Platyhelminths Flashcards

1
Q

What are the groups of Platyhelminths?

A
  • Turbelleria
  • Cestodes aka Tapeworms
  • Trematodes aka Flukes
  • Monogenea
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2
Q

What is the immune response of Helminths?

A
  • Helminths induce the development of effected Th2 cells
  • Th2 are characterised by: IL-4, IL-5, IL-9, IL-13 and IL21 and the absense of IFNgamma and IL-17
  • Naive CD4+ T cells can differentiate into several types of effector and regulatory cells during helminth infection
  • Specific cytokines and TF contribute to differentiation and expansion of cell populations which determiknes wether it provides host protection or pathological inflammation
  • Exposure to IL-12 procued by APDC induces Th1 differentiation –> IFNgamma = unable to clear parasites

Strong Th2 response= increase resistance and immunity against parasite infections

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3
Q

What is the “old frineds hypothesis” in regard to helminth infection?

A

Refers to the microbes that have evolved alongside the mammalian system, and be involved in host immune defence

  • Species that co-exist in environment with humans
  • Species which inhabit skin, gut, respiratory tract of humans and surrounding animals
  • Organisms (viruses and helminths) that reside in a chronic carrier state in humans, and tolerated by immune system
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4
Q

What is ShK and how does it work?

What is it used for?

A

Potent Kv1.3 channel inhibitor from sea anemone (Stichodactyla helianthus)

Suppresses T-cell mediators in autoimmune diseases and organ rejection

Shk related peptides in parasitic worms (hookworm) and filarial worms (Brugia malayi)

  • block human Kv1.3 channel in T-cells
  • suppress IFNgamma production in human T lymphocytes
  • potential for use in human autoimmune therapy
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5
Q

Tell me about the Monogenea, Diplozoon paradoxum

A
  • Monogenic fluke which shows complete monogamy
  • It cannot develop further unitl it encounters another one
  • When they encounter another they fuse by attaching sucker to dorsal papilla on one another
  • Fusion stimulates maturation
  • Gonads then appear which then allow cross-fertilisation
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6
Q

What is the competition with trematodes?

A

Co-infections of different parasite species within the same host like a snail can cause competitions between rediae and sporocysts (rediae are dominant to sporocysts as have mouths and are therefore able to feed)

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7
Q

What are the Tissue flukes (trematode) groups?

A

Fascioliasics (affects humans)

Fasciola hepatica

Fasciola gigantica

Fasciolopsis buski

Paragonimus westermani

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8
Q

What is Coracidia?

A

The oncosphere of a tapeworm at the time of hatching while it is still surrounded by embryophore

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9
Q

Whats an oncophere?

A

Has 6 hooks and is the earliest differentiated stage of a tapeworm

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10
Q

What are examples of monogenea?

A

Diplozoon paradoxum

Gyrodactylus salaris

Oculotrema hippopotami (the only mammalian one)

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11
Q

What is the subgroups of the Turbellaria platyhelminths?

A

Rhabditophora –> Neodermata –> Monogenea mono, Eucestodes and Digenea

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12
Q

What are the different blood flukes (trematodes)?

A

Schistosomes –> Intestinal and Urogenital

Intestinal= Schistosoma mansoni, S. Japanicum, S. mekongi, S. guineensis

Urogenital= S. haematobium

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13
Q

What are the controls and preventions for infection by Cestodes i.e. Taenia solium

A

Prevention for cysticercosis

  • wash hands reguarly
  • Wash fruit and veg
  • When travelling dring bottled, filtered water
  • Cook meat well
  • Don’t thaw
  • Freeze well
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14
Q

What is the pathogenesis for cestodes?

Treatment?

A

Swallowed tape worm eggs –> Eggs get into tissue like the muscle and brain –> cysts form (called Cysticerci)

Treatment: anti-parasitic drugs in combination with anti-inflammatory drugs

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15
Q

What is the prevention and control for blood flukes i.e., schistosomiasis?

A
  • If in area where it is common then avoid swimming in fresh water
  • Drink safe water
  • Boil water
  • Vigarous towel drying if do go into fresh water
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16
Q

What is the pathogenesis and treatment for blolod flukes?

A

Eggs live in blood vessels –> develop into adults –> move to bladder or intestine –> Cause inflammation and scarring + organ damage

Treatment: PZQ

17
Q

What is the prevention and control for tissue flukes?

A
  • Don’t eat raw water cress or water plants
  • In areas of poor sanitation avoid food and water that might be contaminated
  • Thoroughly cook food
18
Q

What is the pathogensis of tissue flukes and what is the treatment?

A

This is an infection of the bile duct and liver but it can also cause infection in other areas

Acute phase; Intestine –> liver which causes GI problems, nausea, vomiting and fever

Chronic fever; After it settles in the bile duct it causes inflammation

Treatment: Triclabendazole

19
Q

How have cestodes evolved to be efficient parasites?

A
  • Lost Hox and ParaHox genes
  • Absorb across Tegument
  • Extra transporters for: AA, carbs, fatty acids, nucleosides
  • Lost pathways to synthesise: Fatty acids, cholesterol
  • AA lost genes for peroxisomes
  • Have a prolonger survival as selectively produce components to moderate the host immune response
  • Evasion strategies: production and release of cysticercoid proteases and protease inhibitors, proteases destroying host proteins, specific protease inhibitors to avoid protease digestion
20
Q

What are some examples for snail control for flukes?

A

Molluscicides (snail pellets)

Flush rivers

Dams