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Abdelgelil NH, Abdellatif MZM, Abdel-Hafeez EH, Belal US, Mohamed RM, Abdel-Razik ARH, Hassanin KMA, Abdel-Wahab A. Effects of iron chelating agent on Schistosoma mansoni infected murine model. Biomed Pharmacother 2018; 109:28-38. [PMID: 30391706 DOI: 10.1016/j.biopha.2018.10.036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Revised: 10/08/2018] [Accepted: 10/09/2018] [Indexed: 12/29/2022] Open
Abstract
Schistosomiasis is one of the major health problems in many tropical and developing countries. Infection takes place once cerceriae penetrate human skin, then it changed into schistosomules. The schistosomules takes iron in the form of heme from host's haemoglobin, ferritin and transferrin. Iron is a vital element not only for growth and sexual maturity of schistosomules to adults but also for oogenesis. Since the trapped eggs are the pathological causative agent for most of pathogenesis and complications, the current work was designed to study the effects of early deprivation of schistosomules from iron in the host (in vivo) by chelating it with deferoxamine (DFO). The iron chelation has effects on growth, maturity and egg deposition, as well as it has ameliorative effects on liver pathology such as hepatic fibrosis. Mice were classified into four groups, normal control, DFO treated only, Schistosoma mansoni (S. mansoni) infected DFO untreated and S. mansoni infected DFO treated. The infected DFO treated mice showed significant reduction in fecal egg excretion with increased percentage of dead eggs and this was accompanied with a significant reduction of both total worm burden and hepatic egg load and increased dead egg percentage compared to the infected DFO untreated group. There was also a significant reduction in both serum and hepatic tissue ferritin concentrations in the infected DFO treated mice in comparison to the infected DFO untreated group. Additionally, a significant decrease in number and size of granulomas with subsequent improvement of liver fibrosis was recorded in the infected DFO treated group. This immunopathology was also associated with significant up regulation of Interlukine12 (IL12), Interferon gamma (IFN γ) and significant down regulation in interleukin4 (IL4), interleukin10 (IL10) in both serum and hepatic tissue in the infected DFO treated compared to other groups. Entirely, DFO succeeded in diminishing the growth, maturity and fecundity of S. mansoni with a subsequent improvement of hepatic pathology. As a result of the above findings, it can be concluded that DFO could be considered as a useful treatment against schistosomal infection.
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Affiliation(s)
- Noha H Abdelgelil
- Department of Parasitology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Manal Z M Abdellatif
- Department of Parasitology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Ekhlas H Abdel-Hafeez
- Department of Parasitology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Usama S Belal
- Department of Parasitology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Rabie M Mohamed
- Department of Parasitology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Abdel-Razik H Abdel-Razik
- Department of Histology, Faculty of Veterinary Medicine, Beni - Suef University, Beni - Suef 62511, Egypt
| | - Kamel M A Hassanin
- Department of Biochemistry, Faculty of Veterinary Medicine, Minia University, Minia 61519, Egypt
| | - Ahmed Abdel-Wahab
- Department of Physiology, Faculty of Veterinary Medicine, Minia University, Minia 61519, Egypt.
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Abdel-Hafeez EH, Ahmad AK, Abdelgelil NH, Abdellatif MZM, Kamal AM, Hassanin KMA, Abdel-Razik ARH, Abdel-Raheem EM. Immunopathological assessments of human Blastocystis spp. in experimentally infected immunocompetent and immunosuppresed mice. Parasitol Res 2016; 115:2061-71. [PMID: 26860840 DOI: 10.1007/s00436-016-4951-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [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: 01/06/2016] [Accepted: 01/29/2016] [Indexed: 11/25/2022]
Abstract
Blastocystis spp., one of the most common parasites colonizing the human intestine, is an extracellular, luminal protozoan with controversial pathogenesis. The host's immune response against Blastocystis spp. infection has also not been defined yet. Therefore, this research aimed to assess the potential pathogenicity of this parasite and its ability to modulate the immune response in experimental infected immunocompetent and immunosuppresed mice. These results demonstrated that the infected immunosuppressed mice were more affected than infected immunocompetent mice. Histopathological examination of the small intestine in the infected immunosuppressed mice showed that Blastocystis spp. infiltrated all the layers. Moreover, the epithelia showed exfoliation and inflammatory cell infiltration in submucosa compared to that of the infected immunocompetent mice. As well, examination of the large intestine of the infected immunosuppressed group showed severe goblet cell hyperplasia. Blastocystis spp. infiltrated all the large intestine layers compared to that of the infected immunocompetent group. Furthermore, there was a significant upregulation of the expression of proinflammatory cytokines: interleukin 12 (IL-12) and tumor necrosis factor alpha (TNF-α) in the infected immunosuppressed mice compared to that of the infected immunocompetent ones (p ≤ 0.004 and p ≤ 0.002, respectively). However, the expression of anti-inflammatory cytokines (IL-4 and IL-10) was significantly downregulated in the infected immunosuppressed group compared to that of the infected immunocompetent group one at 10 days postinfection (p ≤ 0.002 and p ≤ 0.001, respectively). The results of this study revealed that Blastocystis spp. affected the production of pro- and anti-inflammatory cytokines in both groups of mice compared to healthy normal (naive) group. Additionally, these data showed that there was a significant upregulation (p ≤ 0.005) of the locally synthesized antibody: secretary IgA (sIgA) in the gut of the infected immunocompetent mice when compared to that of the infected immunosuppressed ones.
