This article is about the organism. For the infection, see Fascioliasis.
Fasciola hepatica |
|
Fasciola hepatica – adult worm |
Scientific classification |
Kingdom: |
Animalia |
Phylum: |
Platyhelminthes |
Class: |
Trematoda |
Subclass: |
Digenea |
Order: |
Echinostomida |
Suborder: |
Distomata |
Family: |
Fasciolidae |
Genus: |
Fasciola |
Species: |
F. hepatica |
Binomial name |
Fasciola hepatica
Linnaeus, 1758 |
Fasciola hepatica, also known as the common liver fluke or sheep liver fluke, is a parasitic trematode (fluke or flatworm, a type of helminth) of the class Trematoda, phylum Platyhelminthes. It infects the livers of various mammals, including humans. The disease caused by the fluke is called fascioliasis or fasciolosis, which is a type of helminthiasis and has been classified as a neglected tropical disease.[1] Fascioliasis is currently classified as a plant/food-borne trematode infection, often acquired through eating the parasite metacercariae encysted on plants.[2] F. hepatica which is distributed worldwide has been known as an important parasite of sheep and cattle for many years and causes great economic losses to these livestock species. Because of its size and economic importance, it has been the subject of many scientific investigations and may be the best-known of any trematode species. F. hepatica's closest relative is Fasciola gigantica. These two flukes are sister species, they share many morphological features and can mate with each other.[3]
Contents
- 1 Life cycle
- 1.1 Hosts of Fasciola hepatica
- 1.2 Lifecycle of Fasciola hepatica
- 2 Morphology and Anatomy
- 2.1 Tegument
- 2.2 Digestive System
- 2.3 Respiratory System
- 2.4 Excretory System
- 2.5 Nervous System and Sensory Organs
- 2.6 Reproductive System
- 3 Prevalence
- 4 Genome
- 5 Parasitic Adaptations
- 6 Epidemiology
- 7 Diagnosis
- 8 See also
- 9 References
- 10 External links
Life cycle
Lymnaea stagnalis, an example of one of the air-breathing freshwater snails that serves as a definitive host for
Fasciola hepatica
Fasciola Life Cycle: showing the fluke transmission through the definitive air-breathing freshwater snail host, and through the intermediate hosts of humans and ruminants.
Hosts of Fasciola hepatica
Fasciola hepatica have indirect life cycles, this means they require two hosts in order to complete it. The definitive hosts for F. hepatica are air-breathing freshwater snails from the family Lymnaeidae. The range of intermediate hosts for F. hepatica is very broad. It includes most ruminants and also humans.[4] The species of Lymnaeidae that carry Fasciola hepatica are shown in the following table:[5]
Stagnicola fuscus |
Stagnicola palustris |
Stagnicola turricula |
Stagnicola caperata |
Lymnaea viatrix |
Lymnaea neotropica |
Lymnaea cousini |
Lymnaea diaphana |
Lymnaea stagnalis |
Lymnaea cubensis |
Lymnaea occulta |
Lymnaea humilis |
Radix auricularia |
Radix natalensis |
Radix rubiginosa |
Radix lagotis |
Radix peregra |
Austropeplea ollula |
Austropeplea viridis |
Austropeplea tomentosa |
Omphiscola glabra |
Pseudosuccinea columella |
Galba truncatula |
Fossaria bulimoides |
Lifecycle of Fasciola hepatica
- The metacercariae are released from the freshwater snail as cercariae, and form cysts on various surfaces including aquatic vegetation. The mammalian host then eats this vegetation and can become infected. Humans can often acquire these infections through eating freshwater plants such as watercress.
- Inside the duodenum of the mammalian host, the metacercariae are released from within their cysts.
- From the duodenum, they burrow through the lining of the intestine and into the peritoneal cavity. They then migrate through the intestines and liver, and into the bile ducts.
- Inside the bile ducts, they develop into an adult fluke.[4] In humans, the time taken for F. hepatica to mature from metacercariae into an adult fluke is roughly 3 to 4 months.
- The adult flukes can then produce up to 25,000 eggs per fluke per day.[6] These eggs are passed out via stools and into freshwater.
- Once in freshwater, the eggs become embryonated, allowing them to hatch as miracidia.
- These miracidia then find a suitable intermediate host of the Lymnaeidae family. Inside this snail, the miracidia develop into sporocysts, then to rediae, then to cercariae.
