Submitted by OryuSatellite t3_11uhvmh in askscience
I'm a sheep farmer and am curious about the mechanism by which adult sheep develop immunity or resistance to internal parasites. Presumably intestinal worms are too big to attack with macrophages? How does this kind of immunity work?
zumiaq t1_jcpf1ql wrote
I can't say for sheep specifically, but most immune response is targeted at initial infection with the parasite.
In human helminthiasis, the main defenders are T-lymphocytes and eosinophils. They produce a ton of cytokines that are mainly focused on damaging/inhibiting eggs or young, very small parasites during initial infection. B cells and antibodies may be involved, but--once again--antibodies are not going to have substantive effects on the type of large intestinal worms you are talking about.
While I'm sure the host body has some immune tricks to tackle adult helminths, and others can hopefully chime in with them, by the time you have a chronic infection with large worms the parasite-host relationship is pretty established. Many helminths produce immunomodulating compounds which actively tell the immune system to not fight the worm, and, for the most part, the host is now a host and spontaneous recovery without some sort of medical intervention is unlikely.