Table Of ContentLiving Together 
The Biology  of 
Animal  Parasitism
Living  Together 
The  Biology of 
Animal  Parasitism 
William Trager 
The Rockefeller  University 
New York,  New York
Library  of  Congress Cataloging  in  Publication Data 
Trager,  William,  1910-
Living  together. 
Includes  bibliographical  references and  index. 
1.  Host-parasite  relationships.  I.  Title.  II.  Title:  Biology  of  animal  parasitism. 
QL757.T67  1986  591.5'249  86-15097 
First Printing-September 1986 
Second Printing-February 1988 
© 1986 Plenum  Press,  New  York 
Softcover reprint of the hardcover 1s  t edition 1988 
A  Division  of Plenum  Publishing Corporation 
233  Spring Street,  New  York,  N.Y.  1000 
All  rights  reserved 
No  part of  this  book  may  be  reproduced,  stored  in  a  retrieval  system,  or  transmitted 
in any form  or by any  means,  electronic,  mechanical.  photocopying,  microfilming 
recording,  or otherwise,  without  written  permission  from  the  Publisher 
ISBN:  13: 978-1-4615-9467-3  e-ISBN- 13: 978-1-4615-9465-9 
DOl: 10.1007/978-1-4615-9465-9
To Ida
Foreword 
William Trager has been an avid student of parasites for over 50 years at the 
Rockefeller University. Around the turn of this century, parasitology enjoyed 
a  certain  vogue,  inspired  by  colonial  responsibilities  of  the  technically  ad-
vanced countries,  and by the exciting etiological and therapeutic discoveries 
of Ross,  Manson,  Ehrlich,  and others. For some decades,  the Western hemi-
sphere's interest in animal parasites has been eclipsed by concern for bacteria 
and viruses as agents of transmissible disease. Only very recently,  initiatives 
like  the Tropical  Disease  Research  programs of WHO-World Bank-UNDP, 
and the Great Neglected Disease networks of the Rockefeller and MacArthur 
Foundations have begun to compensate for  the neglect of these problems by 
United States federal health research agencies. Throughout that period, how-
ever,  the Rockefeller Institute (later University) has given high priority to the 
challenges of parasitism, corresponding during a formidable period with Dr. 
Trager's own career. 
The  present work  then,  is  a  distillation  of  the  insight  collected  by our 
principal doyen of parasite biology,  informed but by no means confined  to 
his  own  research.  It is  addressed  to  the  reader  of broad  biological  interest 
and training, not to the specialist. The disarmingly unpretentious style makes 
the work readily accessible  to college undergraduates or even to  gifted high 
school students; but do not be deceived thereby, as it has an enormous range 
of factual  information and theoretical insight,  familiar  to few,  but potentially 
important to most biologists.  This was a  shrewd and well-contrived choice, 
and I am sure the book will add much to  the current momentum of interest 
in the field. 
Trager's work is  organized by themes  of biological  interest,  not by  the 
taxonomy of the parasites or of the disease syndromes of the hosts; but these 
are not neglected where pertinent. As the title implies it concerns the biology 
of parasitism,  not just a  survey of parasites.  The writing is  therefore  in  the 
tradition of Theobald Smith, McFarlane Burnet, and Rene Dubos whose writ-
ings have been so important in bringing bacteria and viruses,  and their par-
asitic behavior,  into the mainstream framework of evolutionary biology.  Like 
these  forerunners,  Trager  focuses  on  the  developmental,  biochemical,  and 
vii
viii  FOREWORD 
genetic adaptations by which the parasite exploits its special ecological niche, 
and by which  the host seeks to  retain its own Malthusian fitness  in  the  face 
of  that challenge.  Extraordinarily,  he is  able  to  unite a  half-century of expe-
rience with  the latest findings and perspectives of molecular biology,  which 
is,  of course,  bringing this field  of study into a  revolutionary new phase. 
What impressed me, and what will enrich a generation of new molecular 
parasitology entrants seeking key research problems, is the range of fabulous 
stories  in  this book.  It is  a  veritable  Arabian  Nights of narrative,  not of  the 
human imagination,  but of Nature's,  in  the exposition of phenomena of ad-
aptation  and  specificity.  On  every  page,  the  author  exhibits  his  profound 
awareness  of  the  conundrums  they  pose  for  physico-chemical  and  devel-
opmental-genetic principles  still  to  be  elaborated-to explain  specificity  for 
hosts  and organs,  tropisms,  response  to  host  rhythms,  and endocrinology; 
the morphogenetic cycling  of vegetative/reproductive phases,  and the ques-
tions  these  raise  for  the  differential  control  of gene expression.  Nothing  in 
the biology  of  the  parasitic  relationship escapes  notice,  be  it  the  nutritional 
requirements of the parasite,  the molecular genetics of the kinetoplasts,  the 
mechanisms of pathogenesis,  the host defenses,  or the rationale and means 
of chemotherapy. Amusing and challenging are the reports of ways in which 
parasites alter host behavior and even growth towards the ends of the parasite. 
