Neuronally sensed oxygen drives behavior and development in human-infective, skin-penetrating nematodes.

Parasitic nematodes infect over a billion people worldwide and cause some of the most prevalent neglected tropical diseases1-5. Many of these parasites are skin penetrating and have both extra-host life stages that inhabit host feces and surrounding soil, and intra-host life stages that inhabit host niches such as skin, vasculature, and intestine2,6-8. Across life stages, these parasites encounter oxygen (O2) levels that range from ~21% at the soilair interface to near-anaerobic levels in the host intestine9-12. However, whether parasitic nematodes detect and respond to changes in O2 levels was unknown. Here, we examine O2 sensation in skin-penetrating parasitic nematodes and find that they show robust responses to changes in O2 levels. Moreover, their O2-evoked behaviors differ from those of the free-living nematode Caenorhabditis elegans. We then investigate the molecular and neural mechanisms of O2 sensing in Strongyloides stercoralis, a genetically tractable human-infective nematode, and find that parasite-specific behavioral responses to O2 arise in part from evolutionary changes in their soluble guanylate cyclase repertoire. Finally, we find that neuronal O2 sensing regulates intrahost development in S. stercoralis. Our results demonstrate that skin-penetrating nematodes exhibit neuronally mediated O2 responses that are critical for multiple steps of their parasitic life cycle.