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PHYSIOLOGICAL EFFECTS OF ASCARIS SUUM INTESTINAL MICROFLORA
ON 5-HYDROXYTRYPTAMINE LEVEL AND BINDING SITES IN THE
INTESTINAL EPITHELIAL CELLS
DISSERTATION
Presented to the Graduate Council of the
University of North Texas In Partial
Fulfillment of the Requirements
For the Degree of
DOCTOR OF PHILOSOPHY
By
Akbar Mohammadpour Shahkolahi B.S., M.A.
Denton, Texas
December, 1991
37? ajB/J Mo. 2 Vga
PHYSIOLOGICAL EFFECTS OF ASCARIS SUUM INTESTINAL MICROFLORA
ON 5-HYDROXYTRYPTAMINE LEVEL AND BINDING SITES IN THE
INTESTINAL EPITHELIAL CELLS
DISSERTATION
Presented to the Graduate Council of the
University of North Texas In Partial
Fulfillment of the Requirements
For the Degree of
DOCTOR OF PHILOSOPHY
By
Akbar Mohammadpour Shahkolahi B.S., M.A.
Denton, Texas
December, 1991
Shahkolahi, Akbar Mohammadpour, Physiological Effects of
Ascaris suum Intestinal Microflora on 5-Hydroxytrvptamine
Level and Binding Sites in the Intestinal Epithelial Cells.
Doctor of Philosophy (Biological Sciences), December, 1991,
114 pp., 6 Tables, 12 Figures, Bibliography, 112 Titles.
Serotonin (5-hydroxytryptamine, 5-HT) has been shown to
activate carbohydrate metabolism in adult female Ascaris
suum. Serotonin may be either absorbed directly from the
environment or synthesized de novo from the absorbed
L-tryptophan in adult female A. suum. The enzymes necessary
for the synthesis of 5-HT have been identified in both
intestine and muscle tissues. The serotonin absorbed from
the environment is obtained either from the host's
gastrointestinal contents or from the 5-HT producing bacteria
in the intestine of A. suum. Numerous 5-HT producing
bacteria were identified in the intestinal microflora. The
physiological contributions of 5-HT producing bacteria to the
5-HT level, turnover and binding sites in the intestinal
tissue of A. suum were investigated.
Using high performance liquid chromatography with
electrochemical detection, L-tryptophan and serotonin levels
of the intestinal tissue and its microflora were measured.
There was a significant decrease in the 5-HT level of
intestinal tissue as the 5-HT producing bacteria were
eliminated. The 5-HT turnover rates significantly increased
reaching the highest rate in intestine of worms incubated in
A. suum saline plus antibiotics for 48 hrs (301 ng 5-HT/mg
protein/hr). However, antibiotic treated intestinal tissue
showed an increase of more than 4 fold in its 5-HT turnover
rate which indicated that the elimination of 5-HT producing
bacteria stimulated the intestinal tissue to increase its
5-HT synthesis.
Serotonin receptor binding studies of the intestinal
tissue showed that elimination of intestinal microflora had
an effect on binding affinities and the apparent binding
densities. The [3H]-LSD binding sites increased in both
affinity and number in an anterior to posterior direction.
This directionality was altered when the intestinal
microflora were reduced.
Further characterization of 5-HT binding sites in
intestinal tissue indicated the presence of a specific
binding site in the intestinal membrane of A. suum.
L-tryptophan could possibly be transported across the
intestinal membrane independent of any 5-HT molecules
competing for the same site. However, L-tryptophan was found
to be capable of competing for [3H]-5-HT binding sites.
ACKNOWLEDGEMENTS
I wish to thank Dr. Manus J. Donahue for his technical
support and encouragement during the course of this project.
I wish to acknowledge the assistance provided by Dr. Andrew
S. Kester and to thank Dr. Judy Williams for her
contributions on the collaborated projects and her review of
the dissertation.
I extend my thanks to the other members of my committee,
Drs. Gerard A. 0'Donovan, Arthur J. Goven and Gerard R. Vela
for the instruction and guidance that each has given me.
I wish to thank my wife for her patience, continous
support and understanding during the completion of my
graduate education. I also wish to express my sincere
gratitude to my parents for the continous encouragement and
the support provided for my education. It is to them I
dedicate this volume.
TABLE OF CONTENTS
Page
AKNOWLEDGMENTS v
LIST OF TABLES viii
LIST OF FIGURES ix
LIST OF ABBREVIATIONS x
Chapter
I. INTRODUCTION
Historical Background on Helminths 1
Parasitic Nematodes 4
General Morphology and Life Cycle of Ascarids 9
Metabolism in Ascarids 14
Intestinal flora and the Metabolism of Tryptophan in
A. suum 19
Roles of Serotonin in A. suum 20
Possible Origin of Serotonin 23
Biosynthesis of Serotonin 27
Serotonin Uptake 30
Specific Aims 32
VI
II. MATERIALS AND METHODS
Experimental System 34
Serotonin Turnover Study 2 6
Serotonin Binding Sites in A. suum Intestinal
Tissue 39
Materials 42
III.RESULTS
Effects of Antibiotics on Intestinal Bacterial
Flora in A.suum 44
Tissue Perfusion Experiments 45
Binding Sites and Uptake of Serotonin 51
Competition Studies 53
IV. DISCUSSION
Discussion 55
Summary 61
APPENDIX A 63
APPENDIX B 70
BIBLIOGRAPHY 9 5
vn
LIST OF TABLES
Table Page
1. Bacterial Counts in Intestinal Tissue.of A. suum 64
2. Serotonin Levels and its turnover in whole A. suum
Intestinal Tissue '...65
3. Tryptophan and Serotonin levels in intestinal
segments of A. suum 66
4. Serotonin Turnover Rate in A. suum Intestinal
segments 67
5. Tryptophan Levels in A. suum Intestinal Tissue
and Microflora . 68
6. Serotonin Levels and Turnovers in A. suum Intestinal
Tissue and Microflora 69
Vlll
LIST OF FIGURES
Figure Page
1. HPLC Voltammogram From Intestinal Tissues of
A. suum 72
2. Dose-Response Cure 74
3. Dose-Response Curve 7 6
4. [3H] LSD Binding Intestinal Membranes 78
5. [3H] LSD Binding Intestinal Membranes 80
6. [3H] LSD Binding Intestinal Membranes 82
7. Inhibition of [3H]TRP Binding by 5-HT 84
8. Inhibition of [3H]TRP Binding by 5-HT 86
9. Inhibition of [3H]TRP Binding by 5-HT 88
10. Inhibition of [3H] Binding by TRP 90
11. Inhibition of [3H] Binding by TRP 92
12. Inhibition of [3H] Binding by TRP • 94
IX
LIST OF ABBREVIATIONS
AADC - aromatic amino acid decarboxylase
A. suum- Ascaris lumbricoides var. suum
ATP - adenosine triphosphate
BHI - brain heart infusion agar
cAMP - cyclic adenosine monophosphate
CFU - colony forming unit
CoA - coenzyme A, pantothenic acid
DAI - ' days after infection
DTP - guanosine triphosphate
GDP - guanosine diphosphate
HPLC-EC- high performance liquid chromatography with
electrochemical detector
LSD - lysergic acid diethylamide
MAO - monoamine oxidase
SBP - serotonin binding protein
TCA - tricarboxylic acid cycle, Kreb's cycle, oxidative
decarboxylation
TOH - tryptophan hydroxylase
TRP - tryptophan
5-HIAA - 5-hydroxyindoleacetic acid
5-HT - 5-hydroxytryptamin, serotonin
5-HTOL - 5-hydroxytryptophol
5-HTP - 5-hydroxytryptophan
XI
CHAPTER ONE
INTRODUCTION
Historical Background on Helminths
The helminths are trophoblastic metazoan organisms
commonly called "worms". All worms of medical importance
belong to one of two groups: the phylum Platyhelminthes or
"flatworms" and the phylum Nemathelminthes or "roundworms".
The former phylum, the flatworms, is divided into Trematodes
(flukes) and Cestode (tapeworms). The latter phylum includes
only the class Nematoda.
Nematodes are nonsegmented round worms and are the most
ubiquitous of all the multicellular animals. Most species of
nematodes are free living and inhabit soil and both fresh and
salt water, as well as other, more specialized habitats. The
majority of parasitic nematodes have developed a highly
specific biological dependence on a particular host and are
incapable of survival in any other host. A few have
succeeded in adapting to a variety of hosts. The following
is a brief history of nematodes (Levine, 1980) .
The earliest records of nematodes among the ancient
civilizations of the Mediterranean, Middle East, and Orient
were made some 2000 years ago. Indications of Ascaris (the
giant intestinal worm) and Dracunculus medinensis (the
guinea worm) are recorded in the Egyptian Ebers Papyrus, that
was probably recorded about 1550-1553 B.C. Human ascarids
were known to the ancient Greeks and Aristotle's Historia
animalium (384-322 B.C.) included two ascarids, the
tapeworm and the pinworm. In addition, nematodes are
mentioned in the Bible, and some interpret the passages of
Moses relating to Hebrew Laws of sanitation and hygiene as
emanating from his early learning from Egyptian physicians
about parasites. The great Arab scholar Avicenna (980-1037
C.E.) indicated human ascarids and Dracunculus and there is
references that the medieval falconers saw nematodes in their
birds (Albertus Magnus, 1200-1280).
In the mid-sixteenth century the invention of the
microscope made a major contribution to the advancement of
nematology. In 1656 Borellus discovered the first free-
living nematode. Studies by Tyson (1683) later described the
anatomy of nematodes and their eggs. From this point, the
interests in helminths grew among zoologists and
parasitologists and the first known information on helminths
was gathered by Rudolphi (1809-1819).
The discoveries of the past decades on nematodes in
plants and animals and the health and economical hazards that
they imposed on man shifted the focus of the studies and
opened a new phase of investigation in the nineteenth
century. The anatomical studies by Bojanus (1817-1821) and
life history and transmission studies by Owen (1835) led the
way to more important discoveries such as the alternation of
generations between free-living and parasitic phases and the
fact that invertebrates often act as intermediate hosts for
nemic parasites of higher vertebrates and humans. However,
it was Fedtschenko (1871) who finally solved the mystery of
the transmission of Dracunculus in drinking water
contaminated by the small aquatic crustacean Cyclops as the
intermediate host of this disease.
It was in 1878 that Manson discovered that mosquitoes
were the intermediate host and vectors of the human filirial
worm Wuchereria bancrofti. This finding led to the
discovery of mosquitoes as vectors for such diseases as
malaria and yellow fever. Through a series of
investigations, Stewart (1916) explained the migration of
Ascaris through the lungs.
Through these discoveries and continuous increase of
interest among scientists in recognizing the significance of
parasitic nematodes the history of nematodes entered .a new
era in the twentieth century. Today, the study of nematodes
has developed dramatically and researchers have contributed
much of their time to understanding the physiological and
ecological relationships between nematode and its host. One
of the strongest motives in the studying of nematodes has
been the demand to control diseases caused by the parasitic
forms in man, his domestic animals and his food crops. In
addition nematodes, due to their biologically simplistic
cellular organization, have also been used as beneficial
research models for application of modern experimental
technologies and methodologies.
Parasitic Nematodes
Nematodes are parasites of many plants, and many classes
of vertebrates and most invertebrates including annelids,
arthropods, and molluscs. They are found in soil, fresh
water, mountains and hot springs. The clinical aspects of
parasitic nematodes in man are outside the scope of this
discussion. However, basic review about different groups of
nematodes of medical importance, is necessary for
understanding their significance in the world. In addition
it is one of the predominant parasitic infections in Iran.
