDF (Thesis)
- 2012 Dec 19 Generating super-shedders: co-infection increases bacterial load and egg production of a gastrointestinal helminth -- Full text
- 2011 Nov 4 Snapshot of spatio-temporal cytokine responses to single and co-infections with helminths and bacteria -- Full text
- 1999 Oct Fasciola hepatica suppresses a protective Th1 response against Bordetella pertussis -- Full text
Helminths and Escherichia coli[edit | edit source]
- 2023 Jun 15 Whipworm Infection in Mice Increases Coinfection of Enteric Pathogens but Promotes Clearance of Ascaris Larvae From the Lungs -- Full text
- 2022 Jul Trichinella spiralis infection ameliorates the severity of Citrobacter rodentium-induced experimental colitis in mice
- 2020 Jul 27 Effect of Trichinella spiralis intervention on Citrobacter rodentium-induced experimental colitis in mice (Preprint)
- 2018 Jan Helminth-induced alterations of the gut microbiota exacerbate bacterial colitis -- Full text | PDF
- 2014 Jul 10 Development of fatal intestinal inflammation in MyD88 deficient mice co-infected with helminth and bacterial enteropathogens -- Full text | PDF
- 2012 Aug 1 Helminth infection impairs autophagy-mediated killing of bacterial enteropathogens by macrophages -- Full text | PDF
- 2010 May The Impact of Helminth-Induced Immune Activation on Intestinal Barrier Function
- 2007 Oct 1 Alternatively activated macrophages in intestinal helminth infection: effects on concurrent bacterial colitis -- Full text | PDF
- 2006 Apr 12 Helminth-primed dendritic cells alter the host response to enteric bacterial infection
- 2006 Jan 1 Helminth-primed dendritic cells alter the host response to enteric bacterial infection -- Full text | PDF (Comment : 2006 Nov A new wiggle on worms
- 2005 Sep Concurrent infection with an intestinal helminth parasite impairs host resistance to enteric Citrobacter rodentium and enhances Citrobacter-induced colitis in mice -- Full text | PDF
- 1989 Jan Concurrent infection of a Patas monkey (Erythrocebus patas) by Citrobacter freundii and Trichuris trichiura -- Full text
See also
- 2025 Jul 1 Citrobacter rodentium infection activates colonic lamina propria group 2 innate lymphoid cells -- Full text | PDF
- 2023 Jun 27 Helicobacter spp. are prevalent in wild mice and protect from lethal Citrobacter rodentium infection in the absence of adaptive immunity -- Full text
- 2023 The role of chemical signaling and gut mucosal immunity during Citrobacter rodentium infection (Thesis)
- 2019 Dec Interleukin 4 induces rapid mucin transport, increases mucus thickness and quality and decreases colitis and Citrobacter rodentium in contact with epithelial cells -- Full text | [57]
- 2011 Apr The pathogenicity of an enteric Citrobacter rodentium Infection is enhanced by deficiencies in the antioxidants selenium and vitamin E -- Full text | PDF
- 2008 Apr The Pathogenicity of Citrobacter rodentium (CR) Is Enhanced in Mice Fed Diets Deficient in Selenium (Se) and Vitamin E (VE)
Helminths and leprosy[edit | edit source]
- 2025 Nov 14 Serum levels of Interleukin-10, Interleukin-6, and leptin in patients with Mycobacterium leprae-Helminth Co-Infections -- Full text
- 2025 Aug 14 Estimation of Serum Vitamin D Levels and Helminthic Coinfection in Patients with Type 2 Lepra Reactions and Its Correlation with Severity of Type 2 Reactions: A Cross-Sectional Study -- Full text
Helminths and Peritonitis[edit | edit source]
- 2021 Jun 16 Helminth derived factors inhibit neutrophil extracellular trap formation and inflammation in bacterial peritonitis -- Full text | PDF
- 2011 Nov 16 Parasitic infection improves survival from septic peritonitis by enhancing mast cell responses to bacteria in mice -- Full text | PDF
Helminths and Sepsis[edit | edit source]
See Helminthic therapy and sepsis
Other Studies[edit | edit source]
- 2023 May 24 Infection with soil-transmitted helminths and their impact on coinfections -- Full text | PDF
- 2014 Nov 12 Gastrointestinal helminths may affect host susceptibility to anthrax through seasonal immune trade-offs -- Full text
- 2018 Aug 7 The Intestinal Roundworm Ascaris suum Releases Antimicrobial Factors Which Interfere With Bacterial Growth and Biofilm Formation -- Full text | PDF
Helminths and protozoa[edit | edit source]
Helminths and malaria[edit | edit source]
- 2025 Oct 10 Integrated assessment of malaria parasite load, anemia, and associated factors in patients with and without soil-transmitted helminthes coinfection in Southern Ethiopia -- Full text | PDF
- 2025 Sep 19 Asymptomatic P. falciparum Infection is Not Associated with Exposure to Soil Transmitted Helminths in Children from a Multi School-Based Study in Esse, Cameroon (preprint)
- 2025 Sep 11 Low prevalence of helminth infection in Ugandan children hospitalized with severe malaria -- Full text | PDF
- 2024 Aug 12 The impact of soil transmitted helminth on malaria clinical presentation and treatment outcome: A case control study among children in Bagamoyo district, coastal region of Tanzania -- Full text | PDF
