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340 ENERGY METABOLISM IN HELMINTHS<br />

organic acids in addition to oxygen as terminal<br />

electron acceptors, and cyanide-insensitive<br />

electron-<strong>trans</strong>port-associated ATP synthesis is<br />

coupled to the excretion of reduced organic<br />

acids as end-products of carbohydrate metabolism.<br />

The present chapter will consider these<br />

two metabolic strategies separately.<br />

GLYCOGEN METABOLISM<br />

Glycogen is present in all parasitic helminths,<br />

but its function can vary depending on species.<br />

Intestinal helminths, such as Ascaris suum,<br />

display a predominantly anaerobic metabolism<br />

and use stored glycogen as a key energy<br />

reserve. Not surprisingly, helminth glycogen<br />

levels fluctuate with host feeding, and glycogen<br />

stored during feeding is rapidly utilized<br />

when the host is in the post-absorptive state.<br />

In contrast, blood-dwelling parasites, like adult<br />

schistosomes, continuously reside in a glucoserich<br />

environment, and the function of glycogen<br />

storage and metabolism in these organisms is<br />

still not completely clear.<br />

Helminth glycogen synthesis is fuelled exclusively<br />

by host-derived carbohydrate (primarily<br />

glucose). Adult parasitic helminths are incapable<br />

of gluconeogenesis, except from intermediates<br />

at the level of triose phosphates.<br />

In mammals, gluconeogenesis operates when<br />

glucose is scarce, and then only in the presence<br />

of both a gluconeogenic substrate and second<br />

substrate other than carbohydrate that can be<br />

used for the production of the energy required<br />

for gluconeogenesis. These conditions are not<br />

found in adult parasitic helminths, as they rely<br />

almost exclusively on carbohydrate for energy<br />

generation. In contrast, gluconeogenesis may<br />

operate in aerobic larval stages that use substrates<br />

other than carbohydrates for energy<br />

generation. For example, during the development<br />

of A. suum larvae within the eggshell,<br />

glycogen is resynthesized from long-chain fatty<br />

acids through the glyoxylate cycle (see Section<br />

on the Aerobic/Anaerobic Transition during<br />

Helminth Development). This cycle, which is<br />

typically found in microorganisms and plants,<br />

has not been demonstrated in other parasitic<br />

helminths, although it is also present in the<br />

free-living nematode, Caenorhabditis elegans.<br />

The simultaneous synthesis and degradation<br />

of glycogen would result in substrate<br />

cycling and a loss of energy. Therefore, not<br />

surprisingly, the activities of the key enzymes<br />

regulating glycogen metabolism, glycogen synthase<br />

and glycogen phosphorylase, are under<br />

tight regulatory control. These enzymes have<br />

been thoroughly studied only in adult A. suum<br />

muscle, where glycogen levels are up to 12-<br />

fold greater than in mammalian muscle and<br />

can account for up to 50% of the dry weight<br />

of the tissue. In adult A. suum glycogen is<br />

stored during periods of host feeding and is<br />

metabolized during host fasting. Both enzymes<br />

from adult A. suum muscle are remarkably<br />

similar in many respects to the well studied<br />

mammalian enzymes. For example, both glycogen<br />

phosphorylase and glycogen synthase<br />

activities are regulated by reversible phosphorylation/dephosphorylation,<br />

as are their<br />

mammalian counterparts. However, a novel<br />

form of glycogen synthase (GSII) has been identified<br />

in A. suum, and the regulation of the<br />

GSII complex, which appears to function as an<br />

intermediate between glycogenin and mature<br />

glycogen in muscle, may be important in<br />

maintaining the high glycogen levels in adult<br />

A. suum muscle. In contrast, the regulation<br />

of glycogen metabolism in other parasitic<br />

helminths is not always as tightly controlled.<br />

For example, in adult Schistosoma mansoni,<br />

glycogen degradation in vitro occurs even<br />

during periods of net synthesis, and vice versa.<br />

Similarly, glycogen reserves in schistosomes<br />

residing inside the veins of their hosts do not<br />

BIOCHEMISTRY AND CELL BIOLOGY: HELMINTHS

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