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Environmental Toxicology and Chemistry—Volume 00, Number 00—pp. 1–14, 2023
Received: 9 February 2023
|
Revised: 16 March 2023
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Accepted: 4 June 2023 1
Environmental Toxicology
Parasites and Pollutants: Effects of Multiple Stressors
on Aquatic Organisms
Daniel Grabner,
a,
* Louisa E. Rothe,
a
and Bernd Sures
a,b,c
a
Aquatic Ecology and Centre for Water and Environmental Research, University of Duisburg‐Essen, Essen, Germany
b
Research Center One Health Ruhr, Research Alliance Ruhr, University Duisburg‐Essen, Essen, Germany
c
Water Research Group, Unit for Environmental Sciences and Management, North‐West University, Potchefstroom, South Africa
Abstract: Parasites can affect their hosts in various ways, and this implies that parasites may act as additional biotic stressors
in a multiple‐stressor scenario, resembling conditions often found in the field if, for example, pollutants and parasites occur
simultaneously. Therefore, parasites represent important modulators of host reactions in ecotoxicological studies when
measuring the response of organisms to stressors such as pollutants. In the present study, we introduce the most important
groups of parasites occurring in organisms commonly used in ecotoxicological studies ranging from laboratory to field
investigations. After briefly explaining their life cycles, we focus on parasite stages affecting selected ecotoxicologically
relevant target species belonging to crustaceans, molluscs, and fish. We included ecotoxicological studies that consider the
combination of effects of parasites and pollutants on the respective model organism with respect to aquatic host–parasite
systems. We show that parasites from different taxonomic groups (e.g., Microsporidia, Monogenea, Trematoda, Cestoda,
Acanthocephala, and Nematoda) clearly modulate the response to stressors in their hosts. The combined effects of envi-
ronmental stressors and parasites can range from additive, antagonistic to synergistic. Our study points to potential draw-
backs of ecotoxicological tests if parasite infections of test organisms, especially from the field, remain undetected and
unaddressed. If these parasites are not detected and quantified, their physiological effects on the host cannot be separated
from the ecotoxicological effects. This may render this type of ecotoxicological test erroneous. In laboratory tests, for
example to determine effect or lethal concentrations, the presence of a parasite can also have a direct effect on
the concentrations to be determined and thus on the subsequently determined security levels, such as predicted no‐effect
concentrations. Environ Toxicol Chem 2023;00:1–14. © 2023 The Authors. Environmental Toxicology and Chemistry
published by Wiley Periodicals LLC on behalf of SETAC.
Keywords: Aquatic toxicology; Contaminants; Ecotoxicology; Environmental toxicology; Stressor
INTRODUCTION
In ecotoxicological studies, various test organisms are used
for either laboratory or field investigations to assess the effects
of pollutants at various levels. In many cases, these test or-
ganisms might be infected by parasites. In fact, it is estimated
today that the number of parasite species ranges from one
third to over one half of the earth's total biodiversity
(Poulin, 2014; Poulin & Morand, 2004), therefore parasites are
common in most field‐collected test organisms used to study
toxicant effects. Because parasites often act as an additional
stressor, they will likely affect the outcome of ecotoxicological
studies (Marcogliese & Pietrock, 2011; Sures et al., 2023; Sures,
Nachev, Selbach, et al., 2017). Adverse effects of parasites on
the health of their hosts can usually be expected given the fact
that they have long been recognized as important pathogens
of different organisms, among them humans and livestock
(Sures, Nachev, Pahl, et al., 2017). The harm associated with
parasites has long been the main reason to study parasites,
which ended up in a wealth of medical and veterinary text-
books about their pathogenic effects and their possible treat-
ment. Following this initial awareness of parasites several key
studies demonstrated the wide distribution of parasites in wild
animals and gave examples of their ecological implications and
effects on ecosystem processes (e.g., Hudson et al., 2006;
Poulin, 1999; Timi & Poulin, 2020; Tompkins et al., 2011; Wood
& Johnson, 2015). In this context, it has to be noted that effects
This is an open access article under the terms of the Creative Commons
Attribution‐NonCommercial‐NoDerivs License, which permits use and
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Published online 7 June 2023 in Wiley Online Library
(wileyonlinelibrary.com).
DOI: 10.1002/etc.5689
* Address correspondence to daniel.grabner@uni-due.de
are often more severe for intermediate hosts compared with
the final host in the life cycle, particularly if the parasite is
trophically transmitted. Furthermore, some parasites do not
cause obvious effects on their hosts (Øverli & Johansen, 2019).
According to our common understanding, we can define a
parasite as an organism that lives in or on another organism of a
different species (host) and has some effect on the host that has
mostly a negative, but sometimes also a positive, effect on the
host fitness (Bollache et al., 2002; Cornet et al., 2009; Giari
et al., 2020; Helluy, 2013; Jacquin et al., 2014; Marcogliese,
2004, 2005; Piscart et al., 2007; Sures, Nachev, Pahl, et al., 2017;
Thomas et al., 2000). Although this definition might also include
bacteria and viruses, the word “parasites”as opposed to
“pathogens”oftenrefersonlytoeukaryoticorganisms.Inthe
following sections, we use the term “parasite”in this sense.
