Cestoda


Cestoda is a class of parasitic worms in the flatworm phylum (Platyhelminthes). Most of the species—and the best-known—are those in the subclass Eucestoda; they are ribbon-like worms as adults, known as tapeworms. Their bodies consist of many similar units known as proglottids—essentially packages of eggs which are regularly shed into the environment to infect other organisms. Species of the other subclass, Cestodaria, are mainly fish infecting parasites.

All cestodes are parasitic; many have complex life histories, including a stage in a definitive (main) host in which the adults grow and reproduce, often for years, and one or two intermediate stages in which the larvae develop in other hosts. Typically the adults live in the digestive tracts of vertebrates, while the larvae often live in the bodies of other animals, either vertebrates or invertebrates. For example, Diphyllobothrium has at least two intermediate hosts, a crustacean and then one or more freshwater fish; its definitive host is a mammal. Some cestodes are host-specific, while others are parasites of a wide variety of hosts. Some six thousand species have been described; probably all vertebrates can host at least one species.

The adult tapeworm has a scolex (head), a short neck, and a strobila (segmented body) formed of proglottids. Tapeworms anchor themselves to the inside of the intestine of their host using their scolex, which typically has hooks, suckers, or both. They have no mouth, but absorb nutrients directly from the host's gut. The neck continually produces proglottids, each one containing a reproductive tract; mature proglottids are full of eggs, and fall off to leave the host, either passively in the feces or actively moving. All tapeworms are hermaphrodites, with each individual having both male and female reproductive organs.

Humans are subject to infection by several species of tapeworms if they eat undercooked meat such as pork (Taenia solium), beef (T. saginata), and fish (Diphyllobothrium), or if they live in, or eat food prepared in, conditions of poor hygiene (Hymenolepis or Echinococcus species). The unproven concept of using tapeworms as a slimming aid has been touted since around 1900.

All 6000 species of Cestoda are parasites, mainly intestinal; their definitive hosts are vertebrates, both terrestrial and marine, while their intermediate hosts include insects, crustaceans, molluscs, and annelids as well as other vertebrates.[2]T. saginata, the beef tapeworm, can grow up to 20 m (65 ft); the largest species, the whale tapeworm Tetragonoporus calyptocephalus, can grow to over 30 m (100 ft).[3][4] Species with small hosts tend to be small. For example, vole and lemming tapeworms are only 13–240 mm (0.5–9.4 in) in length, and those parasitizing shrews only 0.8–60 mm (0.03–2.36 in).[5]

Cestodes have no gut or mouth[6] and absorb nutrients from the host's alimentary tract through their specialised neodermal cuticle, or tegument,[7] through which gas exchange also takes place.[2] The tegument also protects the parasite from the host's digestive enzymes[8] and allows it to transfer molecules back to the host.[7]


Scolex of Taenia solium with hooks and bothria present.
Two proglottids of Taenia solium. This species has 7 to 13 branches of the uterus on each side (above and below in this micrograph).
Life cycle of the eucestode Taenia: Inset 5 shows the scolex, a disk with hooks on the end. Inset 6 shows the tapeworm's whole body, in which the scolex is the tiny, round tip in the top left corner, and a mature proglottid has just detached.[19]
Life cycle of Diphyllobothrium latum relies on at least three hosts, crustaceans, fish, and humans. Other fish-eating mammals like bears can equally serve as definitive hosts.[20]
Gyrocotylidea: body flatwormlike, not divided into proglottids
Amphilinidea: body wormlike, not divided into proglottids
"Tetraphyllidea": elaborate four-leaved scolex
Image purportedly offering "sanitized tape worms jar packed" under the heading "Fat! the enemy that is shortening your life - banished!". It promises "no ill effects", but side effects include diarrhea and abdominal pain.[34][35]