Maternal transmission by Alaria marcianae (Trematoda) and the concept of amphiparatenesis.

The term amphiparatenic host was coined originally for hosts of Alaria marcianae that as adults are paratenic hosts, but as juveniles serve as definitive hosts. In this study the concept of amphiparatenesis is placed in a theoretical context, maternal transmission shown to be the basic mechanism, and the concept extended to include Toxocara canis, T. cati, T. pteropodis, Neoascaris vitulorum, Ancylostoma caninum, Uncinaria lucasi, various species of Strongyloides, Pharyngostomoides procyonis, and P. adenocephala. Alaria marcianae mesocercariae were used in a feline model to show that male and nonlactating female cats are definitive hosts, but lactating cats are primarily paratenic hosts. Inoculation of 1 female cat resulted in the infection of 21 of her offspring via the milk over the course of 5 litters and after a 3-yr period she still had viable larvae in her tissues. The ability of parasites to remain immature in amphiparatenic hosts is believed to be an adaptation on the part of the parasite to promote dissemination through maternal transmission and not the result of resistance, immunological or otherwise, on the part of the host. The amphiparatenic concept has important implications that include: the use of pregnant and lactating females as reservoirs of infection for the offspring; infection transmitted through a contagious transplacental or transmammary pathway; a parasite population structure in which adult worms are in greater abundance in neonate than adult hosts; and the effective control of parasites utilizing this strategy proving to be very difficult.