Strongyloides ratti is a parasitic nematode that causes transient infections in laboratory mice, displaying tissue-migrating and intestinal life stages. Here, we present a protocol for the maintenance of the parasite cycle in rats and experimental infection of mice, including parasite quantification in the head, lung, and intestine.
Strongyloides ratti is a parasitic nematode that naturally infects wild rats. However, most laboratory rat and mouse strains are fully susceptible to infection. Immunocompetent BALB/c and C57BL/6 mice terminate S. ratti infections within a month in the context of a canonical type 2 immune response and remain semi-resistant to a re-infection. The course of infection can be divided into three phases: (a) the tissue migration phase of the infective third-stage larvae during the first two days; (b) the early intestinal phase, including the molting to the adult parasites and embedding in the mucosa of the intestine in days 3 to 6 post-infection with reproduction starting by day 5 to 6 post-infection; (c) the later intestinal phase ending with the complete clearance of the parasites. Experimental infections of mice with S. ratti enable the precise study of host-parasite interactions throughout the whole life cycle at the different sites of infection, as well as immune evasion strategies employed by the parasite. The protocol presented here describes the maintenance of the parasite in Wistar rats, the infection of laboratory mice, and the detection and quantification of S. ratti parasites in the tissue migrating phase and during the intestinal phase.
The soil-transmitted helminth Strongyloides stercoralis causes Strongyloidiasis, a disease often referred to as the most neglected among the neglected tropical diseases1. Estimates from 2020 suggest 600 million infections with S. stercoralis worldwide2. Hypothesis-driven laboratory research on S. stercoralis is limited since the helminth is not able to develop past the third-stage larvae (L3) in mice3,4. Hence, the rodent-specific nematode Strongyloides ratti is commonly used for in vivo infection studies in laboratory mice5,6. S. ratti is a natural parasite of wild rats, but most laboratory mouse strains are fully susceptible to infection7. This enables the study of host-pathogen interaction and immune responses throughout different tissues and live stages of the helminth.
The laboratory cycle of S. ratti in mice can be divided into three main phases. After subcutaneous injection of a defined number of infective third-stage larvae (iL3), usually 1000 to 2000, the majority (around 90 %) of the surviving L3 migrate to the head of the mice during the first two days of infection, and only a very small fraction (around 10 %) is retrieved in the lung8. S. ratti actively penetrates the skin of its rodent host. It is possible to mimic this natural infection route in the laboratory by placing a drop of water containing iL3 on the skin of mice and allowing active percutaneous infection9. However, the infection efficacy is much lower, and control of the exact infection dose is not possible. The exact migration route taken by S. ratti iL3, either after percutaneous or subcutaneous (s.c.) infection, remains unknown. However, as no S. ratti DNA can be detected in the blood or organs well supplied with blood, like the kidneys of infected mice8, the primary migration route may not include the bloodstream. Still, S. ratti does not migrate randomly throughout the tissues. Rather, several studies using histology in mice3,10 and rats11 or quantification of viable L3 and S. ratti-derived DNA retrieved from various tissues8 provide evidence that S. ratti L3 migrates from the site of infection directly through skin and muscle tissue predominantly to the nasofrontal region of the head.
Roughly 10 % of the injected larvae survive the tissue migration and reach the head in C57BL/6 and BALB/c mice that display comparable L3 numbers in the head tissue12. Larvae are thought to be swallowed to reach the intestine by day 3 post-infection (p.i.). They embed into the mucosa of the small intestine, molt to adult female parasites, and start reproducing by parthenogenesis by day 5 to day 6 p.i.13. Eggs, but mostly already hatched first-stage larvae (L1), are released into the intestine and are secreted with feces. The peak of the number of adult females is reached around day 6 p.i.14. Interestingly, C57BL/6 mice display a 2- to 5-fold higher intestinal parasite burden than BALB/c mice despite comparable numbers of tissue-migrating L3 in the head in both mouse strains12. During the first week, the intestinal parasite burden in immunocompetent C57BL/6 mice and RAG1 knock-out (KO) mice that lack B and T cells is alike, suggesting that early parasite control is mediated through innate immunity12,15. In the last phase, the parasites are expelled from the intestine within 2 to 4 weeks p.i. in immunocompetent mice (reviewed in6). RAG1 KO mice are not able to clear the infection and contain low numbers of viable and reproducing female adults in the small intestine for up to 1 year12.
