Ahn Yung Kyum, Ryang Yong Suk
Department of Parasitology, Yonsei University Wonju College of Medicine, Korea.
Kisaengchunghak Chapchi. 1986 Dec;24(2):121-136. doi: 10.3347/kjp.1986.24.2.121.
Recently there have been some reports on human infections of Echinostoma hortense in Korea. It was found that a few species of freshwater fishes were playing the role of the second intermediate host of E. hortense. However, molluscan intermediate host has not been identified yet in Korea. The present study aimed to establish the life cycle of E. hortense in laboratory. Experimental studies such as egg production from the rat, development of the eggs in vitro, exposure of miracidia to freshwater snails, shedding pattern of cercariae from infected snails, morphology of cercariae, cercarial infection to the second intermediate host and infection of metacercariae to the difinitive hosts were done. In addition, epidemiological surveys on the infection status in inhabitants and house rats, and on the natural infection of larval echinostomes in the snails and fishes were carried out along the South Hangang-river. The results obtained were as follows: The eggs deposited from adults in physiological saline were cultivated at room temperature (20-24C). The miracidia were firstly observed on 8 days after cultivation, and 85.5 per cent of the eggs contained the mature miracidia on 11 days after cultivation. More than 90 per cent formed the miracidia when cultivated at temperature 22-27C. Hatching of the miracidia began on 12 days after cultivation and continued for a week. The size of the miracidia was 103.0 x 51.4 micrometer in average. The motility of miracidia were active up to 8 hours after shedding, but they were all dead within 10 hours after shedding. A freshwater snail, Radix auricularia coreana was cultivated in aquaria. A hatched F1 snails from the egg masses were exposed to 20 miracidia respectively. Escape of cercariae started on 15 days after infection. Radix auricularia coreana was experimentally identified as the first intermediate host of E. hortense in Korea. Cercarial shedding started on 15-20 days after infection by snail, continued for about 10 days (8.8 days in average). Infected snails were dead within 32 days after the miracidial infection. About 1,335 cercariae (328-1,994) per snail were shed in its life, and 119 cercariae in average per snail per day were shed. The cercariae were motile for more than 24 hours, and then squirming at the bottom until death. The body and tail sizes of cercariae were 356 x 186 micrometer and 510 x 68 micrometer in average, respectively. The rediae parasitized in the snail hosts were found mainly around the pericardial regions, and their size was 1,575 x 258 micrometer in average. The numbers of developing cercariae in a mature redia were 14 in average (7-20 in range). The numbers of rediae in a snail were 102 in average on 15 days after miracidial infection and 221 in average on 28 days. Three uninfected Misgurnus anguillicaudatus, less than 6.5 cm long were used in for the cercaria1 infection. They were all exposed with 755 cercariae, and examined at 5-day intervals starting from 10 days after infection. All the fihes were infected with metacercariae of E. hortense and a total of 275 was found infected (36.4 per cent). The metacercariae were fed to rats and the adult worms were obtained on 15 days after infection. The infected rats began to deposit the eggs on 11 days after infection. The number of eggs deposited per day per worm (EPD/worm) was 400-500 on 3 weeks after infection and was increased to 1,000-1,500 on 4 to 17 weeks, then decreased to 800 on 2l weeks after infection. A total of 745 stool specimens collected from 576 male and 169 female residents of 8 different villages along South Hangang basin was examined. Out of 745 specimens, the eggs of Echinostoma sp. were found in 2 cases (0.3 per cent). Of 34 house rats one showed egg-positive (2.9 per cent). Total 971 Radix auricularia coreana collected from 7 sampling stations were examined for shedding of cercariae. Three snails (0.3 per cent) shed the cercariae of E. hortense. A total of 119 out of 542 freshwater fishes (22.0 per cent) had the metacercariae of E. hortense. The fishes parasitized with the metacercariae were 4 out of 14 examined species. The infection rate of 4 species were 34.1 per cent (106 out of 311) in Misgurnus anguillicaudatus, 30.4 per cent 7 out of 23) in Misgurnus mizolepis, 4.3 per cent (2 out of 46) in Moroco oxycephalus and 22.2 per cent (4 out of 18) in Odontobutis obscura interrupta. In summarizing the above results, the first intermediate host of E. hortense was found as Radix auricularia coreana in Korea. Also it took about 46 days for the shortest completion of a life cycle of E. hortense in summer; that is, 10 days for miracidial development in eggs, 15 days for cercarial development in the snail, about 10 days for metacercarial development in the second intermediate hosts, 11 days for the maturation as the adults in the definitive hosts. The natural infection rates of E. hortense in the intermediate hosts were relatively high but those in the definitive hosts were low in the middle areas of South Hangang basin.