- 2020 Oct 20 Immune Response and Microbiota Profiles during Coinfection with Plasmodium vivax and Soil-Transmitted Helminths -- Full text | PDF
- 2019 Oct 4 Cytokine profiles of Necator americanus and Plasmodium falciparum co-infected patients in rural Ghana -- Full text | PDF
- 2018 Apr Competing for blood: the ecology of parasite resource competition in human malaria-helminth co-infections -- Full text
- 2009 Jan Review series on helminths, immune modulation and the hygiene hypothesis: immunity against helminths and immunological phenomena in modern human populations: coevolutionary legacies? -- Full text | PDF
- 2000 Mar Ascaris lumbricoides infection is associated with protection from cerebral malaria -- Full text
Helminths and giardia infections[edit | edit source]
- 2019 Oct 18 Giardia duodenalis infection in the context of a community-based deworming and water, sanitation and hygiene trial in Timor-Leste -- Full text | PDF
- 2013 Aug 28 Antagonism between two intestinal parasites in humans: the importance of co-infection for infection risk and recovery dynamics -- Full text | PDF (media coverage : Dueling Infections: One Keeps the Other at Bay, Say UCSB Anthropologists)
Our results provide evidence for an antagonistic relationship between helminths and giardia, and suggest that co-infection should be considered in disease transmission models and treatment decisions
Helminths and leishmaniasis[edit | edit source]
- 2020 May 12 A Case-Control Study on the Association Between Intestinal Helminth Infections and Treatment Failure in Patients With Cutaneous Leishmaniasis -- Full text - PDF
Helminths and Toxoplasma Gondii[edit | edit source]
- 2025 Advances in the mechanism underlying the interaction of Toxoplasma gondii and nematodes co-infections (Chinese)
- 2019 Jul 29 Neuronal impairment following chronic Toxoplasma gondii infection is aggravated by intestinal nematode challenge in an IFN-γ-dependent manner -- Full text | PDF
- 2004 Jul Infection with Toxoplasma gondii reduces established and developing Th2 responses induced by Nippostrongylus brasiliensis infection -- Full text | PDF
Helminths and Trypanosoma cruzi (Chagas)[edit | edit source]
- 2025 Therapeutic potential of hookworm proteins in promoting regulatory immune responses to modulate Trypanosoma cruzi induced liver inflammation and oxidative stress -- PDF
- 2023 Oct 12 Immunomodulatory proteins from hookworms reduce cardiac inflammation and modulate regulatory responses in a mouse model of chronic Trypanosoma cruzi infection -- Full text | PDF
- 2017 Jun 1 S. mansoni-T. cruzi co-infection modulates arginase-1/iNOS expression, liver and heart disease in mice
Helminths and prion diseases[edit | edit source]
- 2020 Oct 2 The Effects of Immune System Modulation on Prion Disease Susceptibility and Pathogenesis -- Full text | PDF
- 2020 Mar 12 Accelerated onset of CNS prion disease in mice co-infected with a gastrointestinal helminth pathogen during the preclinical phase -- Full text | PDF
- 2019 Apr 30 Effect of co-infection with a small intestine-restricted helminth pathogen on oral prion disease pathogenesis in mice -- Full text | PDF
- 2017 Effect of congruent gastro-intestinal pathogen infection on oral prion disease susceptibility -- PDF (Thesis)
- 2004 Aug Nematode parasites and scrapie: experiments in sheep and mice
See also
- 2025 Mar 21 Acute LPS exposure enhances susceptibility to peripheral prion infection -- Full text | PDF
- 2024 Oct 1 Expanding the Prion Paradigm to Include Alzheimer and Parkinson Diseases
- 2016 Role of mononuclear phagocytes in prion pathogenesis (Thesis)
- 2015 Sep The Gut-Associated Lymphoid Tissues in the Small Intestine, Not the Large Intestine, Play a Major Role in Oral Prion Disease Pathogenesis -- Full text | PDF
- 2011 May 17 Exacerbation of CNS inflammation and neurodegeneration by systemic LPS treatment is independent of circulating IL-1β and IL-6 -- Full text
Helminths and other helminths[edit | edit source]
- 2019 Sep Increased Prevalence of Cestode Infection Associated with History of Deworming among Primary School Children in Ethiopia -- Full text | PDF
- 2018 Mar 14 Predicting the effects of parasite co-infection across species boundaries -- Full text | PDF
- 2011 Sep Necator americanus and helminth co-infections: further down-modulation of hookworm-specific type 1 immune responses -- Full text | PDF
- 2008 Nov 1 Coinfection with the intestinal nematode Heligmosomoides polygyrus markedly reduces hepatic egg-induced immunopathology and proinflammatory cytokines in mouse models of severe schistosomiasis -- Full text | PDF
- 2001 Sep Parasite-specific antibody and cellular immune responses in human infected with Necator americanus and Oesophagostomum bifurcum
Necator Americanus and IFN-γ[edit | edit source]
To be completed.
- 2008 Jan 15 Ecological rules governing helminth-microparasite coinfection -- Full text | PDF (Tables here)
- 2004 Aug 15 A secreted protein from the human hookworm necator americanus binds selectively to NK cells and induces IFN-gamma production.
- To be combined with:
Regarding IFN-γ, see: Interferon gamma: Interactions