After a resolved first infection or immunization with irradiated L3, immunocompetent C57BL/6 and BALB/c mice are semi-resistant to re-infection. Only 1 % of the initial inoculated iL3 reach the head, and only approximately 1-5 adult parasites can be retrieved from the intestine during a second infection8. Thus, the use of the laboratory infection of mice with S. ratti provides a tool to study the impact of the innate as well as adaptive immune system during the complete life cycle of an intestinal nematode with tissue migration phases.
In this manuscript, we provide a detailed description of the maintenance of the S. ratti life cycle in Wistar rats as well as experimental infection of mice and quantification of parasite burden at the different sites of infection. By the exact quantification of S. ratti parasite burden in the head and lung tissue as well as in the intestine of experimental mice, it is possible to dissect the role of certain immune effectors against either the tissue-migrating or the intestinal life stage of this parasitic nematode. Immune responses in wildtype mice and mice lacking specific immune effector cells, receptors, or mediators of interest can be compared as explained in detail in the discussion5,6.
Animal experiments were conducted in accordance with the German Animal Welfare Act, and experimental protocols were approved by the German authority (Behörde für Gesundheit und Verbraucherschutz) of the State of Hamburg. Figure 1 provides an overview of the maintenance of S. ratti's life cycle in Wistar rats and the production of iL3 for infection of experimental mice or rats.
1. Preparation of infectious larvae
2. Infection of mice
NOTE: Prepared iL3 can be stored in PBS/Pen-Strep at 4 °C in a 50 mL tube that should be kept horizontally to avoid damaging the iL3. Viability in vitro indicated by the vivid movement of iL3 is unchanged for up to 1 week in our hands. As there is no systematic comparison of the infectivity of L3 after different storage times, we use freshly prepared iL3 and stored iL3 for a maximum of 24 h after preparation as an internal standard. Infections with older iL3 batches are possible. However, it is mandatory to use the same iL3 batch for infection of different groups within one experiment. Infections of mice should preferably be done by two persons, with one person holding the mouse and another performing the injection.
3. Counting of iL3 in the head and lung of infected mice
4. Counting of S. ratti parasites in the intestine of infected mice
5. S. ratti maintenance in Wistar rats
NOTE: Rat infections should preferably be done by two people, with one person holding the rats and another performing the injection. To maintain the parasite cycle, 4-8-weeks-old Wistar rats are infected.
6. Charcoal culture
S. ratti migrates from the site of infection predominantly to the head and later to the intestine on a route that is not exactly defined. To investigate the exact localization in the head tissue and the intestine, C57BL/6 mice were infected with 1000 iL3 into the left hind foot pad. Mice were sacrificed on day 1 to day 14 p.i. and S. ratti parasites were quantified in the anterior and posterior head, brain, and lung (Figure 2) as well as in the duodenum, jejunum, ileum, caecum, and colon (Figure 3).
At day 1 p.i., the first L3 reached the head, showing a uniform distribution (Figure 2A). In addition, a small fraction of larvae was retrieved in the lungs on day 1 p.i. (Figure 2B). L3 numbers increased markedly on day 2 p.i. to an average of 174 L3 ± 13 in the head and an average of 17 ± 1.7 in the lung. Thus, the majority of L3 (around 90%) is retrieved from the head and only around 10% from the lungs. Most L3 (mean 93 ± 13.3) were localized in the anterior side of the head, but also around 41 ± 4.7 L3 larvae were localized in the posterior side of the head and around 39 ± 5.8 in the brain. In line with this observation, the presence of L3 in the brain and the cerebrospinal fluid was reported at 24 h p.i. and with a maximum at 48 h p.i. in C57BL/6 mice after percutaneous infection20. A distinct decrease in the total L3 numbers was observed on day 3 p.i. compared to the larvae burden on day 2 p.i. and no L3 were retrieved from head tissue on day 4 p.i. (Figure 2A). Accordingly, the arrival of S. ratti parasites was detected in the intestine on day 4 p.i. (Figure 3A). To allow a precise definition of parasite localization, the intestine was subdivided into distinct segments, i.e., duodenum, jejunum, ileum, caecum, and colon (Figure 3B). On day 4, p.i., the majority of S. ratti parasites were localized in the duodenum and the first two-thirds of the jejunum (Figure 3A). This localization was consistent until day 6 p.i. From day 7 p.i. onward, the majority of S. ratti adults were localized in the caecum, where they persisted until day 9 p.i. (Figure 3A). Parasite numbers in the caecum dropped by day 11 p.i. to around 20 and to 0 by day 14 p.i. We did not retrieve significant numbers of parasites from the remaining colon at any time point analyzed except approximately 5-11 parasites by day 11 p.i. While the localization of S. ratti parasites changed from day 4 to day 9 p.i. and the majority of adults were ejected from the small intestine after day 7 p.i., the total numbers retrieved from the whole intestine remained constant until day 9. Viable L1 was not quantified but is detectable from day 4 to day 11, with peak on day 6 (data not shown).