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Affiliation(s)
- Ekhlas H Abdel-Hafeez
- Department of Parasitology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
| | - Azza K Ahmad
- Department of Parasitology, Faculty of Medicine, Minia University, Minia, 61519, Egypt
| | - Noha H Abdelgelil
- Department of Parasitology, Faculty of Medicine, Minia University, Minia, 61519, Egypt
| | - Manal Z M Abdellatif
- Department of Parasitology, Faculty of Medicine, Minia University, Minia, 61519, Egypt
| | - Amany M Kamal
- Department of Parasitology, Faculty of Medicine, Minia University, Minia, 61519, Egypt
| | - Kamel M A Hassanin
- Department of Biochemistry, Faculty of Veterinary Medicine, Minia University, Minia, 61519, Egypt
| | - Abdel-Razik H Abdel-Razik
- Department of Histology, Faculty of Veterinary Medicine, Beni-Suef University, Beni Suef, 62511, Egypt
| | - Ehab M Abdel-Raheem
- Department of Tropical Medicine, Minia University Hospital, Minia University, Minya, 61519, Egypt
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Khalifa RMA, Abdellatif MZM, Ahmed AK, Yones DA, El-Mazary AAM, Aly LH, El-Seify MA, Haridi MA. First case of intestinal acariasis from Egypt. Springerplus 2016; 5:28. [PMID: 26788440 PMCID: PMC4710620 DOI: 10.1186/s40064-015-1584-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2015] [Accepted: 12/04/2015] [Indexed: 12/27/2022]
Abstract
We are hereby reporting a case where the eggs and adults of the mold mites; Tyrophagus putrescentiae (Shrank) and the trophozoites of Blastocystis sp. were found in stool of three years old child from Minia City, Egypt. Intestinal mite infection was diagnosed after repeated identification of mite’ stages from six consecutive stool samples to exclude the possibilities of contamination and spurious infection. The patient was suffering from severe colicky abdominal pain and burning sensation around the anus one month ago. All other members of his family were having the same acarine in their feces, but were all symptomless. The patient was treated with ivermectin 200 µg/kg body weight once every 10 days for three doses. His cure indicated that he was having asymptomatic blastocystosis.
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Affiliation(s)
- Refaat M A Khalifa
- Medical Parasitology Departments, Faculty of Medicine, Assiut University, Assiut, Egypt
| | | | | | - Doaa A Yones
- Medical Parasitology Departments, Faculty of Medicine, Assiut University, Assiut, Egypt
| | | | - Lamia H Aly
- Clinical Pathology Department, Faculty of Medicine, Minia University, Minia, Egypt
| | - Mahmoud A El-Seify
- Parasitology Department, Faculty of Veterinary Medicine, Kafr Elsheikh University, Kafr El-Sheikh, Egypt
| | - Moustafa A Haridi
- Internal Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt
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Kamal AM, Ahmed AK, Abdellatif MZM, Tawfik M, Hassan EE. Seropositivity of Toxoplasmosis in Pregnant Women by ELISA at Minia University Hospital, Egypt. Korean J Parasitol 2015; 53:605-10. [PMID: 26537040 PMCID: PMC4635823 DOI: 10.3347/kjp.2015.53.5.605] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/13/2015] [Revised: 09/01/2015] [Accepted: 09/03/2015] [Indexed: 11/23/2022]
Abstract
Toxoplasmosis is considered as an important risk factor for bad obstetric history (BOH) and one of the major causes of congenitally acquired infections. The present study aimed to estimate the seropositivity of T. gondii infection and associated risk factors among the attendees of high risk pregnancy and low risk antenatal care clinic of Minia Maternity and Pediatric University Hospital, Minia, Egypt. The study was carried out from April 2013 to April 2014 through 2 phases, the first phase was case-control study, and the second phase was follow-up with intervention. A total of 120 high risk pregnant and 120 normal pregnant females were submitted to clinical examinations, serological screening for anti-Toxoplasma IgM and IgG antibodies by ELISA, and an interview questionnaire. Seropositive cases were subjected to spiramycin course treatment. The results showed that the seroprevalence of toxoplasmosis in high-risk pregnancy group was 50.8%, which was significantly different from that of normal pregnancy group (P<0.05). Analysis of seropositive women in relation to BOH showed that abortion was the commonest form of the pregnancy wastage (56.5%). The high prevalence of T. gondii seropositive cases was observed in the age group of 21-30 years. Post-delivery adverse outcome was observed in 80.3% of high-risk pregnancy group compared to 20% of normal pregnancy group. There was a statistically significant relationship between seropositivity and living in rural area, low socioeconomic level, and undercooked meat consumption (P<0.05). Serological screening for anti-Toxoplasma antibodies should be routine tests especially among high-risk pregnant women.
