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Metacercariae

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed5 referencesApproximately 5 min read

Encysted cercaria which house the intermediate stages of trematode parasites in tissues of an intermediate host.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (1,023 words), 5 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Encysted cercaria which house the intermediate stages of trematode parasites in tissues of an intermediate host.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Where it fits in the MeSH classification

Broader topics
Cercaria

Research landscape

PubMed indexes 495 records tagged with the MeSH heading “Metacercariae” (counts retrieved 2026-10-31). 188 of them (38.0%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 295 records.

Reviews account for 11 records (2.2%) and meta-analyses for 0. Randomized controlled trials number 2 (0.4%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 9 records; 2000-2009: 3 records; 2010-2019: 295 records; 2020 onward: 188 records9through 199932000-20092952010-20191882020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19999
2000-20093
2010-2019295
2020 onward188
Share of records by publication typeReviews: 2.2 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 0.4 percentReviews2.2% (11)Meta-analyses0.0% (0)Randomized controlled trials0.4% (2)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 495 PubMed records
TypeRecordsShare
Reviews112.2%
Meta-analyses00.0%
Randomized controlled trials20.4%

Method: PubMed query "Metacercariae"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Tracing of the Bile-chemotactic migration of juvenile Clonorchis sinensis in rabbits by PET-CT
Kim TI, Yoo WG, Kwak BK, Seok JW, Hong SJ
2011Research article
Design not recorded in structured metadata
33cc by
PMID 22180795 · DOI · PMC3236719
Identification and characterization of paramyosin from cyst wall of metacercariae implicated protective efficacy against Clonorchis sinensis infection
Wang X, Chen W, Lv X, Tian Y, Men J, Zhang X, et al.
2012Research article
Design not recorded in structured metadata
29cc by
PMID 22470461 · DOI · PMC3312334
3D virtual histology at the host/parasite interface: visualisation of the master manipulator, Dicrocoelium dendriticum, in the brain of its ant host
Martín-Vega D, Garbout A, Ahmed F, Wicklein M, Goater CP, Colwell DD, et al.
2018Research article
Design not recorded in structured metadata
25cc by
PMID 29872086 · DOI · PMC5988677
Evaluation of the antiparasitic efficacy of praziquantel against Prohemistomum vivax (Cyathocotylidae) metacercariae in naturally infected African catfish (Clarias gariepinus)
Abdelsalam M, Abdelkhalek S, Korany RMS, Ibrahim MA, Abdel-Moneam DA, Warda M, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 42162023 · DOI · PMC13190812

Tracing of the Bile-chemotactic migration of juvenile Clonorchis sinensis in rabbits by PET-CT [1]

Research article Kim TI, Yoo WG, Kwak BK, Seok JW, Hong SJ · · 2011 · cited 33 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundAdult Clonorchis sinensis live in the bile duct and cause clonorchiasis.
Closing excerpt
ConclusionIn the duodenum, CsNEJs immediately sense bile and migrate quickly with bile-chemotaxis to reach the intrahepatic bile ducts by way of the ampulla of Vater.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (261 words)

BackgroundAdult Clonorchis sinensis live in the bile duct and cause clonorchiasis. It is known that the C. sinensis metacercariae excyst in the duodenum and migrate up to the bile duct through the common bile duct. However, no direct evidence is available on the in vivo migration of newly excysted C. sinensis juveniles (CsNEJs). Advanced imaging technologies now allow the in vivo migration and localization to be visualized. In the present study, we sought to determine how sensitively CsNEJs respond to bile and how fast they migrate to the intrahepatic bile duct using PET-CT.Methodology/principal findingsCsNEJs were radiolabeled with (18)F-fluorodeoxyglucose ((18)F-FDG). Rabbits with a gallbladder contraction response to cholecystokinin-8 (CCK-8) injection were pre-screened using cholescintigraphy. In these rabbits, gallbladders contracted by 50% in volume at an average of 11.5 min post-injection. The four rabbits examined were kept anesthetized and a catheter inserted into the mid duodenum. Gallbladder contraction was stimulated by injecting CCK-8 (20 ng/kg every minute) over the experiment. Anatomical images were acquired by CT initially and dynamic PET was then carried out for 90 min with a 3-min acquisition per frame. Twelve minutes after CCK-8 injection, about 3,000 (18)F-FDG-labeled CsNEJs were inoculated into the mid duodenum through the catheter. Photon signals were detected in the liver 7-9 min after CsNEJs inoculation, and these then increased in the whole liver with stronger intensity in the central area, presenting that the CsNEJs were arriving at the intrahepatic bile ducts.ConclusionIn the duodenum, CsNEJs immediately sense bile and migrate quickly with bile-chemotaxis to reach the intrahepatic bile ducts by way of the ampulla of Vater.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 22180795 · DOI · PMC3236719

