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334 HELMINTH SURFACES<br />

in the hypodermis. Fourteen pgp-encoding<br />

genes have been identified in C. elegans, some<br />

of which are probably pseudogenes. Deletion<br />

of two of these genes leads to increased susceptibility<br />

to chloroquine, colchicine and to<br />

heavy metals that are not toxic to wild-type<br />

C. elegans. To this point, however, no C. elegans<br />

anthelmintic-resistance trait has been mapped<br />

to a pgp locus.<br />

The animal-parasitic nematode H. contortus<br />

expresses at least four pgp genes. In some<br />

strains, a pgp polymorphism is associated with<br />

macrocyclic lactone resistance. These observations,<br />

however, do not establish a causal link<br />

between pgp polymorphism and anthelmintic<br />

resistance. Resistant and sensitive strains of<br />

H. contortus do not absorb these drugs at different<br />

rates, or accumulate them in specific worm<br />

tissues in a different manner. Ascribing a role<br />

for pgps in anthelmintic resistance will require<br />

demonstrating that pgp-deficient strains accumulate<br />

drugs more rapidly, or that pgp overexpressing<br />

strains accumulate drugs more slowly,<br />

than wild types. In this context, a closantelresistant<br />

strain of H. contortus accumulates<br />

closantel less rapidly than wild-type strains.<br />

Closantel, like ivermectin, is highly lipophilic,<br />

which is a hallmark of most substrates for pgps.<br />

However, no pgp polymorphism has been associated<br />

with the closantel-resistant phenotype.<br />

Because these experiments only tracked variation<br />

in a limited number of restriction sites, the<br />

findings cannot rule out pgp involvement in<br />

closantel resistance.<br />

Whether or not alterations in pgp expression<br />

or sequence have been selected as a mechanism<br />

of anthelmintic resistance, there is ample<br />

evidence to conclude that these proteins contribute<br />

to the excretion behavior of nematodes.<br />

Their primary location in intestinal cells is<br />

consistent with a role in eliminating compounds<br />

that penetrate the cuticle, diffuse<br />

through worm tissue and accumulate in PCF.<br />

ATP-dependent <strong>trans</strong>port of xenobiotics from<br />

PCF to the intestinal lumen would reduce internal<br />

drug levels and protect the organism from<br />

toxicity.<br />

Defecation<br />

Most adult nematodes defecate. Studies in<br />

C. elegans have illuminated the physiology<br />

and genetics of defecation, a rhythmic, patterned<br />

behavior that is controlled by the availability<br />

and quality of food. Transit of fecal<br />

material through the intestinal tract is rapid;<br />

the default defecation cycle in C. elegans is<br />

45 seconds. A Ca 2 spike in posterior regions of<br />

the intestine precedes and probably initiates<br />

the first phase of defecation, referred to as the<br />

posterior body-wall contraction. Mutations in<br />

aex-2, which encodes a G-protein-coupled<br />

receptor expressed in the intestinal muscles<br />

NSM and AWB, result in defects in this response.<br />

Though the signaling mechanism that underlies<br />

this response has not been determined,<br />

available evidence suggests that it is peptidergic,<br />

as mutations in two enzymes, aex-5 and<br />

egl-21, which process small neuropeptides,<br />

also produce the Aex phenotype.<br />

Less is known about defecation in parasitic<br />

species. The contents of the gut in A. suum are<br />

turned over every three minutes, and defecation<br />

can propel fecal material up to 60 cm. The<br />

major muscle groups that regulate defecation<br />

(pharynx and rectum) are innervated, and it is<br />

likely that the nervous system plays a critical<br />

role in this process, as shown for C. elegans.<br />

However, not all nematodes possess a functional<br />

one-way gut, and defecation may be<br />

less important in these species. The extent to<br />

which the gut is functional in adult female<br />

O. volvulus is an open question. It appears that<br />

adults of this species, and perhaps other filariae,<br />

both acquire nutrients and excrete waste<br />

products across the cuticle–hypodermis complex.<br />

Though it would seem a simple matter to<br />

BIOCHEMISTRY AND CELL BIOLOGY: HELMINTHS

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