Besides the consumption of host resources, parasites can mod-
ulate various host body functions such as the immune and hor-
mone system, metabolism and energy storage, the general stress
response (e.g., heat shock protein 70 [hsp70], cortisol), oxidative
stress, and other biomarkers (Ford & Fernandes, 2005; Marco-
gliese & Pietrock, 2011; Minguez et al., 2009; Morley, 2006;
Poulin, 1992; Sures, 2006, 2008a, 2008b; Sures, Nachev, Sel-
bach, et al., 2017; Tekmedash et al., 2016). In addition, several
parasites can accumulate toxicants and can reduce the tissue
concentrations in the host, which might, as a consequence, lead
to a different stress response in infected versus uninfected
hosts (Nachev & Sures, 2016; Sures & Nachev, 2022; Sures
et al., 2023). Before going into details with respect to possible
parasite–pollutant interactions and their combined effects on
hosts and ecotoxicologically relevant parameters, we will give a
brief overview of the most important groups of parasites occur-
ring regularly in selected ecotoxicological target species be-
longing to crustaceans, molluscs, and fish.
ECOTOXICOLOGICALLY RELEVANT
PARASITE TAXA
Some parasite groups occur frequently in test organisms
that are used in ecotoxicological studies and can have a sig-
nificant impact on the response to further stressors. We briefly
summarize the life cycles of the major parasite groups that are
relevant for our review.
Microsporidia
Taxonomically, the Microsporidia are closely related to the
fungi and belong to the group Opisthosporidia (Bojko
et al., 2022). They can parasitize a wide variety of hosts, in-
cluding crustacea and other invertebrates or fish, where they
develop intracellularly in various tissues, depending on the
microsporidian species. Transmission can be horizontally from
one host to the next or vertically via the gonads from mother to
offspring (Dunn et al., 2001; Smith, 2009; see Figure 1 for de-
tails). Because microsporidia cannot usually be detected by the
naked eye in their hosts, molecular analyses are necessary to
determine the infection status of the studied free‐living species
(e.g., Link et al., 2022).
Plathelminthes
The parasitic plathelminths comprise the Monogenea (skin
flukes), Cestoda (tapeworms), and Trematoda (flukes). Mono-
geneans are mostly ectoparasites (flatworms of gills or skin) of
aquatic organisms like fish or amphibians (Figure 2A–C). They
have simple life cycles using a single host species and without
asexual reproduction (Figure 2A). Some species are oviparous,
(A)(B)
FIGURE 1: Life cycle of microsporidians with (A) horizontal and (B) vertical transmission. (A) Horizontally transmitted microsporidians are usually
more pathogenic, and development of spores leads to host death and release of spores to the environment, where they are taken up by uninfected
amphipods. (B) In the case of vertical transmission, stages of the parasite enter the eggs via the ovary of the female and are transmitted to the
offspring. Vertically transmitted microsporidians are dependent on the host reproduction and will not have a significant impact on the survival of
their host (Dunn et al., 2001). Nevertheless, these parasites can modulate the sex ratio of their host population by either male killing or feminization
(e.g., amphipods; Haine et al., 2007; Smith, 2009; Stentiford & Dunn, 2014).
2Environmental Toxicology and Chemistry, 2023;00:1–14—Grabner et al.
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producing eggs that release a free‐swimming larval stage called
oncomiracidium, while some species are viviparous. On the host,
the adult monogeneans attach with a posterior structure, the
opisthaptor bearing hooks and/or suckers (Figure 2B,C), and
feed on mucus, epithelial cells, or blood (Bakke et al., 2007;
Buchmann & Bresciani, 2006). Monogenean populations were
found to react strongly to environmental stressors like metals or
eutrophication (Gilbert & Avenant‐Oldewage, 2021) and were
(A)(D)
(E)
(B)
(F)
(G)
(H)
(C)
FIGURE 2: Life cycles of parasitic plathelminths. (A) Life cycle of monogenean. Adult parasites live on fish and reproduce. Eggs are released to the
water and an Oncomiracidium hatches that actively locates a new fish host, attaches, and develops to the adult. (B)Macrodactylogyrus congolensis
attached to the gill filament of Claris gariepinus (arrow). Scale bar 500 µm. (C) Opisthaptor of M. congolensis. Scale bar 200 µm (photographs in 3B
and 3C by N. Smit). (D) Life cycle of the cestode Ligula intestinalis. Adult cestodes in the intestine of a fish‐eating bird. Eggs are released with faeces
from the bird and coracidium larva hatches in water. The coracidium is consumed by a copepod and develops in its hemocoel to the procercoid
larva. A fish (second intermediate host) is consuming the infected copepod and the larva migrates to the body cavity, where it develops to the large
plerocercoid larva. Birds get infected by feeding on infected fish containing the plerocercoids. The cestode larva matures in the bird intestine and
adult worms reproduce sexually (Gutiérrez & Hoole, 2022). (E) Plerocercoid larva of L. intestinalis dissected from the body cavity of roach.
(F) Generalized life cycle of Trematoda. Eggs are released by the definitive host. The next host (first intermediate host) is a mollusc, in most cases a
snail, that gets infected by ingesting the parasite eggs or miracidia (the larval stage that hatches from eggs). In the snail, the parasite develops into
sporocysts and/or rediae (depending on trematode species) and multiplies asexually. Large numbers of free‐swimming larval stages (cercariae) are
produced and released to the water where (depending on the trematode species) they infect a second intermediate host, encyst on plants or other
organisms (e.g., shells of snails), or are directly infective for the final vertebrate host where the parasite reproduces sexually (Esch et al., 2002).
(G) Cercaria of Echinostoma recurvatum.(H) Redia of E. recurvatum containing developing cercariae. Scale bars 100 µm. Photographs: J. Schwelm.
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found to respond to environmental pollution (Sanchez‐Ramirez
et al., 2007).