- The cercariae are released from the snail to form metacercariae and the life cycle begins again.[4]
Morphology and Anatomy
Fasciola hepatica is one of the largest flukes of the world, reaching a length of 30 mm and a width of 13 mm (Fasciola gigantica, on the other hand, is even bigger and can reach up to 75 mm). It is leaf-shaped, pointed at the back (posteriorly) and wide in the front (anteriorly). The oral sucker is small but powerful and is located at the end of a cone-shape projection at the anterior end. The acetabulum is a larger sucker than the oral sucker and is located at the anterior end.[4]
A simple diagram to show the difference between the teguments of free-living and parasitic flatworms: a. shows the syncytial epithelial tegument found in parasitic flatworms, such as
F. hepatica. b. shows the multicellular, non-syncytial, epithelia, found in non-parasitic, free-living flatworms.
Tegument
- The outer surface of the fluke is called the tegument, or cuticle. This is composed of scleroprotein and its primary function is to protect the fluke from the destructive digestive system of the host.[7] Its also used for renewal of the surface plasma membrane and the active uptake of nutirents.[8] On the surface of the tegument there are also small spines. Initially, these spines are single pointed, then, just prior to the fluke entering the bile ducts, they become multipointed. At the anterior end of the fluke the spines have between 10 and 15 points, whereas at the posterior end, they have up to 30 points.[9]
- The tegument is a syncytial epithelium. This means it is made from the fusion of many cells, each containing one nucleus, to produce a multinucleated cell membrane. In the case of F. hepatica, there are no nuclei in the outer cytoplasm between the basal and apical membranes. Thus, this region is referred to as anucleate. Instead, the nuclei are found in the cell bodies, also known as tegumental cells, these connect to the outer cytoplasm via thin cytoplasmic strands. The tegumental cells contain the usual cytoplasmic organelles (mitochondria, Golgi bodies and endoplasmic reticulum).[10]
- The tegument plays a key role in the fluke’s infection of the host. Studies have shown that certain parts of the tegument (in this case, the antigen named Teg) can actually suppress the immune response of the mammalian host. This means that the fluke is able to weaken the immune response, and increase its chances of a successful infection. A successful infection is needed in order for the fluke to have enough time to develop into an adult and continue its lifecycle.[11]
Digestive System
Image showing the location of the mouth, labelled
mo, and the anterior sucker, as labelled
sckr.
- Alimentary canal - F. hepatica has a single mouth which leads into the blind gut, this means they have no anus. The mouth is located within the anterior sucker on the ventral side of the fluke. This mouth leads to the pharynx, which is then followed by a narrow oesophagus. The oesophagus, which is lined with a thin layer of epithelial cells, then opens up into the large intestine. As there is no anus, the intestine branches, with each branch ending blindly near the posterior end of the body.[12]
- Feeding - It has been shown that flukes migrate into smaller capillaries and bile ducts when feeding within the host. They use their mouth suckers to pull off and suck up food, bile, lymph and tissue pieces from the walls of the bile ducts.[12]
- Digestion - F. hepatica relies on extracellular digestion which occurs within the intestine of the host. The waste materials are egested through the mouth. The non-waste matter is adsorbed back in through the tegument and the general surface of the fluke. The tegument facilitates this adsorption by containing many small folds to increase the suface area.[12]
Respiratory System
Diagram of the main organ systems of
Fasciola hepatica throughout the progressive life stages of the fluke (1938).