Figure 1: Maintenance of S. ratti life cycle in rats and mice. Wistar rats are injected s.c. into the nuchal fold with 2500 iL3. After 6- 15 days, p.i. their feces are collected, mixed with water-soaked activated charcoal, arranged with a gradient and covered with a transparent film, including air holes. This culture is incubated for 6-7 days at 25 °C and 90% humidity. The iL3 are isolated using the Baermann apparatus and washed 3x with PBS/Pen-Strep. Experimental mice are injected with 1000 iL3 subcutaneously into the hind footpad. Created with BioRender.com. Figure 1 was created in BioRender. Linnemann, L. (2024) https://BioRender.com/g80l370. Please click here to view a larger version of this figure.
Figure 2: Quantification of S. ratti in the lung and head tissue over time. C57BL/6 mice were s.c. injected with 1000 iL3 in the hind foot pad. Mice were sacrificed at the indicated time points, and S. ratti parasites in (A) head and (B) lung were counted. Each symbol represents the L3 counts of an individual mouse; the bar graph shows the mean value, and error bars indicate SEM. The graphs show combined data from individual experiments. Day 1: two independent experiments with n=4 per time point and experiment; day 2: four independent experiments with n=4, n=4, n=6, and n=3; day 3: two independent experiments with n=4 and n=3; day 4: one experiment with n=5. (C) Schematic cartoon showing the individual regions of the head used for isolation. The red dashed line indicates the incision path. Figure 2C was created in BioRender. Linnemann, L. (2024) https://BioRender.com/t83e660. Please click here to view a larger version of this figure.
Figure 3: Quantification of S. ratti in the intestine regions over time. Male C57BL/6 mice were s.c. injected with 1000 iL3 in the hind foot pad. (A) Mice were sacrificed at the indicated time points, and S. ratti parasites except L1 were counted in the following regions: duodenum, jejunum 1-3, ileum, caecum, and colon. (B) Schematic overview of the different intestinal regions. Each symbol represents the parasite counts of an individual mouse; the bar graph shows the mean, and error bars indicate SEM. Shown is combined data from individual experiments. Day 4: two independent experiments with n=4 and n=6 mice; Day 5: two independent experiments with n=4 and n=6; Day 6: two independent experiments with n=4 and n=6; Day 7: two independent experiments with n=6 and n=3; Days 8 to 14: one experiment with n=3. SI: small intestine. Figure 3B was created in BioRender. Linnemann, L. (2024) https://BioRender.com/h27y297. Please click here to view a larger version of this figure.
The infection of experimental mice with S. ratti represents an excellent model to study the nature of protective immune responses to helminth infections at multiple sites and stages of immunity. Using different KO mouse lines and cell- or cytokine-depletion models, the role of specific immune cells, mediators, or receptors can be studied in an acute helminth infection model. The possibility to quantify the parasite burden in the head as well as in the intestine offers the possibility to differentiate the role of immune cells and effectors in various tissues and phases during the parasite's life cycle. Depletion of specific cell types through antibody injections allows the study of their role, specifically during the intestinal immune response if the depleting treatment starts after the tissue migrating phase is completed. If desired, the intestine can further be subdivided into duodenum, jejunum, ileum, caecum, and colon to detect even minor shifts in the parasite localization or clearance kinetics. It should be noted that the inter- and intra-experimental variation in these infection experiments, even in inbred mice, is rather high, reflecting the variation introduced by the interaction of parasite and host as well as different batches of S. ratti L3 displaying different infection efficacy (see Figure 2 and Figure 3). To reduce variability, the age and sex of the experimental mice should be similar. Moreover, if KO and WT mice are compared, it is highly advisable to use littermate controls instead of WT mice derived from an independent breeding colony. Nevertheless, if sufficient sample sizes are used, it is possible to generate reliable results comparing parasite burden in mice deficient or competent for certain effectors, leading to a clear picture of immune effectors involved in the protective immune response to S. ratti (reviewed in 6).