Identification and characterization of paramyosin from cyst wall of metacercariae implicated protective efficacy against Clonorchis sinensis infection [2]

Research article Wang X, Chen W, Lv X, Tian Y, Men J, Zhang X, et al. · · 2012 · cited 29 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Human clonorchiasis has been increasingly prevalent in recent years and results in a threat to the public health in epidemic regions, motivating current strategies of vaccines to combat Clonorchis sinensis (C.
Closing excerpt
sinensis regarding its high immunogenicity and surface localization.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (286 words)

Human clonorchiasis has been increasingly prevalent in recent years and results in a threat to the public health in epidemic regions, motivating current strategies of vaccines to combat Clonorchis sinensis (C. sinensis). In this study, we identified C. sinensis paramyosin (CsPmy) from the cyst wall proteins of metacercariae by proteomic approaches and characterized the expressed recombinant pET-26b-CsPmy protein (101 kDa). Bioinformatics analysis indicated that full-length sequences of paramyosin are conserved in helminthes and numerous B-cell/T-cell epitopes were predicted in amino acid sequence of CsPmy. Western blot analysis showed that CsPmy was expressed at four life stages of C. sinensis, both cyst wall proteins and soluble tegumental components could be probed by anti-CsPmy serum. Moreover, immunolocalization results revealed that CsPmy was specifically localized at cyst wall and excretory bladder of metacercaria, as well as the tegument, oral sucker and vitellarium of adult worm. Both immunoblot and immunolocalization results demonstrated that CsPmy was highly expressed at the stage of adult worm, metacercariae and cercaria, which could be supported by real-time PCR analysis. Both recombinant protein and nucleic acid of CsPmy showed strong immunogenicity in rats and induced combined Th1/Th2 immune responses, which were reflected by continuous high level of antibody titers and increased level of IgG1/IgG2a subtypes in serum. In vaccine trials, comparing with control groups, both CsPmy protein and DNA vaccine exhibited protective effect with significant worm reduction rate of 54.3% (p<0.05) and 36.1% (p<0.05), respectively. In consistence with immune responses in sera, elevated level of cytokines IFN-γ and IL-4 in splenocytes suggested that CsPmy could induce combined cellular immunity and humoral immunity in host. Taken together, CsPmy could be a promising vaccine candidate in the prevention of C. sinensis regarding its high immunogenicity and surface localization.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 22470461 · DOI · PMC3312334

3D virtual histology at the host/parasite interface: visualisation of the master manipulator, Dicrocoelium dendriticum, in the brain of its ant host [3]

Research article Martín-Vega D, Garbout A, Ahmed F, Wicklein M, Goater CP, Colwell DD, et al. · · 2018 · cited 25 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Some parasites are able to manipulate the behaviour of their hosts to their own advantage.
Closing excerpt
We demonstrate the potential of micro-CT to further understand other parasite/host systems in parasitological research.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (200 words)

Some parasites are able to manipulate the behaviour of their hosts to their own advantage. One of the most well-established textbook examples of host manipulation is that of the trematode Dicrocoelium dendriticum on ants, its second intermediate host. Infected ants harbour encysted metacercariae in the gaster and a non-encysted metacercaria in the suboesophageal ganglion (SOG); however, the mechanisms that D. dendriticum uses to manipulate the ant behaviour remain unknown, partly because of a lack of a proper and direct visualisation of the physical interface between the parasite and the ant brain tissue. Here we provide new insights into the potential mechanisms that this iconic manipulator uses to alter its host's behaviour by characterising the interface between D. dendriticum and the ant tissues with the use of non-invasive micro-CT scanning. For the first time, we show that there is a physical contact between the parasite and the ant brain tissue at the anteriormost part of the SOG, including in a case of multiple brain infection where only the parasite lodged in the most anterior part of the SOG was in contact with the ant brain tissue. We demonstrate the potential of micro-CT to further understand other parasite/host systems in parasitological research.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 29872086 · DOI · PMC5988677

Evaluation of the antiparasitic efficacy of praziquantel against Prohemistomum vivax (Cyathocotylidae) metacercariae in naturally infected African catfish (Clarias gariepinus) [4]

