The Role of IL-5 in Immune Responses to Enterobius vermicularis Infection Among Children: A Case control study

  • Eman Adnan Hadi College of Health and Medical Technology, Kufa, Al-Furat Al-Awsat Technical University
  • Raad Ajam Sayal College of Health and Medical Technology, Kufa, Al-Furat Al-Awsat Technical University
Keywords: Interleukin5 (IL5), Enterobius Vermicularis, Infection

Abstract

  1. vermicularis (pinworm) is the most prevalent helminth infection in middle- and high-income nations, especially in school-age children. E. vermicularis is found all across the world and is not linked to any specific racial, cultural, or social background. To investigate the role of IL5 in immunity against E. vermicularis infection through measuring serum level among infected children and healthy control group. Between August 2024 and January 2025, 45 children—24 boys and 21 girls—from patients who visited AL-Zahraa Teaching Hospital in AL-Najaf province participated in the current study.  For hematological parameters and IL5 measurement by ELISA, 5 ml of samples were drawn from the veins of the patients and the control group.  The information was entered using SPSS version 22.0.  In this study, the relationship between the two variables was analyzed and assessed using the chi-square test.  The t-test was used to analyze the differences in serum parameters between the two groups.  The threshold for statistical significance was set at P < 0.05. Infected children had a significantly lower hemoglobin level than the controls (12.06 vs. 13.46) respectively. Therefore, the mean of hemoglobin was highly significant, as (P= <0.001), while, white blood cells and Eosinophils' showed a highly significant increase (P= <0.001), in patients when compared with control. Interleukin 5 was assessed for both patient and control groups and the mean showed there were a highly significant increase in infected children when compared with control (P=0.0001).

References

Al-Daoody, A. A. K., & Al-Bazzaz, E. N. H. (2020). Impact of Enterobius vermicularis infection on biochemical parameters in the blood of children in Erbil Province, Iraq. BMC infectious diseases, 20, 1-6.

‏Al-Hasheme, I. H. M., Al-Tammime, T. A. A. H., & Al-Morshidy, K. A. H. (2020). Study of some hematological and immunological parameters associated with the infection of intestinal parasites in the holy city of Kerbala, Iraq. Annals of Tropical Medicine and Health, 23, 207-231.

‏Al–Mousawi, A., & Neamah, B. (2021). A study on intestinal parasites among diabetic patients in Najaf governorate of Iraq and its effect on some blood parameters. Iranian Journal of Ichthyology, 8, 127-132.

Altun, E., Avci, V., & Azatçam, M. (2017). Parasitic infestation in appendicitis. A retrospective analysis of 660 patients and brief literature review. Saudi medical journal, 38(3), 314

Ayelign, B., Akalu, Y., Teferi, B., Molla, M. D., & Shibabaw, T. (2020). Helminth induced immunoregulation and novel therapeutic avenue of allergy. Journal of asthma and allergy, 439-451.

‏Barnes, P. J. (2018). Targeting cytokines to treat asthma and chronic obstructive pulmonary disease. Nature Reviews Immunology, 18(7), 454-466.

Bolka, A., & Gebremedhin, S. (2019). Prevalence of intestinal parasitic infection and its association with anemia among pregnant women in Wondo Genet district, Southern Ethiopia: a cross-sectional study. BMC infectious diseases, 19, 1-8.

‏Chen, J., Wang, Y., Shen, L., Xiu, Y., & Wang, B. (2023). Could IL-25 be a potential therapeutic target for intestinal inflammatory diseases?. Cytokine & Growth Factor Reviews, 69, 43-50.

‏Chen, K. Y., Yen, C. M., Hwang, K. P., & Wang, L. C. (2018). Enterobius vermicularis infection and its risk factors among pre-school children in Taipei, Taiwan. Journal of Microbiology, Immunology and Infection, 51(4), 559-564.

‏Cruz, A. A., Cooper, P. J., Figueiredo, C. A., Alcantara-Neves, N. M., Rodrigues, L. C., & Barreto, M. L. (2017). Global issues in allergy and immunology: parasitic infections and allergy. Journal of Allergy and Clinical Immunology, 140(5), 1217-1228.

Dohan, B. A. M., & Al-Warid, H. S. (2022). Haematological and Demographic Study in Children Infected with Enterobiasis in Al Diwaniyah Province, Iraq. Iraqi Journal of Science, 107-115.