The parasitic nematodes of man, have a worldwide
distribution. They are organized into seven groups (Sun,
1988). The Rhabditida comprises free-living forms, some of
which are adapted to a parasitic existence (Strongyloides) .
Strongyloidiasis is a soil transmitted helminthic infection
that has a worldwide distribution, being particularly common
in tropical and subtropical regions.
The group Strongylida are better known as hookworms and
are characterized by infection stages which are free-living
larvae that infect through the skin (Ancylostoma, Nector)
and the mouth (Trichosstrongylus). Hookworm infection is
widely distributed in tropical and subtropical regions and
approximately one-fourth of the world's population have been
infected (Schad et al., 1984). This disease is second only
to ascariasis as the most common helminthic infection.
According to a report from the World Health Organization,
however, this parasitic infection has almost been eradicated
from Europe and the United States (1981).
The Oxyurida has one parasitic form generally recognized
in man: Entrobius vermicularis. The most prevalent
parasitic disease in the United States and Europe is
enterobiasis. The prevalence in the United States today is
approximately 30 to 40 million people (Moreno, 1971) .
The Spirurida is the largest group of parasitic nematodes
of man. It comprises many genera which require an
intermediate arthropod vector in their life cycles.
Dirofilariasis is worldwide in distribution among carnivores;
however, no human case of pulmonary dirofilariasis was
reported until 1961. Loiasis is another disease caused by
the eye worm of Africa, Loa loa. Loiasis is endemic only
to rain forest areas of central and West Africa.
Onchocerciasis is a filarial infection caused by Onchocerca
volvulus. It is estimated that from the 40 million people
who are infected, about two million have become blind (Connor
and Neafie, 1976). It is an ancient disease of tropical
Africa that has also become endemic to Central and South
America. According to the report from a World Health
Organization Expert Committee (WHO, 1984), 90.2 million
people have lymphatic filariasis. Lymphatic Filariasis
results from infection mainly by Wuchereia bancrofti ,
Burgia malayi or Brugia timori.
The Trichinelloidea has parasitic forms in the intestine
(Trichiuris, Trichinella), the respiratory passages
(Capillaria aerophila), the viscera (C. hepatica), the skin
(Anatrichosoma) and other sites. Trichuriasis (whipworm) is
worldwide in distribution, but it is most prevalent in
tropical and subtropical regions. The estimated worldwide
incidence is between 500-700 million (Pawlowski, 1984).
The Dioctophymatoidea has many species parasitic in
animals; only one, Dioctophyme renale has been reported
sporadically in man (Beaver et al., 1984)
The Ascaridida has many species of medical importance,
the adults of which inhabit mostly the gastrointestinal
tract. Development of certain groups of the Ascaridida
occur in soil (Ascaris, Toxocara), while other groups
7
require an intermediate host (Anisakis) (Chitwood, 1970) .
Ascariasis is cosmopolitan in distribution and the most
prevalent helminthic infection in the world: it is estimated
that one-fourth of the world population has this infection
(Pawlowski, 1978).
Ascaris lumbricoides is the human ascarid; it occurs in
the small intestine of man. World Health Organization (1971)
reported that over one billion people throughout the world
are infected by Ascaris lumbricoides. In industrialized
countries, such as Japan, the incidence has shown a dramatic
decrease, from 49 percent in 1949 to 0.7 percent in 1971, as
a result of repeated mass treatment (Pawlowski, 1978) . In
developing countries, however, the infection rate is still
high. In the Philippines, Indonesia and countries of
Southeast Asia, for instance, the rate of infection in rural
areas often exceeds 50 percent and occasionally reaches 100
percent (Beaver et al., 1984). The average infection rate
in most countries of Central and South America is
approximately 45 percent (Martin, 1972).
Ascariasis is probably the most inextricable health
hazard and economic burden to the livestock farming industry
as well. More than 80% of the swine in the United State are
infected with Ascaris suum (USDA reports, 1986) . On an
average statistical basis, an adult marketed hog carries 28
Ascaris suum in its intestinal tract and each worm weighs
3 g on an average (Martin et al., 1987). To maintain this
parasitic burden, the infected hog has to consume an extra
half a pound of food every day. The cost estimated, is at
least 233 million dollars annually to the swine industry from
Ascaris infection alone (Chaudhuri et al., 1987).
The strongest driving force in the study of nematodes has
been the need to control diseases caused by the parasitic
forms. Any steps taken to develop a suitable chemotherapy
towards these parasites should involve a detailed
investigation of the parasites biological development and
biochemistry. These animals have been used as model systems
for the study of many biochemical and physiological studies.
A unique feature of nematodes is that they show great
uniformity of structure, whether they are microscopic free-
living forms in soil or freshwater or parasitic worms of
plants or animals which can be up to 60 cm in length. All
nematodes also share the same basic life cycle comprising an
egg stage, four larval stages, and adult worms. One of the
most common nematodes that has been used as a model system to
study helminths is A. suum.
The subject of this research is the adult female A. suum
that lives in the upper intestine of the pig. Ascaridosis in
pigs creates an economic problem, mainly because it prevents
the weight gain in these animals. It also complicates the
immune system of the host and promote infection and alters
the feeding habit. It is estimated that 75 % of pigs in the
United States and Canada are infected by A. suum before they
have reached six months of age. It has been reported that
when pigs are infected with 20 or more worms at 8 weeks of
age failed to gain weight in direct proportion to the number
of worms (Chandler, 1950). The maximum number of worms found
in one pig was 109 and this pig did not gain any weight,
whereas uninfected pigs of the same age had gained an average
of 100 lbs. Obviously, the parasites are consuming Some of
the food. It has been indicated that the ascarids produce a
trypsin inhibiting substance which interferes with the host's
digestion of proteins (Krivoshta, 1939) . It has also been
shown that 20 adult worms consume 2.8 g of carbohydrate and
0.7 g of protein daily. Therefore, heavy infection, running
into the hundreds, cause the host to suffer in its diet.
General Morphology and Life Cycle of Ascarids
Ascarids are large fusiform nematodes, creamy-white in
color with an elongated cylindrical body which tapers at both
ends. The adult females measure 20-40 cm by 0.3-0.6 cm , and
the adult males 10-22 cm by 2-4 mm with a ventrally curved
tail and two copulatory spicules (Mozgovoi, 1968). The body
is covered with a thick, non-cellular structure called a
10
cuticle that is secreted by the underlying hypodermis. The
cuticle covers the outer layer of the body and also lines the
pharynx, excretory pore, rectum, cloaca, spicule pouches, and
vulva. The second layer is the hypodermis that may be
cellular or a syncytium. The hypodermis is composed of large
amounts of materials such as lipid and glycogen. Throughout
the hypodermis there are fibers that attach the cuticle to
the muscles. The use of the electron microscope by Bird
(1971) has provided a great deal of information about the
nematodes muscles. The longitudinal muscle layer lies
beneath the hypodermis, divided into four lengthwise bands by
four thickenings or ridges of the syncytium (Bird, 1971) .
The muscle cells are spindle shaped and obliquely striated.
They consist of three separate parts. The contractile
element which is long and in longitudinal form is attached
directly to the hypodermis and cuticle. The remainder is a
muscle cell body that contains the nucleus and lies free in
the pseudocoelom. Extending from the cell body and
contractile element are the processes "muscle arms". The arm
makes a synaptic connection at the surface of the dorsal or
ventral longitudinal nerves. The lack of circular muscles,
and the controlled synchrony of both dorsal or both ventral
nerve bands, permits bending of the muscle only in the
dorsoventral plane (Rosenbluth,1965).
The nervous system is composed of a nerve ring in the
11
esophageal region together with a large ventral, a smaller
dorsal and two or more lateral nerves running from this nerve
ring along the four hypodermal cords. The anterior end of
the Ascarids where the mouth is, has several nerves which
extend from the nerve ring and function as sense organs
(Levine, 1980).
The body cavity of Ascarids, like other nematodes, is a
pseudocoelom filled with fluid. This cavity forms the
hydrostatic skeleton of these animals giving them their
structure; in addition, the internal organs are covered with
this fluid. The pseudocoelomic site is where the nutrients,
waste products and oxygen from the environment pass through
(Harris et al., 1957). As a result, this fluid is a complex
solution containing a variety of proteins, fats,
carbohydrates, enzymes, nitrogenous compounds, inorganic ions
and hemoglobin. There is evidence of cells found in the
pseudocoelomic fluid called pseudocoelomocytes. It is
thought that they may be involved in phagocytosis and storage
of insoluble waste products (Chitwood and Chitwood, 1950) .
The alimentary system is composed of a mouth that opens
at the anterior tip of the worm, surrounded by lips, a buccal
cavity of varying shapes, a muscular and glandular pharynx,
which usually has a triradiate lumen, an intestine, rectum
and anus. The wall of the pharynx (esophagus) is composed of
muscle cells, several nerves and several types of glands.
12
The pharynx suck the food into the lumen of the pharynx and
pass it into the intestine against the hydrostatic pressure
on the wall of the pharynx and within the body contents.
The intestine is composed of a single layer of epithelial
cells that enclose the lumen. The cells often contain
numerous inclusion bodies of various types. These include
reserved food materials such as glycogen granules, fats and
fatty acid globules, and stored protein globules. Microvilli
cover the cell membrane that lines the lumen of the intestine
which increase the absorptive surface of the cell (Lee and
Atkinson, 1977). The intestinal tissue appear to be both
secretory and absorptive in function. The nutrients are
absorbed in the intestine in the form of sugars, amino acids
and fatty acids. A variety of bacteria, including
microaerophiles and anaerobes, can be isolated from the lumen
of the intestine.
The female reproductive system has one or two ovaries,
which open into an oviduct and uteri. The two uteri lead
into a vagina, which opens to the outside via the vulva.
Most males have one single testis which are tubular in shape,
a seminal vesicle and a vas deferens which open into a cloaca
(Chitwood and Chitwood 1950) .
The fluid in the body cavity helps in the distribution of
nutrients and oxygen in juveniles, and nematodes have no
special respiratory or circulatory systems. Regulation of
13
the body cavity fluid is probably a major role of the
excretory system, which consists of two canals that run in
the lateral epidermal ridges and unite near the anterior end
to form a single tube, opening ventrally through a pore
(Chitwood and Chitwood 1950).
Comparative studies of the life cycle of A. suum in swine
and A. lumbricoides in man have been reported by Douvres et
al. (1969). Mature females inhabiting the small intestine of
the host lay millions of tiny (45-75 X 35-50 um) eggs (Olson
et al., 1958) which then are fertilized and pass out of the
host with feces. In the soil, hatching of the eggs is
controlled by certain factors in order to develop to the
first-stage larva; moisture, oxygen tension and temperature
are important. The parasitic life cycle begins after
ingestion of fertilized eggs by a host, which hatch and
release larvae in the stomach and small intestine where they
undergo a migration around the body. Larvae penetrate the
intestinal mucosa and pass via the circulation to the lungs.
The larvae generally remain in the lungs where they develop
through the third stage. Eight Days After Infection (DAI),
third stage larvae begin tracheal migration by rupturing
pulmonary capillaries and entering the air sacs thence, up
the trachea to the area of epiglottis. Between eight and ten
DAI, larvae are coughed up, swallowed back through the
esophagus and stomach to the small intestine. In the small
14
intestine, the final molt to complete the development into
adult occurs. During this circulation, the individual worms
are increased from ym in length to cm in size. Only larvae
that have successfully complete the fourth ecdysis can
survive in the intestine and develop to maturity (Jaskoski,
1961; Nobel and Nobel, 1982). Thereafter, both male and
female adults copulate and female lay eggs that pass out with
the feces.
