Inhibition of human blood clotting by extracts of Ascaris suum.

The effects of soluble extracts of Ascaris suum on human blood coagulation were investigated. Whole worm supernatant solution prolonged the whole blood clotting time and the kaolin-activated, partial thromboplastin time but it did not alter the prothrombin time. These data indicate impairment of the intrinsic pathway of blood coagulation. Whole worm supernate inhibited platelet aggregation induced by ADP and ristocetin. This supernate did not affect fibrinolysis. The maximal concentration of anticoagulant activity was found in the pseudocoelomic fluid of the worm. Activity was also noted in the cuticle and secretory/excretory products. Perhaps inhibition of blood clotting by helminths may facilitate their passage through the blood stream.