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Revisiting the Mechanisms of Immune Evasion Employed by Human Parasites

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FRONTIERS MEDIA SA
DOI: 10.3389/fcimb.2021.702125

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parasite immune evasion; immunological privilege sites; antigenic disguise; antigenic mimicry; alternatively activated macrophages; immune checkpoints; regulatory immune cells; insect vectors

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Parasites employ various strategies to counteract host immune defenses, which can be beneficial for the development of diagnostics, therapeutics, and vaccines against parasitic infections.
For the establishment of a successful infection, i.e., long-term parasitism and a complete life cycle, parasites use various diverse mechanisms and factors, which they may be inherently bestowed with, or may acquire from the natural vector biting the host at the infection prelude, or may take over from the infecting host, to outmaneuver, evade, overcome, and/or suppress the host immunity, both innately and adaptively. This narrative review summarizes the up-to-date strategies exploited by a number of representative human parasites (protozoa and helminths) to counteract the target host immune defense. The revisited information should be useful for designing diagnostics and therapeutics as well as vaccines against the respective parasitic infections.

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