The use of 35S-labelled Toxocara canis to determine larval numbers in tissues

Therapeutic battle against larval toxocariasis: are we still far behind?

Toxocariasis is a widespread zoonotic helminthic disease. Human infection is acquired by ingestion of embryonated eggs of Toxocara which reach the environment via stools of dogs and cats. In paratenic hosts, such as humans and mice, the hatched larvae migrate systematically in the body and could reach critical sites such as the eye and the central nervous system. The clinical expression of toxocariasis includes two main forms of varying intensity: visceral and ocular, as well as several organ-specific clinical manifestations. The issue of treatment is a matter of great controversy not only because of limited efficacy of anthelmintic drugs in terms of parasite eradication, but also because of doubts about the benefits of therapy as most Toxocara infections are self-limiting. Many animal studies were conducted employing different drugs and regimens, yet the results were variable and inconsistent. On the other hand, experience in human therapy is unfortunately limited due to paucity of clinical trials. Herein, the problems and pitfalls of treatment of toxocariasis are addressed, and new trends in therapy are discussed.

Influence of murine Toxocara canis infection on plasma and bronchoalveolar lavage fluid eosinophil numbers and its correlation with cytokine levels

Toxocara canis is a nematode of the Ascaridae family that normally parasites the small intestine of canid species. Humans are accidentally infected upon ingestion of embryonated eggs, and can manifest several clinical alterations such as fever, hepatomegaly, splenomegaly, respiratory symptoms, muscle pain and anorexia. In the present work, we investigated the kinetics of tissue distribution of L2 larva in lungs, liver, kidney, brain, skeletal muscle and myocardium. Also, we analyzed the blood and bronchoalveolar lavage fluid (BAL) for levels of IL-6, IFN-gamma, eotaxin and Regulated on Activation Normal T Cell Expressed and Secreted (RANTES) in experimental murine T. canis infection. We observed liver, lung and kidney lesions correlated to larva migration as early as the first day of infection. After the seventh post-infection day, larva could also be detected in brain, skeletal muscle and heart, as an indicator of biphasic migration pattern. Increased inflammatory activity was detected in BAL and plasma of infected animals, as was an intense eosinophil migration associated with an increase in the levels of all the cytokines studied. In conclusion, our results establish a tight correlation between tissue lesions caused by larva migration and increased plasma levels of pro-inflammatory and eosinophil chemotactic cytokines. Thus, murine T. canis infection may prove to be useful in understanding the role of cytokines in infection.

Infectivity and pathogenicity of 14-month-cultured embryonated eggs of Toxocara canis in mice

Infectivity and pathogenicity to mice of embryonated eggs of Toxocara canis, that had been maintained in 2% formalin for 14 months at 4 degrees C, were evaluated by immunological and pathological assessment at 1, 4, 8, 12, 16, 20, 24, 28, 42 and 67 weeks post-infection (WPI). On each date, three infected mice and two age-matched uninfected mice were sacrificed for serum collection and histological processing of the liver, lungs, musculature, and brain. Infectivity assessment by enzyme-linked immunosorbent assay (ELISA) revealed that the overall immunological pattern of infected mice tended to be towards the Th2 type response. Serum IgG1 antibody titers in infected mice were significantly higher than that of the uninfected control mice throughout the trial (P<0.05). On the other hand, no significant difference in titers of IgG3 antibody, an indicator for the Th1 type response, was observed between the infected and control mice, except at eight WPI (P<0.05). Pathogenicity was assessed semiquantitatively by comparing the mean number or diameter of inflammatory foci as well as histopathological changes in the liver, musculature, brain, or lungs of the infected mice and the control mice. Each hematoxylin and eosin (H&E) stained tissue section slide was examined under 100x magnification and 15 random fields were counted. Degree of inflammatory injury among the four organs was scored and categorized into four levels: normal (0), mild (1+), moderate (2+), and severe (3+). An index of inflammatory injury (mean score of experimental group/mean score of 10 control groups of 20 uninfected mice) of 2-3 is considered as moderate to severe, 1-2 as mild to moderate, and 0-1 as normal to mild. Histopathological changes were moderate to severe in the liver and lungs, mild to moderate in the musculature, and only normal to mild in the brain throughout the trial. It is noteworthy that apocrine-like change in epithelial cells of the bile duct was observed in most of the infected mice from eight WPI onward. Furthermore, larvae trapped by organized granulomas were found in soft tissue near the musculature at 12, 20, and 28 WPI. Altogether, not only were the infectivity and pathogenicity of the 14-month-cultured T. canis embryonated eggs retained, the hatched larvae were also capable of eliciting some special pathological changes in the murine host.

A novel method for the recovery of Toxocara canis in mice

Acid-isolating and acid digestion techniques were used to recover the larvae of T. canis from the tissues of mice and the acid-isolating technique in particular proved to be an effective method.

Variation in the larval recovery of Toxocara canis from the murine brain: implications for behavioural studies

The migratory pathway of Toxocara canis larvae was determined by infecting mice with a low, medium or high dose of embryonated T. canis eggs and determining numbers of larvae present in the brain, liver, lungs, kidneys and muscle on days 5, 14 and 26 post infection. Variation was seen in the numbers of larvae recorded in the organs of mice which had received the same number of eggs and were at the same stage of infection. This variation was particularly marked in the brain indicating that, for the purposes of behavioural studies, the actual numbers of larvae found in the brain rather than the number assumed from the dose would have to be taken into account when analysing the behaviour of infected mice.