Skip to main content

Parasite-Associated Cancers (Blood Flukes/Liver Flukes)

  • Chapter
  • First Online:
Infectious Agents Associated Cancers: Epidemiology and Molecular Biology

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1018))

Abstract

Parasitic infection remains as a persistent public health problem and can be carcinogenic. Three helminth parasites, namely, Clonorchis sinensis (liver fluke) and Opisthorchis viverrini as well as Schistosoma haematobium (blood fluke), are classified as Group 1 carcinogens by the World Health Organization’s International Agency for Research on Cancer (IARC Infection with liver flukes (Opisthorchis viverrini, Opisthorchis felineus and Clonorchis sinensis), World Health Organization, International Agency for Research on Cancer, 2011). Infection by these parasites is frequently asymptomatic and is thus rarely diagnosed at early exposure. Persistent infection can cause severe cancer complications. Until now, the cellular and molecular mechanisms linking fluke infections to cancer formation have yet to be defined, although many studies have focused on these mechanisms in recent years, and numerous findings were made in various aspects of parasite-associated cancers. Herein, we only introduce the fluke-induced cholangiocarcinoma (CCA) and bladder carcinoma and mainly focus on key findings in the last 5 years.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. IARC. (2011) Infection with liver flukes (Opisthorchis viverrini, Opisthorchis felineus and Clonorchis sinensis), World Health Organization, International Agency for Research on Cancer

    Google Scholar 

  2. Petney TN, Andrews RH, Saijuntha W, Wenz-Mucke A, Sithithaworn P (2013) The zoonotic, fish-borne liver flukes Clonorchis sinensis, Opisthorchis felineus and Opisthorchis viverrini. Int J Parasitol 43(12–13):1031–1046

    Article  PubMed  Google Scholar 

  3. Sithithaworn P, Andrews RH, Nguyen VD, Wongsaroj T, Sinuon M, Odermatt P et al (2012) The current status of opisthorchiasis and clonorchiasis in the Mekong Basin. Parasitol Int 61(1):10–16

    Article  PubMed  Google Scholar 

  4. Sripa B, Bethony JM, Sithithaworn P, Kaewkes S, Mairiang E, Loukas A et al (2011) Opisthorchiasis and opisthorchis-associated cholangiocarcinoma in Thailand and Laos. Acta Trop 120(Suppl 1):S158–S168

    Article  PubMed  Google Scholar 

  5. Sithithaworn P, Yongvanit P, Duenngai K, Kiatsopit N, Pairojkul C (2014) Roles of liver fluke infection as risk factor for cholangiocarcinoma. J Hepatobiliary Pancreat Sci 21(5):301–308

    Article  PubMed  Google Scholar 

  6. Sripa B, Brindley PJ, Mulvenna J, Laha T, Smout MJ, Mairiang E et al (2012) The tumorigenic liver fluke Opisthorchis viverrini – multiple pathways to cancer. Trends Parasitol 28(10):395–407

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Fedorova OS, Kovshirina YV, Kovshirina AE, Fedotova MM, Deev IA, Petrovskiy FI, et al. Opisthorchis felineus infection and cholangiocarcinoma in the Russian Federation: a review of medical statistics. Parasitol Int. 2016;S1383–5769(16):30236–30237

    Google Scholar 

  8. Wilcox BA, Echaubard P. Balancing biomedical and ecological perspectives in research framing of liver fluke and cholangiocarcinoma in NE Thailand. Parasitol Int. 2016;S1383–5769(16):30258–30256

    Google Scholar 

  9. Xia J, Jiang SC, Peng HJ (2015) Association between liver fluke infection and hepatobiliary pathological changes: a systematic review and meta-analysis. PLoS One 10(7):e0132673

    Article  PubMed  PubMed Central  Google Scholar 

  10. Intajarurnsan S, Khuntikeo N, Chamadol N, Thinkhamrop B, Promthet S (2016) Factors associated with periductal fibrosis diagnosed by ultrasonography screening among a high risk population for cholangiocarcinoma in Northeast Thailand. Asian Pac J Cancer Prev 17(8):4131–4136

    PubMed  Google Scholar 

  11. Silakit R, Loilome W, Yongvanit P, Thongchot S, Sithithaworn P, Boonmars T, et al. Urinary microRNA-192 and microRNA-21 as potential indicators for liver fluke-associated cholangiocarcinoma risk group. Parasitol Int. 2015;S1383–5769(15):00165–00168

    Google Scholar 

  12. Ong CK, Subimerb C, Pairojkul C, Wongkham S, Cutcutache I, Yu W et al (2012) Exome sequencing of liver fluke-associated cholangiocarcinoma. Nat Genet 44(6):690–693

    Article  CAS  PubMed  Google Scholar 

  13. Yothaisong S, Thanee M, Namwat N, Yongvanit P, Boonmars T, Puapairoj A et al (2014) Opisthorchis Viverrini infection activates the PI3K/ AKT/PTEN and Wnt/β-catenin signaling pathways in a Cholangiocarcinogenesis model. Asian Pac J Cancer Prev 15(23):10463–10468