最近韩国有一些关于人体感染霍氏棘口吸虫的报道。研究发现,几种淡水鱼充当了霍氏棘口吸虫的第二中间宿主。然而,韩国尚未确定其软体动物中间宿主。本研究旨在建立霍氏棘口吸虫在实验室中的生命周期。开展了一系列实验研究,包括大鼠产卵、卵在体外的发育、毛蚴感染淡水螺、感染螺体尾蚴的逸出模式、尾蚴形态、尾蚴感染第二中间宿主以及囊蚴感染终末宿主等。此外,还沿着南汉江流域对居民和家鼠的感染状况以及螺和鱼体内棘口吸虫幼虫的自然感染情况进行了流行病学调查。结果如下:成虫在生理盐水中产出的卵在室温(20 - 24℃)下培养。培养8天后首次观察到毛蚴,培养11天后85.5%的卵含有成熟毛蚴。在22 - 27℃培养时,超过90%的卵形成毛蚴。毛蚴在培养12天后开始孵化,并持续一周。毛蚴平均大小为103.0×51.4微米。毛蚴逸出后8小时内活动活跃,但在逸出10小时内全部死亡。在水族箱中培养淡水螺梨形环棱螺。将从卵块中孵出的F1代螺分别暴露于20条毛蚴。感染后15天开始有尾蚴逸出。梨形环棱螺被实验确定为韩国霍氏棘口吸虫的第一中间宿主。感染螺后15 - 20天开始有尾蚴逸出,持续约10天(平均8.8天)。感染螺在毛蚴感染后32天内死亡。每只螺一生中共逸出约1335条尾蚴(328 - 1994条),平均每天逸出119条尾蚴。尾蚴活动超过24小时,然后在底部蠕动直至死亡。尾蚴的体部和尾部平均大小分别为356×186微米和510×68微米。寄生于螺宿主内的雷蚴主要分布在心包区域周围,平均大小为1575×258微米。一个成熟雷蚴内发育中的尾蚴平均数量为14条(范围7 - 20条)。感染毛蚴后15天,螺体内雷蚴平均数量为102条,28天时平均为221条。选用3条体长小于6.5厘米的未感染泥鳅用于尾蚴感染。它们均暴露于755条尾蚴,感染后10天开始每隔5天检查一次。所有鱼均感染了霍氏棘口吸虫囊蚴,共发现275条感染(36.4%)。将囊蚴投喂给大鼠,感染后15天获得成虫。感染大鼠在感染后11天开始产卵。感染后3周每条虫每天产卵数(EPD/虫)为400 - 500个,4至17周增加到1000 - 1500个,21周后降至800个。共检查了南汉江流域8个不同村庄的576名男性和169名女性居民的745份粪便标本。在745份标本中,发现2份棘口吸虫属虫卵阳性(0.3%)。在34只家鼠中,1只呈虫卵阳性(2.9%)。共检查了从7个采样站采集的971只梨形环棱螺的尾蚴逸出情况。3只螺(0.3%)逸出霍氏棘口吸虫尾蚴。在542条淡水鱼中,共119条(22.0%)感染了霍氏棘口吸虫囊蚴。感染囊蚴的鱼为所检查的14个物种中的4种。4种鱼中的感染率分别为:泥鳅34.1%(311条中有106条)、花斑副沙鳅30.4%(23条中有7条)、尖头鱥4.3%(46条中有2条)、间黄黝鱼22.2%(18条中有4条)。总结上述结果,在韩国发现梨形环棱螺为霍氏棘口吸虫的第一中间宿主。此外,夏季霍氏棘口吸虫最短生命周期约为46天,即卵内毛蚴发育10天、螺体内尾蚴发育15天、第二中间宿主体内囊蚴发育约10天、终末宿主体内成虫成熟11天。在南汉江流域中部地区,霍氏棘口吸虫在中间宿主中的自然感染率相对较高,但在终末宿主中的感染率较低。