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326 HELMINTH SURFACES<br />

or carrier protein. While there is no functional<br />

evidence for an NH 4 <strong>trans</strong>porter in nematodes,<br />

a homolog of the yeast NH 4 permease, MEP1,<br />

has been identified in the C. elegans genome.<br />

No information is yet available on the expression<br />

or function of this putative <strong>trans</strong>porter.<br />

NH 3 diffuses freely across membranes, and<br />

most nitrogen is probably excreted from<br />

nematodes in this form, driving the conversion<br />

of additional NH 4 to NH 3 . NH 3 excretion<br />

across the cuticle–hypodermis complex would<br />

be facilitated by the acidic microenvironment<br />

maintained within the aqueous pores of the<br />

cuticle, which would effectively ionize NH 3 as<br />

it enters the cuticle pores. This process would<br />

ensure low concentrations of NH 3 relative to<br />

NH 4 in the aqueous pores, providing a driving<br />

force favoring diffusion of the uncharged<br />

species out of the worm. Among helminths,<br />

this principle has been demonstrated experimentally<br />

only for S. mansoni. At least some<br />

members of the aquaporin family can also<br />

<strong>trans</strong>port urea, and it is possible that an aquaporin<br />

contributes to nitrogen excretion from<br />

nematodes.<br />

Some parasites, including A. suum, T. spiralis<br />

and Nippostrongylus brasiliensis, excrete low<br />

levels of short-chain aliphatic amines. Excreted<br />

amines were once thought to neutralize the<br />

acidic microenvironment of nematodes. The<br />

pK a s of these amines, however, fall between<br />

10.05 and 10.65. Therefore, it is unlikely that<br />

they contribute substantially to the buffering<br />

capacity in the pH range of gastrointestinal<br />

worms, as they would be almost completely<br />

protonated at pH values below 7.5. An organic<br />

cation <strong>trans</strong>porter cloned from C. elegans provides<br />

a potential route for the excretion of<br />

aliphatic amines, but no information is available<br />

on its expression. The classic substrate<br />

for this <strong>trans</strong>porter is tetraethylammonium,<br />

but it also <strong>trans</strong>ports choline and a variety of<br />

basic drugs.<br />

Role of the cuticle–hypodermis complex in<br />

drug absorption<br />

The cuticle is an important site for the absorption<br />

of anthelmintics and other small organic<br />

molecules. For example, accumulation of levamisole<br />

by A. suum can be accounted for solely<br />

by <strong>trans</strong>cuticular diffusion. For the filariae,<br />

B. pahangi and Dipetalonema viteae, absorption<br />

indices for a wide range of non-electrolytes<br />

show no obvious relationship with lipophilicity.<br />

When other physicochemical parameters,<br />

such as molecular weight, dipole moment and<br />

total energy are considered along with log K,<br />

quantitative predictions can be made about<br />

the absorption of non-electrolytes by filarial<br />

nematodes. This indicates that absorption is<br />

influenced by non-lipid components in the<br />

cuticle, and contrasts sharply with data from<br />

the trematode, S. mansoni, for which absorption<br />

kinetics can be predicted by the single<br />

variable log K.<br />

A. suum and H. contortus have also been<br />

used to determine how physicochemical properties<br />

are related to absorption rates of drugs.<br />

As in filariae, log K alone does not accurately<br />

predict absorption rate, and collagen and lipid<br />

components of the cuticle each present a distinct<br />

barrier to diffusion of organic molecules.<br />

Diffusion across the collagen barrier is highly<br />

dependent on molecular size and charge of the<br />

permeant. The permeability of neutral solutes<br />

decreases with increasing size, and positively<br />

charged molecules penetrate faster, and anions<br />

slower, than neutral solutes of comparable<br />

size. These results indicate that the cuticle of<br />

A. suum contains functional, negatively charged<br />

aqueous pores that are about 15 Å in radius.<br />

The functional pores that mediate permeability<br />

through the cuticle of gastrointestinal parasites<br />

must consist of tortuous paths through<br />

the crosslinked fibers of the cuticle. Electrondense<br />

solutes do not migrate through recognizable<br />

channels in A. suum cuticle.<br />

BIOCHEMISTRY AND CELL BIOLOGY: HELMINTHS

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