A - Egg;
B - Miracidium;
C - Sporocyst;
D - Rediae,
E - Immature cercaria,
F - Cercaria,
G - Encysted stage,
H - Adult fluke (nervous and reproductive systems omitted)
- F. hepatica has no respiratory organs, the adult flukes respire anaerobically (without oxygen). Glycogen, taken from within the host is broken down via glycolysis to produce carbon dioxide and fatty acids. This process provides the fluke with energy.[13]
- On the other hand, the free-living miracidia stages of the parasite generally develop within oxygen rich environments. It is therefore believed that the free-living stages of the parasite respire aerobically, to gain the most energy from their environment.[14]
Excretory System
- F. hepatica's excretory system contains a network of tubules surrounding one main excretory canal. This canal leads to the excretory pore at the posterior end of the fluke. This main canal branches into four sections within the dorsal and ventral regions of the body. The role of F. hepatica's excretory system is excretion and osmoregulation.[13]
- Flame cells - Each tubule within the excretory system is connected to a flame cell, otherwise known as protonephridia. These cells are modified parenchyme cells. In F. hepatica their role is to perform excretory, but more importantly, osmoregulatory functions. Flame cells are therefore primarily used to remove excess water.[13]
Nervous System and Sensory Organs
- The nerve system of Fasciola hepatica consists of a pair of nerve ganglia, each one is located on either side of the oesophagus. Around the oesophagus is a nerve ring. This nerve ring connects the two nerve ganglia together. The nerves stem off from this ring, reaching all the way down to the posterior end of the body. At the posterior end, one pair of nerves become thicker than the others, these are known as the lateral nerve cords. From these lateral nerve cords, the other nerves branch. Sensory organs are absent from F. hepatica.[15][16]
Reproductive System
- F. hepatica adult flukes are hermaphrodite, this means each fluke contains both male and female reproductive organs. The male and female reproductive organs open up into the same chamber within the body, this chamber is called the genital atrium. The genital atrium is an ectodermal sac which opens up to the outside of the fluke via a genital pore.[15]
- Male reproductive system - The testes are formed of two branched tubules, these are located in the middle and posterior regions of the body. From the epithelium lining of the tubules sperm is produced. The sperm then passes into the vas deferens and then into the seminal vesicle. From the seminal vesicle projects the ejaculatory duct and this is what opens up into the genital atrium, many prostate glands surround this opening.[15]
- Female reproductive system - On the right hand side of the anterior testis there is a branched, tubular ovary. From here, a short oviduct passes to the vitelline duct. This duct connects, via a junction, the ovaries, the uterus and the yolk reservoir. From this junction, the uterus opens into the genital atrium, this opening is surrounded by Mehlis glands. In some flukes, the terminal end of the uterus is strengthened with muscles and spines.[15]
- F. hepatica reproduces both sexually, via the hermaphrodite adult flukes, and also asexually. The miracidia can reproduce asexually within the definitive snail host.[17]
Prevalence
Fasciola hepatica prevalence. The countries in red are those with high prevalence, those in orange have low-medium prevalence.
[18][19][20][21]
Currently, F. hepatica has the widest geographical spread of any parasitic and vector-borne disease. Originating in Europe, it has expanded to colonise over 50 countries, covering all continents except Antarctica.[18] In contrast, F. gigantica is generally considered more geographically constricted to the tropical regions of Africa, Asia and the Middle East, there is some overlap between the two species.[19]
Climate and Seasonal Influence - Climate affects both F. hepatica itself and its definitive host, the snail. For example, the development of F. hepatica miracidia and larvae, and the reproduction of Galba truncatula, require a temperature range of 10-25 °C. In addition to this, they both require high levels of moisture in the air, as both are at risk of desiccation. Due to this, the prevalence, along with the intensity of infection, of F. hepatica is primarily dependent on rainfall levels and temperature.[18]
Genome
The genome for Fasciola hepatica was published in 2015. F. hepatica's genome, at 1.3 Gb, is one of the largest known pathogen genomes. The genome contains many polymorphisms, and this represents the potential for the fluke to evolve and rapidly adapt to changes in the environment, such as host availability and drug or vaccine interventions.[22]
Parasitic Adaptations
The left image shows the free-swimming cercariae, the flagella is clearly visible. The right-hand-side of the diagram shows the cysts attached to grass
- Fasciola hepatica’s tegument protects it from the enzymes of the host's stomach, whilst still allowing water to pass through.[23]
- Free-swimming larvae have cilia and the cercariae have a flagella-like tail to help them swim through the aquatic environment and also allow them to reach the plants on which they form a cyst.[20]
- To attach within the host, F. hepatica has oral suckers and body spines. Their pharynx also helps it to suck onto the tissues within the body, particularly within the bile ducts.[24]