Metabolism in Ascarids
In general, Ascarids feed on the contents of the
alimentary canal of the host. Most uptake of nutrients of
Ascarids take place through the intestine. The intestine
functions in the digestion of particulate matter (bacteria,
erythrocytes, serum protein, etc.) and the absorption of
ingested low molecular weight nutrients. However, the
cuticle of Ascarids functions to some extend in the
absorption of nutrients and excretion of end products.
The metabolic activities of Ascarids are similar to those
of mammalian systems. Glycogen forms the main source of
carbohydrates as the principal energy reserve in these
animals. The amount of glycogen in the tissues of Ascaris
is about 20 percent of the dry weight of the animal and 70
percent of the dry weight of the muscle. The glycogen
15
molecule of Ascaris has been studied in detail and it has
been shown that there are some physiochemical differences in
comparison to mammalian glycogen.
A. suum has been considered as an obligate anaerobe due
to the lack of four enzymes of TCA cycle (Langer et al. ,
1980) and as a facultative anaerobe due to the presence of
cytochromes (Cheah, 1975). The tissues of adult A. suum
have been considered microaerophilic since some oxygen is
required for the parasite's survival (Saz, 1971). Oxygen
diffuses into the tissues as a result of the difference in
oxygen tensions between the surface and the internal regions
(Chance, et al., 1964). Diffusion of oxygen is induced by
muscular movements and aided by the hemolymph (perienteric
fluid) which bathes the pseudocoelomic surface of the
intestine, reproductive tract and muscle (Atkinson, 1976).
Generally, nematodes have different fatty acid
metabolisms depending on their living environment. The free
living, non-feeding, infective juveniles of several animal-
parasitic nematodes use up their stores of lipids as the
primary source of energy when they are starved (Nicholas,
1975; Von Brand, 1973). Adult Ascaris are unable to
utilize their stored lipids to any great extent.
Triglycerides are present in the ovaries of Ascaris to a
large extent and they are subsequently used by the
embryonating eggs. The embryonating eggs of A. suum carry
16
out S-oxidation (Ward et al., 1970).
During nonfeeding of the host the adult ascarids derive
most of their energy from stored glycogen (Fairbairn, 1970)
due to their inability for S-oxidation of fatty acids. In
A. suum carbohydrate is broken down by glycolysis, the
steps being similar to those in vertebrate tissue, with the
same relative rate of activity of the enzymes. However, it
is at the phosphoenolpyruvate (PEP) step that ascarids differ
from the vertebrates. The relative activities of
phosphorylase and hexokinase in muscle of Ascaris is
reversed as compared to mammalian muscle. The phosphorylase
functions at a higher rate in comparison to mammals and
hexokinase functions during times of limited activity
(Barret, 1973) .
The complete TCA cycle is present in many nematodes while
in adult ascarids it is absent or incomplete. However, the
TCA cycle and electron transport system are present in the
eggs, 1st, 2nd and 3rd stages of ascarids development (Von
Brand, 1973). Glycogen or glucose is broken down in the
muscle of Ascaris by glycolysis as far as
phosphoenolpyruvate (PEP). Since there is a deficiency of
pyruvate kinase (PK) and high activity of phosphoenolpyruvate
carboxykinase (PEPCK), PEP is carboxylated through the action
of PEPCK to form oxaloacetate. Oxaloacetate is reduced to
malate by cytoplasmic malate dehydrogenase. Malate is then
17
transported across the mitochondrial membrane where it
undergoes a dismutation reaction within the mitochondrium.
Malate may be reduced to fumarate via fumarase. Fumarate is
reduced to succinate by fumarate reductase and that is the
ATP producing step. Succinate may be converted to propionate
via fumarate reductase (Saz, 1971) . Propionate serves as a
precursor of branched-chain fatty acids (Saz, 1971). The
fatty acids are then excreted by the adult ascarid (Saz a-nd
Weil, 1960; 1962). Some of the malate may be converted to
pyruvate in the mitochondria. This pyruvate is not reduced
to lactate, instead is converted to acetate which is consumed
in fatty acids biosynthesis.
The pentose-phosphate pathway, which is an alternative
path way for carbohydrate oxidation in mammals (Lehninger,
1982) is also present in nematodes. Glucose 6-phosphate is
converted to ribose 5-phosphate with the reduction of 2 moles
of nicotinamide dinucleotide phosphate (NADP). In A. suum
the pathway is most active in the muscle tissue of males and
the reproductive tract of the females (Von Brand , 1973) .
The regulation of glycogen metabolism in the mammalian
skeletal muscle system has been established in great detail
in recent decades (Fischer and Krebs, 1955; Krebs and Beavo,
1979). The biochemistry of glycogen metabolism in A. suum
muscle suggests that it closely resembles that in the
mammalian skeletal system. The basis of this regulation lies
18
in the reversible covalent modification of enzymes by
phosphorylation and dephosphorylation initiated by the
accumulation of cAMP in muscle cells. The increase in cAMP
levels in mammalian skeletal muscle cells is under the
hormonal control of epinephrine (Sevilla and Fischer, 1969).
In invertebrates, the regulation of glycogen metabolism
is not yet completely understood. The presence of the
glycogenolytic enzyme, glycogen phosphorylase has been
demonstrated in A. suum muscle by Barrett and Beis (1973).
Recently, glycogen synthase from A. suum muscle tissue has
been purified to homogeneity (Hannigan et al.1985). The
enzymes glycogen phosphorylase and glycogen synthase have
been found to be interconvertible enzymes, like in mammalian
muscle, by Harris and Allen (1979) and Donahue and co-workers
(1981), respectively. The evidence in the literature
strongly suggests that cAMP and cAMP dependent protein kinase
mediated cascade regulating carbohydrate metabolism is
operative in A. suum muscle, analogous to the one existing
in mammals. This appears to be true for other host-parasite
systems too. Dendinger and Roberts (1977) showed with
Hymenolepis diminuta infected rat, that the presence of the
tapeworm depleted both host and parasite glycogen.
19
Intestinal Flora and the Metabolism of Tryptophan in A. suum
The bacterial flora of the proximal small intestine of
mammalian animals is predominantly Gram-positive in nature
generally consisting of Streptococci and Lactobacilli.
However, Enterobacteria and Bacteroides can occur fairly
frequently though in much lower numbers. In contrast, the
distal small intestine consists mostly of Gram-negative
bacteria including Enterobacteria, Proteus, Bacteroides and
Peptostreptococci. Escherichia coli was the most
frequently (58 isolates) isolated bacterial species from
about 133 isolates of the intestinal flora of A. suum (Hsu,
et al., 1986). All the anaerobic bacteria of the intestine
are either obligate or facultative anaerobes.
The intestinal flora convert aromatic L-amino acids to
metabolites (Gale, 1944). Several studies have shown the
formation of indole, indoleacetic acid, skatole (Lewis,
1962), and tryptamine from tryptophan (Yokoyama, et al.,
1974) when incubated with cultures of ruminal microorganisms.
L-5-hydroxytryptophan was degraded to 5-hydroxyindole and 5-
hydroxyskatole, but other analogues including D-tryptophan,
indolepropionate, indolebutyrate, indoleacrylate, tryptamine,
5-hydroxytryptamine, and tryptophol were not degraded
(Yokoyama, et al., 1974). The production of indole from
tryptophan is catalyzed by the enzyme tryptophanase with
20
liberation of ammonia and pyruvate. Studies on the
tryptophanase activity of various bacterial species have
shown that while E. coli has the highest levels of the
enzyme (Newton, et al., 1964), it is also present in other
species including Proteus species Cornybacterium species,
and Bacteroides (Chung, et al., 1975). Recent studies have
revealed that bacterial strains belonging to the
Micrococcaceae constitutively produce an aromatic L-amino
acid decarboxylase enzyme which has high activity towards
L-tryptophan, 5-hydroxy-L-tryptophan and L-phenylalanine
(Nakazawa, et al., 1977).
Previous work by Hsu et al., (1986) using conventional
fluorimetric methods showed that there are bacteria producing
5-HT in the intestine of A. suum. It was demonstrated that
all 20 bacterial isolates from Ascaris intestinal flora were
able to produce serotonin (Hsu et al., 1986). However, it
was not concluded whether or not the level of 5-HT produced
by these bacteria was a significant contributor to the tissue
levels of 5-HT.
Roles of Serotonin in A. suum
Serotonin, an ubiquitous indolealkylamine, was first
isolated by Rapport et al. (1949). This biogenic amine is
found throughout the animal kingdom and has been demonstrated
21
to elicit numerous physiological responses in different
animals. In mammals, 5-HT occurs in the central nervous
system (CNS), the pineal gland, the enterochromaffin cells of
the intestinal tract, the mast cells, and the platelets.
Serotonin is the precursor of melatonin and has both
neurotransmitter and hormonal functions in vertebrates
(Osborne, 1982) . It has been shown to be involved in
platelet aggregation and activation (Drummond, 1976) and in
carcinoid tumors (Ahlman, 1985) . Serotonin has been shown to
affect mood, food intake, sleep, cognition, aggressive
behavior, sexual activity perception of pain, and I
cardiovascular function (Barnes, 1988) .
In invertebrate species serotonin elicits numerous
physiological responses, which include stimulation of
motility in the parasitic flatworm Hymenoplepsis diminuta
(Mansour, 1979), activation of glycogenolysis in the
roundworm Ascaris suum (Donahue, 1981) and activation of
adenylate cyclase and cyclic AMP-dependent protein kinase
activities in Fasciola hepatica (Mansour, 1979) . Although
there are various physiological responses triggered by 5-HT
in parasitic helminths, perhaps the two most significant are
serotonin's participation in the regulation of motility and
carbohydrate metabolism. Serotonin stimulated the in vitro
rhythmic movement of Fasciola hepatica (Mansour, 1964),
Schistosoma mansoni (Barker et al., 1966; Hillman et al. ,
22
1974), Mescestoid.es corti (Hariri, 1974), Chlonorchis
sinensis, Taenia pisiformis (Hillman et al., 1974) and
Hymenolepsis diminuta (Mettrick et al., 1981). Reports
indicated that serotonin was able to stimulate glycolysis and
simultaneously decrease endogenous glycogen levels in the
cestode H. diminuta (Mettrick et al., 1981; Cyr et al.,
1982). Several studies by Ribero et al. (1983; 1987)
revealed that H. diminuta was capable of de novo synthesis
of 5-HT and that 5-HT stimulated increases in intracellular
cAMP were linked to membrane receptor binding and adenylate
cyclase activity. Serotonin has not been found to stimulate
motility in A. suum.
Serotonin has been reported to act as a hormone that
regulates carbohydrate metabolism in the muscle of A. suum
by producing a dose-dependent increase in cAMP levels and a
concomitant activation of glycogen phosphorylase and
subsequent inactivation of glycogen synthase (Donahue et
al., 1981). Abrahams et al. (1976) showed that in intact
F. hepatica the adenylate cyclase is activated by the
addition of serotonin to the incubation medium resulting in a
marked increase in the concentration of cAMP levels. Such an
effect may apply to other parasitic helminths too.
Schistosoma mansoni has been reported to contain adenylate
cyclase and that the enzyme is activated by serotonin
(Higashi et al., 1973) . Serotonin activates the cAMP-
23
dependent protein kinase and phosphofructokinase in addition
to activating adenylate cyclase in a wide variety of
parasitic helminths (Mansour, 1962; Higashi et al. , 1973;
Gentleman et al., 1976).
These data implicate serotonin as one of the most
effective indoleamine involved in increasing the
concentration of endogenous cAMP and thus acting as a major
metabolic regulator in parasitic helminths. In addition,
there are other potential regulators of metabolism which
include acetylcholine, garnma-amino butyric acid (GABA) ,
epinephrine, histamine and octopamine. These regulators
produced neither a significant change in activity of glycogen
synthethase or glycogen phosphorylase in A. suum. Serotonin
appears to be the only potential activator (Donahue et al.,
1981a). This is in accordance with the hypothesis that
glycogen metabolism in A. suum is regulated by a cAMP
initiated cascade of enzyme interconversions, which results
in the coordinated activation and inactivation of the
component enzymes in response to the signal triggered by
serotonin (Mansour, 1962).
