Researchers Make Progress in Battling Skin-Invasive Parasitic Worms

Key Takeaways

  • Researchers at UCLA found that disrupting dopamine-sensing pathways in threadworms reduces their ability to penetrate human skin.
  • Over 600 million people globally are infected with the parasitic nematode Strongyloides stercoralis, primarily in regions with poor sanitation.
  • Topical treatments targeting the TRP-4 ion channel of nematodes could potentially prevent infections in humans without affecting their own dopamine signaling.

Research Insights on Threadworms

Threadworms, a type of parasitic nematode, threaten the health of over 600 million people worldwide, predominantly in tropical and subtropical areas. UCLA neurobiologists have revealed insights into the behavior of these nematodes, particularly their reliance on dopamine signaling to locate and penetrate human skin.

Dopamine plays a crucial role in motivating threadworms to burrow into the skin. When researchers disrupted this dopamine pathway, the worms continued to crawl on the skin but significantly reduced their burrowing attempts. The findings suggest that a topical treatment could be developed, similar to DEET for mosquitoes, to prevent threadworm infections.

Elissa Hallem, a UCLA professor, emphasized the previous lack of knowledge about the specific behaviors enabling threadworms to penetrate the skin. Earlier studies by Hallem’s team identified how nematodes react to carbon dioxide during different life stages, suggesting potential intervention points to prevent infections.

To further study threadworm behavior, postdoctoral researcher Ruhi Patel conducted experiments using genetically modified fluorescent nematodes placed on rat and human skin. The results showed that while threadworms quickly penetrated rat skin, they spent significantly longer exploring human skin, indicating a selective behavior to find optimal entry points.

The research also included comparative experiments with a related nematode species, which demonstrated varied effectiveness in penetrating human skin compared to rat skin. These observations indicate that nematodes possess specific behaviors tailored to enhance their chances of entering host skin.

The study revealed a notable genetic factor: editing the S. stercoralis genome to disrupt the TRP-4 ion channel drastically reduced their ability to penetrate skin. This channel is not present in humans, making it a viable target for treatment without harming human dopamine pathways.

Hallem highlighted the urgent need for further research to develop topical creams that could block TRP-4 function or other elements of the nematode’s dopamine-sensing pathways. This could offer a preventive measure against infections before they start, improving public health outcomes, especially in vulnerable regions.

However, the researchers face challenges in continuing their work. Hallem noted that funding suspensions from the National Institutes of Health have severely impacted their research capabilities, risking the preservation of important nematode strains. The loss of support for their lab could hinder progress in combating this significant public health threat.

In summary, the study sheds light on the complex interactions between parasitic nematodes and their human hosts while offering potential avenues for preventive treatments that could save lives.

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