4.7 Article

Control Strategies for Carcinogenic-Associated Helminthiases: An Integrated Overview

Journal

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fcimb.2021.626672

Keywords

helminths; carcinogenesis; chemotherapy; immunotherapy; antioxidants

Funding

  1. PT national funds (FCT/MCTES, Fundacao para a Ciencia e Tecnologia and Ministerio da Ciencia, Tecnologia e Ensino Superior) [UIDB/ 00211/2020]
  2. National Cancer Institute (NCI), National Institutes of Health (NIH), USA [RO1CA164719]

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Helminthiases are highly prevalent in developing countries and chronic infection with some parasitic worms is associated with carcinogenesis. Understanding parasite-host interactions and mechanisms of carcinogenesis is crucial for developing novel control strategies. Chemotherapy and immunotherapy are potential therapeutic options, with a focus on targeting both the parasite and associated pathologies to combat the cancer-causing effects of helminth infections.
Helminthiases are extremely prevalent in the developing world. In addition, the chronic infection with some parasitic worms are classified as carcinogenic. Therefore, it is utmost importance to understand the parasite-host interactions, the mechanisms underlay carcinogenesis and how they could be counteracted. This knowledge may ultimately guide novel control strategies that include chemotherapy-based approaches targeting these pathogens and associated pathologies caused by their infections. Little is known on how some helminthiases are associated with cancer; however, it has been hypothesized that chemical carcinogenesis may be involved in the process. Here, we summarize the current knowledge on chemical carcinogenesis associated with helminthiases, along with available therapeutic options and potential therapeutic alternatives including chemotherapy and/or immunotherapy. Ideally, the treatment of the carcinogenic helminthiases should target both the parasite and associated pathologies. The success of any chemotherapeutic regimen often depends on the host immune response during the infection and nutritional status among other factors. The close association between chemotherapy and cell-mediated immunity suggests that a dual therapeutic approach would be advantageous. In addition, there is a pressing need for complementary drugs that antagonize the carcinogenesis process associated with the helminth infections.

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