Helminth Therapy for Immune-Mediated Inflammatory Diseases: Current and Future Perspectives

J Inflamm Res. 2022 Jan 21:15:475-491. doi: 10.2147/JIR.S348079. eCollection 2022.

Abstract

Inflammatory bowel disease and allergic asthma, as typical immune-mediated inflammatory diseases (IMIDs), are associated with immune imbalance caused by complex interactions among environmental, genetic and bacterial factors. The changing immune imbalance of IMIDs not only causes serious pathological damages but also increases the difficulty of treatment. Helminths or helminth-derived molecules have been increasingly employed to treat IMIDs due to their immunoregulatory ability. Since helminth infection is not an appropriate treatment direction due to the complex immunoregulation and safety concerns, one of the new therapies is to harness the immunoregulation induced by the identified helminth-derived molecules using immune indexes as a guide. This review discusses the pathogenesis of inflammatory bowel disease and allergic asthma, and summarizes the therapeutic effect of helminths and the immunoregulatory mechanisms induced by helminth-derived molecules proposing therapeutic regimens.

Keywords: IMIDs; allergic asthma; helminth therapy; helminth-derived molecules; immunoregulation; inflammatory bowel disease.

Publication types

  • Review

Grants and funding

This study was supported by the National Key Research and Development Program of China (2021YFC2600202; 2017YFC1601200); the National Natural Science Foundation of China (NO. NSFC31872467); the China Postdoctoral Science Foundation (2021M701395) and Program for JLU Science and Technology Innovative Research Team (2017TD-32).