A key distinguishing feature of S. ratti compared to other nematode infection models, such as the closely related S. venezuelensis or N. brasiliensis, is the larvae's unique route of migration within the host. Unlike N. brasiliensis and S. venezuelensis, whose life cycles both contain a pulmonary phase21,22,23 S. ratti primarily bypasses the lung and migrates through the muscle and skin tissue to the head8,12. Only approximately 10% of the surviving parasites on day 2 p.i. are found in the lungs. Meanwhile, the location of S. ratti in the head focuses on the nasofrontal region, in line with previous studies8. These characteristics make S. ratti a valuable model for studying the host-parasite interactions, specifically in skin and muscle tissue as well as in the tissue draining lymph nodes and enables studies on the immune responses that may be obscured or complicated by an extended pulmonary involvement as in other nematode infection models. Strikingly, S. ratti L3 is also retrieved from the cerebrospinal fluid20 and the brain (Figure 2A), although infection-induced neurological symptoms or death are relatively rare and have never been observed in our animal facility. Future research may elucidate if these brain-localized parasites are trapped or if a path to the intestine exists.
The genus Strongyloides also has the unique ability to form free-living generations between the parasitic generations24. These free-living stage of S. ratti, as well as its reproduction by pathogenesis, furthermore facilitates the generation of transgenic larvae. The use of microinjections into free-living females enabled the generation of larvae expressing model antigens like 2W1S fused to a green fluorescent protein. While the expression of the epitope was lost during molting to adults, it enabled the tracking and characterization of S. ratti-specific CD4+ T cells in the lung and lung-draining mediastinal lymph nodes25. This approach provides an excellent tool for studying CD4+ T cell biology in the context of helminth infections and anti-helminth vaccine development.
S. ratti is a versatile model organism for immunological research of helminth parasites that display tissue migrating and intestinal life stages in general. Human S. stercoralis infections are marked by extreme chronicity due to the occurring autoinfection, which may also lead to hyperinfection syndrome in immunosuppressed hosts, mostly patients receiving glucocorticoid therapy post-transplantation26. It should be noted that this aspect of autoinfection and hyperinfection is difficult to model in mice. Neither S. ratti-infected RAG1 KO nor nude mice5,27 are susceptible to hyperinfection. Of note, one murine model of hyperinfection with S. stercoralis was established using glucocorticosteroid-treated severely immunocompromised mice (NOD.Cg-PrkdcscidIl2rgtm1Wjl/SzJ), which may allow the analysis of at least aspects of the hyperinfection syndrome in mice eventually28.
Nevertheless, studies utilizing S. ratti infection in mice demonstrated that eosinophils and neutrophils play a non-redundant role in eradicating tissue-migrating larvae. The depletion or absence in genetically modified mice resulted in elevated L3 numbers in the head8. While mast cells and basophilic granulocytes were dispensable during the tissue migration phase, both mast cells and basophils contributed to controlling intestinal parasite burden. Their absence did not affect L3 numbers in the tissue but elevated the numbers of adult S. ratti parasites in the intestine on day 6 p.i.12,29. Further analysis revealed that the absence of basophils or selectively connective-tissue mast cells allowed infection termination with WT kinetics. By contrast, mice lacking connective tissue and mucosal mast cells remained infected for 20 weeks12. These findings unveiled a pivotal role for mucosal mast cells in final infection termination, underscoring the value of this infection model in elucidating the function of mucosal mast cells during helminth infection. The further definition of potential changes in the intestinal localization of S. ratti parasites in the absence of certain immunological effector cells will help to define their function in anti-helminth immunity even more precisely.