In contrast to monogeneans, adult cestodes (tapeworms)
live in the host intestine. These parasites can have complex
life cycles with details that can vary largely depending on
the cestode species (Figure 2D,E). For example, the cestode
Ligula intestinalis, a parasite that interfers with the hormone
balance of its fish intermediate host, has a life cycle including a
copepod, a fish intermediate host, and a bird as the final
host (Figure 2D). L. intestinalis has a strong influence on the
hormone system of the fish and thereby interferes with host
reproduction (Schabuss et al., 2005; Trubiroha et al., 2010).
The life cycles of trematodes involve a vertebrate final
host and one or two intermediate hosts, including a phase of
massive asexual multiplication in the first intermediate host
(mostly snail; see Figure 2F–H for details).
Acanthocephala
The exclusively parasitic helminth group Acanthocephala is
also called “thorny‐headed worms.”These parasites have life
cycles that involve an invertebrate intermediate host (e.g., am-
phipods) and a vertebrate final host (e.g., fish; Kennedy, 2006;
Perrot‐Minnot et al., 2023; see Figure 3 for details). The cys-
tacanth larvae (Figure 3B) often manipulate the behaviour of
their invertebrate intermediate host by interfering with host
physiology to enhance the trophic transmission to the final host
(Helluy, 2013) and thereby execute a variety of physiological
effects (e.g., Bailly et al., 2018; Bakker et al., 2017; Bollache
et al., 2000; Cornet, 2011), which might also be important for
ecotoxicological studies (Grabner & Sures, 2019). Adult acan-
thocephalans (Figure 3C) are known to accumulate enormous
amounts of metals inside their bodies, often exceeding the
concentrations detected in the organs of their fish hosts (Sures &
Nachev, 2022). This enormous metal accumulation might even
lead to reduced metal concentrations in tissues of infected hosts
as compared with uninfected ones (see Sures, Nachev, Selbach,
et al., 2017; Sures et al., 2023, and references therein), sug-
gesting that adult acanthocephalans might be beneficial to their
hosts under polluted conditions.
Nematoda
Not many nematodes (also called roundworms) have been
studied in an ecotoxicological context so far. One species for
which additional stressor effects on the host are comparatively
well studied is the eel nematode Anguillicola crassus. This
parasite is an invasive eel parasite in Europe and other parts
of the world, and uses different species of copepods as
intermediate hosts (see Figure 4 for details). As adults, these
nematodes suck blood from the capillaries inside the swim
bladder of eels and are therefore considered a serious threat to
the population of European eels (Sures & Knopf, 2004).
PARASITES AND POLLUTANTS AS
MULTIPLE STRESSORS
When parasitized test organisms are exposed to additional
stressors such as pollutants, they are subjected to multiple
stressors (Sures et al., 2023). The effects of the combined
stressors might be different compared with what can be
expected from each single stressor. Conceptually, there can be
different scenarios when dealing with two stressors (Figure 5):
First, one of the stressors can be dominant and override
(A)(B)
(C)
FIGURE 3: (A) Life cycle of the acanthocephalan Pomphorhynchus sp. In the fish final host, the adult parasite lives in the intestine and reproduces
sexually. The females lay eggs that are released with the host faeces and are infective for the intermediate host that takes up the eggs containing
the acanthor stage orally (Taraschewski, 2000). In the amphipod intermediate host, the parasite develops to the acanthella and later to the
cystacanth stage, which is trophically transmitted to the fish. (B) Infected amphipod with cystacanth larva in the body cavity that can grow to a
considerable size compared with the host and is visible from the outside in the living host (arrow). (C) Opened fish intestine with heavy infection of
Pomphorhynchus sp.
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the effects of the second stressor. Second, the two stressors
do not influence each other in a way that their combined
effect is additive and, third, there can be an interaction be-
tween the stressors that is either synergistic or antagonistic
(Birk et al., 2020). In addition, there can be special cases, for
example the reversal of the response to combined stressors
compared with the predicted effect (Jackson et al., 2016; Vos
et al., 2023).
In the present study, we summarized examples that illustrate
the combined effects of parasites and pollutants on the
response of the host, focusing on aquatic parasites. Examples
that refer to the mere effects of the parasite are not considered
here. Also, we are not addressing studies describing the
effects of stressors on the parasite population or community.
Furthermore, we want to highlight some fields of research that
should be addressed to improve our understanding of the role
of parasites in ecotoxicological research. Overall, we intend to
create awareness in the ecotoxicology community for the wide
variety of effects parasites might have alone or in combination
with other stressors on the physiological homeostasis of their
hosts in field and experimental studies. Moreover, when
addressing regulatory issues with the aim of determining safe
environmental contaminant concentrations, such approaches
should also consider parasitised test organisms because
(B)(A)
FIGURE 4: Life cycle of the eel nematode Anguillicola crassus.(A) Life cycle including the eel final host where the adult nematodes live in the swim
bladder and reproduce sexually. Eggs are released with eel faeces and the L2 larval stage is taken up by copepods. The larva moults to the L3 stage,
which is infective for the eel (De Charleroy et al., 1990). Optional paratenic fish hosts can feed on infected copepods and transmit the parasite to
eels (Moravec & Skorikova, 1998; Thomas & Ollevier, 1992). (B) Photograph of A. crassus adults recovered from a dissected swim bladder.
FIGURE 5: Schematic overview of the effects of parasitism and pollution‐related stress on organisms at various levels. Potential response is shown:
(a) additive effect of both stressors, (b) antagonistic effect, and (c) synergistic effect. Black arrows, effect of individual stressor; green arrows,
combined effect of both stressors; +/−indicates direction of effect). Some elements of the figure were created with BioRender.com.
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parasites could alter both contaminant accumulation patterns
and host responses to contaminants.