- The adult fluke's respiration is anaerobic, this is ideal as there is no oxygen available in the liver.[13]
- F. hepatica is adapted to produce a large number of eggs, this increases its chances of survival, as many eggs are destroyed on release into the environment. Also, F. hepatica is hermaphrodite, thus all flukes can produce eggs, increasing the number of offspring produced by the population.[15]
Epidemiology
For more information on the epidemiology – see the disease page, fascioliasis
Infection begins when cyst-covered aquatic vegetation is eaten or when water containing metacercariae is drunk. In the United Kingdom, F. hepatica frequently causes disease in ruminants, most commonly between March and December.[25]
Humans become infected by eating watercress or by drinking 'Emoliente', a Peruvian drink that uses drops of watercress juice. Cattle and sheep are infected when they consume the infectious stage of the parasite from low-lying, marshy pasture.[25]
Human infections occur in parts of Europe such as England and Ireland; also in Cuba and South America especially in the Altiplano regions of the Peruvian and Bolivian Andes. Infections are emerging now in Vietnam and Cambodia. As of 2014[update], in the cattle farming areas near Cusco, Peru, the prevalence of infection in children between 3 and 12 years was 11% by stool microscopy and ELISA. Risk factors were number of siblings in the household, drinking untreated water and giardiasis.[26]
Fascioliasis is an important cause of both production and economic losses in the dairy and meat industry. Over the years, the prevalence has increased and it is likely to continue increasing in the future.[27] Livestock are often treated with Flukicides, these are chemicals that are toxic to flukes. The two chemicals used are triclabendazole and bithionol. Ivermectin, which is widely used for many helminthic parasites, has low effectivity against F. hepatica, as does praziquantel.[28][29] For humans, the type of control depends on the setting. One important method is through the strict control over the growth and sales of edible water plants such as watercress. This is particularly important in highly endemic areas. Some farms are irrigated with polluted water, hence, vegetables farmed from such land should be thoroughly washed and cooked before being eaten.[4]
The presence of F. hepatica can interfere with the detection of bovine tuberculosis in cattle. Cattle co-infected with F. hepatica, compared to those infected with M. bovis alone, react weakly to the single intradermal comparative cervical tuberculin (SICCT) test. Therefore, an infection from F. hepatica can make it difficult to detect bovine tuberculosis, this is, of course, a major problem in the farming industry.[30]
Diagnosis
Slide showing
Fasciola hepatica's internal organs
For more information on the diagnosis – see the disease page, fascioliasis
A diagnosis may be made by finding yellow-brown eggs in the stool. They are indistinguishable from the eggs of Fascioloides magna, although the eggs of F. magna are very rarely passed in sheep, goats, or cattle. If a patient has eaten infected liver, and the eggs pass through the body and out via the faeces, a false positive result to the test can occur. Daily examination during a liver-free diet will unmask this false diagnosis.[31]
An enzyme-linked immunosorbent assay (ELISA) test is the diagnostic test of choice. ELISA is available commercially and can detect anti-hepatica antibodies in serum and milk; new tests intended for use on faecal samples are being developed.[32] Using ELISA is more specific than using a Western blot or Arc2 immunodiffusion.[25] Proteases secreted by F. hepatica have been used experimentally in immunizing antigens.[33]
See also
- List of parasites (human)
- Veterinary parasitology
- Fascioliasis
- Trematoda
References
- ^ "Neglected Tropical Diseases". cdc.gov. June 6, 2011. Retrieved 28 November 2014.
- ^ Mas-Coma, S; Bargues, MD; Valero, MA (2005). "Fascioliasis and other plant-borne trematode zoonoses.". International journal for parasitology 35 (11): 1255–1278. doi:10.1016/j.ijpara.2005.07.010.
- ^ Mas‐Coma, Santiago; Valero, María Adela; Bargues, María Dolores (2009). "Chapter 2 Fasciola, Lymnaeids and Human Fascioliasis, with a Global Overview on Disease Transmission, Epidemiology, Evolutionary Genetics, Molecular Epidemiology and Control" 69: 41–146. doi:10.1016/S0065-308X(09)69002-3. ISSN 0065-308X.
- ^ a b c d e "Parasites – Fascioliasis (Fasciola Infection)". cdc.gov. January 10, 2013. Retrieved 12 March 2016.
- ^ Correa, C. A.; Escobar, J. S.; Durand, P.; Renaud, F.; David, P.; Jarne, P.; Pointier, J.-P.; Hurtrez-Boussès, S. (2010). "Bridging gaps in the molecular phylogeny of the Lymnaeidae (Gastropoda: Pulmonata), vectors of Fascioliasis". BMC Evolutionary Biology 10: 381. doi:10.1186/1471-2148-10-381. PMC 3013105. PMID 21143890.
- ^ Valero, MA; Panova, M; Comes, AM; Fons, R; Mas-Coma, S (2002). "Patterns in size and shedding of Fasciola hepatica eggs by naturally and experimentally infected murid rodents.". Journal for parasitology 88 (2): 308–313. doi:10.1645/0022-3395(2002)088[0308:PISASO]2.0.CO;2.
- ^ Bils, R. F.; Martin, W. E. (1966). "Fine Structure and Development of the Trematode Integument". Transactions of the American Microscopical Society 85 (1): 78. doi:10.2307/3224777. ISSN 0003-0023.
