22Background: Alveolar echinococcosis (AE) is a lethal zoonosis caused by the metacestode 23 larva of the tapeworm Echinococcus multilocularis. The infection is characterized by tumour-24 like growth of the metacestode within the host liver, leading to extensive fibrosis and organ-25 failure. The molecular mechanisms of parasite organ tropism towards the liver and influences 26 of liver cytokines and hormones on parasite development are little studied to date.
27Methodology/Principal findings: We show that the E. multilocularis larval stage expresses 28 three members of the fibroblast growth factor (FGF) receptor family with homology to human 29 FGF receptors. Using the Xenopus expression system we demonstrate that all three 30 Echinococcus FGF receptors are activated in response to human acidic and basic FGF, which 31 are present in the liver. In all three cases, activation could be prevented by addition of the 32 tyrosine kinase inhibitor BIBF 1120, which is used to treat human cancer. At physiological 33 concentrations, acidic and basic FGF significantly stimulated the formation of metacestode 34 vesicles from parasite stem cells in vitro and supported metacestode growth. Furthermore, the 35 parasite's mitogen activated protein kinase signalling system was stimulated upon addition of 36 human FGF. The survival of metacestode vesicles and parasite stem cells were drastically 37 affected in vitro in the presence of BIBF 1120.
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Conclusions/Significance: Our data indicate that mammalian FGF, which is present in the 39 liver and upregulated during fibrosis, supports the establishment of the Echinococcus 40 metacestode during AE by acting on an evolutionarily conserved parasite FGF signalling 41 system. These data are valuable for understanding molecular mechanisms of organ tropism 42 and host-parasite interaction in AE. Furthermore, our data indicate that the parasite's FGF 43 signalling systems are promising targets for the development of novel drugs against AE.44 3 45 Author summary 46 To ensure proper communication between their different cell populations, animals rely on 47 secreted hormones and cytokines that act on receptors of target cells. Most of the respective 48 cytokines, such as FGFs, evolved over 500 million years ago and are present in similar form 49 in all animals, including parasitic worms. The authors of this study show that the metacestode 50 larva of the tapeworm E. multilocularis, which grows like a malignant tumor within the host 51 liver, expresses molecules with homology to FGF receptors from mammals. The authors show 52 that human FGF, which is abundantly present in the liver, stimulates metacestode 53 development and that all parasite FGF receptors are activated by human FGF, despite 500 54 million years of evolutionary distance between both systems. This indicates that cells of the 55 Echinococcus metacestode can directly communicate with cells of the mammalian host using 56 evolutionarily conserved signaling molecules. This mode of host-pathogen interaction is 57 unique for helmint...