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Affiliation(s)
- Amany M Kamal
- Department of Parasitology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Azza K Ahmed
- Department of Parasitology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Manal Z M Abdellatif
- Department of Parasitology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Mohamed Tawfik
- Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia 61519, Egypt
| | - Ebtesam E Hassan
- Department of Public Health and Preventive Medicine, Faculty of Medicine, Minia University, Minia 61519, Egypt
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Abdel-Hafeez EH, Ahmad AK, Kamal AM, Abdellatif MZM, Abdelgelil NH. In vivo antiprotozoan effects of garlic (Allium sativum) and ginger (Zingiber officinale) extracts on experimentally infected mice with Blastocystis spp. Parasitol Res 2015; 114:3439-44. [PMID: 26085068 DOI: 10.1007/s00436-015-4569-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2015] [Accepted: 06/04/2015] [Indexed: 12/25/2022]
Abstract
Controversy surrounding the pathogenic role of Blastocystis spp. in humans and lack of well-established diagnostic criteria led to debates concerning the treatment for that organism. Furthermore, some strains develop resistance against the recommended drugs. Thus, using natural medicine has many positive aspects to address these points. In an earlier study, we addressed in vitro effect of garlic and ginger on Blastocystis spp. isolates as an alternative treatment. Accordingly, this study was conducted to evaluate in vivo activities of these two herbs on mice infected with Blastocystis spp. Antiprotozoan activities were determined by monitoring Blastocystis shedding in stools and histopathological changes of the intestine of infected mice. Additionally, assessment of the antioxidant effect (via measuring the level of malondialdehyde (MDA) production) of these herbs on the treated groups of mice was done. Also, their effects on nitric oxide (NO) production were assessed. In this work, treatment of infected mice with garlic, ginger, and nitazoxanide (NTZ) reduced the shedding of cysts significantly compared to the infected untreated group, P value ≤0.001, 0.0001, and 0.0003, respectively. As well, histopathological examination revealed that Blastocystis was frequently observed within the lumen, at the tip of the epithelium, and/ or infiltrated in an enterocyte in the infected group without treatment compared to that of the infected treated ones. Furthermore, mice infected with Blastocystis exhibited increased levels of NO (440.09 ± 3.7 vs. 276.66 ± 0.8, P ≤ 0.001) and MDA production (106.19 ± 0.43 vs. 63.06 ± 0.45, P ≤ 0.0004) compared to that of the uninfected controls. Treatment of infected mice with garlic, ginger, and NTZ reduced NO levels to 54.41 ± 1.2, 47.70 ± 1.2, and 37.43 ± 0.98 and MDA levels to 22.38 ± 0.17, 63.34 ± 3.89, and 66.76 ± 9.1, respectively. We conclude that using ginger and garlic for treatment of blastocystosis is beneficial.
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Affiliation(s)
- Ekhlas H Abdel-Hafeez
- Department of Parasitology, Faculty of Medicine, Minia University, Minia, 61519, Egypt,
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Gabr NS, Abdellatif MZM, Abd El-Hafeez E, Abd Rabou RAM. Comparison between ELISA and various stains techniques in laboratory diagnosis of cryptosporidiosis. ACTA ACUST UNITED AC 2015; 44:509-16. [PMID: 25597165 DOI: 10.12816/0006489] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Cryptosporidium spp. is an important parasitic protozoa causing diarrhea which is a severe life-threatening diarrhea especially in immunocompromised hosts. We aimed to evaluate the usefulness of detection of Cryptosporidium spp. copro-antigen from fecal specimens by using enzyme linked immunosorbent assay (ELISA) test and comparing its sensitivity and specificity with some staining methods. The results revealed that Modified Acid-Fast stain is considered better than Giemsa in detecting Cryptosporidium species oocysts in faecal smears as their sensitivity were 67.5% and 53.75% respectively. On contrary, ELISA technique is considered the best method used for detection of cryptosporidial infection as its sensitivity is 90%.
