Repeat Ascaris challenge reduces worm intensity through gastric cellular reprograming.

Ascariasis (roundworm) is the most prevalent parasitic nematode infection worldwide, impacting approximately 500 million people predominantly in low- and middle-income countries (LMICs). While people of all ages are infected with Ascaris, infection intensity (defined by worm burden) paradoxically pe...

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Main Authors: Yifan Wu, Charlie Suarez-Reyes, Nina L Tang, Alexander R Kneubehl, Jill E Weatherhead
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-05-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0013141
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author Yifan Wu
Charlie Suarez-Reyes
Nina L Tang
Alexander R Kneubehl
Jill E Weatherhead
author_facet Yifan Wu
Charlie Suarez-Reyes
Nina L Tang
Alexander R Kneubehl
Jill E Weatherhead
author_sort Yifan Wu
collection DOAJ
description Ascariasis (roundworm) is the most prevalent parasitic nematode infection worldwide, impacting approximately 500 million people predominantly in low- and middle-income countries (LMICs). While people of all ages are infected with Ascaris, infection intensity (defined by worm burden) paradoxically peaks in pre-school and school-aged children but then declines with age. The cause of age-dependent Ascaris worm intensity is not well understood but may be dependent on cellular changes in mucosal barrier sites. We have previously found that the gastric mucosa is a critical barrier site for Ascaris infection as ingested Ascaris larvae use acidic mammalian chitinase (AMCase) secreted by gastric chief cells and acid secreted by gastric parietal cells to hatch. After hatching, larvae translocate across the gastric mucosa to initiate the larval migratory cycle. However, mucosal injury induced by administration of Tamoxifen results in cellular changes that impair Ascaris hatching and reduce larval translocation across the gastric mucosa. Since individuals in endemic settings often experience recurrent infection throughout their lives, we set out to determine how repeated Ascaris exposures affect the gastric mucosa and the intensity of resultant infections. In this study, we established a repeated Ascaris suum challenge mouse model and found that repeated Ascaris challenge caused cellular changes in the gastric mucosa which reduced worm intensity in the liver. Importantly, these decreases in infection intensity following repeated infections occurred independent of the adaptive immune response. These findings indicate that gastric cellular changes may be a key mechanism leading to the observed age-dependent Ascaris worm intensity changes from childhood to adulthood.
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1935-2735
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spelling doaj-art-63018cc310734feab9b63eea9c1669642025-08-20T02:07:40ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352025-05-01195e001314110.1371/journal.pntd.0013141Repeat Ascaris challenge reduces worm intensity through gastric cellular reprograming.Yifan WuCharlie Suarez-ReyesNina L TangAlexander R KneubehlJill E WeatherheadAscariasis (roundworm) is the most prevalent parasitic nematode infection worldwide, impacting approximately 500 million people predominantly in low- and middle-income countries (LMICs). While people of all ages are infected with Ascaris, infection intensity (defined by worm burden) paradoxically peaks in pre-school and school-aged children but then declines with age. The cause of age-dependent Ascaris worm intensity is not well understood but may be dependent on cellular changes in mucosal barrier sites. We have previously found that the gastric mucosa is a critical barrier site for Ascaris infection as ingested Ascaris larvae use acidic mammalian chitinase (AMCase) secreted by gastric chief cells and acid secreted by gastric parietal cells to hatch. After hatching, larvae translocate across the gastric mucosa to initiate the larval migratory cycle. However, mucosal injury induced by administration of Tamoxifen results in cellular changes that impair Ascaris hatching and reduce larval translocation across the gastric mucosa. Since individuals in endemic settings often experience recurrent infection throughout their lives, we set out to determine how repeated Ascaris exposures affect the gastric mucosa and the intensity of resultant infections. In this study, we established a repeated Ascaris suum challenge mouse model and found that repeated Ascaris challenge caused cellular changes in the gastric mucosa which reduced worm intensity in the liver. Importantly, these decreases in infection intensity following repeated infections occurred independent of the adaptive immune response. These findings indicate that gastric cellular changes may be a key mechanism leading to the observed age-dependent Ascaris worm intensity changes from childhood to adulthood.https://doi.org/10.1371/journal.pntd.0013141
spellingShingle Yifan Wu
Charlie Suarez-Reyes
Nina L Tang
Alexander R Kneubehl
Jill E Weatherhead
Repeat Ascaris challenge reduces worm intensity through gastric cellular reprograming.
PLoS Neglected Tropical Diseases
title Repeat Ascaris challenge reduces worm intensity through gastric cellular reprograming.
title_full Repeat Ascaris challenge reduces worm intensity through gastric cellular reprograming.
title_fullStr Repeat Ascaris challenge reduces worm intensity through gastric cellular reprograming.
title_full_unstemmed Repeat Ascaris challenge reduces worm intensity through gastric cellular reprograming.
title_short Repeat Ascaris challenge reduces worm intensity through gastric cellular reprograming.
title_sort repeat ascaris challenge reduces worm intensity through gastric cellular reprograming
url https://doi.org/10.1371/journal.pntd.0013141
work_keys_str_mv AT yifanwu repeatascarischallengereduceswormintensitythroughgastriccellularreprograming
AT charliesuarezreyes repeatascarischallengereduceswormintensitythroughgastriccellularreprograming
AT ninaltang repeatascarischallengereduceswormintensitythroughgastriccellularreprograming
AT alexanderrkneubehl repeatascarischallengereduceswormintensitythroughgastriccellularreprograming
AT jilleweatherhead repeatascarischallengereduceswormintensitythroughgastriccellularreprograming