Parasites: Filarial Nematodes
Wucheria bancrofti is a filarial nematode that can cause filariasis, also known as elephantiasis. The nematode grows between 4-10cm in length and is spread by mosquitoes. The nematode travels to the lymph nodes and its offspring (microfilaria) are released into the circulation in order to be taken up by a mosquito, inside which it develops into an infective larvae.
Much of the pathology of Wucheria infection is caused by the immune response to the pathogen, which causes an inflammatory response. This causes lymph returning to the lymph node to be obstructed and results in the dilation of the affected duct. Fibrous connective tissue infiltrates the lymph node and results in swollen apendages. The most commoly affected areas are the legs, arms and scrotum.
Onchocerca volvulus is a filarial nematode that causes river blindness. The nematode grows between 20-50cm and is spread by blackfly. Upon infecting a host, it forms subcutaneous nodules and from this point releases it offspring (microfilaria) into the skin so they can be taken up by blackfly. Inside the blackfly, the microfilaria mature into infective larvae and the cycle continues.
The microfilaria released into the skin may invade the eye and cause inflammation followed by a build-up of fibrous tissue. In some areas endemic with Onchocerca, there may be up to 1500 blind persons per 10000. The adult worms, inversely, are less pathogenic though occasionally causing elephantiaisis and dermatisis.
Both Wucheria bancrofti and Onchocerca volvulus contain a bacterial intracellular symbiote from the Wolbachia genus. Indeed, Wolbachia is responsible for many of the symptoms of filarial nematode infection; the bacteria triggering innate and adaptive immune responses. Treatment of infected patients with antibiotics reduces the lifespan of adults from 10-14 years to 1-2 years. Additionally, adults often become sterile due to the nature of the symbiosis between the nematode and the bacteria.
Pictured: Onchocerca volvulus
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