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NSAIDs Strengthen Gut’s Parasite-Fighting Immune Pathway

Lab tests in mice show that inhibiting prostaglandin D2 with common painkillers accelerates helminth expulsion by activating Gasdermin C.

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Overview

  • University of Pittsburgh researchers found that Cathepsin S cleaves Gasdermin C in intestinal epithelial cells to trigger type 2 immunity against helminth parasites in both mice and human cells.
  • The active fragment of Gasdermin C penetrates Rab7-positive vesicles, disrupting their function and reducing levels of prostaglandin D2 to amplify anti-parasite inflammation.
  • Deleting either Cathepsin S or Gasdermin C in mice led to impaired worm clearance, confirming both proteins are essential for effective type 2 immune responses.
  • The team proposes repurposing COX-inhibiting NSAIDs to block prostaglandin D2 synthesis and enhance Gasdermin C–driven parasite expulsion, with clinical trials planned next.
  • Ongoing studies are exploring commensal gut microbes that induce Gasdermin C activation as potential diagnostic markers for helminth exposure and allergy risk.