1
|
Ibrahim A, Kamel NO, Rageh F, Elgamal R, Mansour Salama B, Sakr MA, Elhoseeny MM, Osman EM, Sayed S, Ramadan ME. The involvement of cytokine gene polymorphism in determining the vulnerability to Blastocystis and Helicobacter pylori co-infection in the Egyptian population. Acta Trop 2024; 252:107137. [PMID: 38364930 DOI: 10.1016/j.actatropica.2024.107137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 01/28/2024] [Accepted: 01/29/2024] [Indexed: 02/18/2024]
Abstract
AIMS The present study aimed to identify any potential association between IL-1β and TNF-α gene polymorphism and the risk of Blastocystis infection as well as co-infection of Blastocystis with Helicobacter pylori (H.pylori). METHODOLOGY A total of 314 stool samples were collected and examined microscopically for the detection of parasitic infection. DNA was extracted from all samples and utilized to identify Blastocystis molecularly. Positive samples were used for H. pylori detection by rapid tests and PCR. Moreover, we investigate polymorphism in the TNF-α gene at position -1031T/C, -308 G/A, and IL-1β at position +3954C/T using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay. RESULTS Out of the 314 stool samples, Blastocystis was detected in 93 (29.6 %); among them, 54 (58.1 %) had a mixed infection of Blastocystis with H. pylori. The TT genotype of the IL-1β gene at position +3954 was significantly higher in Blasocystis-infected patients than in uninfected patients (17.2% vs. 6.3 %, P = 0.02), which might be considered a risk factor (OR = 3.2; CI =1.21-8.52). The TNF-α at position -1031 TT genotype was significantly higher in Blastocystis-infected patients than uninfected patients (44.1% vs. 10.8 %, P< 0.0001). The T allele (OR= 2.67; CI=1.51-4.72, P = 0.0008) might be considered a risk factor. The TNF- α at position -308 AA genotype is higher in Blasocystis infected than uninfected (17.2% vs 7.2 %, P = 0.03). TNF-α -308 AA (OR = 2.72; CI = 1.08-6.89) and A allele (OR= 1.46; CI= 0.797-2.66) might be considered risk factors. The TNF- α at position -308 G/A showed that the GG is the most frequent genotype in Blastocystis with H. pylori-positive patients with a significant association (P = 0.004), as well as the G allele (P = 0.02). The G allele (OR=1.924; CI= 1.071-3.454) might be considered a risk factor for co-infection of Blastocystis and H. pylori. CONCLUSION SNPs (-1031 T/C and -308 G/A) of the TNF-α and (+3954 C/T) of the IL-1β may be a useful marker in the assessment of the risk of Blastocystis infection, and TNF-α at position -308 G/A) may be a predictor for co-infection of Blastocystis with H. pylori.
Collapse
Affiliation(s)
- Asmaa Ibrahim
- Genetic engineering and Biotechnology research institute, University of Sadat City (GEBRI, USC), Egypt; Departments of Medical Parasitology, Faculty of Medicine, Cairo University (Laboratory of Molecular Medical Parasitology, LMMP), Egypt.
| | - Nancy O Kamel
- Department of Medical Parasitology, Faculty of Medicine, October 6 University, Egypt
| | - Fatma Rageh
- Infectious disease, Gastroenterology and hepatology department, Suez University, Egypt
| | - Rasha Elgamal
- Clinical pathology department, Faculty of Medicine, Suez University, Egypt
| | - Bassam Mansour Salama
- Infectious and Endemic Diseases Department, Faculty of Medicine Suez Canal University, Egypt
| | - Mohamed A Sakr
- Medical Microbiology and Immunology Department, Faculty of Medicine, Suez University, P.O. Box:43221, Suez, Egypt
| | | | - Eman M Osman
- Immunology and allergy department, Medical Research Institute Alexandria University, Egypt
| | - Samar Sayed
- Community Medicine Faculty of Medicine, Suez University, Egypt
| | - Manar Ezzelarab Ramadan
- Department of Medical Parasitology, Faculty of Medicine, Suez University, P.O. Box:43221, Suez, Egypt
| |
Collapse
|
2
|
Touny A, Rageh F, Riad E, Sakr MA, Abdelhady SA, Elgamal R, Ahmed SS, Al-Touny SA. Incidence of Co-infection and its Impact on COVID-19 Patients admitted in the Intensive Care Unit. Egyptian Journal of Anaesthesia 2023. [DOI: 10.1080/11101849.2023.2175404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2023] Open
Affiliation(s)
- Aiman Touny
- Anesthesia and Intensive Care Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Fatma Rageh
- Infectious Diseases, Gastroenterology and Hepatology Department, Faculty of Medicine, Suez University, Suez, Egypt
| | - Eman Riad
- Internal Medicine, Pulmonology Unit, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Mohamed A. Sakr
- Medical Microbiology and Immunology Department, Faculty of Medicine, Suez University, Suez, Egypt
| | | | - Rasha Elgamal
- Clinical Pathology, Faculty of Medicine, Suez University, Suez, Egypt
| | - Samar S. Ahmed
- Community Medicine, Occupational and Environmental Medicine, Faculty of Medicine, Suez University, Suez, Egypt
| | - Shimaa A. Al-Touny
- Anesthesia and Intensive Care Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| |
Collapse
|
3
|
