Fasciolosis 2021
DOI: 10.1079/9781789246162.0005
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Pathology, pathophysiology and clinical aspects.

Abstract: This book chapter describes the pathology (prehepatic stages, hepatic stages, other host species), clinical aspects, effects on blood components, pathophysiology and metabolic aspects, effects on metabolism, and pathogenesis of Fasciola infection.

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Cited by 7 publications
(9 citation statements)
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“…Helminth parasites are known to damage intestinal barrier function, and specific mechanisms have been demonstrated in the case of fascioliasis. 6 The current study strongly supports existing evidence that direct damage to the gastrointestinal barrier is associated with the initial trans-intestinal migration phase of F. hepatica infection and that a consequence of this (presumably) localised compromise is also associated with endotoxin (LPS) levels more typically seen in clinically aggressive endotoxemia models. Recent research efforts, across multiple species, have focussed on numerous proteins produced by the excysted metacercaria or juvenile flukes, which have been shown to significantly dampen local immune responses, both innate and acquired.…”
Section: Discussionsupporting
confidence: 87%
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“…Helminth parasites are known to damage intestinal barrier function, and specific mechanisms have been demonstrated in the case of fascioliasis. 6 The current study strongly supports existing evidence that direct damage to the gastrointestinal barrier is associated with the initial trans-intestinal migration phase of F. hepatica infection and that a consequence of this (presumably) localised compromise is also associated with endotoxin (LPS) levels more typically seen in clinically aggressive endotoxemia models. Recent research efforts, across multiple species, have focussed on numerous proteins produced by the excysted metacercaria or juvenile flukes, which have been shown to significantly dampen local immune responses, both innate and acquired.…”
Section: Discussionsupporting
confidence: 87%
“…Orally ingested metacercariae excyst in the duodenum following digestion of the cyst wall. The presence of subadult fluke in the hepatic parenchyma has been demonstrated by 4–6 days 6 where they develop to sexual maturity 7 ; however, juvenile flukes appear in the abdominal cavity within 2 h of experimental ingestion, via direct penetration of the duodenal mucosa 6 . The migration through the intestinal mucosa has been postulated to impact the integrity of the intestinal epithelium, resulting in concomitant loss of integrity of the intestinal barrier.…”
Section: Introductionmentioning
confidence: 99%
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“…The parenchymal phase occurs during migration of flukes in the liver parenchyma and is associated with liver damage and hemorrhage. During the parenchyma stage of the infection, liver damage caused by the migrating flukes compromise liver function, which in ruminant is reflected in a decline in plasma albumin concentrations, attributed partly to reduced rate of synthesis and partly to an expansion of the plasma volume [8,58].…”
Section: Pathogenesismentioning
confidence: 99%
“…Fasciolosis causes economic losses regarding livestock products such as milk and meat, and significant monetary costs are also attributed to medical treatment for animals and humans. The pathogenesis of fasciolosis involves pre-hepatic and hepatic stages: the former is caused by newly excysted juveniles (NEJs) penetrating through the host’s intestinal walls and peritoneal cavity, leading to hemorrhage and inflammation, and the latter occurs during the juvenile parasites’ migration through the liver parenchyma before they reach and reside in the bile ducts, where they mature into adult stage [ 1 , 2 , 3 ]. Control strategies are designed to block the parasites’ life cycles by using anthelmintics, grazing management, and biological control.…”
Section: Introductionmentioning
confidence: 99%