Echinococcus granulosus sensu lato in animal intermediate hosts: What is with the organ location?

Organ or tissue tropism/preference in many parasites is essential for their establishment, survival and pathogenesis. In protozoan parasites e.g. Trypanosoma and Plasmodium, tissue tropism is associated with many important aspects such as transmission, treatment, and pathogenesis. In these parasites, tissue tropism is achieved by mechanisms such as sequestration, extravasation, transcellular migration, and vascular permeability. In contrast, little is known about the mechanism behind organ tropism/preference and the potential implication in parasitic metazoans like Echinococcus. Since intraspecies/genetic variation was described for Echinococcus, the organ preference of currently known species and subspecies among animal intermediate hosts remains unclear or perhaps poorly investigated. Here, analysis of 89,359 Echinococcus cysts from different animal intermediate hosts across 47 countries suggests a potential organ distribution pattern in different animal intermediate hosts. For example, E. granulosus s.s. (G1, G3) and E. canadensis (G7) were found more in the liver of sheep and pigs, respectively than in other organs, whereas E. ortleppi and E. canadensis G6 were significantly higher in the lung of cattle and camels, respectively. While the mechanism of organ tropism in Echinococcus and whether it is species/genotype-dependent, host-dependent, or a combination of both is still a subject of future investigations, further and detailed investigation could provide significant information that may be applicable in the diagnosis and treatment of organ-specific cystic echinococcosis or designing host or genotype-specific interventions.