Abdelhady SA, Rageh F, Ahmed SS, Al-Touny SA, Riad E, Elhoseeny MM, Khalifa AA, Salim A, Farghly MI, Elgamal R. Neutrophil to lymphocytic ratio and other inflammatory markers as adverse outcome predictor in hospitalized COVID-19 patients. Egypt J Immunol 2022; 29:57-67. [PMID: 35436055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Early risk classification of coronavirus disease 2019 (COVID-19) patients admitted to hospital is a critical key for providing optimal interventions. We investigated whether neutrophil-to-lymphocyte ratio (NLR) levels and other inflammatory and coagulation markers could be predictors for the severity and mortality of hospitalized COVID-19 patients. This cross-sectional study included 155 COVID-19 patients diagnosed by the reverse transcription polymerase chain reaction (RT-PCR) using oropharyngeal swabs. All patients had clinical examination, routine laboratory investigation, and chest computerized tomography scan. O2 saturation, serum D dimer, C reactive protein (CRP), erythrocyte sedimentation rate (ESR), lactate dehydrogenase (LDH), and serum ferritin were assessed. NLR can predict the adverse outcome (e.g., disease deterioration and shock) at cut-off 6.65, with 92% sensitivity and 20.7% specificity. LDH at cut-off value of 364.5 had 79.3% sensitivity and 47% specificity. Ferritin at a cut-off value of 1036 had 60.9% sensitivity and 60.6% specificity. NLR alone was not an independent predictor for ICU, however, combining NLR with ferritin and LDH predicted the need for ICU. Total leucocytic count (TLC), neutrophil count, lymphocytic count, D dimer, and CRP were independent predictors for the need of ICU admission (P < 0.05). Admitted patients to ICU and dead patients had higher COVID-19 Reporting and Data System, length of stay, LDH, and ferritin and lower O2 saturation than non-admitted and alive ones. We concluded that NLR with ferritin and LDH markers had higher degree of sensitivity and specificity in detecting adverse outcomes in COVID-19 patients. Other inflammatory biomarkers such as TLC, neutrophil, lymphocyte, D dimer, and CRP were predictive in this case.
Collapse
Affiliation(s)
- Shaymaa A Abdelhady
- Department of Clinical Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Fatma Rageh
- Department of Infectious Diseases & Gastroenterology & Hepatology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Samar S Ahmed
- Department of Community Medic & Occupational & Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Shimaa A Al-Touny
- Department of Anesthesia & Intensive Care Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Eman Riad
- Department of Internal Medicine, Pulmonology Unit ,Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Mohamed M Elhoseeny
- Department of Internal Medicine ,Faculty of Medicine, Suez Canal University, Suez, Egypt
| | - Ahmad A Khalifa
- Department of Radiodiagnosis ,Faculty of Medicine, Suez Canal University, Suez, Egypt
| | - Almaza Salim
- Department of Family Medicine ,Faculty of Medicine, Port said University, Port said, Egypt
| | - Maysa I Farghly
- Department of Clinical Pathology, Faculty of Medicine, Suez University, Suez, Egypt
| | - Rasha Elgamal
- Department of Clinical Pathology, Faculty of Medicine, Suez University, Suez, Egypt
| |
Collapse
|
4
|
Ateya RM, Afifi SA, Abd Al Monem N, Al-Karamany AS, Bessar AA, Rageh F, Ahmed SS, Ghareeb D. Impact of IL-28B gene polymorphism on chronic hepatitis-C patients progression with diabetes and non-diabetes. Egypt J Med Hum Genet 2022. [DOI: 10.1186/s43042-022-00239-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Chronic hepatitis C (CHC) is a silent viral infection; however, elevated mortality and morbidity rates are noted in Egypt due to its adverse effects. The augmented incidence of diabetes in patients with viral C infection may be owing to glucose intolerance, high BMI, senility, and inherited factors.
Purpose of the study
Little information is available about the connection between interleukin-28B (IL-28B) genotype in disease progression among CHC patients with diabetes. Thus, we aimed to assess the association between IL-28B genotype (rs12979860) in CHC with type 2 diabetes mellitus (T2DM) versus those without diabetes in disease progression among Egyptian patients.
Results
CC genotype was significantly lower in diabetics than in non-diabetics (13.7% vs. 36.3%). While (CT/TT) were significantly higher in diabetics than in non-diabetics (CT 58.8% vs. 43.7%), (TT 27.5% vs. 20%) (p = 0.03) and likewise alleles (p = 0.04). Multivariate logistic regression analysis was significant with viral load p < 0.001, alanine aminotransferase (ALT) p < 0.001, genotype CC versus TT p = 0.04 & T2DM p = 0.03.
Conclusion
CC genotype might be used as a protective factor and TT genotype as a risk factor in disease progression among CHC patients with T2DM. Additionally, viral load, ALT & T2DM might interplay as predictors of disease severity. Detecting the genetic factors can be helpful in predicting and preventing the complications of diabetes associated with the hepatitis C virus (HCV).
Collapse
|