Inrcrnationul Journal.for Parasitology, Vol. 21. No. 7, pp. X2.5 xl I. 1997
0. 1997 Australian Society for Parasitology. Published by Elsevm Smnce Ltd Printed in Great Rntam PII: SOO20-7519(97)00037-4 0020 7519197 117~,t1~~000 and Larval. He s Ahnasal Secretin H. V. SIMPSON,*$ D. E. B. LAWTON,* D. C. SIMCOCK,* G. W. REYNOLDS* and W. E. POMROYt *Department of Physiology and Anatomy, Massey University, Palmerston North, New Zealand TDepartment of Veterinary Pathology and Public Health, Massey University, Palmerston North, New Zealand (Received 9 December 1996; accepted 26 February 19971 Abatract43hp-s~ H. V., Lswton D. E. B., Sirncock D. C., Reynolds G. W. i?z Polpvoy W. E. 1997. Ef&cts Parasitology. PgbMed by Elsevier Science Ltd. Key words: sheep; Haemonchus contortus; experimental infection; adult worm transfer; abomasal pH; serum gas∈ serum pepsinogen. INTRODUCTION (Holmes & MacLean, 1971; McLeay et al., 1973; And- Parasitism of the sheep abomasum by Haemonchus erson et al., 1976a, 1976b, 1981, 1985; Coop et al., contortus inhibits gastric acid secretion and increases 1977) and in cattle by Ostertagia ostertugi (Jennings serum pepsinogen and gastrin concentrations et al., 1966; Fox et (II., 1987, 1993; Hilderson PI al., (Christie et al., 1967; Christie, 1970; Mapes & Coop, 1991) 1970, 1973; Dakkak et al., 1981, 1982; Nicholls et al., The adult stages of the parasite appear to be largely 1985, 1987, 1988; Blanchard & Wescott, 1985; Fox et responsible for the altered secretory activity of the al., 1988). These effects on gastric function are pro- abomasum, since the transfer into cattle of adult 0. duced also in sheep by Ostertagia circumcincta ostertagi (McKellar et al., 1986, 1987) and 0. cir- cumcincta into sheep (Anderson et al., 1985; Lawton et aI., 1996) rapidly induced these ef%cts, whereas fTo whom correspondence should be addressed. Tel: 64- after larval infection of sheep there was a delay in 06-3.56-9099; Fax: 64-06-350-5674; E-mail: H.V.Simpson@ response until the parasite had progressed beyond massey.ac.nz. the early larval stages (Lawton et al., 1996). Parasite 825 826 H. V. Simpson CI al excretory/secretory (ES) products may initiate the physiological changes in the host abomasum, since the mucosal damage associated with the progression of larvae to adult stages is not essential (McLeay et al., 1973; McKellar et ul., 1987). Evidence on the nature of the host-parasite inter- action remains circumstantial and relies heavily on the inter-relationships between temporal changes in the different parameters. After infection of sheep and cat- tle with Ostertagia, serum pepsinogen concentration increases before either serum gastrin or abomasal pH (Anderson et al., 1985; McKellar et al., 1986, 1987; Lawton et al., 1996), indicating that the effects of the parasites on abomasal secretion may not be mediated by identical mechanisms. Increased circulating pep- sinogen is generally attributed to a leak lesion (Murray, 1969; Holmes & MacLean, 1971). In more recent studies, serum gastrin and abomasal pH initially increased together (Nicholls et al., 1988; Fox et al., 1988; Lawton et al., 1996), suggesting that the hypergastrinaemia may be secondary to loss of the inhibitory effects of acid-feedback on the G cell; how- ever, later in the parasitism, abomasal pH frequently decreases while serum gastrin remains eIevated, so that other factors may also be involved (Lawton et al., 1996). The present experiments examine the association between increased serum pepsinogen and gastrin and abomasal pH in sheep after infection with either larval or adult H. contortus and also after drenching to remove adult worms. The aim was to compare these relationships with previous observations in sheep infected with 0. circumcincta and identify common features which might shed light on the mechanisms involved. MATERIALS AND METHODS Experimental design. Experiment 1. Four sheep were infected with 10000 H. contortus larvae by ruminal intu- bation and another 4 sheep acted as uninfected controls. Experiment 2. Four sheep were infected with approximately 9000 adult Haemonchus worms via an abomasal cannula. After 96 h, these 4 sheep (but not control animals) were treated orally with 0.4mg kg- ivermectin (Ivomec; Merck & Co. Inc., Rahway, U.S.A.) and sampling was continued for a further 192 h. Four sheep acted as uninfected controls from which the normal range for the parameters was estab- lished. Animals. All animals were nematode-naive, 20-week-old Romney-cross sheep (2 male, 2 female in each group) of body weight 24-37 kg. A cannula was surgically inserted under general anaesthesia into the greater curvature of the abo- masum at the junction of the body and antral regions and exteriorized through the ventral right flank (Hecker, 1974). Prophylactic antibiotic treatment (Streptopen; Pitman- Moore, 5 ml i.m. daily) was given for 3 days post-operatively. A recovery period of 7days was allowed before exper- imentation. The sheep were housed in individual metabolism crates and provided with water ad lib. and fed once daily at 9.30a.m. with 200g luceme chaff plus 600g lucerne nuts. After a control sampling period of 4 and 7 days for Experi- ments 1 and 2, respectively. the animals were infected with H. contortus. On a few days, some infected sheep did not consume all the feed offered. Diarrhoea did not occur, but Sheep 9 and 12 produced soft faeces on Day 3. Transfer of adult H. contortus. Donor sheep were killed by captive bolt and exsanguination 23 days after larval infec- tion. The abomasal contents were pooled and concentrated by sedimentation at 37C to a volume of approximately 2.5 I. Worm counts were performed on 5 samples of 10 ml. Within 4 h of collection of the worms, the abomasa of recipient animals were drained through the cannulae and 2~01s of 300mI of concentrated contents were infused through the cannula at an interval of 1Smin. Each animal received approximately 9000 23-day-old worms. No larval stages were seen in the infusate. Blood and abomasalfluid samples. In Experiment 1, blood and abomasal contents were collected 30 min before, and 2- 3 h after, feeding for determination of serum pepsinogen and gastrin and abomasal pH. After infection, sheep in Experi- ment 2 were sampled 2 hourly for 48 h, then 4 hourly until anthelmintic treatment. Thereafter samples were taken 4 6 hourly for the first day and then twice daily to 192 h. Blood was collected by jugular venipuncture into plain evacuated tubes, the serum separated and stored at -20C for gastrin and pepsinogen assay. About 1 ml of abomasal contents was aspirated into a syringe through the cannula and the pH measured with a PHM82 Standard pH Meter (Radiometer, Copenhagen). Serum pepsinogen. Serum pepsinogen concentration was determined in duplicate using the method of Pomroy &Char- leston (1989). Briefly, 0.25ml of serum was acidified with 1.25ml of 0.06M HCl and incubated for 3 h at 37C. One millilitre of 10% TCA was added, the mixture centrifuged at 3500 r.p.m. for 15 min and 1 ml of supematant added to 2 ml of 0.5 M NaOH. The liberated tyrosine was estimated by the addition of 0.5 ml Folin-CiocaIteau reagent and reading the absorbance at 700 run. Pepsinogen activity was determined from the difference in free tyrosine between the incubated sample and a non-incubated blank and expressed as mU tyrosine 1-l. Serum gastrin. Serum gastrin was determined in triplicate by a radioimmunoassay (Simpson ef al., 1993) based on the method of Hansky & Cain (1969). The antiserum used was Hanskys Ab74 (the generous gift of Dr J. Hansky). Synthetic human nsG17 (Research Plus, Bayanne, NJ, U.S.A.) was used to prepare radioactive label and standards. Parusifology. Infective larvae (L3) were obtained from cul- tures of faeces from sheep infected with a pure strain of H. contortus. Larvae were confirmed to be motile. Larvae were exsheathed with 0.2% sodium hypochlorite and rinsed with water I h before intraruminal infection. Faecal egg counts per g (e.p.g.) were determined using a modified McMaster method (Stafford et al., 1994) on faecal samples collectedper rectum. For all sheep, samples were collected before and 2 days after surgery. In Experiment 1, sheep were sampled at weekly intervals and in Experiment 2 they were sampled 4 days after transfer of worms and 4 days later, after treat- ment with anthelmintic. Definition of normal values. All values for serum pepsin- ogen, serum gastrin and abomasal pH in samples collected Adult and larval H. contorrus infection $27 Table I-Pre-infection abomasal pH, serum gastrin and serum pepsinogen values for each infected sheep (n = 7 for Sheep 14; n = 14 for Sheep 9-12). Also shown are values from a population of parasite-naive sheep (n = 1000) used to define the upper limit of the normal range as mean + 2 SD. Sheep I 2 3 4 9 IO 11 12 Population Abomasal pH Serum gastrin (PM) Serum pepsinogeu (mU tyrosiue I !) Mean Mean+2S.D. Mean Meanf2S.D. Mean Meani2S.D 2.61 3.33 53 15 113 xi5 2.88 3.20 56 71 62 lb2 3.04 3.41 68 92 301 531 2.97 3.30 74 95 105 451 2.68 3.22 66 84 123 255 2.74 3.34 46 62 209 317 2.65 3.31 73 125 206 318 2.71 3.29 48 74 42 IO6 2.80 3.26 38 64 223 4% from parasite-naive sheep (controls and pre-infection) were compared with normal population reference ranges derived from over 1000 values for each parameter in parasite-naive sheep (Lawton et al., 1996). The upper limits of the normal population reference ranges (mean + 2 S.D.) were abomasal pH, 3.26; serum pepsinogen, 454mU I- and serum gastrin, 64pM (Table 1). For each sheen, the pre-infection ranges were calculated for each parameter and also used to define normal values. A parameter was considered to be elevated when 2 successive values were above the designated upper limit. RESULTS Controls There were small fluctuations in abomasal pH and serum gastrin and pepsinogen concentration in con- trol sheep, with the only consistent trend being an increase in serum gas&in after feeding in some animals. In the pre-infection period, a few sheep (par- ticularly Sheep 3 and 11) had elevated serum gastrin levels in anticipation of feeding which raised their individual calculated upper limits for normal values. Individual pre-infection values (Table 1) were gen- erally similar to estimated population values (Lawton et al.. 1996), although serum pepsinogen was lower. Individual ranges were used for comparison after infection, except for serum gastrin in Sheep 3 and 11 in which the individual range was unusually high since the sheep sometimes became excited around feeding time. In these animals, the population range was used for evaluation of serum gastrin. Injbction with larval H. contortus In general, all 3 parameters were raised by the para- sitism althongh the magnitude of the changes varied between the 4 individual sheep (Fig. 1). Changes in abomasal pH were small. The timing of changes in abomasal pH and serum gastrin and pqtinogen was more easily discerned when the efkts were huger, but no consistent differences between sheep were appar- ent. There were no increases before Day 2 and ail 3 parameters had begun to increase by Day 4 or 5. In general, peak values were reached between Days 8 and 10, after which all decreased steadily. Abomasat pW was usually within the normal range again by Day 15, whereas serum gas&in and pepsinogen, although declining, generally remained elevated on Days 20.~ 25, except when there had only been a small initial rise. Sheep 2 and 4 had barely detectable serum pepsinogen levels before and after infection and were classed as non-responders. Transjizr ofadult H. contortus Although variable in magnitude between sheep, there were increases in all parameters in all sheep except serum pepsinogen in Sheep 12 which was a non-responder (Fig. 2). Abomasal pH and serum gas&in increased at about the same time (at about 38 h in Sheep 11, but at 22 h in Sheep 9 and 10 and probably in Sheep 12 in which a small increase, but still within the pm-infection range, occurred with the increase in serum gastrin at 22 h). These increases were before, or at the same time as, increases in serum pepsinogen (serum pepsinogen was raised at 2hh in Sheep 10 and 36-38 h. in Sheep 9 and 11). The magnitude of the increases in abomasal pW. serum pepsinogen and serum gas&in was independent of one another in individual animals. Serum gastrin continued to increase until drenching, reaching values around 6OOpM in all 4 sheep whereas abomasai pH reached a peak value at around 48 h. In the 3 responder sheep, the maximum value for serum pep- 828 H. V. Simpson et al. SHEEP 1 1 1 SHEEP2 SHEEP 3 1 SHEEP 4 Fig. 1. Abomasal pH and serum gastrin and pepsinogen concentrations before (m) and 3 h after (A) feeding in 4 parasite- naive sheep infected intraruminally with 10 000 H. contortus larvae. The horizontal dotted lines represent 2 S.D.s above the mean values determined for each animal before infection and the solid line the corresponding population value. 