1. Endoparasitism

Endoparasites live inside the body of the host. This group includes helminths, trematodes and cestodes. Endoparasites are two groups of parasites: intercellular and intracellular parasites. Intercellular parasites live in spaces within the host e.g. the alimentary canal, whereas intracellular parasites live in cells within the host e.g. erythrocytes. Intracellular parasites typically rely on a third organism, a vector, to transmit the parasite between hosts.^[1][2] Rather than requiring adaptations to penetrate the host, as ectoparasites do, endoparasites are in a nutrient-rich location so they instead have adaptations to maximise nutrient absorption. Endoparasites have a readily available and renewable supply of nutrients inside the host, which in some cases is pre-digested by the host, so mechanisms of nutrient absorption across their body surface is a common feature.^[1] As part of their life cycle strategy, endoparasites must also be able to transmit from within the host body and survive the hostile environment within the host. Only by achieving this can they benefit from acquiring nutrition in this way.

Microvilli structure, which increases the surface area available for nutrient uptake in endoparasites. https://handwiki.org/wiki/index.php?curid=1913948

Endoparasites have various anatomical and biochemical adaptations, typically at the host-parasite interface, to maximise nutrient acquisition. One such adaptation is the tegument, a metabolically active external cover that plays an important role in nutrient extraction from the host.^[3] The parasite tegument is permeable to various organic solutes and has transporters for the facilitated or active uptake of nutrients. Various studies have attempted to characterise these transporters in a number of parasites e.g. the amino acid transporter molecules in protozoa.^[3][4][5] Cestodes do not have a gut so the tegument is therefore critical for nutrient uptake. In cestodes the tegument is highly efficient with spine-like microtriches, similar to microvilli, to increase the surface area available for nutrient acquisition.^[6] In many parasites the tegument structure has folds or microvilli to maximise the surface area available for diffusion and uptake of nutrients. The tegument also commonly has additional organelles and features with important functions in metabolism including the glycocalyx. The glycocalyx is a carbohydrate-rich layer that enhances nutrient absorption and secretes enzymes to aid primary digestion.^[7]

Another important adaptation of endoparasites is the gut, which digests host macromolecules into soluble utilisable products.^[3] This feature is particularly important for endoparasites that are not in the alimentary canal, because nutrients are not pre-digested by the host. The gut lining typically has a layer of endodermal cells that secrete proteolytic enzymes to aid digestion. Some endoparasites have both a gut and anus, some lack an anus and some have neither—i.e., those that live in the alimentary canal, which instead diffuse pre-digested host nutrients across their body surface.^[3] The relative importance of the tegument, gut and other adaptations involved in nutrient acquisition varies between different endoparasitic species.

1.1. Tapeworms

Head of the pork tapeworm, Taenia solium., with attachment structures to attach to the wall of the small intestine. https://handwiki.org/wiki/index.php?curid=1470562

Tapeworms are endoparasites with numerous adaptations to enhance parasitic nutrition. Tapeworms live in the small intestine of humans, providing an ideal location to access a readily available, rich source of pre-digested nutrients.^[8] Since nutrients in the small intestine are plentiful and pre-digested by the host, tapeworms do not require a gut and instead have adaptations to maximise nutrient absorption. Tapeworms have a tegument that they use to absorb nutrients directly from the host small intestine by diffusion. They also have anatomical adaptations in the form of a scolex with hookers and suckers that they use to attach to the host small intestine wall, preventing the tapeworm from being egested following peristalsis.^[3] Tapeworms have a flattened body with microtriches to maximise the surface area available for nutrient absorption and they additionally have various transporter molecules. Tapeworms have to compete with the host epithelium for nutrients, so it is essential that they compete more efficiently for nutrients. They also secrete enzymes to enhance host digestive enzymes e.g. pancreatic α-amylase.^[3]

1.2. Schistosomes

Schistosomes, another type of endoparasite, also live inside the body of the host but instead these parasites acquire their nutrients from host blood. Schistosomes are in direct contact with host blood, a rich source of amino acids, and they therefore do not require penetrative structures to reach host nutrients. Schistosomes take blood up through the negative pressure created by muscle contractions of their sucker and oesophagus.^[3] They obtain amino acids from host blood through a mechanism of haemoglobin degradation, which remains unresolved but is suggested to involve a series of proteases. Mechanisms to overcome blood clotting are also employed.^[9][10] Various studies have attempted to characterise the components of the schistosome tegument, including transporter molecules that may be involved in nutrient uptake. Such transporter molecules include schistosome alkaline phosphatase (SmAP) and cathepsin B, which may be important in nutrient acquisition.^[4][10][11]