Possible Origin of Serotonin
Despite its importance as a physiological regulator, the
origin of 5-HT in A. suum or any helminth had remained
24
uncertain for some time. Recently, in a series of reports,
the source of serotonin in these organisms has been
investigated. There appears to be three possible sources for
the serotonin found in A. suum. First, the host could be
secreting the 5-HT which is then absorbed by the parasite
(Mettrick et al., 1981). The enteroendocrine cells
(enterochromaffin cells) of the host's small intestine are
the presumed source of intralumenal 5-HT (Pentilla, 1966) .
It has been shown that the secretion of 5-HT from
enterochromaffin cells into the lumen is directly related to
intralumenal pressure (Toh, 1964; Bulbring et al., 1958) and
this release is probably regulated by either cholinergic,
adrenergic, and/or peptinergic neurons. Adrenergic
stimulation of enterochromaffin cells, releases 5-HT into the
circulation while cholinergic stimulation is responsible for
lumenal secretion during peristalsis,(Ahlman et al., 1976;
Gronstad et al., 1985).
Following a meal the intralumenal levels of 5-HT
increases by at least 3-fold over that observed during non-
feeding periods (Ferrara et al., 1987). In order to utilize
this host secreted 5-HT, the parasite must possess a
serotonin uptake and/or transport mechanism in the tissues
exposed to the 5-HT pool of the host. This mechanism of
serotonin uptake has been found in Schistosomes (Bennett and
Bueding, 1973). Mettrick et al., (1981) have reported the
25
presence of tegumental sites for the absorption of exogenous
(host) serotonin in H. diminuta. Schistosomes have been
reported to possess two types of serotonin uptake mechanisms
(Wood and Mansour, 1986). A passive component that
predominates at higher concentrations (5 to 100 yM) of 5-HT
is associated with the tegument and the main body of the
Schistosomes. A saturable component sensitive to ouabain as
well as imipramine (serotonin uptake inhibitor) is apparent
at low concentrations (0.05 to 5.0 yM) of 5-HT and is only
present in the main body.
Second, experiments have indicated that the cuticle of A.
suum is permeable to the aromatic amino acid L-tryptophan
(TRP), which the parasite can absorb from the lumen of the
host and use in the de novo synthesis of serotonin
(Chaudhuri et al., 1988). Intact liver flukes, F.
hepatica, were capable of synthesizing 5-HT from 5-
hydroxytryptophan (5-HTP) but not from TRP (Mansour et al.,
1970). Recently, the enzyme tryptophan hydroxylase (TOH)
which synthesizes 5-HTP from TRP was identified in helminths.
The decarboxylase in both adult and larval S. mansoni has
been characterized by Catto (1981). The enzyme is similar to
the mammalian aromatic L-amino decarboxylase (AADC). It has
a Km of 5.1 xl0~5 M, a Vmax of 1.1 nmol/30 min/mg protein and
is highly active (447 pmol of 5-HT formed/30 min/mg protein)
at pH 7.9 (Catto, 1981). The fundamental question of how
26
these parasitic helminths get 5-HT needs to be resolved.
Ribeiro and Webb's (1983) investigations also revealed that a
continous supply of TRP is necessary to maintain the
endogenous stores of 5-HT and 5-HTP in the parasitic cestode,
H. diminuta in its natural environment.
Third, the 5-HT could be synthesized by the bacterial
flora in the intestine of the parasite and transported across
the membrane. The presence of aromatic decarboxylase in
bacteria have been demonstrated in a number of different
microbial strains (Gale et al. , 1944; Guirard et al.,
1964). Bacterial strains belonging to the Micrococcaceae
showed especially high decarboxylase activity toward L-
tryptophan and 5-hydroxy-L-tryptophan (Nakazawa et al. ,
1977). It was suggested that 5-OH-tryptophan decarboxylase
is widely distributed among anaerobic bacteria. Hsu et al.
(1986) using conventional fluorimetric methods showed that
the intestinal tract had the highest concentration of
serotonin (108 ng/g) while the lowest concentration (12 ng/g)
was found in the reproductive tract. Using more sensitive
radioisotopic and chromatographic procedure Martin et al.
(1988) demonstrated the serotonin turnover in the intestine
of A. suum was 34.7 ng/mg protein/hr and concluded that the
level of serotonin in the intestine is higher than in other
tissues. These data do not discount the possibility of
serotonin uptake by the intestinal tissue from 5-HT producing
27
bacteria in the gut of the worms.
New analytical techniques, namely high performance liquid
chromatography (HPLC) with electro-chemical detection (EC)
(potentiostatic voltammetry) promises more refined approaches
to long standing areas of interest in the field of serotonin
metabolism. These methods allow rapid and simultaneous
analysis of 5-HT in a single sample of tissue without the
necessity of preparing derivatives or purification.
Deproteination is all that is required. The use of HPLC-EC
in this investigation should permit more conclusive studies
of regional 5-HT metabolism under different physiological
conditions.
Biosythesis of Serotonin
Serotonin is synthesized from the aromatic amino acid L-
tryptophan (TRP) in a two step reaction. Tryptophan, the
dietary amino acid is first converted to 5-HTP by TOH. The
5-HTP is then decarboxylated to 5-HT by AADC to
5-hydroxytryptamine (5-HT). The initial hydroxylation
involves two substrates, TRP and molecular oxygen, as well as
reduced pterine cofactor. Assay for TOH, the rate limiting
synthetic enzyme in mammals (Jequier et al., 1967),
indicated the enzyme's presence in A. suum. Like the
mammalian enzyme, TOH from Ascaris required
28
tetrahydropterine, was inactivated in the presence of excess
oxygen and could be reactived by Fe+2 and dithiothreitol
under anaerobic conditions (Chaudhuri et al., 1988).
Enzymatic activity was eight-fold higher in intestine than in
muscle tissue and the Km for the intestinal enzyme was 21.5
loM. The enzyme was partially inhibited by
parachlorophenylalanine (PCPA) an inhibitor of the mammalian
enzyme (Koe and Weissman 1966), and a Ki of 1.72 mM was
reported (Chaudhuri et al., 1988).
The second enzyme of the biosynthetic pathway, AADC, is a
pyridoxal-51-phosphate dependent enzyme which .converts 5-HTP
to 5-HT in serotonergic neurons, while in catecholaminergic
neurons it converts L-dopa to dopamine (Sourks, 1977). This
enzyme was also present in A. suum. The affinity of AADC
for 5-HTP is at least a hundred-fold greater than that for
TRP, and subsequently 5-HTP is preferentially decarboxylated
in serotonergic neurons tlchiayma et al., 1970). The
decarboxylase activity is present in brain extracts of rat in
far greater amounts than tryptophan hydroxylase (TOH)
(Ichiayma et al., 1968), for this reason the hydroxylation
of TRP rather than the decarboxylation of 5-HTP is presumed
to be the rate limiting step in 5-HT formation. In fact the
trace amount of 5-HTP present in brain tissues (Tappaz and
Pujol, 1980) indicates that it is decarboxylated almost as
rapidly as it is formed and also suggests that the
29
hydroxylation reaction is the rate limiting step in the 5-HT
biosynthesis.
Serotonin is catabolized by the enzyme monoamine oxidase
(MAO). Different isoenzymes of MAO has been in the mammalian
brain which differ in substrate and inhibitor specificity
(knoll and Magyark 1972). The enzyme is found in the outer
mitochondrial membranes of liver and brain cells in mammals,
(Tipton, 1967; Schraitman et al., 1967). There are reports
of presence of this enzyme in the tissues of Ascaris
lumbricoides and Ascaris galli (Mishra et al., 1978; 1985).
Mishra et al., (1985) demonstrated the presence of MAO in
the tissues of A. suum. When isolated intestine, muscle or
live parasites were perfused with TRP and 5-HT, a dose
dependent, saturable increase in the MAO products
5-hydroxyindoleacetic acid (5-HIAA) and secondarily
5-hydroxytryptophol (5-HTOL) were demonstrated (Chaudhuri et
al., 1988; Tyce, 1980). Inhibition of MAO by pargyline, in
vertebrates (Knoll and Magyark, 1972) demonstrated that a
decrease in the levels of 5-HIAA and 5-HTOL while
simultaneously increasing the level of 5-HT in muscle and
intestinal tissue of A. suum (Chaudhuri et al., 1988a;
Martin et al., 1988). Martin et al. (1988) quantitated
5-HT turnover in A. suum tissues and concluded that the
intestine was the primary tissue responsible for 5-HT
regulation since TOH activity was highest in intestinal
30
tissue.
These investigations suggest the presence of enzymes
necessary for metabolism of 5-HT in A. suum intestine and
muscle tissue. However, since the enzyme activity for the
synthesis of 5-HT is higher in the intestinal tissue it,
indicates that this tissue is the major site for absorption
or synthesis of 5-HT. The 5-HT in the parasite may originate
from either the host or the parasite itself. Since there are
also 5-HT producing bacteria found in the lumen of this
parasite it may be assumed that the bacterial flora present
in the intestine of the worm may be a source of this
important metabolic regulator.
Serotonin Uptake
One of the critical parameters in understanding the
biology of 5-HT is the uptake mechanism. Initial
investigations have reported the presence of a TRP/5-HT
transport system in A. suum intestinal tissue. Further
characterization of binding sites in A.suum muscle membrane
preparations have shown a 5-HT binding protein, possibly a
receptor (Chaudhuri et al., 1989).
Serotonin binding site was found in A. suum muscle and
intestine tissue, using [3H] lysergic acid diethylamide (LSD)
as ligand. It was concluded that the binding was three times
31
as abundant (per mg protein) in muscle than in intestine. It
has been shown that [3H] LSD binds with equal affinity to
5-HT^ and 5-HT2 receptors in the cell membranes prepared from
mammalian tissues (Peroutka, 1988). The Kd for LSD of the
receptor was 2.7 nM in intestine and 1.8 nM in muscle.
Binding of [3H] LSD in the presence of selective mammalian
5-HTj, 5-HT2 and 5-HT3 receptor agonists and antagonists
suggested that the binding site found in muscle was different
from receptor found in mammalian systems (Williams et al.,
1991). It was therefore proposed that the 5-HT receptor of
A. suum muscle be called 5-HTN. These data correlates well
with the hypothesis that 5-HT binding of a membrane receptor
is responsible for activation of glycogenolysis in the
muscle.
Investigations on serotonin transport in intestine and
muscle membrane preparations were performed using [3H] 5-HT
and cold imipramine, a specific 5-HT uptake inhibitor, in
platelets and vertebrate neurons (Langer et al., 1980;
Peroutka, 1988) or the 5-HT depletors reserpine and DL-p-
chloramphetamine (Pletcher et al., 1955; Brodie et al.,
1957). The results from these experiments indicated TRP and
5-HT may be absorbed by the same mechanism.
These initial investigations suggest that serotonin or
its amino acid precursors may be absorbed at the lumenal
surface of the intestine if they are present. During non-
32
feeding periods of the host, the worms are able of
synthesizing and/or storing 5-HT in the form of amorphous
patches (Martine et al., 1988).