    Article  PubMed  Google Scholar 

  14. Sriraksa R, Zeller C, El-Bahrawy MA, Dai W, Daduang J, Jearanaikoon P et al (2011) CpG-island methylation study of liver fluke-related cholangiocarcinoma. Br J Cancer 104(8):1313–1318

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Chaiyadet S, Smout M, Johnson M, Whitchurch C, Turnbull L, Kaewkes S et al (2015) Excretory/secretory products of the carcinogenic liver fluke are endocytosed by human cholangiocytes and drive cell proliferation and IL6 production. Int J Parasitol 45(12):773–781

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Botelho MC, Alves H, Richter J (2016) Wound healing and cancer progression in Opisthorchis viverrini associated cholangiocarcinoma. Parasitol Res 115(7):2913–2914

    Article  PubMed  Google Scholar 

  17. Chaiyadet S, Sotillo J, Smout M, Cantacessi C, Jones MK, Johnson MS et al (2015) Carcinogenic liver fluke secretes extracellular vesicles that promote cholangiocytes to adopt a tumorigenic phenotype. J Infect Dis 212(10):1636–1645

    Article  PubMed  PubMed Central  Google Scholar 

  18. Matchimakul P, Rinaldi G, Suttiprapa S, Mann VH, Popratiloff A, Laha T et al (2015) Apoptosis of cholangiocytes modulated by thioredoxin of carcinogenic liver fluke. Int J Biochem Cell Biol 65:72–80

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Surapaitoon A, Suttiprapa S, Khuntikeo N, Pairojkul C, Sripa B (2017) Cytokine profiles in Opisthorchis viverrini stimulated peripheral blood mononuclear cells from cholangiocarcinoma patients. Parasitol Int 66(1):889–892

    Article  CAS  PubMed  Google Scholar 

  20. Thanee M, Loilome W, Techasen A, Sugihara E, Okazaki S, Abe S et al (2016) CD44 variant-dependent redox status regulation in liver fluke-associated cholangiocarcinoma: a target for cholangiocarcinoma treatment. Cancer Sci 107(7):991–1000

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Chng KR, Chan SH, Ng AH, Li C, Jusakul A, Bertrand D et al (2016) Tissue microbiome profiling identifies an enrichment of specific enteric bacteria in Opisthorchis Viverrini associated cholangiocarcinoma. EBioMedicine 8:195–202

    Article  PubMed  PubMed Central  Google Scholar 

  22. Botelho MC, Vale N, Gouveia MJ, Rinaldi G, Santos J, Santos LL et al (2013) Tumour-like phenotypes in urothelial cells after exposure to antigens from eggs of Schistosoma haematobium: an oestrogen-DNA adducts mediated pathway? Int J Parasitol 43(1):17–26

    Article  CAS  PubMed  Google Scholar 

  23. van der Werf MJ, de Vlas SJ, Brooker S, Looman CW, Nagelkerke NJ, Habbema JD et al (2003) Quantification of clinical morbidity associated with schistosome infection in sub-Saharan Africa. Acta Trop 86(2–3):125–139

    Article  PubMed  Google Scholar 

  24. Parkin DM (2006) The global health burden of infection-associated cancers in the year 2002. Int J Cancer 118(12):3030–3044

    Article  CAS  PubMed  Google Scholar 

  25. Hodder SL, Mahmoud AA, Sorenson K, Weinert DM, Stein RL, Ouma JH et al (2000) Predisposition to urinary tract epithelial metaplasia in Schistosoma haematobium infection. Am J Trop Med Hyg 63(3–4):133–138

    Article  CAS  PubMed  Google Scholar 

  26. Stavitsky AB (2004) Regulation of granulomatous inflammation in experimental models of schistosomiasis. Infect Immun 72(1):1–12

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Pearce EJ, MacDonald AS (2002) The immunobiology of schistosomiasis. Nat Rev Immunol 2(7):499–511

    Article  CAS  PubMed  Google Scholar 

  28. Mostafa MH, Sheweita SA, O'Connor PJ (1999) Relationship between schistosomiasis and bladder cancer. Clin Microbiol Rev 12(1):97–111

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Zheng YL, Amr S, Saleh DA, Dash C, Ezzat S, Mikhail NN et al (2012) Urinary bladder cancer risk factors in Egypt: a multicenter case-control study. Cancer Epidemiol Biomark Prev 21(3):537–546

    Article  Google Scholar 

  30. Salem S, Mitchell RE, El-Alim El-Dorey A, Smith JA, Barocas DA (2011) Successful control of schistosomiasis and the changing epidemiology of bladder cancer in Egypt. BJU Int 107(2):206–211

    Article  PubMed  Google Scholar 

  31. Shiff C, Veltri R, Naples J, Quartey J, Otchere J, Anyan W et al (2006) Ultrasound verification of bladder damage is associated with known biomarkers of bladder cancer in adults chronically infected with Schistosoma haematobium in Ghana. Trans R Soc Trop Med Hyg 100(9):847–854