I am tempted to borrow his examples; but that would be transparent and 
redundant plagiarism-the reader has but to  turn to  random pages,  or scan 
the logically organized Contents.  The work is  also enriched by a  systematic 
set  of life  cycle  diagrams,  indispensable  for  an overview of  parasite  natural 
history.  For  writing  so  easily  digested,  it  is  also  fully  documented  in  the 
bibliography  following  each  chapter.  It should be said  that parasite  here  is 
meant to embrace animal parasites of other animal species,  though the prin-
ciples  will  be  of great pertinence  to  parasitism by  fungi,  bacteria,  and even 
viruses. 
Many  young  scientists  will,  I hope,  read  this  work:  There  are  enough 
research challenges to keep them all fully occupied in an area which is as rich 
with human needs as  it  is  with challenges  to  biological  imagination.  Others 
will find great stimulation and enjoyment, and a small lament that we do not 
have multiple lifetimes to enjoy and observe what the next decades of research 
will  bring to  the  field,  which Trager sings of so eloquently. 
Joshua Lederberg 
President 
The  Rockefeller  University 
New  York,  New  York
Acknowledgments 
Much  of  this  book  was  written  during  several  summers  at  the  Marine  Bio-
logical  Laboratory at Woods Hole,  Massachusetts.  I have been very fortunate 
in having available to me the resources of two outstar'lding biological libraries: 
one at  the Marine Biological  Laboratory and the other at  the Rockefeller  Uni-
versity,  my  scientific  home  for  over  50  years.  I  have  also  been  fortunate  in 
having  a  dedicated  staff.  In  particular  I want  to  thank  Mr.  James  Stanorski 
for accurate and rapid preparation of the manuscript and Mr.  Erminio Gubert 
for  skillful  mounting  of  the  illustrations.  My  laboratory  work,  meanwhile, 
was kept going  through  the outstanding ability of Mrs.  Marika Tershakovec, 
research  technician,  and  the devoted  help of Mrs.  Cora Fields. 
I  am  indebted  to  the  following  fellow  scientists  who  kindly  reviewed 
particular  sections  of  the  book  and  gave  me  the  benefit  of  their  comments 
and  suggestions.  Professor  P.A.  0' Alesandro,  School  of  Public  Health,  Co-
lumbia University; Professor Joel E.  Cohen,  Population Laboratory,  the Rock" 
efeller  University;  Professor  G.A.M.  Cross,  Laboratory  of  Molecular  Parasi-
tology,  the Rockefeller University; Professor D.  Despommier, School of Public 
Health,  Columbia  University;  Professor  H.N.  Lanners,  Tulane  University 
Medical  School;  Professor  F.  von  Lichtenberg,  Harvard  University  Medical 
School;  Professor  A.J.  Macinnis,  Department of Zoology,  University of Cal-
ifornia,  Los  Angeles;  Professor M.  Miiller,  Laboratory of Biochemical  Cytol-
ogy,  the Rockefeller University; Professor N.  Noguiera,  New York University 
Medical  School;  Professor  Margaret  Perkins,  Laboratory  of  Biochemical  Cy-
tology,  the  Rockefeller  University;  Dr.  A.  Sher,  Laboratory  of  Parasitic  Dis-
eases, National Institute of Allergy and Infectious Diseases; Professor L.  Simp-
son,  Biology  Department,  University  of  California,  Los  Angeles;  Professor 
M.J.  Ulmer,  Iowa State University and University of Bridgeport, Connecticut; 
Professor c.c.  Wang,  Department of Pharmaceutical  Chemistry,  University 
of California,  San  Francisco;  and  Professor L.P.  Weiss,  School  of Veterinary 
Medicine,  University  of Pennsylvania. 
I am especially grateful  to  Dr.  Joshua  Lederberg,  President of  the  Rock-
efeller  University,  for  having been  so  kind  as  to  write  the  Foreword. 