- ^ Wilson, R. Alan; Wright, Janelle M.; de Castro-Borges, William; Parker-Manuel, Sophie J.; Dowle, Adam A.; Ashton, Peter D.; Young, Neil D.; Gasser, Robin B.; Spithill, Terry W. (2011). "Exploring the Fasciola hepatica tegument proteome". International Journal for Parasitology 41 (13-14): 1347–1359. doi:10.1016/j.ijpara.2011.08.003. ISSN 0020-7519.
- ^ Bennett, Clive E. (1975). "Scanning Electron Microscopy of Fasciola hepatica L. during Growth and Maturation in the Mouse". The Journal of Parasitology 61 (5): 892. doi:10.2307/3279230. ISSN 0022-3395.
- ^ Southgate, V. R. (2009). "Observations on the epidermis of the miracidium and on the formation of the tegument of the sporocyst of Fasciola hepatica". Parasitology 61 (02): 177. doi:10.1017/S0031182000040993. ISSN 0031-1820.
- ^ Hamilton, C. M.; Dowling, D. J.; Loscher, C. E.; Morphew, R. M.; Brophy, P. M.; O'Neill, S. M. (2009). "The Fasciola hepatica Tegumental Antigen Suppresses Dendritic Cell Maturation and Function". Infection and Immunity 77 (6): 2488–2498. doi:10.1128/IAI.00919-08. ISSN 0019-9567.
- ^ a b c Kotpal, RL (2012). Modern Text Book of Zoology: Invertebrates. New Delhi: Rastogi Publications. p. 338. ISBN 978-81-7133-903-7.
- ^ a b c d Bhatnagar, MC; Bansal, G (2009). Non-Chordata. Delhi: Krishna Prakashan Media. pp. 153–154. ISBN 81-8283-036-2.
- ^ Boyunaga, H.; Schmitz, M.G.J.; Brouwers, J.F.H.M.; Van Hellemond, J.J.; Tielens, A.G.M. (2002). "Fasciola hepatica miracidia are dependent on respiration and endogenous glycogen degradation for their energy generation". Parasitology 122 (02). doi:10.1017/S0031182001007211. ISSN 0031-1820.
- ^ a b c d e Puranik, P; Bhate, A (2007). Animal Forms And Functions: Invertebrata. New Delhi: Sarup & Sons. pp. 172–175. ISBN 81-7625-791-5.
- ^ Mandal, P; F.B. (2012). Invertebrate Zoology. Delhi: PHI Learning. ISBN 978-81-203-4615-4.
- ^ Hurtrez-Boussès, Sylvie; Meunier, Cécile; Durand, Patrick; Renaud, François (2001). "Dynamics of host–parasite interactions: the example of population biology of the liver fluke (Fasciola hepatica)". Microbes and Infection 3 (10): 841–849. doi:10.1016/S1286-4579(01)01442-3. ISSN 1286-4579.
- ^ a b c Cywińska A (2005). "Epidemiology of fascioliasis in human endemic areas.". Journal of helminthology 79 (3): 207–216. doi:10.1079/JOH2005296.
- ^ a b Tolan RW (2011). "Fascioliasis due to Fasciola hepatica and Fasciola gigantica infection: an update on this ‘neglected’neglected tropical disease.". Laboratory Medicine 42 (2): 107–116. doi:10.1309/LMLFBB8PW4SA0YJI.
- ^ a b McManus, DP; Dalton, JP (2007). "Vaccines against the zoonotic trematodes Schistosoma japonicum, Fasciola hepatica and Fasciola gigantica". Parasitology 133 (S2): S43. doi:10.1017/S0031182006001806. ISSN 0031-1820.
- ^ Mas-Coma, S.; Mas-Coma, S. (2005). "Epidemiology of fascioliasis in human endemic areas". Journal of Helminthology 79 (3): 207–216. doi:10.1079/JOH2005296. ISSN 0022-149X.
- ^ Cwiklinski, Krystyna; Dalton, John Pius; Dufresne, Philippe J; La Course, James; Williams, Diana JL; Hodgkinson, Jane; Paterson, Steve (2015). "The Fasciola hepatica genome: gene duplication and polymorphism reveals adaptation to the host environment and the capacity for rapid evolution". Genome Biology 16 (1). doi:10.1186/s13059-015-0632-2. ISSN 1465-6906.
- ^ Smyth, JD; Halton, DW. The physiology of trematodes. England: Cambridge University Press. p. 23. ISBN 0-521-22283-4.
