1. New Insights Into the Kinetics and Variability of Egg Excretion in Controlled Human Hookworm Infections
- Author
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Alex Loukas, Mikhael D Manurung, Luc E. Coffeng, Leo G. Visser, Eric A. T. Brienen, Chelsea Gootjes, Sake J. de Vlas, Munisha S. Ganesh, C. Feijt, Marie-Astrid Hoogerwerf, Jacqueline J. Janse, Pauline Meij, Yvonne C. M. Kruize, Marijke C. C. Langenberg, Martha T. van der Beek, Marianne A A Erkens, Mark Dekker, Meta Roestenberg, Luke Becker, Inge M Westra, Maria Yazdanbakhsh, Beatrice M. F. Winkel, Lisette van Lieshout, and Public Health
- Subjects
0301 basic medicine ,Male ,Veterinary medicine ,Necator americanus ,Bayesian statistics ,Models, Biological ,Excretion ,Necatoriasis ,03 medical and health sciences ,Feces ,Young Adult ,0302 clinical medicine ,parasitic diseases ,Immunology and Allergy ,Helminths ,Animals ,Humans ,030212 general & internal medicine ,Hookworm infection ,Larva ,biology ,Bayes Theorem ,Vaccine efficacy ,biology.organism_classification ,Healthy Volunteers ,Blood Cell Count ,Eosinophils ,Kinetics ,030104 developmental biology ,Infectious Diseases ,vaccine development ,Hookworm Infections ,controlled human infection ,Female ,hookworm ,Follow-Up Studies - Abstract
Four healthy volunteers were infected with 50 Necator americanus infective larvae (L3) in a controlled human hookworm infection trial and followed for 52 weeks. The kinetics of fecal egg counts in volunteers was assessed with Bayesian multilevel analysis, which revealed an increase between weeks 7 and 13, followed by an egg density plateau of about 1000 eggs/g of feces. Variation in egg counts was minimal between same-day measurements but varied considerably between days, particularly during the plateau phase. These analyses pave the way for the controlled human hookworm model to accelerate drug and vaccine efficacy studies.
- Published
- 2019