COMBINED EFFECTS OF PARASITES AND
OTHER STRESSORS
In this section, we give examples of the response of
organisms to both parasites and other (mostly chemical)
stressors. The examples are grouped by the way of stressor
interactions (additive, synergistic, antagonistic) as far as this can
be inferred from the results. Finally, we will address several
further aspects that determine the interaction of parasites and
other stressors.
Putative additive effects
An additive effect occurs if the measured response of a test
organism to a chemical stressor is further increased due to in-
fection by a parasite. There are not many examples that could
be recovered from the literature describing an additive effect of
parasite +stressor. This might indicate that the interaction of
parasites and additional stressors shows a more complex pattern
in most cases. One example of a significant additive effect on
mortality was found for sockeye salmon (Oncorhynchus nerka)
that were exposed to zinc if in addition they were
infected with adult cestodes (Eubothrium salvelini). The time
to reach 50% mortality was reduced by 25% in infected and
exposed fish relative to uninfected and exposed fish (Boyce &
Yamada, 1977). Similarly, individuals of three‐spined sticklebacks
(Gasterosteus aculeatus) infected with plerocercoid larvae of the
cestode Schistocephalus solidus showed increased mortality
(maximum reduction of mean period of survival from ~800 to
300 h) and consequently a lower 50% lethal concentration (LC50)
for cadmium compared with uninfected fish (Pascoe &
Cram, 1977). On the sublethal level, an additive effect of para-
site and pollution on the number of pigmented macrophages
was observed in spottail shiners (Notropis hudsonius)infectedby
the apicomplexan Eimeria degiustii (Thilakaratne et al., 2007).
Additive effects were also detected for ectoparasites and pol-
lution exposure. In the guppy Poecila reticulata,exposuretozinc
led to increased epidermal thickness, and infection with the
monogenean Gyrodactylus turnbulli further increased this effect
at moderate parasite densities (Gheorghiu et al., 2012). A similar
additive effect was found for the activities of the biomarkers
aspartate aminotransferase and alanine aminotransferase, and
the concentrations of creatinine and urea in fish (Oreochromis
niloticus,Clarias gariepinus) exposed to elevated metal levels
and ectoparasites (Monogenea, Crustacea, Protozoa). The bio-
marker levels in infected fish were increased by 13% to 40%
compared with uninfected fish (El‐Seify et al., 2011).
These examples show that the lack of consideration of
parasite infections can lead to an overestimation of the toxicity
of a pollutant according to the effects on the host. On the other
hand, results obtained from parasite‐free populations can lead
to false conclusions about the toxic potential of a substance
under field conditions when parasites come into play.
Putative synergistic effects
In contrast to the simple additive effect of two stressors,
synergistic effects might lead to unexpected results that cannot
be predicted based on the single stressor effects. In some
cases, the effects of toxicants only become detectable in par-
asitized hosts (Coors & De Meester, 2008; Coors et al., 2008;
Rothe et al., 2022). Furthermore, toxicant effects can be in-
creased by the parasite to a higher level than expected based
on the outcome of each single stressor exposure (either pol-
lution or parasite) due to a synergistic effect of the two stressors
(Thilakaratne et al., 2007). As a consequence, the combined
effect of parasites and pollution is higher than the sum of the
two effects measured in a single exposure, thus parasites can
make pollution effects detectable, which may result in a pol-
lutant being deemed environmentally relevant. Conversely, the
effects of parasites can become apparent through additional
exposure of the host to further stressors. For example, a dif-
ferential response of the biomarker lipid peroxidation (~26%
higher in infected fish) between individuals of yellow perch
(Perca flavescens) that were infected or uninfected with the
nematode Raphidascaris acus was only observed if an addi-
tional chemical stressor was present (Marcogliese, Brambilla,
et al., 2005). A comparable reaction was found in female
Gammarus roeselii that were exposed to cadmium and infected
with microsporidian parasites. The amphipods showed reduced
energy reserves (~40% decrease in total lipids and 30% de-
crease in glycogen level relative to the uninfected amphipods),
elevated susceptibility to oxidative stress (up to 60% decreased
levels of reduced glutathione relative to uninfected amphi-
pods) and approximately 50% increased cellular damage
(based on levels of malondialdehyde) compared with unin-
fected cadmium‐exposed individuals. Parasite infection alone
did not affect the tested biomarkers (Gismondi et al., 2012b).
Presumably, the change in host metabolism caused by the
parasite leads to a stronger response to another stressor. This
in turn illustrates that a parasitized population may already
show effects at lower pollutant concentrations than would be
the case with a non‐parasitized population.
Putative antagonistic effects
In some cases, parasites increase the tolerance of the host
to stressors due to an antagonistic effect of the parasite. In this
context, Piscart et al. (2007) found that acanthocephalan‐
infected amphipods show an increased tolerance to elevated
salinity levels of approximatley 60% to more than 100% based
on LC50. Similarly, cestode larvae were described to increase
Artemia sp. resistance to arsenic during acute toxicity tests
(Sánchez et al., 2016). In infected Artemia sp., consistently in-
creased LC50 values (50% to over 100%) were found compared
with uninfected conspecifics. Even after increasing the water
temperature from 25 °C to 29 °C the beneficial effects of the
cestode infection prevail with infected Artemia sp. The latter
showed approximately 60% higher levels of catalase and
approximately 50% higher glutathione reductase activity
compared with uninfected individuals, which both can be
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interpreted as protection measures against (temperature‐
induced) oxidative stress (Sánchez et al., 2016).