1.3. Malaria

Malaria, caused by the apicomplexan parasite Plasmodium falciparum, is an intracellular endoparasite. This parasite relies on a third organism, in the form of an Anopheles mosquito vector. The host blood provides an ideal rich source of glucose and amino acids to the parasite, particularly during blood stage infection where Plasmodium infects erythrocytes.^[12] To acquire essential nutrients Plasmodium has to compete with both the vertebrate and insect host and therefore must be highly efficient, regulating uptake according to nutrient availability.^[12] Plasmodium, along with many other endoparasitic parasites, have numerous channels in their parasitophorous vacuole membrane rendering it permeable to organic solutes to allow the uptake of necessary nutrients. The Plasmodium falciparum hexose transporter (PfHT) is such a transporter, which is critical for the uptake of glucose and fructose and therefore survival of the parasite.^[13] These organic molecules have to cross three membranes altogether; the plasma membrane of the erythrocyte, the parasitophorous vacuole membrane and the Plasmodium plasma membrane, facilitated by transporters such as PfHT.^[14]

2. Ectoparasitism

Ectoparasites live on the outer surface of the host. This group includes ticks, leeches, mites and the tsetse fly. Ectoparasites do not have a readily available source of nutrients available on the outer surface of the host, so they need adaptations to access host nutrients. This requires penetrating features they can insert into the host, as well as the ability to secrete digestive enzymes and the presence of a gut to digest host-derived nutrients.^[1] Ectoparasites also have a variety of parasite transporters and permeases to enable them to acquire nutrition from their host, across numerous membranes. Many ectoparasites are known pathogen vectors, so they transmit these pathogens during nutrient acquisition.^[15]

Tsetse flies, the insect vector of Trypanosoma brucei, the causative agent of African trypanosomiasis are an example of an ectoparasite. These insects have a specialised structure, a proboscis, that they use to pierce and draw nutrients from their host. These then employ transport proteins to transport the essential nutrients across membranes, ultimately from the host to the tsetse fly gut for digestion. Various permeases have been characterised including those that import hexoses, carboxylates, and amino acids.^[16][17]

Another ectoparasite is scabies, caused by Sarcoptes scabiei. Scabies, transmitted by female mites, depends on nutrition from its host for survival. This ectoparasite obtains nutrients by burrowing into the skin of the host. Studies have also identified the presence of scabies mite inactivated protease paralogues (SMIPPs), which are believed to compete with host proteases.^[18]

3. Effects on the Host

Parasitic nutrition is beneficial to the parasite but typically detrimental to the host since it deprives the host of nutrients. This mode of nutrition has numerous side effects on the host including weight loss, anaemia, obstruction of the intestine, damage to the host intestinal wall and in some cases transmission of serious pathogens—e.g., the ectoparasitic tsetse fly, which transmits African trypanosomiasis.^{[1][3][8][12]}

4. Applications

Nutrient acquisition is an important component of parasite pathogenesis since it is critical to parasite survival.^[12] Understanding the mechanisms of parasite nutrient acquisition therefore identifies novel targets we can exploit as a form of parasite control—e.g., through knock-out or inhibition of crucial transporters or destruction of penetrative anatomical features. Several studies have looked into nutrient acquisition as a method of parasite control, including the development of vaccines against helminth parasites by targeting digestive proteases.^[19]

5. Parasitic Nutrition in Plants

Plants are typically autotrophic organisms meaning that they synthesise their own 'food' from inorganic compounds by photosynthesis. Some plants however are unable to synthesise their own 'food' by photosynthesis and therefore acquire nutrients by parasitic nutrition from other living plants. Plants that acquire nutrients in this way are called parasitic plants.^[20] These plants have modified root structures called haustorium that they use to penetrate the vascular bundle of host plants and, essentially, 'steal' nutrients from host plants.^[1][21]

Parasitic plants include Dodder, Rafflesia and Broomrape.