Schistosoma mansoni: mechanism of attrition and routes of migration from lungs to hepatic portal system in the laboratory mouse.

The number of schistosomula in the axillary lymph nodes of mice was determined by compressed tissue autoradiography at 13 intervals from 0.5 to 28 days after exposure of abdominal skin to 75Se-labeled cercariae of S. mansoni. Significant accumulations were observed between days 3 and 6 and peaked on day 4 at which time 9.4 +/- 1.1% of the schistosomula present in the whole body were found in the axillary lymph nodes. The total number and distribution of schistosomula in all tissues of mice were likewise determined at 12 intervals from 3 to 24 days following exposure. The frequent appearance of small numbers of schistosomula in trachea and esophagus suggested that normal attrition resulted at least in part from physical expulsion of schistosomula from the body by way of the tracheobronchial tree and gastrointestinal tract. The distribution of schistosomula observed in heart chambers, caudal vena cava, hepatic portal vein, aorta, intestinal wall, thoracic cavity rinses, and diaphragm supported all 3 standing hypotheses regarding route of migration from lungs to hepatic portal system, i.e., that schistosomula migrate via (1) the pulmonary artery, right heart, caudal vena cava, and hepatic veins, (2) the pulmonary vein, left heart, aorta, and cranial mesenteric artery, and (3) the thoracic cavity and diaphragm.