“…Treatment with artemisinins and free radicals is known to cause collapse of the membrane potential of mitochondria, leading to their swelling and inhibition of electron transfer and oxidative phosphorylation (Wakabayashi and Karbowski, 2001;Li et al, 2005;Wang et al, 2010). This action could explain the mitochondrial changes seen, not just in the vitelline cells, but in the tegumental and gastrodermal cells as well following treatment with artemisinins O'Neill et al, 2009O'Neill et al, , 2015 and would have a deleterious impact on energy production by the fluke as a whole, especially in tissues of high energetic requirement such as the vitellaria. The build-up of lipid deposits would indicate metabolic disruption and, in turn, the effects on energy metabolism would contribute to the state of general ill-health and loss of motility in the flukes.…”