Among the various hypotheses put forward to explain the modulatory influence of helminth infection on allergic effector responses in humans, the IL-10 induced suppression of Th2-associated responses has been the leading candidate. To explore this helminth/allergy interaction more fully, parasite- and allergen--specific T cell responses CD4+ T cell responses in 12 subjects with filarial infections and coincident allergic sensitization (Fil+A+) were compared these to the responses to 3 appropriate control groups [Fil−A− (n=13), Fil−A+(n=12), Fil+A−(n=11)]. The most important findings revealed that Fil+A+ had marked (p<0001 for all cytokines) increases in parasite antigen-driven Th2 (IL-4, IL-5, IL-13), Th9 (IL-9) and the regulatory (IL-10) cytokines when compared with Fil+A−. Moreover, using multiparameter flow cytometry, filarial parasite antigen induced a marked increase in not only the frequency of CD4+ T cells producing IL-4, IL-5, IL-2 and TNF-α in Fil+A+ when compared to Fil+A− patients but also in the frequencies of polyfunctional Th2-like (CD4+IL-4+IL-5+ and CD4+IL-2+IL-4+IL-5+TNF-α+) cells. The Th2-associated responses seen in the Fil+A+ group was correlated with serum IgE levels (p<0.01, r=0.5165 for IL-4; p<0.001, r=0.5544 for IL-5; and, p<0.001, r=0.4901 for IL-13), levels of circulating eosinophils (p<0.0116, r=0.5656) and their degranulation/activation products [major basic protein (p<0.001, r=0.7353) and, eosinophil derived neurotoxin (p<0.01, r=0.7059)]. CD4+ responses to allergen were not different (to a large extent) among the groups. Taken together, our data suggest that allergic sensitization coincident with filarial infection drives parasite antigen-specific T cell hyperresponsiveness, characterized largely by an augmented Th2-dominated immune response.