El-Awady, M., & Abed, N. (2017). A body shape index versus body mass index in the assessment of nutritional status among Egyptian primary school children infected with intestinal helminthiasis. Science Journal of Public Health, 12(2), 13-18.

Fan, C. K., Chuang, T. W., Huang, Y. C., Yin, A. W., Chou, C. M., Hsu, Y. T., ... & Tu, C. Y. (2019). Enterobius vermicularis infection: prevalence and risk factors among preschool children in kindergarten in the capital area, Republic of the Marshall Islands. BMC infectious diseases, 19, 1-7.

Gell, D. A. (2018). Structure and function of haemoglobins. Blood Cells, Molecules, and Diseases, 70, 13-42.

Harris, N. L. (2017). Recent advances in type-2-cell-mediated immunity: insights from helminth infection. Immunity, 47(6), 1024-1036.‏

Loukas, A., Hotez, P. J., Diemert, D., Yazdanbakhsh, M., McCarthy, J. S., Correa-Oliveira, R., ... & Bethony, J. M. (2016). Hookworm infection. Nature reviews Disease primers, 2(1), 1-18.

Maizels, R. M. (2016). Parasitic helminth infections and the control of human allergic and autoimmune disorders. Clinical Microbiology and Infection, 22(6), 481-486.

Mohmmed, K. O., Erzaiq, Z. S., & Azzawi, W. Y. (2016). The changes in blood count among patients with different intestinal parasitic infections at Erbil city. Tikrit Medical Journal, 21(1).

‏Moult, J., Fidelis, K., Kryshtafovych, A., Schwede, T., & Tramontano, A. (2016). Critical assessment of methods of protein structure prediction: Progress and new directions in round XI. Proteins: Structure, Function, and Bioinformatics, 84, 4-14.

Olin, J. T., & Wechsler, M. E. (2014). Asthma: pathogenesis and novel drugs for treatment. Bmj, 349.

‏Pelaia, C., Paoletti, G., Puggioni, F., Racca, F., Pelaia, G., Canonica, G. W., & Heffler, E. (2019). Interleukin-5 in the pathophysiology of severe asthma. Frontiers in physiology, 10, 1514.

Price,A. S., & Kennedy, J. L. (2022). T-helper 2 mechanisms involved in human rhinovirus infections and asthma. Annals of Allergy, Asthma & Immunology, 129(6), 681-691.‏

Patsantara, G. G., Piperaki, E. T., Tzoumaka-Bakoula, C., & Kanariou, M. G. (2016). Immune responses in children infected with the pinworm Enterobius vermicularis in central Greece. Journal of helminthology, 90(3), 337-341.

Rahimi, M., Mohammadzadeh, T., & Khanaliha, K. (2018). Eosinophils and parasitic infections. International Journal of Enteric Pathogens, 6(4), 108-112.

Schroeder, J. C., Jones, D., & Maranich, A. (2019). Peripheral eosinophilia found in pediatric Enterobius vermicularis infections. Clinical Pediatrics, 58(1), 13-16.

Shimokawa, C., Kanaya, T., Hachisuka, M., Ishiwata, K., Hisaeda, H., Kurashima, Y., ... & Ohno, H. (2017). Mast cells are crucial for induction of group 2 innate lymphoid cells and clearance of helminth infections. Immunity, 46(5), 863-874.‏

Sorobetea, D., Svensson-Frej, M., & Grencis, R. (2018). Immunity to gastrointestinal nematode infections. Mucosal Immunology, 11(2), 304-315.‏

‏Yang, C. A., Liang, C., Lin, C. L., Hsiao, C. T., Peng, C. T., Lin, H. C., & Chang, J. G. (2017). Impact of Enterobius vermicularis infection and mebendazole treatment on intestinal microbiota and host immune response. PLoS neglected tropical diseases, 11(9), e0005963.

Zouari, M., Louati, H., Abid, I., Trabelsi, F., Dhaou, M. B., Jallouli, M., & Mhiri, R. (2018). Enterobius vermicularis: a cause of abdominal pain mimicking acute appendicitis in children. A retrospective cohort study. Archives of Iranian Medicine, 21(2), 67-72.

Sayal, R.A., 2019. Epidemiological study of Cryptosporidium infection in Al-Najaf city. Int J Pharm Qual Assur, 10(01), pp.128-131.