Likewise, a positive effect on survival of infected compared
with uninfected hosts was found in some cases for trematode‐
infected snails (Zeacumantus subcarinatus) that were exposed
experimentally to different ocean‐acidification conditions. At
pH 7.6, mortality ranged between 3% and 23% in infected
snails (depending on the trematode species) and was 28% in
uninfected snails. At pH 7.4, the mortality rate of infected snails
ranged from 13% to 31% compared with 22% for the unin-
fected snails. In contrast at pH 8.1, the mortality rate of unin-
fected snails was lower (3%) compared with infected snails
(7%–33%; MacLeod & Poulin, 2016b). A similar finding was
made for trematode‐infected mussels (Pisidium amnicum) ex-
posed to pentacholorophenol. The mean survival time of the
infected mussels was increased by more than 100% at 19 °C
but there was an overall negative fitness effect of the parasite
due to castration of the host (Heinonen et al., 2001). Reduced
mortality of the host even under stressor exposure might be
beneficial for the parasite because the host will provide habitat
and resources for growth, development, and/or multiplication
of the parasite (e.g., trematode larvae in snails). Even for
trophically transmitted parasites (e.g., cestode larvae in
Artemia sp.) survival of the intermediate host is essential during
the development of the parasite larva (until it is infective for the
next host; see Bailly et al., 2018; Dianne et al., 2011; Franceschi
et al., 2008). Furthermore, host death might interfere with
transmission if the final host feeds only on live prey.
Another example of a potential protective effect of acan-
thocephalans was found in chub (Squalius cephalus), where
significantly lower oxidative damage was observed in tissues of
chub that were exposed to organic pollutants if they were also
infected with acanthocephalans (Pomphorhynchus sp.; Molbert
et al., 2020). In general, some acanthocephalan species are
presumably beneficial for their host because there are several
studies showing the accumulation potential of acanthocepha-
lans for metals. Tissue concentrations of metals in the parasite
can highly exceed those of the host and metal concentrations
can even be reduced in tissues of infected compared with
uninfected hosts (Sures, 2006; Sures, Nachev, Selbach,
et al., 2017; Sures et al., 2023).
Antagonistic effects of parasites can also have negative
consequences for the host if a protective stressor response
(e.g., hsp70, metallothioneins) is decreased in infected hosts.
Such a case was found in cockles (Cerastoderma edule) in-
fected by trematodes and exposed to cadmium. By reducing
the production of protective metallothioneins by 70% relative
to the uninfected hosts, the parasites impaired the detox-
ification mechanisms of the host and caused an increase in
cadmium accumulation (795 ng/g in infected vs. 569 ng/gin
uninfected cockles) and presumably increased toxic effects
(Baudrimont & de Montaudouin, 2007). The larvae of the
acanthocephalan parasite Polymorphus minutus reduced
(~80% compared with uninfected amphipods) or completely
disrupted the hsp70 response caused by cadmium or heat
exposure in amphipods (Gammarus fossarum and G. roeselii;
Frank et al., 2013; Sures & Radszuweit, 2007). It is not clear to
date whether the reduction of the detoxification capabilities or
the cellular defence mechanisms have an effect on host fitness.
Also, the potential biological significance of the impairment for
the parasite is not known.
Another presumably antagonistic effect of the combination
of parasite and chemical stress was observed in a study of
European eel (Anguilla anguilla) infected with the swim‐bladder
nematode Anguillicola crassus that were exposed to both
cadmium and 3,3′,4,4′,5‐pentachlorobiphenyl (PCB 126). At the
end of the experiment, cortisol levels in the parasite‐infected
and chemical‐exposed group were only 60% of those of the
parasitized eel without exposure. An explanation could be
cortisol‐mediated immune suppression induced by the parasite
that might be disturbed by the chemical exposure (Sures
et al., 2006). However, it is not known whether the interference
with immune suppressive mechanisms of the parasite influ-
ences the host defence against the parasite.
No combined stressor effects
It is important to note that parasites do not necessarily have
an influence on the effects of further stressors in the host. For
example, no effect of parasitism on the host response was
found in toxaphene‐exposed Arctic charr (Salvelinus alpinus)
infected with the tapeworm Diphyllobothrium dendriticum and
tadpoles of the frog Rana palustris exposed to malathion and
infected with the trematode Echinostoma trivolvis (Blanar
et al., 2005; Budischak et al., 2009). Similarly, parasites had no
significant effect on the biomarker response of common carp
(Cyprinus carpio) and African sharptooth catfish (Clarias
gariepinus) sampled from stream sites with elevated metal
concentrations in the study of Erasmus et al. (2020), even
though several metals were accumulated by the parasites and
thereby reduced in the host tissues. These examples show that
it is not possible to assume in all cases that parasites will affect
the response of the host to pollutants. Nevertheless, the host
stress response in relation to parasites can be affected by fur-
ther factors, for example the infection intensity of the parasite
(see section Additional factors influencing the host stress
response).
Additional factors influencing the host stress
response
The effect of parasites on the host response to other stres-
sors is difficult to generalize because the outcome can be de-
pendent on a variety of factors, some of which are outlined in
this section.
Temperature. When using temperature as a stressor it was
found that infection by the trematode Himasthla elongata in-
creased the mortality of the gastropod host Littorina littorea at
elevated temperatures (e.g., median survival duration of 5 and
16 days for infected and uninfected snails, respectively; Diaz‐
Morales et al., 2022). In a similar way, brown trout (Salmo trutta)
fry and alevins exposed to the oomycete Saprolegnia parasitica
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showed increased mortality in the parasite treatment (50% up
to 100% mortality compared with <30% in the uninfected fish)
when facing intermittent temperature increases (Casas‐Mulet
et al., 2021). Temperature is normally controlled in laboratory
experiments and reported in field studies. However, when
planning studies, especially with parasites, it must be consid-
ered that different temperature levels can lead to significantly
different results. There are several other examples where bio-
marker responses due to parasites and additional stressors
showed additive, but overall complex patterns (e.g., con-
trasting results depending on host sex). These studies will be
shown in the following sections.
