Clonorchis sinensis, the oriental liver fluke, is an important food-borne parasite that causes human clonorchiasis in most Asian countries, including China, Japan, Korea, and Vietnam [
1-
3]. Increasing epidemiological evidence demonstrates the great socio-economic impact of this neglected tropical parasite, which afflicts more than 35 million people in Southeast Asia and approximately 15 million in China alone [
1,
4]. The origin of most clonorchiasis cases is the consumption of raw freshwater fish containing
C. sinensis metacercariae, which excyst in the duodenum and then migrate from the common bile ducts to the peripheral intrahepatic bile ducts of their host [
5]. Although clinical manifestations are often asymptomatic, repeated and chronic infections of
C. sinensis can result in serious hepatobiliary diseases, including cholangitis, obstructive jaundice, hepatomegaly, fibrosis of the periportal system, cholecystitis, and cholelithiasis [
6]. Most importantly, both experimental and epidemiological evidence strongly implies that liver fluke infection is one of the most significant causative agents of bile duct cancer-cholangiocarcinoma (CCA)-which is a frequently fatal tumor [
7-
10].
The life cycle of
C. sinensis is complex and similar to that of
Opisthorchis viverrini, involving asexual reproduction in an aquatic snail (myracidium, sporocyst, redia, and cercaria stages) and sexual reproduction in piscivorous mammals (adult worm stage). Mammalian hosts include humans, dogs, and cats [
1,
6].
C. sinensis adult worms establish themselves as parasites in the intrahepatic bile ducts and extrahepatic ducts of the liver, and they can even invade the mammalian gall bladder [
3]. Long-term parasitism by liver flukes results in chronic stimulation of the epithelial cells of the bile ducts due to fluke excretory-secretory (ES) products, a variety of molecules released from parasites into the host bile environment [
11]. Proteomic studies have identified the components of
C. sinensis ES products that are thought to act as stimuli for host bile duct epithelium [
12,
13].
In vitro biochemical studies have indicated that ES products from liver flukes have important roles in feeding behavior, detoxification of bile components, and immune evasion [
11]. For instance, granulin-like growth factor secreted by the carcinogenic liver fluke
O. viverrini was shown to induce host cell proliferation, and the proliferative activity could be blocked by antibodies against granulin. These data indicate that secreted proteins, along with many other molecules, are released by parasites to induce local cell growth [
14]. Transcriptome data sets for
C. sinensis, which include substantial representation of ES products, also enable a better understanding of the mechanism of infection of this carcinogenic parasite [
3].
Epidemiological studies in regions affected by liver flukes have shown a strong association between the incidence of CCA and the infection rate of parasites [
6]. Despite the considerable impact of liver fluke-associated hepatobiliary diseases on public health, there are currently no effective strategies to combat CCA. This study provides genomic information for the carcinogenic human liver fluke
C. sinensis based on
de novo sequencing, and the draft genome described will serve as a valuable platform to develop new interventions for the prevention and control of liver flukes.