Sayal, R.A., Hameed, S. and Faisal, M.M., 2020. Evaluation of IL-5 concentration level in Irritable Bowel Syndrome patients that suffering from Blastocystis infection in Al-Najaf Province. Eur. J. Mol. Clin. Med, 7, pp.3807-3817

RA Sayal, NMF Alkharasani, AA Alsadawi, ZHO Alquraishi

Journal of Pharmaceutical Sciences and Research, 2018•chm.atu.edu.iq

Kadhim, I.A. and Ajam, S.R., 2017. Influence of Toxoplasmosis on Human Personality Among Pregnant Women in Al-Najaf Province. International Journal of Medical Research & Health Sciences, 6(12), pp.59-64.

Sayal, R.A., Ibadi, A.K., Hussein, H.K. and Yasir, A.S., 2019. Obstetrical and medical history of pregnant women with toxoplasmosis in Al-najaf province, case-control study. Indian Journal of Forensic Medicine & Toxicology, 13(4), pp.1334-1341.

Jorany, R.A.S.A., Gassim, Z.A. and Ali, H., 2009. Evaluation of IL-27 Concentration in a Miscarriages Woman Infected with Toxoplasma gondii. Age, 20(24), pp.38-369.

Sayal, R.A. and Mohammed, H.M., 2024. Evaluation of TNF-α Concentration Level in Al-Najaf Hospitals Patients Infected with Hydatid Cysts. Journal La Medihealtico, 5(5), pp.952-959

Sayal, R.A. and Mohammed, H.M., 2024. Investigation Epidemiological and Immunological Variable (IL-6) Resulting from Infection with Hydatid Cysts in Al-Najaf Hospitals: Case Control Study. Journal of Scientific Research in Medical and Biological Sciences, 5(3), pp.160-167.

Sayal, R.A. and Mohammed, E.J., 2024. Evaluating the Role of Interleukin-9 in Cholelithiasis patients and Determine Prevalence of Fasiola Hepatica among these Patients. Journal of Scientific Research in Medical and Biological Sciences, 5(3), pp.129-136.

Al-Hisnaw, S.A. and Al-Jorany, R.A.S., 2024. Study of The Prevalence of Trichomonas Vaginalis Parasite in Females Suffering from Vaginal Inflammations. Journal of Scientific Research in Medical and Biological Sciences, 5(1), pp.25-36.

Ibadi, A.K., Jawad, N.M., Hashim, N.A., Meftah, S.R. and Sayal, R.A., 2023, April. Cesarean section and associated factors in Al Najaf city-Iraq. In AIP Conference Proceedings (Vol. 2776, No. 1). AIP Publishing.

Yasir, A.S., Sayal, R.A. and Tikki, K.A., 2022, January. Immunological and hematological estimation of matrix metalloproteinase-9 (MMP9) level in a serum of female infested through trichomonas vaginalis. In AIP Conference Proceedings (Vol. 2386, No. 1). AIP Publishing.

Sayl, R.A. and Yahya, I., Immunological Evaluation of IL-10 Concentration Level in Sera of Digestive Disorders Patients Infected with Blastocystis Hominis Infection in Al-Najaf City. International journal of health sciences, 6(S4), pp.11497-11505.

Jorany, R.A.S.A., Gassim, Z.A. and Ali, H., 2009. Evaluation of IL-27 Concentration in a Miscarriages Woman Infected with Toxoplasma gondii. Age, 20(24), pp.38-369.

Sayal, R.A. and Hussien, J.K., 2019. Estimation of interleukin (17, 22) and heat shock protein-20 among leishmaniasis patients in Al-Najaf province. Biochemical & Cellular Archives, 19(2).

Sultan, B.A. and Jorany, R.A.S.A., 2016. Evaluation of Matrix Metalloproteinase-2 (MMP2) in Aborted Women Infected with Toxoplasma gondii. kufa Journal for Nursing sciences, 6(2).

Published
2025-06-20
How to Cite
Hadi, E. A., & Sayal, R. A. (2025). The Role of IL-5 in Immune Responses to Enterobius vermicularis Infection Among Children: A Case control study. Central Asian Journal of Medical and Natural Science, 6(3), 1283-1291. https://doi.org/10.17605/cajmns.v6i3.2799
Section
Articles