Species‐specific effects. Effects of stressors were found to be
highly species‐specific depending on the parasite and host
species studied, with clear differences found even for closely
related taxa. For example, exposure to desethylatrazine caused
an increase in mortality in the freshwater gastropod Stagnicola
elodes if infected by a trematode (gymnocephalus‐type cer-
cariae, ~30% survival) but did not affect mortality in exposed
snails infected with Echinoparyphium sp. (~80% survival;
Koprivnikar & Walker, 2011). Parasite species also made a con-
siderable difference in the study of MacLeod and Poulin (2016a),
who found significantly variable rates of oxygen consumption
and tissue glucose levels in the intertidal gastropod Z. sub-
carinatus kept at different pH treatments depending on the
trematode species present. Similarly, the reaction of the stress
protein hsp70 can be modulated by parasites, but the outcome
depends largely on the host–parasite system studied. While
elevated temperature or cadmium exposure in combination with
microsporidian infection caused increased hsp70 levels in Gam-
marus pulex and G. fossarum, there was no modulation of hsp70
by the acanthocephalan P. minutus in G. fossarum, irrespective of
the exposure (Chen et al., 2015; Grabner et al., 2014). On the
other hand, an over 2000% higher induction of hsp70 was found
in the study of Frank et al. (2013) in P. minutus‐infected G. fos-
sarum. In the same study, cadmium exposure also induced a
more than 7000% increase of hsp70 levels, whereas the combi-
nation of parasite and cadmium resulted in a lower hsp70 re-
sponse than the metal exposure in uninfected individuals (Frank
et al., 2013). These partly contradictory results might be due to
unnoticed microsporidian infections in the amphipods in the
study of Frank et al. (2013). Rothe et al. (2022) found an in-
creasing effect on several biomarkers in the same P. minutus–G.
fossarum system, whereas there was no significant effect of
treated wastewater. Interestingly, the same acanthocephalan
species completely disrupted the hsp70 response of the am-
phipod G. roeselii even after exposure to palladium and heat
(Sures & Radszuweit, 2007). The impairment of the stress re-
sponse by one parasite‐pollutant combination can be further
modulated by coinfecting parasites present in the same host
individual. For example, microsporidian parasites can disrupt the
effects of acanthocephalan parasites on the host. In G. roeselii
infected with both the microsporidian Dictyocoela roeselum and
the acanthocephalan P. minutus, the microsporidian effects on
the biomarker response dominated that of the acanthocephalan
compared with infections with only a single parasite (Gismondi
et al., 2012a). The reason for this observation might be the more
severe impact of the microsporidians on host metabolism during
phases of massive multiplication.
These examples make it clear that it is not appropriate to
speak of parasites in general terms if we want to understand
ecotoxicological relationships. On the contrary, different par-
asite taxa need to be considered individually and their impact
on the host has to be assessed in each case.
Concentration‐dependent or parasite infection intensity
effects. It was found that the effects of parasites can vary
greatly depending on the concentration of the pollutants or the
number of parasite stages per host. For example, trematodes
in fish (yellow perch, P. flavescens) caused an increase in cat-
alase and a decrease of glutathione reductase activity but only
at sites with the highest pollutant levels, while no parasite
effect on the biomarker response was observed in fish from
sites with low pollutant concentrations (Marcogliese
et al., 2010). Molbert et al. (2021) also found a response of
chub (S. cephalus) parasitized with acanthocephalans (Pom-
phorhynchus sp.) depending on the exposure levels to poly-
cyclic aromatic hydrocarbons (PAHs). Interestingly, levels of
oxidative stress were more than 60% higher in parasitized fish
exposed to low PAH levels but approximately 40% lower at
higher PAH concentrations compared with uninfected fish from
the same exposure. Similarly, northern leopard frogs (Lith-
obates pipiens) naturally exposed to different atrazine levels
showed an interaction of the nematode parasite Oswaldocruzia
sp. and atrazine on the oxidative stress marker thiol. Thiol levels
were increased with parasite abundance, but only at low atra-
zine levels while decreasing thiol levels were measured
with increasing parasite abundance at high atrazine levels
(Marcogliese et al., 2021). An effect of infection intensity was
found in yellow perch (P. flavescens) infected with trematode
metacercariae of the trematode A. brevis. If more than
10 metacercariae were detected, the fish showed 40% to
50% higher levels of lipid peroxidation than fish with <10
metacercariae (Marcogliese, Brambilla, et al., 2005).
Overall, these results show that the stress response of the
host often is not linearly related to parasite intensity and/or
pollutant concentrations, therefore it is important to test a
range of pollutants, but at the same time to consider parasite
infection intensity for the effect that is caused in the host. In-
fection intensity is not always considered, mainly for micro-
parasites that cannot be quantified easily. For parasite stages
that are not directly countable, semiquantitative methods
could be applied (e.g., rating intensity from low, medium to
high), or molecular methods such as quantitative polymerase
chain reaction could be used.
Effect of host age. The age distribution in the host pop-
ulation plays an important role to determine infection param-
eters and disease progression (Ben‐Ami, 2019; Thomas, 2002).
This aspect has been rarely investigated in an ecotoxicological
context. For example, Thilakaratne et al. (2007) found stronger
parasite‐induced effects according to the biomarker response
in younger spottail shiners (N. hudsonius) compared with older
8Environmental Toxicology and Chemistry, 2023;00:1–14—Grabner et al.
