Roundworms of the genus Ascaris are common parasites of the human gastrointestinal tract. A battery of selective inhibitors protects them from host enzymes and the immune system. Here, a metallocarboxypeptidase (MCP) inhibitor, ACI, was identified in protein extracts from Ascaris by intensity-fading MALDI-TOF mass spectrometry. The 67-residue amino acid sequence of ACI showed no significant homology with any known protein. Heterologous overexpression and purification of ACI rendered a functional molecule with nanomolar equilibrium dissociation constants against MCPs, which denoted a preference for digestive and mast cell A/B-type MCPs. Western blotting and immunohistochemistry located ACI in the body wall, intestine, female reproductive tract, and fertilized eggs of Ascaris, in accordance with its target specificity. The crystal structure of the complex of ACI with human carboxypeptidase A1, one of its potential targets in vivo, revealed a protein with a fold consisting of two tandem homologous domains, each containing a -ribbon and two disulfide bonds. These domains are connected by an ␣-helical segment and a fifth disulfide bond. Binding and inhibition are exerted by the C-terminal tail, which enters the funnel-like active-site cavity of the enzyme and approaches the catalytic zinc ion. The findings reported provide a basis for the biological function of ACI, which may be essential for parasitic survival during infection.ascariasis ͉ crystal structure ͉ host resistance ͉ immunolocalization ͉ metallocarboxypeptidase inhibitor M ore than a quarter of the human population is affected by soil-transmitted helminthes, which impair nutrition and the immune response toward widespread pandemics such as AIDS and tuberculosis (1, 2). The roundworm Ascaris lumbricoides is the most common human parasite of the gastrointestinal tract. It causes ascariasis (3), which has a worldwide distribution with highest prevalence in tropical and subtropical regions and in areas with inadequate sanitation. Ascariasis is triggered by the ingestion of parasite eggs. These evolve to larvae that migrate through different tissues and return to the small intestine, where they mature to adult male and female worms. At this stage, females deposit thousands of eggs daily, which are secreted with the feces, thus contributing to soil contamination and spreading of the infection [for details, see supporting information (SI) Fig. S1]. During its life cycle, Ascaris threatens human health with nonspecific abdominal symptoms, intestinal obstruction and perforation, biliary colic, gallstone formation, liver abscesses, pancreatitis, and pulmonary eosinophilia (4, 5). A nearly identical nematode species, Ascaris suum, is found in the pig. It has a tremendous impact on livestock farming and can also infect primates and humans, giving rise to a similar disease pattern to A. lumbricoides (6-8).As part of the parasite defense strategy, Ascaris roundworms secrete a series of inhibitors to target digestive and immunerelated host proteases, among others pepsi...