Specific Aims
Initial investigations have demonstrated that A. suum
intestinal epithelial tissue is the major site of 5-HT
storage. Furthermore, 5-HT producing bacteria have been
found among the A. suum intestinal flora. The objective of
this investigation is to disclose the functional role of
these 5-HT producing bacteria in this tissue. The results
from this study will provide some understanding of the
regulatory factors involved in serotonin utilization in the
parasite A. suum. The specific aspects of this
investigation are as follows:
1.- Quantitative determination of serotonin level in the
whole and segmented intestinal tissues of A. suum in the
presence and absence of the microflora using high performance
liquid chromatography with electrochemical detection (HPLC-
EC) techniques.
2.- Quantitative determination of 5-HT levels produced by
the microflora in the intestine of A. suum over a period of
time using (HPLC-EC) techniques.
3.- Serotonin turnover studies of the whole and segmented
33
intestinal tissue in the presence and absence of intestinal
microflora.
4.- Serotonin binding studies of the intestine in the
presence and absence of intestinal microflora.
5.- Competition binding studies of Serotonin and
tryptophan in the presence and absence of intestinal
microflora.
CHAPTER TWO
MATERIALS AND METHODS
Experimental System
A. Animals:
Ascaris suum were collected at a local slaughterhouse and
transported to the laboratory in a salt solution (Harpur,
1963). Adult female parasites that were 2 5-3 0 cm in length
were used in these experiments. The worms were maintained in
a holding system (Donahue et al., 1981) that contained A.
suum saline (Harpur, 1963) modified to contain 5 mM MgCl2,
14 mM NH4C1, 111 mM NaCl, 10 mM N^HC03 , 24 mM KC1, 1 mM CaCl2
and 0.5 mM KH2P04, pH 7.0. The A. suum salt solution was
maintained at 37° C and saturated with 95 % N2 - 5 % C02.
B. Maintenance:
The worms were transferred to the laboratory and
maintained in the laboratory in two groups of antibiotic
treated and non-antibiotic treated worms for periods of 0,
24, 48, and 96 hrs. The antibiotic treated groups were kept
in A. suum saline solution containing the antibiotics
34
35
penicillin G (10,000 units/ml), streptomycin (1.5 mg/ml), and
tetracycline (0.5 mg/ml) (Bueding and Yale, 1951). The
antibiotic saline solutions were replaced every 24 hrs.
C. Tissue Preparation For Bacterial Culturing:
Representative worms (5-6) were randomly obtained from
the containers. The parasites were removed from the holding
container and dissected in prewarmed modified A. suum
saline. The intestines were isolated aseptically under both
aerobic and anaerobic environments (using an anaerobic
chamber). The intestine of each worm was cut into three
sections, anterior (the region anterior to the genital pore
of the female parasite), midgut (the region posterior to the
genital pore and 8-10 cm anterior to the anal opening) and
posterior (the hindmost 8-10 cm region). A sample from each
section was randomly selected and weighed for bacterial
culturing and the remaining samples were rapidly frozen in
liquid nitrogen. Each section was removed aseptically and
placed in a 5-ml sterile pre-weighed phosphate buffer saline
solution kept under an anaerobic environment. The weighed
tissue was transferred to a sterile glass homogenizer and
thoroughly homogenized (10 strokes). Bacteria were further
quantitated by triplicate plates and colony counts in brain
heart infusion (BHI) agar (Difco) and in anaerobic agar
(Difco). All plates were incubated at 37° C in anaerobic and
36
aerobic incubators and the colonies were counted 48 hrs
later. Serotonin levels of the samples were quantitated by
the HPLC-EC. All the frozen tissues were stored at -80° C
until used.
Serotonin Turnover Study
A. Tissue Perfusion and Extraction:
To determine the serotonin levels and 5-HT turnover rate,
the whole and/or the segments of isolated intestinal tissue
from adult female A.suum were perfused with 10 pM TRP or 10
yM TRP and 1 mM pargyline (PARG) for 3 min and the levels of
5-HT and TRP measured using HPLC-EC. The perfusion media,
maintained at 37°C, contained 95 % N2-5 % C02 saturated A.
suum saline. The tissue was homogenized and sonicated with
25 volumes of ice cold 1.0 M formic acid and acetone (15:85,
v/v) using a Brinkman polytron for 1 min (Kilts et
al.,1981). The homogenate was centrifuged at 1000 X g for
10 min at 4° C and the supernatant fluid extracted in a
separatory funnel with 3 volumes of heptane and chloroform
(8:1, v/v). The organic layer was discarded and the aqueous
layer was dried under nitrogen and lyophilized overnight.
The resultant material was then dissolved in 200-500 pi of
deionized water. The 5-HT and TRP were separated and
quantitated with HPLC-EC.
37
B. Whole Live Worm Perfusion:
To determine the serotonin levels and 5-HT turnover rate
of the intestinal tissue and intestinal microflora, live
adult female A. suum were perfused with 10 iaM TRP or 10 ioM
TRP and 1 mM pargyline (PARG) for 30 min and the levels of 5-
HT and TRP measured using HPLC-EC. The perfusion media,
maintained at 37°C, contained 95 % N2-5 % C02 saturated A.
suum saline. The worms were washed in A. suum saline three
times and cut open. The intestinal tissue was removed and
dissected. The intestinal contents were washed with 3 ml of
A. suum saline. The tissue and the intestinal contents were
divided into two halves. One half was dried and then
weighed; and the other half was processed for measuring the
5-HT and TRP. The intestinal contents containing microflora
were homogenized in a Potter Elvehjem homogenizer. The
intestinal contents were lyophilized overnight and the
resultant material was dissolved in 100 yl of water and
centrifuged at 10,000 rpm and the supernatant was used. The
intestinal- tissue was extracted as in part A. The 5-HT and
TRP were separated and quantitated with HPLC-EC.
C. Chromatography:
(i). Apparatus and Separation:
To measure the levels of serotonin in the isolated
intestinal tissues of A. suum and its production by bacteria
38
an Apple lie controlled Gilson HPLC system was used. The
system consisted of a solvent delivery pump (Model 302) in
conjunction with a manometric module (Model 802 B), a
controller (Model 502) and a gradient manager (Model 702),
all from Gilson International. The EC detection was
performed using a TL-5 glassy carbon electrode and an LC-4B
amperometric controller, both from Bioanalytical Systems
(West Lafayette, IN). The detector potential was maintained
at an oxidation potential of 0.75 V vs a Ag/AgCl reference
electrode. Chromatographic separations were performed using
a 25 cm x 4.6 mm internal diameter stainless steel column
packed with octadecylsilane (C18) on microparticulate (5 pm)
silica gel (Adsorbosphere ODS, HS reversed-phase, Alltech
Associates, Houston, TX). The mobile phase was a mixture of
0.1 M citrate, 0.075 M Na2HP04, 0.75 mM sodium octyl sulfate
and 14% methanol (v/v), pH 3.9. All separations were
performed isocratically at a flow rate of 1 ml/min,
KPSI=2.10, detector sensitivity was 5 nA/V (Bennett and
Snyder, 1976).
(ii). Standards:
Three sets of controls were run to minimize the error in
the quantitation of 5-HT by HPLC-EC voltammetry. One set
included a standard mixture of L-tryptophan (TRP) and
5-hydroxytryptamine (5-HT) containing 5.0 ng of each of the
39
metabolites. A second set of controls included the same
standard mixture, but was run through the extraction
procedures. The third set of controls included the standard
mixture and the tissues which were extracted together. All
three sets of controls were then assayed for 5-HT by HPLC-EC
and quantitated to evaluate the percentage loss which
occurred during the experimental procedure.
(iii). Statistics:
Data obtained were subjected to applicable statistical
procedures. Analysis were performed by using Anova test of
Statview Software (Macintosh) at appropriately selected
levels of significance (95 % confidence level).
Serotonin Binding Sites in A. suum Intestinal Tissue
A. Tissue Preparation for Binding Assay:
Tissue was prepared for the [3H] LSD binding assay using
the method of Peroutka and Snyder (1979) . Individual frozen
tissues were weighed and homogenized in 20 vols (v/g wet
weight) of iced buffer containing 40 mM Tris-Cl, pH 7.4, and
320 mM sucrose. The tissue was then homogenized in a
Brinkman polytron for 30 sec. The homogenate was then
centrifuged at 10,000 X g for 10 min. The supernatant was
removed and the pellet resuspended in an equivalent volume of
40
ice-cold distilled water and the centrifugation was repeated.
The pellet from the second centrifugation was rehomogenized
in an equivalent volume of buffer containing 40 mM Tris-Cl,
pH 7.4, and the centrifugation was repeated. The pellet
from this final centrifugation was resuspended in 5 vols 40
mM Tris-Cl, pH 7.4, and stored at -80° C prior to use. The
tissue was removed from the freezer and preincubated at 37° C
for 10 min in the storage buffer. The protein content in the
tissue was quantitated by the dye binding method of Bradford
(Bradford, 197 6), and the protein standard used was bovine
serum albumin.
B. Ligand-Receptor Binding Assay:
The binding of [3H]LSD to intestinal membranes of
intestine was assayed by the method of Bennett and Snyder
(1976) as modified by Peroutka and Snyder (1979) . Aliquots
of membrane suspensions from intestine were incubated with
1.0 nM to 5.0 nM of [3H]LSD (specific activity 62.9 Ci/mmol)
plus or minus a 1000-fold excess of mianserin as competitor
for 10 min at 37° C in a buffer containing 40 mM Tris-Cl, pH
7.4, 4.0 mM CaCl2, 5.7 mM ascorbic acid, and 10 viM pargyline-
C1 (total volume 300 ul). All samples were assayed in
triplicate. Membranes were collected by vacuum filtration
using Gelman GF/B filters with three rinses of ice cold 40 mM
Tris-Cl, pH 7.4 as described by Peroutka and Snyder (1979).
41
Radioactivity was determined in a LS 3801 Beckman Liquid
Scintillation Counter with 10 ml Universal cocktail (ICN
Radiochemicals). Specific binding was defined as that
binding that was displaced by a 1000-fold excess of non-
radioactive mianserin, as described by Peroutka and Snyder
(1979) . The non-specific binding ranged from 30 to 40% of
total binding for the intestinal membranes. Specific binding
was determined by subtracting cpm in the presence of
competitor (nonspecific binding) from cpm in the absence of
competitor (total binding). The equilibrium dissociation
constant (K^) and maximal number of binding sites (Bmax) were
estimated by Hofstee (1952) analysis.
C. Competition Binding Studies:
(i) [3H]5-HT binding and competition with unlabeled TRP:
Isolated intestinal tissues at different time intervals
(0 hr and 24 hrs plus and minus antibiotics) were perfused
with a fixed concentration (10-6 M, since the Kd = 1-2 yM) of
[3H] 5-HT (23.4 Ci. mmol _1) and various concentrations of
unlabeled TRP for 10 min at 37° C in A. suum saline. All
samples were assayed in triplicate. Individual samples were
washed three times in A. suum saline. Radioactivity was
determined in an LS 3801 Beckman Liquid Scintillation Counter
with 10 ml Universal cocktail (ICN Radiochemicals). The data
were plotted as a function of TRP concentration. The Cricket
42
Graphics Software Program (Great Valley Corporate Center) was
used for the graphical analysis of the binding data.
(ii) [3H]TRP binding and competition with unlabeled 5-HT:
Isolated intestinal tissues at different time intervals
(0 hr and 24 hrs plus and minus antibiotics) were perfused
with a fixed concentration (1CT7 M) of [3H] TRP (6 Ci. mmol
1) and various concentrations of unlabeled 5-HT for 10 min at
37° C in A. suum saline. All samples were assayed in
triplicates. Individual samples were washed three times in
A. suum saline. The data were plotted as a function of 5-
HT concentration. Radioactivity was determined in an LS 3801
Beckman Liquid Scintillation Counter with 10 ml Universal
cocktail (ICN Radiochemicals). The Cricket Graphics Software
Program was used for the graphical analysis of the binding
data.
