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AMINO ACID SOURCES 179<br />

matrix proteins by adults. Adult Dirofilaria<br />

immitis contains a 42 kDa aspartic proteinase,<br />

which is present in a number of different tissues,<br />

and a subtilisin-like serine proteinase,<br />

furin. Metalloproteinases and cysteine proteinases<br />

are present in secretions and extracts<br />

of L3 and L4 larvae, and cysteine proteinase<br />

inhibitors inhibit the third to fourth larval<br />

stage molt.<br />

Proteinase inhibitors<br />

Mammals possess proteinase inhibitors capable<br />

of inhibiting all catalytic classes; most are<br />

class-specific, but a few, like 2 -macroglobulin,<br />

have broad specificity. These proteinase inhibitors<br />

have important regulatory functions,<br />

and the disruption of the balance between a<br />

proteinase and its inhibitor(s) is frequently the<br />

cause of disease. During co-evolution with their<br />

hosts at least some parasites seem to have<br />

developed proteinase inhibitors that can protect<br />

them from destruction by host proteolytic<br />

activities, such as proteinases released from<br />

leukocytes in the case of bloodstream parasites,<br />

or digestive juices in the case of intestinal<br />

parasites.<br />

Little is known about proteinase inhibitors<br />

in parasitic protozoa. Recently a serpin (serine<br />

proteinase inhibitor) has been cloned and<br />

sequenced from T. gondii. This inhibitor<br />

belongs to the Kazal family, inhibits trypsin,<br />

chymotrypsin, elastase and tryptase, and is<br />

located in the dense granules of the tachyzoites.<br />

Cystatin-like proteinase inhibitors act on C1<br />

family cysteine proteinases, and have been<br />

detected, but not characterized, in several<br />

protozoan parasites.<br />

Far more is known about proteinase<br />

inhibitors from helminths. Nematodes contain<br />

a number of serine proteinase inhibitors,<br />

some of which belong to the serpin family, the<br />

others to a different family of small proteinase<br />

inhibitors, for which the name smapins has<br />

been recently proposed. Related inhibitors also<br />

are found in trematodes, such as Schistosoma<br />

spp. Much less is known about cysteine proteinase<br />

inhibitors.<br />

Little is known of the actual functions of<br />

these inhibitors, although they are presumably<br />

important in the host–parasite relationship.<br />

A microfilarial serpin specifically inhibits<br />

two human neutrophil enzymes, cathepsin G<br />

and elastase, and may protect the parasite in<br />

the bloodstream from neutrophil attack. With<br />

reference to smapins, their function seems<br />

clear in at least two cases: in Ascaris they protect<br />

against the proteolytic environment of the<br />

host’s gut, and in the hookworm Ancylostoma<br />

caninum they act as anticoagulants, inhibiting<br />

several of the serine proteinases involved in<br />

the blood clotting cascade.<br />

Functions of parasite proteolytic enzymes<br />

Digestive functions<br />

Proteinases from different parasites participate<br />

in the digestion of host proteins for nutrition.<br />

Protein digestion is usually extracellular in the<br />

helminths, with the proteinases secreted from<br />

the gut epithelium in those worms with a digestive<br />

tract. In protozoa most protein digestion<br />

occurs in lysosomal compartments. Hemoglobin<br />

degradation has been extensively studied in<br />

two bloodstream parasites, Plasmodium spp.<br />

and Schistosoma spp. P. falciparum has three<br />

major proteolytic systems in the food vacuole,<br />

a lysosome-like organelle responsible for the<br />

massive hemoglobin digestion characteristic of<br />

malarial trophozoites: the falcipains, the plasmepsins,<br />

and falcilysin. Cysteine proteinase<br />

inhibitors kill malarial parasites, both in vivo<br />

and in vitro, with the concomitant accumulation<br />

of hemoglobin in the digestive vacuole,<br />

suggesting a major role for cysteine proteinases<br />

in hemoglobin degradation. Specific inhibition<br />

BIOCHEMISTRY AND CELL BIOLOGY: PROTOZOA

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