Finding Better Ways to Treat Tropical Disease Caused by Parasitic Worm

Researchers have provided new details about the inner workings of a parasitic worm that causes a tropical disease called schistosomiasis, which leads to itchy skin, fever, chills, muscle aches, and liver disease that, in some cases, can be fatal. The new results, which appear in the September issue of Molecular & Cellular Proteomics, may help design drugs or vaccines against the disease.

Schistosomiasis, a disease affecting up to 200 million people in Asia, Africa, and South America, is spread by parasitic worms called blood flukes that live in fresh water. The worms enter the human body through the skin and move to either the large intestine, small intestine, or the bladder.

In the case of a species called Schistosoma mansoni, infection starts when larvae cross the skin and migrate to the large intestine, where they become adults and mate. The females then lay about 300 eggs a day in the blood vessels of the gut wall.

Stuart M. Haslam and colleagues compared the chemicals released by the larvae and eggs to understand how these chemicals help them to infect the human body. They found that although these chemicals are detected by the immune system, the parasite can still spread throughout the body.

In the case of the larvae, the scientists suggest that although the chemicals secreted prompt the human immune system to attack them, these chemicals act as a decoy so that the larvae themselves are not destroyed and can spread at will. The chemicals released by the eggs also attract molecules from the immune system but this time the chemicals fool the immune system into helping them escape from the body through feces and spread in the environment. These results provide new clues as to how the worms infect the human body and may help design drugs that target some of these chemicals in the future.

Schistosomiasis or bilharzia is a parasitic disease caused by several species of flatworm. The acute form of schistosomiasis is sometimes known as snail fever and cutaneous schistosomiasis is sometimes commonly called swimmer’s itch. The disease affects many people in developing countries, and in certain African communities and east Asia, the process of overcoming schistosomiasis is an important rite of passage. Although it has a low mortality rate, schistosomiasis can be very debilitating. Schistosomiasis is known as Bilharzia or bilharziosis in many countries, after Theodor Bilharz, who first described the cause of urinary schistosomiasis in 1851, although the first doctor who described entirely the disease cycle was Pirajá da Silva in 1908.

Alternative names
Bilharzia; Katayama fever; Swimmer’s itch; Blood fluke; Schistosoma mansoni; Schistosoma haematobium; Schistosoma japonicum; Schistosoma mekongi; Schistosoma intercalatum

An often chronic illness that results from infection of the blood with a parasitic flatworm (schistosome), it causes debilitation and causes liver and intestinal damage. It is most commonly found in Asia, Africa, and South America, especially in areas with water that is contaminated with fresh water snails, which contain the parasite.

for more information check Schistosomiasis

Article: “Glycomics Analysis of Schistosoma mansoni Egg and Cercarial Secretions,” by Jihye Jang-Lee, Rachel S. Curwen, Peter D. Ashton, Berangere Tissot, William Mathieson, Maria Panico, Anne Dell, R. Alan Wilson, and Stuart M. Haslam

The American Society for Biochemistry and Molecular Biology is a nonprofit scientific and educational organization with over 11,900 members in the United States and internationally. Most members teach and conduct research at colleges and universities. Others conduct research in various government laboratories, nonprofit research institutions and industry. The Society’s student members attend undergraduate or graduate institutions.

Schistosomiasis, also known as bilharzia (bill-HAR-zi-a), is a disease caused by parasitic worms. Infection with Schistosoma mansoni, S. haematobium, and S. japonicum causes illness in humans. Although schistosomiasis is not found in the United States, 200 million people are infected worldwide.

How can I get schistosomiasis?

Infection occurs when your skin comes in contact with contaminated fresh water in which certain types of snails that carry schistosomes are living.

Fresh water becomes contaminated by Schistosoma eggs when infected people urinate or defecate in the water. The eggs hatch, and if certain types of snails are present in the water, the parasites grow and develop inside the snails. The parasite leaves the snail and enters the water where it can survive for about 48 hours. Schistosoma parasites can penetrate the skin of persons who are wading, swimming, bathing, or washing in contaminated water. Within several weeks, worms grow inside the blood vessels of the body and produce eggs. Some of these eggs travel to the bladder or intestines and are passed into the urine or stool.

In what areas of the world does schistosomiasis occur?

  * Africa: southern Africa, sub-Saharan Africa, Lake Malawi, the Nile River valley in Egypt
  * South America: including Brazil, Suriname, Venezuela
  * Caribbean: Antigua, Dominican Republic, Guadeloupe, Martinique, Montserrat, Saint Lucia (risk is low)
  * The Middle East: Iran, Iraq, Saudi Arabia, Syrian Arab Republic, Yemen
  * Southern China
  * Southeast Asia: Philippines, Laos, Cambodia, Japan, central Indonesia, Mekong delta


Founded in 1906, the Society is based in Bethesda, Maryland, on the campus of the Federation of American Societies for Experimental Biology. The Society’s purpose is to advance the science of biochemistry and molecular biology through publication of the Journal of Biological Chemistry, the Journal of Lipid Research, and Molecular and Cellular Proteomics, organization of scientific meetings, advocacy for funding of basic research and education, support of science education at all levels, and promoting the diversity of individuals entering the scientific work force.

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