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NEUROTRANSMITTERS IN NEMATODES 377<br />

FIGURE 15.16 Diagram showing the interaction of ‘ivermectin resistance’ genes. Information on resistance to<br />

the macrocyclic lactones (MLs) in nematodes is derived mostly from C. elegans. The entry of ivermectin into the<br />

nematode is facilitated by sensory (amphidial) neurons on the head. Once the drug has gained entry across the<br />

cuticle, it is then able to interact with the GluCl receptors. There are at least three different genes encoding for at<br />

least three different GluCl subunits that form inhibitory ion channels on muscle of the pharynx, motor neurons<br />

and other neurons, and in addition perhaps on the female reproductive tract. The neurons that possess the GluCl<br />

channels connect via gap junctions that are made up of innexins, coded for by unc-7 and unc-8 genes. Thus the<br />

inhibitory effect of ivermectin on the pharynx may be direct via the GluCl2 subunit, or indirect, via the GluCl3<br />

and GluCl1 subunits on extrapharyngeal neurons, and may require that effect to be mediated across gap junctions<br />

(unc-7 and unc-9) to the pharynx. Removal of ivermectin and other MLs from the body of the nematodes<br />

appears to be mediated by p-glycoprotein excretion. The mode of action and genetics of resistance illustrates that<br />

the development of resistance requires the simultaneous mutation of several genes to develop a high level of resistance.<br />

Factors that increase the concentration of macrocyclic lactones in the nematode will increase susceptibility:<br />

genes (unc-7 and unc-9) that increase the electrical effects of stimulation of the GluCl ion channel will increase<br />

susceptibility, and the presence of genes coding for GluCl-subunits will increase susceptibility. Note that the<br />

physiology and location of the target site determines how resistance genes may interact. For example the genes<br />

unc-7 or unc-9 form gap junctions that are able to pass on potential changes (hyperpolarization) associated with<br />

stimulation of GluCl1 and GluCl3 subunits in inhibitory channels.<br />

avr-15) produced only a 13-fold increase in<br />

resistance.<br />

Figure 15.16 summarizes information relating<br />

to the genetics of resistance to the macrocyclic<br />

lactones in nematodes, and is derived mostly<br />

from C. elegans. Entry of ivermectin into the<br />

nematode may be facilitated by sensory (amphidial)<br />

neurons on the head. Once the drug has<br />

BIOCHEMISTRY AND CELL BIOLOGY: HELMINTHS

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