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fish. In many cases it will be difficult to determine the age of
the hosts if no laboratory‐bred individuals are available. Host
size can be used for some species for an approximation of host
age or at least to distinguish juvenile from adult individuals.
Effect of host gender. Gender is also an important factor
that can have a tremendous effect on the outcome of eco-
toxicological studies, as has been shown, for example, for
amphipods (Gismondi et al., 2013). Accordingly, the response
to the combined effects of parasites and further stressors is
often dependent on the host sex. Minguez et al. (2009) found
structural changes in the lysosomal system and an increase in
neutral lipids in the tissues of male Dreissena polymorpha
infected with parasites and exposed to pollution (30% higher
males), whereas the opposite trend was found in parasitized
and exposed female D. polymorpha (45% higher in females).
In an amphipod–acanthocephalan system, under cadmium
exposures, decreased mortality was found for G. roeselii
males infected with P. minutus compared with uninfected
amphipods (LC50 almost 200% higher in infected amphi-
pods). In contrast, mortality was increased (LC50 more than
200% higher in uninfected amphipods), and a stronger re-
sponse of toxic effect biomarkers was found in infected and
exposed females compared with uninfected individuals (e.g.,
50% increased malondialdehyde levels in cadmium‐exposed
uninfected females, whereas infected females showed an in-
crease of 160% under cadmium exposure; Gismondi, Beisel,
et al., 2012; Gismondi, Cossu‐Leguille, et al., 2012). Similarly,
glycogen levels were increased by 60% only in female
G. fossarum infected with the microsporidian Dictyocoela
duebenum and exposed to sublethal cadmium levels, but not
in males, in the study of Chen et al. (2015). Complex sex‐
specific differences were also found in the marine amphipod
Gammarus tigrinus exposed to different temperature levels
and infected with the trematode Podocotyle atomon.Infected
females showed lower phenoloxidase activity than males at
14 and 18 °C, and catalase activity was increased at higher
temperatures for infected males and uninfected females while
being increased at lower temperatures for infected females
(Diaz‐Morales et al., 2023).
These results highlight that host sex should be used as a
factor in the analysis of stressor effects. Furthermore, it is
important to improve the understanding of differences in the
reaction of female and male individuals to pollutants and par-
asites, and to clarify the underlying mechanisms.
FUTURE DIRCTIONS OF RESEARCH ON
PARASITES AND STRESSORS
The examples presented in the previous section (Com-
bined effects of parasites and other stressors) illustrate the
influence of parasites on the stress response of the host and
therefore their importance for ecotoxicological studies. We
therefore advocate the deliberate inclusion of parasite in-
fectionintheplanninganddesign of ecotoxicological studies.
The possible forms of interaction of the effects (additive,
synergistic, antagonistic) should be taken into account when
formulating hypotheses. Furthermore, based on the addi-
tional factors influencing parasite/stressor interactions out-
lined above, we recommend that the following factors, which
have received little attention to date, should be considered to
a greater extent. First, different temperature and pollutant
levels should be applied to study the gradient of responses of
both parasitized and unparasitized hosts. If possible, parasite
infection intensities should be assessed, or even controlled.
Second, host age and gender should be assessed and used as
factors whenever possible. This will improve the systematic
investigation of parasite effects, including additional stressors,
and lead to a mechanistic understanding of how parasites
influence the host response.
Furthermore, there are some elements of the host biology
that can be influenced both by environmental stressors and
parasites, but their interaction is only poorly understood: en-
docrine effects of parasites and pollutants, and the interactive
effects of parasites and chemical stressors on the host micro-
biome. Due to their importance for ecotoxicological questions,
both aspects will be summarized briefly in the following sec-
tions. In addition, there are common test organisms that have
not been subject to studies involving parasites, although they
can be affected by various parasites in natural systems.
Effects of parasites on the endocrine system
of the host
Some parasites interfere with the endocrine system of their
host, mostly impairing the reproductive system or causing the
phenomenon of intersex, for example the cestode larva of
Ligula intestinalis in fish, trematodes in snails, or vertically
transmitted (from mother to offspring) microsporidians (Ford
& Fernandes, 2005; Grabner & Sures, 2019; Jobling &
Tyler, 2003; Lewis et al., 2015; Morley, 2006; Trubiroha
et al., 2009). Pollution might have similar effects that can be
difficult to disentangle from the parasite (Ford et al., 2006;
Schabuss et al., 2005; Yang et al., 2008). For example, in the
amphipod G. pulex it was found that vertically transmitted
microsporidian parasites interfere with the effects of the en-
docrine disruptor cyproterone on sperm production of the
host (Gismondi et al., 2017).
Further studies are needed to understand the combined
effect on the endocrine system of parasites and chemicals, for
example those enhancing the knowledge of relevant bio-
markers to assess feminization or sexual dysfunction and dis-
tinguish between the effects of parasites and toxicant exposure
(Short et al., 2014). As a starting point, relatively well‐studied
endocrine‐disrupting parasites, for example L. intestinalis as a
model parasite in vertebrates and microsporidians in amphi-
pods for invertebrates, should be studied in more detail.
However, for the latter, much more fundamental knowledge
needs to be gained on the endocrine‐disrupting effects of the
parasite itself. The goal should be to analyse the combination
of parasites that affect the hormone system of the host with
exposure to endocrine‐disrupting chemicals.
Parasites and pollutants—Environmental Toxicology and Chemistry, 2023;00:1–14 9
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Effects of the host microbiome
Studying the role of the microbiome of organisms is be-
coming more and more important in various research fields.