Research article Abdelsalam M, Abdelkhalek S, Korany RMS, Ibrahim MA, Abdel-Moneam DA, Warda M, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Prohemistomum vivax (Cyathocotylidae) is a significant parasitic threat in Egyptian African catfish (Clarias gariepinus) aquaculture, causing tissue damage, high prevalence, and economic losses.
Closing excerpt
Given its critical role in human medicine, further research into resistance risks, environmental safety, and regulatory frameworks in aquaculture is recommended.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (276 words)

Prohemistomum vivax (Cyathocotylidae) is a significant parasitic threat in Egyptian African catfish (Clarias gariepinus) aquaculture, causing tissue damage, high prevalence, and economic losses. This study evaluated the dose-dependent efficacy of praziquantel against naturally occurring P. vivax encysted metacercariae (EMC) under controlled laboratory conditions and explored its potential mode of action via molecular docking. A total of 105 naturally infected catfish (150-250 g) were randomly assigned to seven groups. Each treatment consisted of three independent replicate tanks (experimental units), with five fish per tank (n = 15 fish per treatment). Treatments included a control group (0 mg/L) and six praziquantel groups administered as single doses (0.5, 2, or 3 mg/L for 24 h) or double doses repeated after 7 days. Parasitological, histopathological, and pro-inflammatory gene expression analyses (TNF-α, IL-1β) were performed. The highest efficacy was achieved with double-dose 3 mg/L, resulting in 94.2 ± 2.1% parasite reduction (p < 0.001), with clear dose-dependent trends (single-dose: 28.8-67.9%; double-dose: 43.7-94.2%). Histopathological analysis showed reduced cyst burden and tissue lesions, while inflammatory markers were significantly downregulated in treated groups. To investigate praziquantel's mechanism of action, in silico docking targeted P. vivax cytochrome c oxidase subunit I (COI), a key mitochondrial enzyme. Praziquantel exhibited strong binding affinity (-6.1 kcal/mol; RMSD = 0.0 Å), forming stable hydrophobic interactions with conserved residues (Val55A, Ala58A, Leu88A, Phe91A, Trp142A). The localization of Trp142A within the active site suggests potential enzyme inhibition, supporting a mitochondrial mechanism of action. These findings confirm praziquantel's effectiveness against P. vivax EMC and identify COI as a potential molecular target. Given its critical role in human medicine, further research into resistance risks, environmental safety, and regulatory frameworks in aquaculture is recommended.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42162023 · DOI · PMC13190812

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Current status of Paragonimus and paragonimiasis in Ecuador [5]
    Calvopiña M, Calvopiña M, Romero D, Castañeda B, Hashiguchi Y, Sugiyama H · Mem Inst Oswaldo Cruz · 2014 · cited 23 times (Europe PMC)

References

  1. Kim TI, Yoo WG, Kwak BK, Seok JW, Hong SJ. Tracing of the Bile-chemotactic migration of juvenile Clonorchis sinensis in rabbits by PET-CT. . 2011. PMID 22180795 · DOI · PMC3236719
  2. Wang X, Chen W, Lv X, Tian Y, Men J, Zhang X, et al.. Identification and characterization of paramyosin from cyst wall of metacercariae implicated protective efficacy against Clonorchis sinensis infection. . 2012. PMID 22470461 · DOI · PMC3312334
  3. Martín-Vega D, Garbout A, Ahmed F, Wicklein M, Goater CP, Colwell DD, et al.. 3D virtual histology at the host/parasite interface: visualisation of the master manipulator, Dicrocoelium dendriticum, in the brain of its ant host. . 2018. PMID 29872086 · DOI · PMC5988677
  4. Abdelsalam M, Abdelkhalek S, Korany RMS, Ibrahim MA, Abdel-Moneam DA, Warda M, et al.. Evaluation of the antiparasitic efficacy of praziquantel against Prohemistomum vivax (Cyathocotylidae) metacercariae in naturally infected African catfish (Clarias gariepinus). . 2026. PMID 42162023 · DOI · PMC13190812
  5. Calvopiña M, Calvopiña M, Romero D, Castañeda B, Hashiguchi Y, Sugiyama H. Current status of Paragonimus and paragonimiasis in Ecuador. Mem Inst Oswaldo Cruz. 2014. PMID 25410987 · DOI · PMC4296488

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

495
PubMed records on this heading
38%
published since 2020
11
review articles
2
randomized trials
5
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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