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However, in humans, the effects of controlled helminth infection on cytokine responses during allergy have not been studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      The aim was to investigate whether infection with the nematode parasite\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                        richuris suis\n                      <\/jats:italic>\n                      alters systemic cytokine levels, cellular cytokine responses to parasite antigens and pollen allergens and\/or the cytokine profile of allergic individuals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In a randomized double\u2010blinded placebo\u2010controlled clinical trial (\n                      <jats:styled-content style=\"fixed-case\">UMIN<\/jats:styled-content>\n                      trial registry, Registration no. R000001298, Trial\n                      <jats:styled-content style=\"fixed-case\">ID UMIN<\/jats:styled-content>\n                      000001070,\n                      <jats:styled-content style=\"fixed-case\">URL<\/jats:styled-content>\n                      :\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.umin.ac.jp\/map\/english\">http:\/\/www.umin.ac.jp\/map\/english<\/jats:ext-link>\n                      ), adults with grass pollen\u2010induced allergic rhinitis received three weekly doses of 2500\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                        richuris suis\n                      <\/jats:italic>\n                      ova (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      45) or placebo (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      44) over 6\u00a0months.\n                      <jats:styled-content style=\"fixed-case\">IFN<\/jats:styled-content>\n                      \u2010\u03b3,\n                      <jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>\n                      \u2010\u03b1,\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u20104,\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u20105,\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u201010 and\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u201013 were quantified via cytometric bead array in plasma. Cytokines, including active\n                      <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\n                      \u2010\u03b2, were also quantified in supernatants from peripheral blood mononuclear cells cultured with parasite antigens or pollen allergens before, during and after the grass pollen season for a sub\u2010cohort of randomized participants (\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                        . suis\n                      <\/jats:italic>\n                      ova\u2010treated,\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      12, Placebo\u2010treated,\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      10).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Helminth infection induced a Th2\u2010polarized cytokine response comprising elevated plasma\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u20105 and parasite\u2010specific\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u20104,\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u20105 and\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u201013, and a global shift in the profile of systemic cytokine responses. Infection also elicited high levels of the regulatory cytokine\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u201010 in response to\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                        . suis\n                      <\/jats:italic>\n                      antigens. Despite increased production of\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                        . suis\n                      <\/jats:italic>\n                      \u2010specific cytokines in\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                        . suis\n                      <\/jats:italic>\n                      ova\u2010treated participants, allergen\u2010specific cytokine responses during the grass pollen season and the global profile of\n                      <jats:styled-content style=\"fixed-case\">PBMC<\/jats:styled-content>\n                      cytokine responses were not affected by\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                        . suis\n                      <\/jats:italic>\n                      ova treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Clinical Relevance<\/jats:title>\n                    <jats:p>\n                      This study suggests that cytokines induced by\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                        richuris suis\n                      <\/jats:italic>\n                      ova treatment do not alter allergic reactivity to pollen during the peak of allergic rhinitis symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/j.1365-2222.2012.04063.x","type":"journal-article","created":{"date-parts":[[2012,7,9]],"date-time":"2012-07-09T11:37:07Z","timestamp":1341833827000},"page":"1582-1595","source":"Crossref","is-referenced-by-count":26,"title":["<i>\n                      <scp>T<\/scp>\n                      richuris suis\n                    <\/i>\n                    ova therapy for allergic rhinitis does not affect allergen\u2010specific cytokine responses despite a parasite\u2010specific cytokine response"],"prefix":"10.1111","volume":"42","author":[{"given":"C. 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