This applies also to ecotoxicology, where the interplay of the
gut microbiota, toxicant exposure, and physiological effects is
being investigated (Claus et al., 2016). Recent findings high-
light that parasites have a substantial influence on the host
microbiome (Dheilly et al., 2019; Fu et al., 2022) and that the
effects of parasites on the gut microbiota of fish (chub, Squalius
cephalus) can be more pronounced than exposure to PAHs
(Colin et al., 2022). Nevertheless, this research field is in its
infancy and the significance of changes in the microbiome
(e.g., by parasites and/or pollutants) for the host is still un-
known, therefore the first step is to improve knowledge of the
microbiome function in vertebrates and invertebrates. The
second step is to test of the microbiome response to parasite
and pollutant exposure. Exposure‐related changes in the host
microbiome might also provide explanations for stressor effects
reported previously (e.g., biomarker responses).
Further parasites and pathogens that might have
an influence on the stress response
The parasites of some commonly used test organisms have
been well characterized and we already have some knowledge of
the combined effects of toxicant exposure, for example for
amphipods, fish, snails, and mussels (see above). Daphnia spp.
can be affected by a number of parasites under natural con-
ditions (Stirnadel & Ebert, 1997) and provide a great opportunity
to study parasite (e.g., Microsporidia) and environmental stressor
effects under laboratory conditions because protocols exist
for the controlled infection of Daphnia under these conditions
(e.g., Coors et al., 2008). However, there is a number of common
ecotoxicological test organisms for which only limited in-
formation is available on the role of parasites in addition to other
stressors. Zebrafish, for example, can be affected by several
parasite taxa even under laboratory conditions (Kent et al., 2020)
and infections by microsporidians were even found in research
strains with sometimes subclinical infections that might affect
the outcome of experiments (Sanders et al., 2012). Among
invertebrate models, the nematode Caenorhabditis elegans is
used in ecotoxicological standard tests (e.g., Schertzinger
et al., 2017), but free‐living individuals can be infected by
microsporidians or pathogenic bacteria (Hodgkin & Partridge,
2008), therefore toxicity testing including parasitized test groups
might be possible for this species. Lubriculus variegatus is
also commonly used for ecotoxicological sediment testing
(e.g., Kontchou et al., 2023), but Lumbriculus spp. (and other
oligochaetes) are also common hosts for myxozoans (Kent et al.,
2001). This might be an interesting host–parasite model because
infected individuals can be identified according to the detection
of actinospores from infected individuals.
Some of the test organisms are available as pathogen‐free
cultures, for example C. elegans,Lumbriculus spp., and Daphnia
sp., and provide the possibility to study toxicant effects
without confounding effects from parasites. However, from an
ecotoxicological perspective, conclusions drawn from parasite‐
free laboratory populations might not reflect the response of
natural field populations that are affected by parasites. This is
particularly relevant for parameters that are used to determine
safety limits of substances like LC50 and lowest or no observed
effect concentrations. These values might be considerably dif-
ferent if determined with parasite‐free test organisms or if para-
site infection is included, therefore including parasites in
ecotoxicological studies will provide a more realistic assessment
of stressor effects in a natural environment. Such experiments, in
which parasite infection is controlled, are less problematic if an
infection can be detected easily, such as for acanthocephalan
cystacanth larvae in amphipods that can be observed in the living
host, and host individuals can be selected according to the ex-
perimental design (Grabner & Sures, 2019). Nevertheless, most
parasites are visible only after the dissection of the host and the
use of further diagnostic techniques such as molecular detection.
In the latter case, initial parasitological screening of field pop-
ulations will help to estimate the prevalence of parasites in the
population and help in planning experiments. Test organisms
should then be analysed for parasites at the end of the experi-
ment to be able to elucidate potential parasite effects on the
selected endpoints. Alternatively, experimental infections of
laboratory‐cultured test organisms can be conducted in the
course of ecotoxicological experiments if appropriate protocols
for a standardized infection are developed.
In addition to protist or metazoan parasites, there are sev-
eral pathogens such as viruses and bacteria that rarely have
been considered as an influencing factor in ecotoxicological
studies because their impact on the host is often not known (for
amphipods, see Bojko & Ovcharenko, 2019; for Daphnia, see
Stirnadel & Ebert, 1997). Those pathogens and further, un-
described parasites have to be characterized in more detail to
know the full “inventory”of the test organisms.
CONCLUSION
If we want to understand ecosystem processes, including
the effects of toxic substances on organisms and populations,
we need to consider parasites as integral parts of ecosystems
to get a reliable estimation of pollutant effects under real‐life
conditions and to determine the safety limits of chemicals that
reflect the responses of natural populations. We therefore
should consider naturally occurring parasites when using test
organisms from the field and, if possible, also conduct tests
with laboratory‐infected hosts in addition to other stressors.
Acknowledgments—The present study was performed within
the Collaborative Research Center (CRC) 1439 RESIST (sub-
project A09) funded by the Deutsche Forschungsgemeinschaft
(DFG, German Research Foundation)—CRC 1439/1—project
number: 426547801. Open Access funding enabled and
organized by the open access publication fund of the University
of Duisburg‐Essen (Projekt DEAL).
Conflict of Interest—The authors declare no conflict of interest.
10 Environmental Toxicology and Chemistry, 2023;00:1–14—Grabner et al.
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Author Contribution Statement—Daniel Grabner: Conceptu-
alization; Writing—original draft; Writing—review & editing.
Louisa E. Rothe: Visualization; Writing—original draft;
Writing—review & editing. Bernd Sures: Conceptualization;
Funding acquisition; Writing—original draft; Writing—review &
editing.
Data Availability Statement—No original data was produced
for this review article.
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