CD4+ T-CELL COUNTS, CD4+/CD8+ T-CELL COUNT RATIOS, AND ANTIBODY LEVELS IN MIGRANT FISHERMEN INFECTED WITH SCHISTOSOMA JAPONICUM IN THE DONGTING LAKE, CHINA

YUESHENG LI Molecular Parasitology Laboratory, Australian Centre for International and Tropical Health and Nutrition, The University of Queensland and The Queensland Institute of Medical Research, Brisbane, Queensland, Australia; Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Region, Yueyang, Hunan Province, People’s Republic of China; Xiangya School of Medicine, Central South University, Changsha, Hunan, People’s Republic of China

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QINREN ZENG Molecular Parasitology Laboratory, Australian Centre for International and Tropical Health and Nutrition, The University of Queensland and The Queensland Institute of Medical Research, Brisbane, Queensland, Australia; Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Region, Yueyang, Hunan Province, People’s Republic of China; Xiangya School of Medicine, Central South University, Changsha, Hunan, People’s Republic of China

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MAGDA K. ELLIS Molecular Parasitology Laboratory, Australian Centre for International and Tropical Health and Nutrition, The University of Queensland and The Queensland Institute of Medical Research, Brisbane, Queensland, Australia; Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Region, Yueyang, Hunan Province, People’s Republic of China; Xiangya School of Medicine, Central South University, Changsha, Hunan, People’s Republic of China

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TIE XIONG Molecular Parasitology Laboratory, Australian Centre for International and Tropical Health and Nutrition, The University of Queensland and The Queensland Institute of Medical Research, Brisbane, Queensland, Australia; Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Region, Yueyang, Hunan Province, People’s Republic of China; Xiangya School of Medicine, Central South University, Changsha, Hunan, People’s Republic of China

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JULIE BALEN Molecular Parasitology Laboratory, Australian Centre for International and Tropical Health and Nutrition, The University of Queensland and The Queensland Institute of Medical Research, Brisbane, Queensland, Australia; Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Region, Yueyang, Hunan Province, People’s Republic of China; Xiangya School of Medicine, Central South University, Changsha, Hunan, People’s Republic of China

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DONALD P. MCMANUS Molecular Parasitology Laboratory, Australian Centre for International and Tropical Health and Nutrition, The University of Queensland and The Queensland Institute of Medical Research, Brisbane, Queensland, Australia; Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Region, Yueyang, Hunan Province, People’s Republic of China; Xiangya School of Medicine, Central South University, Changsha, Hunan, People’s Republic of China

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In this study, CD4+ and CD8+ T cells and antibody levels were measured in 94 migrant fishermen infected with Schistosoma japonicum from Dongting Lake, China. Prevalence among these fishermen was high (63.8%), with a mean infection intensity of 61.4 ± 3.8 epg, and included a high proportion of individuals (39.4%) with substantial parenchymal fibrosis (stages ≥ 2/3). The CD4+/CD8+ ratio in men (1.34 ± 0.11) was significantly lower than that of women (1.58 ± 0.15). CD4+ T cells and the ratio of CD4+/CD8+ were significantly decreased both in subjects infected with S. japonicum and those with parenchymal fibrosis. However, levels of total IgA, IgM, and anti-schistosome egg antigen IgG correlated positively with infection intensity and pathologic lesion number. These results suggest an imbalance between cell-mediated and humoral immunity in these fishermen, the precise cause of which remains undetermined.

Author Notes

Reprint requests: Yuesheng Li, Molecular Parasitology Laboratory, Queensland Institute of Medical Research, 300 Herston Road, Herston, Brisbane, Queensland 4029, Australia.
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