SUMMARYSchistosomiasis mansoni is a tropical helminthic disease characterized by parasite egginduced granulomatous in¯ammation and cumulative ®brosis. Because ®brosis is in¯uenced by the imbalance between degradative matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs), we analysed the resorption of ®brous tissue and MMP/TIMP expression in the livers of S. mansoni-infected and praziquantel-cured mice. Worm elimination signi®cantly enhanced survival rate, ameliorated the granulomatous pathology and reduced collagen I, III and IV gene expression at 6 and 12 months posttreatment. Compared to 6 months infected, untreated controls, liver ®brous tissue was resorbed by 71Á4% at 12 months after treatment. At 3 months post-treatment, expression of the MMP-2, -3, -8, -10, -13, -14 and -16 genes decreased compared with untreated controls. By 6 months, a highly signi®cant increase in MMP-10 gene expression was manifest. At 12 months, messages for all MMP genes decreased in relation to untreated controls. TIMP-1, -2 and -3 gene expression drastically decreased between 3 and 6 months. At 1 year, only TIMP-1 expression was signi®cantly diminished. Overall, pro®brogenic tumour necrosis factor (TNF)-a, transforming growth factor (TGF)-b and inducible nitric oxide synthase (iNOS) gene expression decreased. Antigen-stimulated splenocytes secreted signi®cantly higher levels of interleukin (IL)-4, IL-5, IL-10 and IL-13 cytokines between 3 and 12 months after treatment. Production of interferon (IFN)-g was higher than in untreated controls 3 and 6 months after treatment. In conclusion, praziquantel-treated mice showed a slow resorption of liver ®brous tissue. Resorption is attributed to the precipitous drop in TIMP-1 gene expression level, which shifted the balance in favour of MMP message expression and presumed enhanced collagenase activity.