“…Lastly, proteomics analysis revealed the presence of G. spinigerum serpin and serine proteases in the patient's serum. Previous studies found that the excretory–secretory products of the third-stage G. spinigerum larvae include serpins, and it has been demonstrated that these serpins react with sera from gnathostomiasis patients ( Nuamtanong et al, 2019 ; Nogrado et al, 2022 ). By reducing host protease activity and modifying host immunity, parasite protease inhibitors thus act to make a safer environment for the host ( Ranasinghe and McManus, 2017 ).…”