Quantitative studies on the kinetics of establishment and expulsion of intestinal nematode populations in susceptible and immune hosts. Nippostrongylus brasiliensis in the rat

Abstract

This paper describes the quantitative aspects of establishment and expulsion of Nippostrongylus brasiliensis in the normal and immune rat. It is proposed that this helminth infection may be described in terms of four phases. These are: (1) loss phase 1 (LP1). A proportion of the infecting dose of larvae is immobilized or destroyed before or during the course of migration via the lungs to the intestine. (2) The plateau phase. The worm number remains static in the predilection site. (3) Loss phase 2 (LP2). This is analogous to the self-cure reaction and during this worms are expelled from the host by an immunological mechanism. The onset of the expulsion is sudden and the process is exponential. It continues at a steady rate until a threshold is reached. (4) Threshold phase. A small residual population of worms is not expelled and survives for a fairly prolonged period.The pattern is maintained in immune animals undergoing second or third infections but there are quantitative differences. With increasing number of infections LP1 becomes greater, the plateau phase is shortened and the expulsion rate of LP 2 increases. It is suggested that the rate coefficient of this phase is an accurate measure of the immune status of the animal. The threshold phase is of a similar order in first, second and third infections. These results are discussed with regard to their significance as a measure of the immune status of the host, their implication regarding the mechanism of helminth expulsion and their relevance to other helminth infections.The authors wish to thank the Agricultural Research Council and Allen and Hanburys Ltd. for the financial support which made this work possible. During this period Ellen E. Jarrett held a Horserace Betting Levy Board Scholarship.