Materials:
Sodium octylsulfate was obtained from Pflatz and Bauer
(Waterbury, CT); [2-3H]LSD (62.9 ci/mmol), [G-3H]5-HT (23.4
ci/mmol), [G-3H]TRP (6 ci/mmol) were obtained from Amersham
corporation (Arlington Heights, IL); mianserin hydrochloride,
was obtained from Research Biochemicals Inc., MA.
Unless otherwise specified, all reagents and supplies
43
were purchased from Sigma Chemical Company, St.Louis, MO or
Fisher Scientific Company, Pittsburgh, PA. All the chemicals
were of analytical grade and the HPLC solvents were of HPLC
grade. Protein concentrations were determined by the method
of Bradford (1976) using BioRad protein assay reagent.
CHAPTER THREE
RESULTS
Effects of Antibiotics on Intestinal Bacterial Flora in
Ascaris suum
To illustrate the direct effect of the antibiotics on the
intestinal bacterial flora, the worms were incubated for up
to 96 hrs in A. suum saline plus and minus antibiotics as
described in Methods. After 24 hrs of incubation in A. suum
saline plus and minus antibiotics, there was a significant
(95 %) decline in the number of bacteria in both anaerobic
and aerobic culturing. Since a large proportion of
intestinal bacteria are facultative and obligate anaerobes,
it is very possible that due to the physiological changes
that the worms go through from the time they are removed from
the porcine host and put in A. suum saline to time they are
used, a significant number of these bacteria have died off.
Table 1 demonstrates the bacterial populations of the
intestine when the worms were incubated in A. suum plus and
minus antibiotics for up to 96 hrs. The values were
expressed as Colony Forming Units (CFU)/g, wet weight of
intestinal tissue, and were the mean of three individual
44
45
experiments. The anterior section of the intestine was free
of bacteria when the worms were incubated in A. suum saline
with antibiotics, but the midgut and posterior sections
contained reduced number of bacteria after 24 hrs. The
anterior section stayed bacteria-free while the other two
sections showed the presence of bacteria after 48 hrs
incubation in A. suum saline plus and minus antibiotics.
The complete eradication of the bacterial flora took 96 hrs
for the whole intestine (Table 1). It was imperative that
the worms be placed in fresh antibiotic media each 24 hr
period or the bacteria were never eliminated. Since there
was a significant decrease in the intestinal bacterial
population after 24 hrs incubation in A. suum saline plus
and minus antibiotics the following investigation focused on
the physiological events that took place at this time period.
Tissue Perfusion Experiments
Serotonin is widely distributed throughout the
invertebrate phyla and functions as an important metabolic
regulator. Its occurrence in helminths is well established
but its origin is under investigation. Quantitative
measurement of 5-HT in the intestine was a preliminary step
of this investigation.
46
1. Quantitation of Serotonin and Tryptophan Levels:
A reverse-phase HPLC with an electrochemical detector was
used to separate and quantitate 5-HT and TRP from A. suum
intestinal tissue. An oxidation potential of 0.75 V was used
which was adjusted optimally for all metabolites. The
voltammograms (Fig. 1) were used to establish the
concentration of the metabolites in the samples. Isolated
intestinal tissue was perfused with different concentrations
of TRP and 5-HT (1 x 10"9 M to 1 x 10~4 M) as substrates in
order to determine whether endogenous levels of 5-HT could be
increased. Only perfusion with 1 x 10 ~4 M TRP caused an
increase in 5-HT levels. After 3 min perfusion, the 5-HT
levels increased to 135 +0.5 ng/g (Fig. 2 ).
When the intestine was perfused for 3 min with increasing
concentrations of TRP (1 x 10~4 M to 1 x 10~9 M) there was a
dose-dependent increase in 5-HT concentration up to a TRP
concentration of 1 x 10~4 M (Fig. 2). Above this
concentration of perfused TRP, the concentration of 5-HT
remained constant. When increasing concentrations of 5-HT
were perfused through isolated intestine for 3 min there was
a dose-dependent increase in 5-HT level (Fig. 3).
2. Serotonin Turnover in the Whole Intestinal Tissue:
Previous work (Martin et al., 1988) in our laboratory had
shown that all the metabolites of 5-HT were found in
47
intestinal tissue when perfused with TRP. It was concluded
that intestinal tissue contains the enzymes tryptophan
hydroxylase (TOH) and monoamine oxidase (MAO) needed for the
synthesis and degradation of 5-HT. The apparent 5-HT
turnover in intestine of A. suum was determined by
pharmacologically inhibiting MAO with pargyline. The
intestinal tissues were perfused for 3 min with 10 pM
tryptophan (TRP) alone or tryptophan with 1 mM pargyline
(PARG) to determine serotonin levels and turnover rates in
antibiotic treated and control tissues. Table 2 demonstrated
that there was 18-20 % more 5-HT when intestinal tissue
perfused with TRP plus PARG than tissue perfused with TRP
alone in the 0 hr group. This significant increase (p <
0.05) in 5-HT level following TRP plus PARG (160 +. 1.2 ng/g
tissue wet weight) relative to saline perfusion (91 ± 1.0
ng/g) demonstrated that MAO was indeed inhibited. This
increase in 5-HT levels was also observed following
incubation in the A. suum saline plus and minus antibiotics
at all time points. However, after 48 hrs of incubation in
A. suum saline plus and minus antibiotics the animals'
activity began to decline and by 96 hr the animals appeared
to be on the verge of death.
In TRP perfused, antibiotic treated animals, serotonin
levels were significantly decreased at 24 hr (p < 0.05).
However, serotonin levels were significantly increased
48
relative to non-antibiotic treated animals at 48 hr (p <
0.05) and at 96 hr (p < 0.05).
The TRP plus PARG data were used to calculate the 5-HT
turnover rate of the intestinal tissue of A. suum. Neckers1
(1982) method was used to calculate 5-HT turnover. Serotonin
turnover rate was increased both plus or minus antibiotics at
24 hrs and 48 hrs. Antibiotic treatment had no effect on 5-
HT turnover at the 24 hrs time point (p > 0.05). At both 48
hr and 96 hr time points 5-HT turnover was significantly
greater in the antibiotic treated animals (p < 0.05)
respectively.
3. Serotonin Turnover in the Intestinal Tissue Segments:
Since after 24 hrs of incubation in A. suum saline plus
and minus antibiotics showed a significant reduction in the
bacterial population, this time point was used for further
investigations to evaluate the 5-HT and TRP levels of
intestinal segments. Intestinal segments (anterior, midgut
and posterior) were perfused with TRP and TRP with PARG as
explained in the Methods. Results indicated that 5-HT and
TRP levels significantly decreased in all segments after 24
hrs incubation in A. suum saline plus and minus antibiotics
when only perfused in A. suum saline (Table 3) (P < 0.05) .
The 0 hr tissue showed 19-23 % increase of 5-HT levels when
perfused with TRP with PARG compared to TRP alone. The 5-HT
49
levels were significantly increased (80 - 140 %) after the
tissues had been incubated in A. suum saline plus and minus
antibiotics for 24 hrs. Anterior segments of all control and
experimental tissues showed significant differences in TRP or
5-HT levels when compared to their posterior intestinal
segments (p < 0.05).
The turnover study demonstrated that the there was a
significant (p < 0.001) increase in all segments of the
intestinal tissue after 24 hrs incubation in A. suum saline
plus or minus antibiotics (Table 4). The anterior segment of
the 24 hr antibiotic treated tissue showed the highest
turnover rate (145.9 ± 2.0 ng/mg protein/hr). Relative to
minus antibiotic animals, 5-HT turnover rates were higher in
the anterior segment and lower in the midgut of the
antibiotic treated animals (p < 0.05) No difference was
observed in the posterior segments.
4. Intestinal Microflora vs Tissue:
The following experiments with adult female A. suum
incubated in the A. suum saline plus 10 iaM TRP and/or TRP
with 1 mM PARG for 30 min. Since it takes approximately 30
min for materials to reach the posterior end of the worms
these experiments were designed to investigate whether the
available TRP could be synthesized into 5-HT by the
intestinal microflora. The intestinal microflora is mainly
50
the contents of the whole intestinal tract.
The intestinal tissue and the intestinal microflora of
the whole worms incubated in A. suum saline for 24 hrs plus
or minus antibiotics showed a 45 - 50 % drop in their TRP
levels when compared to the 0 hr groups (Table 5). There was
a 40 % increase in TRP level by the intestinal microflora and
100 % increase by the tissue when the whole worms were
incubated with TRP alone for 30 min and 100 to 400 % increase
respectively when incubated with TRP and PARG for 30 min.
A. suum incubation for 24 hrs, whether plus or minus
antibiotics, decreased the TRP levels of both the intestinal
tissue and microflora when perfused with TRP alone or TRP
with PARG (p = 0.005).
The intestinal microflora of the whole worms at 0 hr
showed 33 % higher 5-HT level than the intestinal tissue when
incubated in A. suum saline for 30 min (Table 6). The 5- HT
levels of both the intestinal tissue and the intestinal
microflora of the whole worms incubated in A. suum saline
for 24 hrs plus or minus antibiotics showed a decrease of
45 - 67 % when perfused with saline only (Table 6).
Following 24 hr incubation, 5-HT levels were higher in
intestinal tissue than in the microflora with both TRP and
TRP plus PARG (p = 0.0001). Antibiotic incubation resulted
in a significant (p < 0.05) decrease in 5-HT synthesis of the
microflora while it was increased in the tissue
51
(p < 0.005) .
In order to determine the 5-HT turnover in the intestinal
microflora and the intestinal tissue, the whole worms were
incubated with TRP alone and TRP with PARG for 30 min. At
the 0 hr time point the intestinal microflora had a three
fold higher turnover rate (10.2 +. 2.4 ng/mg protein/hr) than
the intestinal tissue (3.6 ± 0.4 ng/mg protein/hr). After 24
hrs incubation in A. suum saline plus or minus antibiotics
the intestinal microflora showed a decrease (6.6 + 2.9 and
6.9 + 2.0 ng/mg protein/hr respectively) in its turnover rate
and the intestinal tissue showed an increase in turnover rate
(12.1 + 0.7 and 15.5 + 1.5 ng/mg protein/hr) when compared to
the 0 hr control (Table 6).
Binding Sites and Uptake of Serotonin
To investigate the effects of bacterial flora on the
properties of serotonin binding sites in A. suum intestinal
tissue membranes, binding studies were performed using [3H]-
LSD after 24 hrs incubation in A. suum saline plus and minus
antibiotics. LSD has been shown to bind with equal affinity
to 5-HTj and 5-HT2 receptors in the membranes prepared from
mammalian nervous tissue (Peroutka, 1988) . A. suum
intestinal membranes were incubated with [3H]-LSD at
concentrations ranging from 1.0 nM to 5.0 nM. Figure 4
52
illustrates the specific binding of three sections (anterior,
midgut and posterior) of the 0 hr A. suum intestinal tissue.
Hofstee analysis of the specific binding data showed the
highest affinity (apparent Kd of 2.2 nM) to be in the
posterior intestinal section. Number of binding sites (Bmax)
was approximately 2.5 fold greater in the midgut and
posterior intestinal segment.
After 24 hrs incubation in A. suum saline minus
antibiotics the anterior and midgut intestinal segments
showed an increase in affinity (apparent Kd's of 2.0 and 1.0
nM respectively) when compared with the 0 hr time point.
There was a significant increase in the binding density of
the anterior segment (Bmax = 81 fmol/mg) while the midgut
showed a decrease in binding sites (Bmax = 64 fmol/mg)
(Fig. 5).
