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FURTHER READING 355<br />

identified, from the deletion of non-essential<br />

enzymes to the overexpression of key anaerobicspecific<br />

isoforms. For example, complex II<br />

functions as a succinate dehydrogenase in<br />

aerobic stages, but as a fumarate reductase in<br />

anaerobic stages, such as adult F. hepatica or<br />

A. suum body wall muscle. Not surprisingly,<br />

significant kinetic differences between complexes<br />

isolated from aerobic larval and anaerobic<br />

adult A. suum have been described. In<br />

fact, stage-specific isoforms of key Complex II<br />

subunits have been identified in both A. suum<br />

and H. contortus, whose differential expression<br />

parallels the aerobic/anaerobic <strong>trans</strong>ition.<br />

Similarly, stage-specific isoforms of the<br />

E1 subunit of the PDC (E1I and E1II) also<br />

have been identified in A. suum. These isoforms<br />

are over 90% identical at the amino acid<br />

sequence level, but are expressed in different<br />

stages and exhibit markedly different responses<br />

to phosphorylation. E1II contains the three<br />

phosphorylation sites present in mammalian<br />

E1s, is most abundant in the aerobic L3 and<br />

exhibits a stoichiometry of phosphorylation/<br />

inactivation identical to that observed for E1s<br />

isolated from the host. In contrast, E1I contains<br />

only two phosphorylation sites and is<br />

identical to the E1 isolated directly from adult<br />

muscle. More importantly, substantially more<br />

phosphate is incorporated into E1I than<br />

E1II as inactivation proceeds, dramatically<br />

decreasing the effectiveness of phosphorylation<br />

in inactivating of the complex (see section<br />

on Anaerobic Mitochondrial Metabolism). This<br />

difference helps to maintain PDC activity in the<br />

presence of the potentially inhibitory reducing<br />

conditions encountered in the host gut.<br />

PERSPECTIVE<br />

Of all the metabolic pathways operating in<br />

parasitic helminths, the reactions associated<br />

with carbohydrate metabolism and energy<br />

generation are, by far, the best understood.<br />

However, many key questions remain unresolved.<br />

For example, little is known about the<br />

physiological factors regulating glycogen metabolism,<br />

glycolytic flux, end-product formation<br />

or muscle contraction, and complete carbon<br />

balances have yet to be published for any<br />

physiologically functional anaerobic helminth<br />

mitochondria capable of volatile organic acid<br />

formation. In addition, the role of oxygen in<br />

helminth metabolism has remained enigmatic,<br />

and a CN-insensitive terminal oxidase<br />

has yet to be definitively identified. Little is<br />

known about individual ionic fluxes associated<br />

with electron <strong>trans</strong>port or the pathway<br />

of rhodoquinone biosynthesis, and we are<br />

just beginning to understand tissue and stagespecific<br />

differences in energy generation at the<br />

molecular level. Clearly, energy generation in<br />

parasitic helminths differs substantially from<br />

that of the host, and remains an important target<br />

for chemotherapy. In fact, a potentially new<br />

anthelminthic, nafuredin, has recently been<br />

identified, that appears to specifically inhibit<br />

anaerobic helminth electron <strong>trans</strong>port at the<br />

level of Complex I. Future studies will certainly<br />

continue to identify molecular differences<br />

between the metabolisms of host and parasite<br />

and hopefully will also identify additional new<br />

targets for chemotherapy.<br />

FURTHER READING<br />

Aggarwal, S.R., Lindros, K.O. and Palmer, T.N. (1995).<br />

Glucagon stimulates phosphorylation of different<br />

peptides in isolated periportal and perivenous<br />

hepatocytes. FEBS Lett. 377, 439–443.<br />

Amino, H., Wang, H., Hirawake, H. et al. (2000).<br />

Stage-specific isoforms of Ascaris suum complex<br />

II. II. The fumarate reductase of the parasitic<br />

adult and succinic dehydrogenase of free-living<br />

larvae share a common iron–sulfur subunit.<br />

Mol. Biochem. Parasitol. 106, 63–76.<br />

BIOCHEMISTRY AND CELL BIOLOGY: HELMINTHS

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