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Affiliation(s)
- Nabil S Gabr
- Department of Parasitology, Minia University, Egypt
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Abdellatif MZM, Ahmad AK, Abdel-Hafeez EH, Abdelgelil NH, Kamal AM, Mohamed RM. In Vitro Effect of Some Egyptian Herbal Extracts against Blastocystis Hominis. ACTA ACUST UNITED AC 2015; 45:93-100. [DOI: 10.12816/0010854] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Abdellatif MZM, Belal US, Abdel-Hafeez EH, Atiya AM, Norose K. Ascaris lumbricoides causing acute abdomen: a case report. East Mediterr Health J 2013; 19:1035-1037. [PMID: 24684102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Abdellatif MZM, El-Mabrouk K, Ewis AA. An epidemiological study of cutaneous leishmaniasis in Al-jabal Al-gharbi, Libya. Korean J Parasitol 2013; 51:75-84. [PMID: 23467624 PMCID: PMC3587753 DOI: 10.3347/kjp.2013.51.1.75] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2012] [Revised: 08/17/2012] [Accepted: 09/07/2012] [Indexed: 11/23/2022]
Abstract
Cutaneous leishmaniasis (CL) is an endemic parasitic infection in the Mediterranean region, including Libya and its Al-jabal Al-gharbi province. We aimed at studying the occupational relevance as well as other epidemiological aspects of CL. We investigated 140 CL cases who attended at Gharyan outpatient polyclinic during a period of 6 months in 2009. CL infection was clinically diagnosed and confirmed by demonstration of Leishmania parasites on smears from lesions. Our findings showed that males were more affected than females (P=0.04), and people above 10-years were more affected than younger ones (P=0.0001). A significant percent of CL cases belonged to Al-Kawasem subprovince (P=0.0001). Farm-related activities were the most frequent occupations among CL cases (P=0.04). In addition to farm workers, housewives and students are at risk groups since they are engaged at farm activities. Moreover, those who have occupations that require staying outdoors for a part of night, e.g., policemen, are also at risk. Compared to children, adult CL patients had multiple lesions (P=0.001) that were more prevalent in their upper and lower extremities than the face (P=0.0001). We conclude that CL is a major health problem in Al-jabal Al-gharbi province of Libya. The presence of rodents and sandflies makes it a suitable environment for Leishmania to spread in an endemic epidemiological pattern. Being engaged in farming activities or outdoor occupations increases the risk of infection. Various clinical patterns of CL suggest the presence of more than 1 species of Leishmania at Al-jabal Al-gharbi province. We propose that the 2 species responsible for CL in this area are L. major and L. tropica. Further investigations to identify the leishmanial species responsible for CL at Al-jabal Al-gharbi together with adoption of preventive and control programs are needed.
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Affiliation(s)
- Manal Z M Abdellatif
- Department of Parasitology, Faculty of Medicine, Al-jabal Al-gharbi University, Gharyan, Libya
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Abstract
Purpose: To study the common presenting signs of external ophthalmomyiasis caused by Oestrus ovis larvae in Aljabal Algharbi province, Libya. Materials and Methods: A prospective non- comparative study was conducted from September 2009 to July 2010 at the Gharian outpatient clinic, Gharian, Aljabal Algharbi, Libya. The common presenting features of patients with external ophthalmomyiasis and data on the organism that caused the disease were collected. Results: Twenty one cases diagnosed with external ophthalmomyiasis were recorded. There were fourteen males (66.67%) and seven females (33.33%) in the cohort. The mean age was 14.29 ± 3.46 years (range, 8 years to 22 years: males; 13.39 ± 3.03 years and females; 16.67 ± 3.75 years). The main complaint was redness (100.00%), itching (71.43%) and tearing (57.14%). Twelve patients (57.14%) were from rural areas and 9 patients (42.9%) were from urban areas. The causative organism was found to be first instar of Oestrus ovis larvae. Conclusion: External ophthalmomyiasis caused by Oestrus ovis can cause red eye in patients from Aljabal Algharbi, Libya and requires careful examination to ensure early diagnosis and proper treatment.
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Affiliation(s)
- Manal Z M Abdellatif
- Department of Parasitology, Faculty of Medicine in Gharian, Aljabal Algharbi University, Libya
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