“…Meanwhile, several host-derived molecules were previously reported to exist in the cyst fluid or on the wall (Kassis and Tanner, 1977;Ali-Khan and Siboo, 1981), indicating that certain host-derived factors are transported through the laminated layer and are involved in parasite development in the hosts. In recent years, great progress has been made in elucidating the mechanisms of parasite development in the hosts by identifying the evolutionarily conserved signaling systems in E. multilocularis, which can interact with hostderived molecules (Konrad et al, 2003;Spiliotis et al, 2003Spiliotis et al, , 2005Spiliotis et al, , 2006Zavala-Góngora et al, 2003Gelmedin et al, 2008Gelmedin et al, , 2010Brehm, 2010;Förster et al, 2011). Specifically, interactions between parasite receptors and host-derived molecules, such as epidermal growth factor and insulin have been demonstrated experimentally (Spiliotis et al, 2006;Gelmedin et al, 2008;Brehm, 2010), strongly suggesting that parasite development is triggered by host signaling systems.…”