    Article  PubMed  Google Scholar 

  32. Gouveia MJ, Santos J, Brindley PJ, Rinaldi G, Lopes C, Santos LL et al (2015) Estrogen-like metabolites and DNA-adducts in urogenital schistosomiasis-associated bladder cancer. Cancer Lett 359(2):226–232

    Article  CAS  PubMed  Google Scholar 

  33. Santos J, Fernandes E, Ferreira JA, Lima L, Tavares A, Peixoto A et al (2014) P53 and cancer-associated sialylated glycans are surrogate markers of cancerization of the bladder associated with Schistosoma haematobium infection. PLoS Negl Trop Dis 8(12):e3329

    Article  PubMed  PubMed Central  Google Scholar 

  34. Botelho MC, Alves H, Barros A, Rinaldi G, Brindley PJ, Sousa M (2015) The role of estrogens and estrogen receptor signaling pathways in cancer and infertility: the case of schistosomes. Trends Parasitol 31(6):246–250

    Article  CAS  PubMed  Google Scholar 

  35. Nair SS, Bommana A, Bethony JM, Lyon AJ, Ohshiro K, Pakala SB et al (2011) The metastasis-associated protein-1 gene encodes a host permissive factor for schistosomiasis, a leading global cause of inflammation and cancer. Hepatology 54(1):285–295

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Botelho MC, Soares R, Vale N, Ribeiro R, Camilo V, Almeida R et al (2010) Schistosoma haematobium: identification of new estrogenic molecules with estradiol antagonistic activity and ability to inactivate estrogen receptor in mammalian cells. Exp Parasitol 126(4):526–535

    Article  CAS  PubMed  Google Scholar 

  37. Botelho MC, Ribeiro R, Vale N, Oliveira P, Medeiros R, Lopes C et al (2012) Inactivation of estrogen receptor by Schistosoma haematobium total antigen in bladder urothelial cells. Oncol Rep 27(2):356–362

    CAS  PubMed  Google Scholar 

  38. Cavalieri EL, Stack DE, Devanesan PD, Todorovic R, Dwivedy I, Higginbotham S et al (1997) Molecular origin of cancer: catechol estrogen-3,4-quinones as endogenous tumor initiators. Proc Natl Acad Sci U S A 94(20):10937–10942

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Cavalieri EL, Rogan EG (2011) Unbalanced metabolism of endogenous estrogens in the etiology and prevention of human cancer. J Steroid Biochem Mol Biol 125(3–5):169–180

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Ewald PW (2009) An evolutionary perspective on parasitism as a cause of cancer. Adv Parasitol 68:21–43

    Article  PubMed  Google Scholar 

  41. Vittecoq M, Elguero E, Lafferty KD, Roche B, Brodeur J, Gauthier-Clerc M et al (2012) Brain cancer mortality rates increase with Toxoplasma gondii seroprevalence in France. Infect Genet Evol 12(2):496–498

    Article  PubMed  Google Scholar 

  42. Thirugnanam S, Rout N, Gnanasekar M (2013) Possible role of Toxoplasma gondii in brain cancer through modulation of host microRNAs. Infect Agent Cancer 8(1):8

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Thomas F, Lafferty KD, Brodeur J, Elguero E, Gauthier-Clerc M, Missé D (2012) Incidence of adult brain cancers is higher in countries where the protozoan parasite Toxoplasma gondii is common. Biol Lett 8(1):101–103

    Article  PubMed  Google Scholar 

  44. Dirkx M, Boyer MP, Pradhan P, Brittingham A, Wilson WA (2014) Expression and characterization of a β-fructofuranosidase from the parasitic protist Trichomonas vaginalis. BMC Biochem 15:12

    Article  PubMed  PubMed Central  Google Scholar 

  45. Satterwhite CL, Torrone E, Meites E, Dunne EF, Mahajan R, Ocfemia MC et al (2013) Sexually transmitted infections among US women and men: prevalence and incidence estimates, 2008. Sex Transm Dis 40(3):187–193

    Article  PubMed  Google Scholar 

  46. Siegel RL, Miller KD, Jemal A (2015) Cancer statistics, 2015. CA Cancer J Clin 65(1):5–29

    Article  PubMed  Google Scholar 

  47. Shui IM, Kolb S, Hanson C, Sutcliffe S, Rider JR, Stanford JL (2016) Trichomonas vaginalis infection and risk of advanced prostate cancer. Prostate 76(7):620–623

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Zhu Z, Davidson KT, Brittingham A, Wakefield MR, Bai Q, Xiao H et al (2016) Trichomonas vaginalis: a possible foe to prostate cancer. Med Oncol 33(10):115

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xunjia Cheng .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Nature Singapore Pte Ltd.

About this chapter

Cite this chapter

Feng, M., Cheng, X. (2017). Parasite-Associated Cancers (Blood Flukes/Liver Flukes). In: Cai, Q., Yuan, Z., Lan, K. (eds) Infectious Agents Associated Cancers: Epidemiology and Molecular Biology. Advances in Experimental Medicine and Biology, vol 1018. Springer, Singapore. https://doi.org/10.1007/978-981-10-5765-6_12

Download citation

Publish with us

Policies and ethics