William  Trager 
IX
Contents 
1.  Introduction.................................................  1 
2.  The Establishment of Infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..  29 
3.  Site Selection within the Host:  Entry  into Specific Organs 
and Cells. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  41 
4.  The Host-Parasite Interface I:  In Extracellular Parasites  ...... . ..  71 
5.  The Host-Parasite Interface II:  In Intracellular Parasites 
(Protozoa and the Nematode Trichinella  spira lis)  ...............  81 
6.  The Uptake of Nutrients. Digestion. .... . . .. . . . . . . . . . . . . .... ..  97 
7.  Nutritional Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..  109 
8.  Cultivation of Parasites in  Vitro  with Special Reference to 
Differentiation in the Life Cycle  ..............................  121 
9.  Metabolism: Energy Sources.  Respiration ......................  147 
10.  Genetics. Developmental Biology  .............................  171 
11.  The Kinetoplast and Kinetoplast DNA. . . . . . . . . . . . . . . . . . . . . . . ..  185 
12.  Parasite-Induced Modifications of the Host: Growth Factors. 
Effects on Behavior. Parasitic Castration  .......................  201 
13.  Modification of Host Cells Produced by Intracellular Protozoa. ..  209 
14.  Innate Resistance  ............................................ 227 
xi
xii  CONTENTS 
15.  The Spleen ..................................................  239 
16.  Immunity in Invertebrates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..  247 
17.  The Immune System of Vertebrates in Relation to 
Parasitic Infections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..  253 
18.  Immune Reactions  to Trypanosomes and How They Are Evaded. 
Ablastin. Antigenic Variation .................................  265 
19.  Immunity to  Malaria and Related Intracellular Protozoa. . . . . . . ..  281 
20.  Immunology of Leishmaniasis and American Trypanosomiasis 
(Chagas'Disease)  ............................................  309 
21.  Schistosomiasis and Concomitant Immunity  ...................  321 
22.  Entamoeba histolytica and Other Intestinal Protozoa. 
Pathogenesis and Immunology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..  337 
23.  Acquired Immunity to  Intestinal Nematodes and to Ticks .......  347 
24.  Symbiosis ................................................... 367 
25.  Chemotherapy ............................................... 385 
26.  Ecology and Population Biology of Parasites.  Sanitation and 
Vector Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..  423 
Epilogue ......................................................... 449 
Taxonomic Index to  the Parasites and Vectors Considered  ........... 453 
Subject Index  .................................................... 459
CHAPTER 1 
Introduction 
Parasitism  involves  an  intimate  association  between  two  different  kinds  of 
organisms.  One of  these,  the host,  provides  food  and shelter for  the other, 
the parasite. The host mayor may not be injured by the parasite. It may soon 
expel  the  parasite,  or  it  may  harbor  it  for  many  years.  Since  the  parasite 
cannot exist  in  nature without  its  host,  it  is  not to  the parasite's  advantage 
to destroy its host.  At least it must not destroy it until it is  ready to move  to 
another.  Some hosts are benefited by certain parasites and some are actually 
dependent on  their parasites,  a  special  type of  association called  mutualism. 
Such  mutualistic  or  symbiotic  associations  may  have  been  at  the  origin  of 
chloroplasts and mitochondria,  and so at  the basis of most eukaryotic cells. 
Throughout  the  living  world,  from  prokaryotes  to  man,  parasitic  asso-
ciations are very common. There is no organism (except for  the viruses)  that 
does  not  have  its  parasites.  Furthermore,  all  the  major  taxonomic  groups 
include organisms that are parasitic. To study parasites as organisms in their 
own right is  relatively  simple and straightforward.  But to  study the interre-
lations between  the  parasite and its  host,  i.e.,  to  study parasitism,  requires 
all  the disciplines  of biology from ecology  to biophysics.  It is  this approach, 
study of  the  physiology,  biochemistry,  and cell  biology  of host-parasite  re-
lationships,  that will constitute the main body of future work in parasitology, 
and it  is  this approach that will be  followed  in this book. 
I begin with a discussion of the establishment of infection.  How do par-
asites  get  from  one host  to  another?  How do  they  recognize  and enter ap-
propriate hosts and then find their way to particular organs and cells? Equally 
important are  the factors  in the host permitting it to accept the parasite.  We 
must  remember  that all  organisms are  well  equipped with mechanisms  for 
the rejection of foreign structures, living as well as dead. This discussion will 
lead  in  a  logical  way  to  consideration  of  what  occurs  at  the  parasite-host 
interface,  the  roles of surfaces and membranes in sheltering and nourishing 
the parasite.  It is  here that uptake of nutrients occurs.  I then treat the nutri-
tional requirements of the parasites for growth and differentiation, with some 
emphasis on  their cultivation  in  vitro.  This  is  followed  by discussions of the 
1