Furthermore, immune-evasive mechanisms employed by helminths to facilitate their survival may be studied in this system. It was shown that depletion of Foxp3+ regulatory T cells or deletion of a regulatory receptor on effector T cells, which were both induced during S. ratti infection, reduced the parasite burden day 6 p.i. and larval output throughout infection15,16,30,31. Furthermore, it was possible to define the intestine as the tissue targeted by immune evasion and IL-9-mediated mast cell activation as the immune pathway suppressed. Finally, the mechanism of ILC2-mediated initiation of type 2 immunity by tissue-derived alarmin cytokines such as IL-33 can be studied using suppressors and enhancers of endogenous IL-3332.
The isolation of large numbers of iL3 via the Baermann presents the possibility for further in vitro studies. Co-cultures of L3 with immune cells or potential drug candidates enable direct investigation of the effects on L3 viability and motility. Ex vivo restimulation of cells isolated from infected mice with S. ratti antigen lysate or viable L3 provides a platform to study cytokine production across various cell types. Finally, protein and lipid fractions of L3 may be used for the identification of S. ratti-derived pathogen-associated molecular patterns or immunomodulatory effector molecules
As helminth infections still present a major health burden globally, research to further elucidate the immune responses induced by helminths and the evasion mechanism employed by the parasites remains pivotal to improving treatment options and developing preventive strategies such as vaccinations. S. ratti infection in mice presents a versatile model for research on helminth-host interactions during an acute infection model.
This work was supported by the Jürgen Manchot Foundation and the German Research Association (Grant BRE 3754/6-1 and BRE 3754/10-1). Figures 1, 2C, and 3B were created in BioRender.com.
Name | Company | Catalog Number | Comments |
50 ml tubes | Sarstedt, Nmbrecht, DE | 6,25,47,254 | 50 ml https://www.sarstedt.com/produkte/labor/reagenz-zentrifugenroehren/roehren/produkt/62.547.254/ |
BD Micro-Fine U100 Insulin 0.5 ml | BD Bioscience | 7468077 | 0.5 ml https://www.bestimed.de/bd-micro-fine-insulinspritze-05-ml-u100-8-mm-100x05ml-324825.html |
centrifugeation tubes | Sarstedt, Nümbrecht, DE | 72,706 | 1.5 ml https://www.sarstedt.com/produkte/labor/mikro-schraubroehren-reagiergefaesse/reagiergefaesse/produkt/72.706/ |
Charcoal | Roth | 0998.3 | 5 kg https://www.carlroth.com/de/de/aktivkohle/aktivkohle/p/0998.3 |
Falcon 6-well Clear Flat Bottom, not treated cell multiwell culture plate, with Lid, sterile | Corning | 351146 | 6-well https://www.corning.com/emea/de/search.html?_cookie=false &searchText=351146&search-initialcatalog =Corporate+Communications& initialResultType=products |
Freezer & Refrigerator | Liebherr-Hausgeräte, Rostock, DE | ||
Greiner Bio-One 24-Well-Platten für Zellkulturen aus Polystyrol | Fisher Scientific | 10177380 | 24-well https://www.fishersci.de/shop/products/polystyrene-24-well-cell-culture-multiwell-plate/10177380#?keyword=24-well |
Incidin Premium Wipes | Ecolab Healthcare | 100 10 279 | https://www.ecolabhealthcare.de/website/seiten/produkte/flaechendesinfektion/tuecher/incidin_premium_wipes.php |
Incubator 25°C | Heraeus Instruments, Hanau, DE | ||
Incubator 37°C | Heraeus Instruments, Hanau, DE | ||
Microscope | Helmut Hund, Wetzlar, DE | 4 x objectiv lens, 10 x ocular lens | |
Parafilm M | Parafilm | 11772644 | 4 in. X 125 ft. https://www.fishersci.de/shop/products/parafilm-m-laboratory-wrapping-film-2/11772644 |
Penicillin/Streptomycin (Pen-Strep) | Capricorn | PS-B | 100x https://www.capricorn-scientific.com/en/shop/penicillin-streptomycin-pen-strep-100x~p1205 |
ROTI Fair 10x PBS 7.4 | Roth | 1105.1 | https://www.carlroth.com/de/de/fertigloesungen-tabletten-portionsbeutel/rotifair-10x-pbs-7-4/p/1105.1 |
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