Migration of the schistosomula of Schistosoma mansoni from skin to lungs.

Abstract

SummaryThe number of schistosomula recovered from abdominal skin declined exponentially with time after infection. However, this decline was shown to be an untrue reflection of the numbers present because of changes in recoverability on days subsequent to infection. Digestion of skin by the enzymes collagenase and hyaluronidase produced a small increase in the number of schistosomula recovered. The number of schistosomula present in abdominal skin and capable of reaching maturity was estimated by exciting the area to which cercariae had been applied, from groups of hosts at daily intervals after exposure. The number of worms maturing in each group of hosts was then determined. The mean duration of stay of schistosomula in mouse, hamster and rat abdominal skin was estimated at 88, 64·5 and 70 h, respectively. The fluid content of abdominal skin to which cercariae had been applied, increased following infection but it was concluded that this alone was not the predominant factor controlling exit of worms. The stimulation of a delayed hypersensitivity response not directed against schistosomes (in mice previously sensitized with 1-chloro,2–4-dinitrobenzene (DNB)) 1 day after exposure to cercariae, produced a significant increase in the number of schistosomula leaving the skin and reaching maturity. Schistosomula can be recovered from the axial lymph nodes of mice, hamsters and rats. If the schistosomula from mice are injected into the tail vein of uninfected mouse hosts, they have the same chance of maturing as comparable skin schistosomula. They are therefore apparently unharmed by their passage through the nodes. Interference with lymphatic drainage by surgical removal of lymph nodes has no effect on the number of schistosomula recovered from the lungs, but the peak recovery is delayed by 24 h. The hamster cheek-pouch, a site with no afferent lymphatic drainage, was also used to investigate the importance of the lymphatic exit route. There was no reduction in the number of adult worms recovered following infection at this site compared with the normal abdominal skin site. The migration of schistosomula to deeper tissues and their entry into blood vessels was followed using the cheek-pouch preparation. It was concluded that the major route of exit from the skin is the blood vascular system.