The inflammatory cell infiltrates in porcine cysticercosis: immunohistochemical analysis during various stages of infection.

Abstract Taenia solium metacestodes cause cysticercosis in both humans and pigs. In the former host species, the central nervous system involvement (neurocysticercosis (NCC)) may range from asymptomatic to life-threatening, but little is known about the corresponding variation in tissue response due to the difficulty in obtaining parasite-infected brain biopsies. The use of pigs as animal models for cysticercosis is ideal because the histological description of the animal’s response around the parasites resembles the one recorded in human specimens. In this study the histological features of the immune response in swine were complemented by immunohistochemical analysis to determine the phenotype of the inflammatory cells. The presence of mononuclear cells and eosinophils, and the co-localization of MHC-II with B lymphocytes and monocytes/macrophages within the granulomas surrounding the parasites, were features that closely resembled the descriptions made in prior studies with human specimens. In addition, there were novel findings such as the upregulation of the adhesin CD44 in cells resembling monocytes/macrophages, eosinophils and in astrocytes from the central nervous system. The upregulation of CD44 may be important for the recruitment of inflammatory cells to the site of the lesion. Finally, the presence of null-γδ-T cells since stage I of the immune response was similar to the early detection of these cells in mouse models for cysticercosis.