a history of hookworm infection were given three intramuscular injections of three different concentrations of Na-ASP-2 and observed for six months after the final vaccination. The vaccine induced significant anti-Na-ASP-2 IgG and cellular immune responses. In addition, it was safe and produced no debilitating side effects. The vaccine is now in a phase one trial; healthy adult volunteers with documented evidence of previous infection in Brazil are being given the same dose concentration on the same schedule used in the initial study. If this study is successful, the next step would be to conduct a phase two trial to assess the rate and intensity of hookworm infection among vaccinated persons. Because the Na-ASP-2 vaccine only targets the larval stage, it is critical that all subjects enrolled in the study be treated with antihelminthic drugs to eliminate adult worms prior to vaccination. Adult hookworm antigens have also been identified as potential candidates for vaccines. When adult worms attach to the intestinal mucosa of the human host, erythrocytes are ruptured in the worm's digestive tract which causes the release of free hemoglobin which is subsequently degraded by a proteolytic cascade. Several of these proteins that are responsible for this proteolytic cascade are also essential for the worm's nutrition and survival. Therefore, a vaccine that could induce antibodies for these antigens could interfere with the hookworm's digestive pathway and impair the worm's survival. Three proteins have been identified: the aspartic protease-hemoglobinase APR-1, the cysteine protease-hemoglobinase CP-2, and a glutathione S-transferase. Vaccination with APR-1 and CP-2 led to reduced host blood loss and fecal egg counts in dogs. With APR-1, vaccination even led to reduced worm burden. Research is currently stymied at the development of at least one of these antigens as a recombinant protein for testing in clinical trials. Terminology The term "hookworm" is sometimes used to refer to hookworm infection. A hookworm is a type of parasitic worm (helminth). See also List of parasites (human) References External links CDC Department of Parasitic Diseases images of the hookworm life cycle Centers for Disease Control and Prevention Dog hookworm (Ancylostoma caninum) at MetaPathogen: facts, life cycle, references Human hookworms (Ancylostoma duodenale and Necator americanus) at MetaPathogen: facts, life cycle, references Strongylida Parasitic nematodes of humans Tropical diseases Conditions diagnosed by stool test Zoonoses Parasites of cats Cat diseases Parasites of dogs Dog diseases Infectious diseases with eradication efforts Wikipedia medicine articles ready to translate