“…This effect is not limited to T. spiralis, but also includes Schistosome eggs, T. muris, or Hymenolepis diminuta which have been shown to protect rats or mice from autoimmune diseases like IBD and asthma [8]. The mechanism is that helminth or their antigens or excretory-secretory antigens have been shown to induce host T helper (Th) 2 immune response and produce anti-inflammatory factors (IL-4, IL-5, and IL-13) and regulatory factors (IL-10, TGF β 1), which could inhibit Th1 inflammatory factors (e.g., TNF- α , IL-1 β , and IL-6) and Th17 immune response [9, 10]. In vitro, T. spiralis excretory-secretory antigens (TsES) significantly reduce TNF- α , IL-1 β , IL-6, and IL-12 by inhibiting NF- κ B and mitogen-activated protein kinase (MAPK) in LPS-stimulated macrophages [11].…”