Evaluation of Immunological Markers in Children Infected with Intestinal Parasites in Three Communities, Nigeria

Abstract

Helminthiases are neglected parasites that induce changes in the host ’s immune response. The study assayed some immunological markers in helminth infections in children and adolescents. Stool and blood samples were collected from 276 subjects resident in three rural communities of Rivers and Imo States. Of these, 98 (35.5%) were infected with one or more of 3 parasitic species, of which Ascaris lumbricoides 39 (39.8%), Ancylostoma duodenale 30 (30.6%) and Trichuris trichiura 29 (29.6%) were recovered. Intestinal helminth parasites were identified using formol - ether concentration. Of the infected subjects, 66 had single species infections and 32 had multiple infections with two or three helminth species and children of the 6 - 10 years age group had the highest incidence. Sera of 60 infected subjects and 30 controls were evaluated to define immunological serum levels of IgE, IL-5, IFN- γ and C3 using the ELISA technique, while white blood cell differential counts and neutrophil-lymphocyte ratio (NLR) were evaluated using haematology auto-analyser. Elevation of IL-5, IgE, WBC and eosinophil levels were demonstrated in the infected groups (p < 0.01), higher in the multiple infected groups, compared to the control. Their concentrations across the different age groups were also significantly different (p = 0.0001), the highest in 6 - 5 years and the lowest in 0 - 5 years. Differences in IFN- γ and C3 levels among non-parasitized, single-parasitized and poly-parasitized groups were not statistically significant. Neutrophil, lymphocyte and NLR levels between control and helminth infected subjects were not significantly different. The result suggest ed that IgE, IL-5, total WBC and eosinophil increased in helminth infections, more in poly-parasitized and 6 - 10 years children.