- ^ Halferty, L; Brennan, GP; Hanna, REB; Edgar, HW; Meaney, MM; McConville, M; Trudgett, A; Hoey, L; Fairweather, I (2008). "Tegumental surface changes in juvenile Fasciola hepatica in response to treatment in vivo with triclabendazole". Veterinary Parasitology 155 (1-2): 49–58. doi:10.1016/j.vetpar.2008.04.011. ISSN 0304-4017.
- ^ a b c "Gorgas Case 5 - 2015 Series". The Gorgas Course in Clinical Tropical Medicine. University of Alabama. 2 March 2015. Retrieved 10 March 2015.
- ^ Cabada, MM; Goodrich, MR; Graham, B; Villanueva-Meyer, PG; Lopez, M; Arque, E; White, AC Jr (Nov 2014). "Fascioliasis and eosinophilia in the highlands of Cuzco, Peru and their association with water and socioeconomic factors". Am J Trop Med Hyg 91 (5): 989–93. doi:10.4269/ajtmh.14-0169. PMC 4228897. PMID 25200257.
- ^ Howell, Alison; Baylis, Matthew; Smith, Rob; Pinchbeck, Gina; Williams, Diana (2015). "Epidemiology and impact of Fasciola hepatica exposure in high-yielding dairy herds". Preventive Veterinary Medicine 121 (1-2): 41–48. doi:10.1016/j.prevetmed.2015.05.013. ISSN 0167-5877.
- ^ Sibille, Pierre; Calléja, Cécile; Carreras, Florence; Bigot, Karine; Galtier, Pierre; Boulard, Chantal (2000). "Fasciola hepatica: Influence of Gender and Liver Biotransformations on Flukicide Treatment Efficacy of Rats Infested and Cured with Either Clorsulon/Ivermectin or Triclabendazole". Experimental Parasitology 94 (4): 227–237. doi:10.1006/expr.2000.4501. ISSN 0014-4894.
- ^ Ortega, YR. Foodborne Parasites. Georgia, USA: Springer. p. 186. ISBN 978-0387-30068-9.
- ^ Claridge, Jen; Diggle, Peter; McCann, Catherine M.; Mulcahy, Grace; Flynn, Rob; McNair, Jim; Strain, Sam; Welsh, Michael; Baylis, Matthew; Williams, Diana J.L. (2012). "Fasciola hepatica is associated with the failure to detect bovine tuberculosis in dairy cattle". Nature Communications 3: 853. doi:10.1038/ncomms1840. Retrieved 2015-09-15.
- ^ Valero, M. Adela; Perez-Crespo, Ignacio; Periago, M. Victoria; Khoubbane, Messaoud; Mas-Coma, Santiago (2009). "Fluke egg characteristics for the diagnosis of human and animal fascioliasis by Fasciola hepatica and F. gigantica". Acta Tropica 111 (2): 150–159. doi:10.1016/j.actatropica.2009.04.005. ISSN 0001-706X.
- ^ Mezo, Mercedes; González-Warleta, Marta; Carro, Carmen; Ubeira, Florencio M. (2004). "AN ULTRASENSITIVE CAPTURE ELISA FOR DETECTION OF FASCIOLA HEPATICA COPROANTIGENS IN SHEEP AND CATTLE USING A NEW MONOCLONAL ANTIBODY (MM3)". Journal of Parasitology 90 (4): 845–852. doi:10.1645/GE-192R. ISSN 0022-3395.
- ^ Cornelissen, Jan B.W.J.; Gaasenbeek, Cor P.H.; Borgsteede, Fred H.M; Holland, Wicher G; Harmsen, Michiel M; Boersma, Wim J.A (2001). "Early immunodiagnosis of fasciolosis in ruminants using recombinant Fasciola hepatica cathepsin L-like protease". International Journal for Parasitology 31 (7): 728–737. doi:10.1016/S0020-7519(01)00175-8. ISSN 0020-7519.
External links
- University of Michigan Animal Diversity Web
- Parasite Fasciola(parasite.org.au)
- Stanford University Fascioliasis Info Page
- Encyclopedia of Life
- Taxonomy and nomenclature at ITIS.gov
- Molecular database at UniProt
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- Halicephalobus gingivalis
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Oxyurida |
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Adenophorea |
- Trichinella spiralis
- Trichuris trichiura (Trichuriasis * Whipworm)
- Capillaria philippinensis
- Capillaria hepatica
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