1 1 SHEEP10 SHEEP 11 SHEEP 12 Fig. 2. Abomasal pH and serum gas&in and pepsinogen concentrations in 4 parasite-naive sheep into which approximately 9000 adult H. contortus were transferred through abomasal cannulae. The horizontal dotted lines represent 2 S.D.s above the mean values determined for each animal before infection and the solid line the corresponding population value. sinogen just before drenching represented a 4-fold within 2days and particularly rapid in Sheep i0 increase. (within 8 h). Serum gastrin and pepsinogen took in After drenching, the time for the 3 parameters to excess of 4 days in 2 sheep. In Sheep 10, serum gastrin return to pre-infection levels varied. Abomasal pH was elevated for 34days after abomasal pH was in showed the steepest fall, being in the normal range the normal range. Adult and larval H. contortus infection xJ.9 Parasitology No eggs were seen in the faeces of uninfected sheep during the experimental period. Sheep 1-4 (infected with larvae) had no eggs in the faeces on Day 18, but on Day 25 the faecaf egg counts (FEC) were 3050, 50, 15 850 and 17 500 e.p.g., respectively. Sheep which received adult worms all had evidence of estab- lishment: on Day 4 the faecal egg counts were 2100, 4100, 4150 and 2150e.p.g. for Sheep 9-12, respec- tively. No eggs were detected after treatment with anthelmintic. . DISCUSSION This study has shown for the first time that the direct transfer of adult Haemonchus contortus worms into recipient sheep rapidly alters abomasal secretory activity in a similar manner to that demonstrated in previous studies with Ostertagia spp. in sheep and cattle, and that the pathophysiological effects of all 3 species are linked to the presence of adult worms and not to larval development in the mucosa. The rapidity of recovery after worm removal by drenching high- lights the reversibility of acid suppression in the pres- ence of adult worms. Adult H. contortus, but not early larval stages, inhibited gastric acid production and raised serum gastrin and pepsinogen concentrations, as also accompanies the parasitism of sheep by 0. cir- cumcincta (Anderson et al., 1985; Lawton et al., 1996) and cattle by 0. ostertagi (McKellar et al., 1986,1987). The initial disturbance to abomasal secretion by all of these species of worms is unlikely to be caused by the tissue damage associated with the histotrophic stages of these parasites and chemical mediation would appear more likely. The magnitude of the responses to the different parasites and in individual animals can be very vari- able and was not related to the faecal egg count. In Experiment 1, Sheep 2 and 4 were non-responders for serum pepsinogen but had low and high FEC, respectively, while Sheep 4 had overall the smallest response for all 3 parameters but the highest FEC. Infection with H. contortus larvae inhibited abomasal secretion about 2days earlier than with 0. circum- cincta in sheep of the same age and breed (Lawton et ul., 1996), as might be expected from a more rapid progression through the larval stages; effects of the parasites on abomasal function were apparent by 4- 5 days when the 3rd moult would occur (Stoll, 1943; Sommerville, 1954, 1963; Christie et al., 1967). Although the responses to larval Haemonchus were small (Fig. l), the transfer of 9000 adult worms pro- duced very marked effects on abomasal secretion (Fig. 2), suggesting that the 2 nematode species share the same mode of action on obomasal secretion. The transfer of adult Haemonchus caused rapid and more uniform effects than after larval administration and their timing was similar to those previously seen after adult 0. c&wncincta transfer (Lawton et al., 1996). The principal difference was the later rise in serum pepsinogen with H. contortus compared with the early increase (by 2 h in some sheep) with 0. rir- cumcincta into sheep (Anderson et al., 1985; Lawton et al, 1996) and 0. cwtertagi into calves (McKehar et al., 1986, 1987). No reason for this is immediately apparent, particularly since H. contortus preferentially establish in the