Helminth parasites are of considerable medical and economic importance. Studies
of the immune response against helminths are of great interest in understanding
interactions between the host immune system and parasites. Effector immune
mechanisms against tissue-dwelling helminths and helminths localized in the
lumen of organs, and their regulation, are reviewed. Helminth infections are
characterized by an association of Th2-like and Treg responses. Worms are able
to persist in the host and are mainly responsible for chronic infection despite a
strong immune response developed by the parasitized host. Two types of
protection against the parasite, namely, premune and partial immunities, have been
described. Immune responses against helminths can also participate in
pathogenesis. Th2/Treg-like immunomodulation allows the survival of both host
and parasite by controlling immunopathologic disorders and parasite persistence.
Consequences of the modified Th2-like responses on co-infection, vaccination, and
inflammatory diseases are discussed.