The apparent Kd's calculated from the binding studies done
with the anterior and posterior intestinal tissues from the
worms incubated in A. suum saline with antibiotics for 24
hrs indicated significantly lower affinity (p < 0.05) than
both control groups ( 0 and 24 hrs minus the antibiotics)
while the Bmax's were higher (Fig. 6) . However, the midgut
showed an increase in affinity (kd = 1.5 nM) and a decrease
in Bmax (61 fmol/mg) when compared to the anterior and
posterior segments. Although the [3H] LSD binding sites in
the anterior segments of 0 hr and 24 hrs without antibiotics
53
appeared to have higher affinities, the binding density
(Bmax) w a s greater in the anterior intestinal segment
incubated in antibiotics for 24 hrs. The affinity and number
of binding sites in the 0 hr intestinal tissue had anterior
to posterior direction. However, this directionality was not
present when the worms were incubated for 24 hrs in A. suum
saline plus and minus antibiotics.
Competition Studies
A membrane transport system that is specific for
serotonin has been described in a selective group of tissues
(Ross, 1982). A. suum intestinal perfusion studies showed
that both 5-HT and TRP are transported across the epithelial
membrane. In order to see whether 5-HT or TRP were binding
to the same binding sites in the intestinal tissue and
whether the reduction of bacterial population would have an
effect on this binding, a competition study was performed
using [3H]TRP and [3H]5-HT. Isolated intestinal tissues were
perfused with a fixed concentration of radioactive [3H]TRP
(0.1 \M) and increasing concentrations of unlabeled 5-HT.
The tissue was incubated for 10 min at 37° C and assayed for
radioactive [3H]TRP as described in Methods. The data were
plotted as a function of 5-HT concentration.
Even at 10~4 M, cold 5-HT did not significantly inhibit
54
binding of [3H]TRP (p > 0.05) to the 0 hr and 24 hr plus and
minus antibiotic intestinal tissues (Figs. 7, 8, 9). This
indicates that 5-HT is unable to compete for binding to
[3H]TRP binding sites. The intestinal tissues after 24 hrs
incubation in A. suum saline plus and minus antibiotics
showed a significant increase (25 - 50 %) in [3H]TRP binding
when there is no 5-HT competing (p = 0.005).
Noticeable differences in the percent inhibition of
[3H]5-HT binding was observed when intestinal tissues were
incubated with various concentrations of cold TRP. A
comparison of Figs. 10-12 reveals that in both the 0 hr
tissue and the 24 hr plus antibiotics tissue cold TRP was
able to compete for [3H]5-HT binding sites (50 % inhibition
at approximately 10-6 M TRP) . However, even at the highest
concentration (10~4 M) TRP was only able to compete for about
35 % of the [3H]5-HT binding sites in 24 hr minus antibiotics
tissue. Data from Figs. 7-12 suggest that a specific TRP
binding site and a binding site which interacts with both 5-
HT and TRP are present in A. suum intestine.
CHAPTER FOUR
DISCUSSION
Serotonin has been proposed as a putative hormone
activating glycogenolysis in Ascaris suum muscle tissue.
The origin of the serotonin which acts upon this tissue is
unclear. Is serotonin synthesized by A. suum intestinal
tissue or is it absorbed from the host or is it produced by
the intestinal bacterial flora? In the past, it has been
difficult to study the effects of 5-HT and its metabolites in
various tissues because the methods of measurement have been
difficult, unreliable, time consuming and tedious. The
method employed in this study was relatively fast, reliable
and extremely reproducible. Using an in situ perfusion
system and an electrochemical detector attached to the HPLC,
similar results for 5-HT to those observed using the more
conventional method of fluorescence were obtained. Hsu et
al. (1986) using a conventional spectrophotometer measured a
5-HT level of 107 ng/g wet weight in intestinal tissue from
adult female A. suum, as compared to HPLC values reported
here of 91 ng/g wet weight (Table 2). The HPLC-EC system,
however, allowed for the simultaneous measurement of several
5-HT metabolites. Mishra et al. (1981) using a
55
56
spectrofluorometer have reported 5-HT levels of Ascaris
lumbricoides of 2.1 yg/g for body wall and 1.9 yg/g for
intestine in adult females and 0.3 ug/g for body wall and 0.2
yg/g for intestine from Ascaridia galli. These levels are
higher than those observed here for A. suum. Since the
concentration of 5-HT found in the intestinal tissue was
higher than the muscle or the reproductive tract, it was
decided to investigate the role of intestinal flora as a
possible 5-HT source.
Previous investigations in this laboratory have
demonstrated the presence of intestinal bacterial flora and
measured the concentration of serotonin produced by them in
A. suum (Hsu et al., 1986) . It was suggested that the
bacterial isolates from the intestinal lumen of A. suum were
predominantly Gram-negative, of which many, e.g.,
Bacteroides spp., were able to produce a high concentration
of 5-HT. Moreover, the intestinal microflora were
predominantly facultative anaerobic organisms showing 5-OH-
tryptophan decarboxylase activity. The present study
provided a possible answer to one of the roles of intestinal
bacterial flora in these animals.
Previous reports in our laboratory have indicated that
TRP could be absorbed by the intestine of A. suum and
synthesized into 5-HT. It was also concluded that A. suum
intestinal tissue can absorb 5-HT directly from the
57
environment at a higher rate than the muscle tissue. The
complete elimination of A. suum 5-HT producing intestinal
bacteria resulted in a substantial (50%) drop in the
concentration of 5-HT (from 135 to 70 ng/g wet tissue) in the
intestinal tissue when perfused with TRP alone (Table 2).
The inhibition of monoamine oxidase by pargyline confirmed
the presence of this enzyme and indicated a significant
increase in the concentration of 5-HT when perfused with TRP
and PARG. The data were used to calculate the 5-HT turnover
in the intestine. The 5-HT turnover appeared highest in the
intestine of worms incubated in A. suum saline with
antibiotics for 48 hrs (301 ng 5-HT/mg protein/hr) as
compared to 5-HT turnover in intestine of worms incubated for
48 hrs in A. suum saline without antibiotics (195 ng 5-HT/mg
protein/hr).
When the 0 hr intestinal segments (anterior, midgut,
posterior) were incubated in TRP and then TRP with PARG there
was a slight increase (18 - 23 %) in 5-HT level in all
segments. The turnover rates of all three segments were not
statistically different from the turnover of the whole
intestine. After 24 hrs incubation in A. suum saline plus
and minus antibiotics the 5-HT turnover rate in all segments
showed over three fold increase. This significant increase
is possibly due to the elimination of a large number of 5-HT
producing intestinal microflora. Noticeably the anterior
58
segment of the intestine that was bacteria free after 24 hrs
incubation in A. suum saline with antibiotics showed the
highest 5-HT turnover (145.5 + 2.0 ng 5-HT/mg protein/hr).
There are several reports of the isolation of microbial
strains or microbial mixtures capable of carrying out the
decarboxylation of L-tryptophan. It has been shown that
several metabolites are formed from the degradation of L-
tryptophan by ruminal microorganisms (Yokoyama et al. ,
1974) . It has also been shown that all but 2 of the isolates
cultured from the intestinal microflora of A. suum secreted
detectable levels of serotonin ranging from 0.1 to 50 pg/lO9
cells (Hsu et al., 1986) . To study the 5-HT production of
the intestinal microflora the worms were incubated in 10 iaM
TRP and TRP with 1 mM PARG for 30 min. When the whole worms
were incubated in TRP, the TRP was absorbed by both
intestinal tissue and microflora (Table 5). After 24 hrs
incubation in A. suum saline plus and minus antibiotics the
TRP levels in both intestinal tissue and microflora
decreased. However, this reduction was statistically
significant for the intestinal microflora (p < 0.001).
The results summarized under Table 6 demonstrate that
intestinal microflora had higher 5-HT production than the
intestinal tissue when perfused with TRP alone. In addition
the 5-HT turnover rate in intestinal microflora at 0 hr is
over three fold higher than the intestinal tissue. The 5-HT
59
turnover rate significantly decreased in intestinal
microflora when the worms were incubated in A. suum saline
plus or minus antibiotics for 24 hrs. This significant
decrease in 5-HT turnover is possibly due to the elimination
of high number of intestinal bacterial flora. However, the
intestinal tissue showed an increase of more than 2 fold in
5-HT turnover rate which indicates that the elimination of 5-
HT producing bacteria in the intestinal microflora possibly
induced the intestinal tissue to increase 5-HT synthesis in
response to loss of bacterial 5-HT.
Evidence has been presented here demonstrates that
serotonin binding sites are present in the intestinal
membranes of Ascaris suum. These binding sites were highly
specific for [3H]-LSD. The [3H]-LSD binding sites in the
intestinal tissue of the 0 hr worms showed an increase in
binding affinity (Kd's =4.7, 3.6 and 2.2 nM respectively)
and number of binding sites (Bmax's = 33, 89.9 and 84
fmol/mg/protein) in an anterior to posterior direction (Fig.
4). After 24 hrs of incubation in A. suum saline plus
antibiotics, where more than 90 % of bacterial flora were
eliminated, the intestinal tissues showed a decrease in
binding affinity in the anterior and posterior regions (Kd's
of 5.8 and 9.9 nM) while the number of binding sites
increased (Bmax of 189 and 171 fmol/mg/protein) (Fig. 6) .
Collectively, these data indicate that the absence of
60
bacteria in the intestine of A. suum resulted in a
significant increase of 5-HT binding density with less
affinity.
A plasma membrane transport system that is specific for
serotonin has been described in a mammalian tissues (Ross,
1982). Initial investigations have indicated the presence of
an enteric TRP/5-HT transport system in A. suum and
pharmacological binding studies have demonstrated a 5-HT .
binding protein, possibly a receptor in muscle and intestinal
membrane preparations (Chaudhuri et al., 1989). Thus, to
determine whether TRP and 5-HT are competing with each other
for this transport system and/or if bacterial elimination
would have an effect on this system, a competition study was
performed. There was essentially no competition of 5-HT for
[3H]TRP binding sites among all three different tissue
samples (0 hr and 24 hrs plus or minus antibiotics). This
would indicate that the [3H]TRP binding site is specific for
TRP. However, it appears that TRP does compete for [3H] 5-HT
binding sites (Figs. 10 and 12). Incubation of intestinal
tissue with antibiotics for 24 hr appeared to facilitate the
ability of TRP to compete for [3H]5-HT binding sites.
The present study provides evidence that supports the
theory that the intestinal bacteria found in the parasitic
nematode Ascaris suum provide some of the serotonin
necessary for the regulation of glycogenolysis in this
61
parasite. Evidence is presented here that when there was a
significant reduction in the A. suum intestinal flora there
was also a significant reduction in the level of serotonin in
the intestinal tissue. The worms then need to reestablish
the normal levels of serotonin in the tissues. This may be
accomplished by absorbing serotonin from the host intestine
(Martin et al., 1988) or by the synthesis of serotonin by
the worms intestinal epithelial cells as measured by an
increase in the 5-HT turnover as seen here. The reduction in
bacterial number appeared to be one of the factors that
contributed to the changes in binding affinity and number of
binding sites. The data suggest that the bacteria play an
important role in the level of serotonin in the intestine of
this parasite.
Summary
In summary, from the data presented in this investigation
the following can be concluded:
1- Ascaris suum intestinal microflora are able to
synthesize 5-HT when perfused with TRP.
2-Elimination of intestinal microflora causes an increase
of 5-HT synthesis in intestinal tissue.
3-There is a directionality in [3H]-LSD binding to
intestinal tissue and the absence of intestinal microflora
62
alters this directionality.
4-There are two different binding sites for 5-HT, TRP and
in the presence of TRP, TRP would compete with 5-HT binding
site. In the absence of intestinal microflora the number of
binding sites for these ligands are significantly increased.