fundic region, where most pe#inogen is produced, and not in the pyloric area (Sommerville, 1963; Charleston, 1965; Dash, 1985; Rahman & Collins, 1990). The hyperpepsinogenaemia is likely to be caused by a different mechanism from those which increase abomasal pH and serum gastrin. This is indi- cated by the independence of the rise in serum pep- sinogen from those in the other 2 parameters, as well as the occurrence of non-responders which made up 15-25% of the total number of sheen infected with H. contortus in this study or with 0. circumcincra by Lawton et al. (1996). The feature these sheep had in common was a very low pre-infection serum pep- sinogen concentration, which may indicate an inherently lower leakage of pepsinogen into the cir- culation. Although serum gastrin initially increased at the same time as abomasal pH and may be the result of the withdrawal of acid feedback, the 2 parameters were largely independent and therefore other factors such as inflammatory mediators may be involved, at least after the early post-infection period. The acid- secreting parietal cell may be the principal target of the worms, since both Ostertagia (H. V. Simpson. unpublished data) and Haemonchus (E. Haag, 1995. The effect of Haemonchus contortus excretory/ secretory products on abomasal secretion. Dr Med. Vet. Thesis, Hannover) have a reduced life span in vitro at low pH compared with their viability above pH4.5. The ability to inhibit parietal cells may bc essential for survival, particularly since Haemonchus preferentially establish in the fundic region. The mechanism of acid inhibition by abomasal parasites, which clearly followed infection with either adult Haemonchus or Ostertagia, is as yet unknown. The rapidity of the onset of raised abomasal pH after worm transfer and the rapid return to pre-infection levels after drenching (Fig. 2) strongly support a reversible chemical inhibition rather than the loss of parietal cells through physical damage. The recovery of parietal cell function began within 2 h of drenching, too fast to be dependent on the production of new 830 H. V. Sin cells, and was complete after about 4days. Previous reports were similar: abomasal pH was normal within 54-172 h after drenching to remove 0. circumcincta (Anderson et al., 1976a) or 24 h for H. contortus infec- tion (Dakkak et al., 1985). The pH of the abomasal contents may not accurately reflect the acid-inhibiting activity of the worms, as a low worm burden may be able to alter the activity of nearby cells and thus reduce their exposure to local acid conditions without affect- ing the overall pH of the contents. Raising the abom- asal pH to 5 or 6 represents a significant feat on the part of the worms. In summary, this study has shown the similarity between Haemonchus and Ostertagia in modifying abomasal secretory function which is likely to be evoked through the same mechanisms. The rapidity of the responses to the transfer of adult worms and to their removal by treating with anthelmintic supports a role for worm ES products which do not appear to be produced by the early larval stages. The similarity of responses to H. contortus and 0. circumcinta infec- tion suggests the involvement of the same or very similar ES products. Identification of any chemical mediators will probably depend on in vitro studies using simpler systems rather than whole animal studies. Acknowledgements-The technical assistance of B. Adling- ton, D. Anthony, S. Calder, B. Guthrie and B. Parlane is acknowledged. The gas&in antibody Ab74 was the kind gift of Dr J. Hansky. We are grateful for the generous financial support for this work by the C. Alma Baker Trust and the E. & C. Thorns Bequest. REFERENCES Anderson N., Blake R. & Titchen D. A. 1976a. Effects of a series of infections of Ostertagia circumcincta on gastric secretion of the sheep. Parasitology 72: l-12. - Anderson N.. Hanskv J. & Titchen D. A. 1976b. Hvner- gastrinaemia during a parasitic gastritis in sheep. Jo&al of Physiology 256: 5 1-52P. Anderson N., Hansky J. & Titchen D. A. 1981. Effects of Ostertagia circumcincta infections on plasma gastrin in sheep. Parasitology 82: 401-410. Anderson N., Hansky J. L Titchen D. A. 1985. 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