The data in this investigation provide support for the
theory that intestinal microflora is a source of serotonin
that functions as a hormone once absorbed by the A. suum
intestine.
63
APPENDIX A
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*0 M (0 T5 C <o -p CO 0) J3 4J T5 G m 4J XI cn •H 0) S 4-> <D
CP \ cn c
CO (0
D
+!
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JZ 4J
c <D *0 > c -H (0 Cn
Jh -o x: c \
CO G -H
CO <D 4J 4J c 0 a) iH E a «H U ST 0) • £ a T5 \
X a> H 0) 4J
(0 SC 1
0) rH lt> a; 3 u U CP x: r-H G 4J (0
o 0) MH >H 0 0)
u a)
G 0) CO 3 CO 0) CL> £
D 4J CO .
<D CO U "0 r"j
i ! a
i ! u JJ <V c
a> > rH W CO 0 3 a c G O 5 0 >H n
•H 3 ft CO -P H u a> fO 3 •H H c rH > E u
(0 <V i c > T5 LT) 2
66
TABLE 3 Tryptophan and. Serotonin Levels in Inteatinal
Segments of Ascstxs suum
Intestine Saline TRP * TRP+PARG*
^nt.ibiQ.
Ant. 48 • * ± 0.3 99 ± 0. 4 108 ± 1.7
TRP Mid. 43 ± 0.3 92 ± 4. 0 101 ±1.3
(ng/g) Pos . 40 ± 0.5 89 ± 0. 7 99 ± 0.6
Ant. 97 ± 0.9 136 ± 0. ,5 161 ± 0.2
5-HT Mid. 95 ± 0.9 136 ± 0. .8 159 ± 0.6
(ng/g) Pos. 86 ± 0.5 121 ± 0, .3 151 ± 0.3
24 n=_ -n.ir.U3 aim ibiot L.Z2. 24 n=_
Ant 25 ± 0.7 78 ± 0 .7 85 ± 4.0
TRP Mid. 24 ± i-o 68 ± 0 .9 71 ± 0.1
(ng/g) Pos. 21 ± 0.6 69 ± 2 .2 81 ± 0.4
Ant. 57 ±0.8 112 ± l .0 201 ± 0.7
5-HT Mid. 45 ± 0.3 95 ± 0 .3 193 ± 2.8
(ng/g) Pos. 48 ± 0.2 97 ± 1 .0 189 ± 2.7
hr „21US_ „anti Vnot.i Ant. 23 ± 1.2 83 ± 0.9 97 ± 1.0
TRP Mid. 20 ± 1.2 76 ± 2.6 84 ± 4.7
(ng/g) Pos. 19 ± 1.5 72 ± 1.7 77 ± 2.2
Ant. 31 ± 2.8 75 ± 3.5 175 ± I-7
5-HT Mid. 42 ± 2.3 88 ± 2.1 170 ± 1.6
(ng/g) Pos. 38 ± 2.0 65 ± 4.4 153 ± 1.3
Isolated intestinal segments were incubated with 10 (1M
tryptophan (TRP) ± 1 mM pargylin (PARG) for 3 min.
** The values were the mean of three experiments (± SD> and
standard deviation were calculated.
67
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70
APPENDIX B
FIGURES
71
Fig. l.HPLC Voltammogram from intestinal tissues of
Ascaris suum: The peaks of standard metabolites run on
HPLC-EC were: 1 = void volume; 2 = 5-HTP; 3 = 5-HIAA; 4 - 5 -
HTOL; 5 = TRP and 6 = 5-HT. Detector sensitivity (using a 1-
V recorder) was 5 nA/V. Chromatography procedure was as
described in Materials and Methods. When isolated intestinal
tissue was incubated with [3H]TRP for 10 min, the tissue
extracted, and the metabolites of 5-HT separated using HPLC,
the radioactivity was found to comigrate with TRP, 5-HTP and
5-HT.
72
FIGURE
rt| C
S W «
D a
5 7 9
MINUTES
73
Fig. 2.Dose-response curve: Isolated intestinal tissue
of A. suum was perfused by varying concentrations of TRP for
3 min. The intestine was frozen and extracted as described
in the Materials and Methods. The level of 5-HT was analysed
by HPLC-EC. Each point represents the mean + SD; n = 3 or
more.
CM
74
CM
W £ D 0 H En
V0
00
Qj OS H
0
C o •H •P (0 M -P G <1> a C 0 u
0
1
i — 1 — r T T T — i — j — i — r O O O o ^ CN O CO rH tH tH
O \o
o o CM
(snnsTji q.3M £>/&u) 1 H - S
75
Fig. 3.Dose-response curve: Isolated intestinal tissue
of A. suum was perfused by varying concentrations of 5-HT
for 3 min. The intestine was frozen and extracted as
described in the Materials and Methods. The level of 5-HT
was analysed by HPLC-EC. Each point represents the mean +
SD; n = 3 or more.
CM
76
cn
w
D a H
fe
v o
o o
S
I
L D
0
a o
• H
• P
( 0
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c <v o
c o
u
0
J
1
i — * — i — * — i — 1 — r i — 1 — i — 1 — r o o
CM o o
o GO
o VO
O O CM
( a n s s x j i 6 / 5 u ) x a A a i j h - S
77
Fig. 4. [3H]-LSD binding to intestinal membranes:
Isolated intestinal membranes of anterior ( I ), midgut ( O )
and posterior ( % ) segments from 0 hr samples were assayed for
[^H]-LSD binding (1.0 nM to 5.0 nM). Data shown are the mean of
three or more individual experiments and standard deviations
(± SD) were calculated. Hofstee analysis was used to estimate
K d (nM) and (fmol/mg) .
<j>
m C\ m 0 0 0 0 II II II X X *
m S E 6
a CQ CQ
r * v o CNJ
0 0 CM II II II
• d • a * 0 ^ ^ _ * I # i O HBl
• O • \ \ \
78
W
D 0
H fa
i
o o
r us
h i n
- <q«
2 h « 5
Q
W
h ?
I
- CM a : m
o CO
o v o
o o CM
( u T s ^ o a d B u i / x o u i j ) p u n o g Q S 1 - [ H E J
79
Fig. 5 [3H]-LSD binding to intestinal membranes:
Isolated intestinal membranes of anterior ( • ) , midgut ( O )
and posterior ( 0 ) segments from worms incubated in A. suum
saline minus antibiotics for 24 hrs were assayed for [3H]-LSD
binding (1.0 nM to 5.0 nM). Data shown are the mean of three or
more individual experiments and standard deviations (± SD) were
calculated. Hofstee analysis was used to estimate Kd (nM) and
Bmax (fmol/mg).
H H o 00 VP H II II II
* K m <u e e s 03 CQ 03
o ; O cn
<N iH on II ii II V T3 V * * K
• 0 •
80
LO
W
D 0 H fa
r~ o o IH
O GO
O VO
I
O
r ^
- M
-
2
- M G
- 00 w
Q
CO
I CM ®
N
o CM
(uia^oid fiux/xotag:) punog aS1-[HS]
81
Fig. 6 [3H]-LSD binding to intestinal membranes:
Isolated intestinal membranes of anterior ( | ), midgut (O )
and posterior ( # ) segments from worms incubated in A. suum
saline plus antibiotics for 24 hrs were assayed for [3H]-LSD
binding (1.0 nM to 5.0 nM). Data shown are the mean of three or
more individual experiments and standard deviations (± SD) were
calculated. Hofstee analysis was used to estimate Kd and Bmax.
<T> CO H II * s ffl
U3 II * fl 6 CO
H r~ r-t II X rt g
82
VO
W
D 0 H Cn
S C
0 cn 1 r—i 93 CO
(u"ca.o<i Bm/xomj) putiog aSI-tHE]
83
Fig. 7.Inhibition of [3H]-TRP binding by 5-HT:
A. suum intestinal tissues from 0 hr control worms were
incubated with [3H]-TRP plus or minus varying concentrations
of unlabeled 5-HT; binding in the absence of competitor was
taken as 100 %. The binding in the presence of competitor
was expressed as a percentage of this maximum binding. Data
represent the mean percentage +. SD of three assays per
competitor concentration.
84
W (X D 0 H b
33 I
m
<w 0
c 0
•H 4J <d M -P G <0 0 c 0 u
0* 0 l-J 1
BuTpu-CH JO ^ u s s i a a
85
Pig. 8.Inhibition of [3H]-TRP binding by 5-HT:
A. suum intestinal tissues from worms incubated in A. suum
saline minus antibiotics for 24 hrs were incubated with [3H]-
TRP plus or minus varying concentrations of unlabeled 5-HT;
binding in the absence of competitor was taken as 100 %. The
binding in the presence of competitor was expressed as a
percentage of this maximum binding. Data represent the mean
percentage + SD of three assays per competitor concentration.
86
<N
00
W (X D CD H b
<—« 1 1 1 « 1 « 1 «•
KD
00
E-I X I
m
s CO
4-1 O
C o
•H +J <4 H 4J C <1) a c o u
O* 0
1
o ao
o vo
o o CM
S u T p u x g j o q . u a o i a < j
87
Fig. 9.Inhibition of [3H]-TRP binding by 5-HT:
A. suum intestinal tissues from worms incubated in A. suum
saline plus antibiotics for 24 hrs were incubated with [3H]~
TRP plus or minus varying concentrations of unlabeled 5-HT;
binding in the absence of competitor was taken as 100 %. The
binding in the presence of competitor was expressed as a
percentage of this maximum binding. Data represent the mean
percentage ± SD of three assays per competitor concentration.
88
G\
W X D 0 H fa
*—i 1 > 1 ' 1 « r
CM
V £
00
R S I
LD
4-1 0
a o •H -P (d n 4J a <D o c o u
Cn 0 Hi 1
o V 0
o *1»
o CM
B u T p u T S 5 0 q . u © 0 3 © < 3
89
Fig. 10.Inhibition of [3H]5-HT binding by TRP:
A. suum intestinal tissues from 0 hr worms were incubated
with [3H]5-HT plus or minus varying concentrations of
unlabeled TRP; binding in the absence of competitor was taken
as 100 %. The binding in the presence of competitor was
expressed as a percentage of this maximum binding. Data
represent the mean percentage + SD of three assays per
competitor concentration.
90
O t—i
w IX D O H h
CN
to
CO
CU cs
4-1 O
G 0
•H 4J rd u c 0) o e o u
CP 0 h4 1
fiUTpUTS 30 ^ U S O j a a
91
Fig. 11.Inhibition of [3H]5-HT binding by TRP:
A. suum intestinal tissues from worms incubated in A. suum
saline minus antibiotics for 24 hrs were incubated with
[3H]5-HT plus or minus varying concentrations of unlabeled
TRP; binding in the.absence of competitor was taken as 100 %.
The binding in the presence of competitor was. expressed as a
percentage of this maximum binding. Data represent the mean
percentage + SD of three assays per competitor concentration.
92
i H r—i
w &
D CD H fa
CM
10
CO
CU
H
4-1 0
£ 0
•H «P
•P C <1) O C 0 U
D* 0
1
fiu-rpuxa j o q . u a o ^ a a
93
Fig. 12.Inhibition of [3H]5-HT binding by TRP:
A. suurn intestinal tissues from worms incubated in A. suurn
saline plus antibiotics for 24 hrs were incubated with [3H]5-
HT plus or minus varying concentrations of unlabeled 5-HT;
binding in the absence of competitor was taken as 100 %. The
binding in the presence of competitor was expressed as a
percentage of this maximum binding. Data represent the mean
percentage + SD of three assays per competitor concentration.
94
CM tH
W cc o u H fa
&4 04 H
4-4 0
c 0 •H •P 03
-P C <D 0 G 0 U
0* 0 »-3 1
6uTpuxg fe^ox J© ^uaoaaa
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