Multi-locus sequence analysis reveals phylogenetically segregated Entamoeba histolytica population

Amoebiasis, caused by the enteric parasite, Entamoeba histolytica, is one of the major food- and water-borne parasitic diseases in developing countries with improper sanitation and poor hygiene. Infection with E. histolytica has diverse disease outcomes, which are determined by the genetic diversity of the infecting strains. Comparative genetic analysis of infecting E. histolytica strains associated with differential disease outcomes from different geographical regions of the world is important to identify the specific genetic patterns of the pathogen that trigger certain disease outcomes of Amoebiasis. The strategy is able to elucidate the genealogical relation and population structure of infecting E. histolytica strains from different geographical regions. In the present study, we have performed a comparative genetic analysis of circulating E. histolytica strains identified from different parts of the world, including our study region, based on five tRNA-linked short tandem repeat (STR) loci (i.e., D-A, NK2, R-R, STGA-D and A-L) and evaluated their potential associations with differential disease outcomes of Amoebiasis. A number of regional-specific, emerging haplotypes of E. histolytica, significantly associated with specific disease outcomes have been identified. Haplotypes, which have a significant positive association with asymptomatic and amoebic liver abscess outcomes, showed a significant negative association with diarrheal outcome, or vice versa. Comparative multi-locus analysis revealed that E. histolytica isolates from our study region are phylogenetically segregated from the isolates of other geographical regions. This study provides a crucial overview of the population structure and emerging pattern of the enteric parasite, E. histolytica.

Nilonema gymnarchi (Nematoda: Philometridae) and trace metals in Gymnarchus niloticus of Epe lagoon in Lagos State, Nigeria

The presence of trace metals in the sediment, water, and biota of the Epe lagoon has been recently linked to oil exploration and municipal perturbations around the lagoon. The study was aimed at assessing the concentrations and associated health risks of Fe, Zn, Cu, Ni, Pb, Cd, Cr, Mn, Co and V in the water, sediment, and Gymnarchus niloticus of Epe lagoon and to evaluate the role of the enteric parasite Nilonema gymnarchi in bioaccumulation of the metals in the fish. The temperature, pH, redox potential, conductivity, turbidity, dissolved oxygen (DO), total dissolved solids (TDS), and salinity were determined in-situ using a handheld multi-parameter probe (Horiba Water Checker Model U-10). The concentrations of Fe, Zn, Cu, Ni, Pb, Cd, Cr, Mn, Co, and V were determined in the surface water, bottom sediment, Gymnarchus niloticus, and its enteric parasites, Nilonema gymnarchi in Epe lagoon using the Flame Atomic Absorption Spectrometer (Philips model PU 9100). The bioaccumulation factors and target hazard quotients of the trace metals in the infected and uninfected fish were estimated and compared. The intestinal tissue sections of the infected and uninfected fish were examined using a binocular dissecting microscope (American Optical Corporation, Model 570) using hematoxylin and eosin (H&E) stain. Biochemical markers such as reduced glutathione (GSH), superoxide dismutase (SOD), catalase (CAT), and lipid peroxidation (MDA) were determined in the liver of the infected and uninfected fish. The SOD level was higher in the uninfected fish than the infected ones supports the indications deduced from the bioaccumulation analysis. Strong positive correlations between SOD and most of the metals- Fe (0.916), Zn (0.919), Cu (0.896), and Ni (0.917) suggests that the metals may have inflicted more toxicity in the uninfected. The histopathological comparisons made between the uninfected and infected fish showed consistency with the outcomes of other comparisons made in this study. These evidence were marked by tissue alterations in the infected fish ranging from no observed changes to mild alterations, while the uninfected exhibited more severe tissue injuries such as hemorrhagic lesions, severe vascular congestion, edema, the increased connective tissue of the submucosa, and vascular congestion. The condition factors of the infected (0.252) and uninfected (0.268) fish indicated slenderness and unfitness possibly due to environmental stressors such as trace metals. The parasitized fish showing better-coping potentials than the uninfected, coupled with the significant bioaccumulation interferences exhibited by the parasite Nilonema gymnarchi is an indication that the parasites may be a good metal sequestration agent for the fish and can be used to forestall the significant health hazard quotient posed by the current level of iron and the synergy of all metals analyzed in the lagoon.

Prevalence and Molecular Subtyping of Blastocystis from Patients with Irritable Bowel Syndrome, Inflammatory Bowel Disease and Chronic Urticaria in Iran

BACKGROUND

Blastocystis is a parasite that colonizes in the human intestine. Its clinical features include diarrhea, abdominal pain, or urticarial and irritable bowel syndrome (IBS). Spite of being significant genetic diversity and numerous subtypes within the genus there were no associations between its subtypes and symptomatology.

MATERIALS AND METHODS

Aim of this project was subtyping of the protozoa in 184 Iranian people with history of IBS/IBD (n = 74) or chronic urticaria (n = 59) and individuals referred to general clinic (n = 51). Microscopic and molecular examinations used for identifying and subtyping of Blastocystis.

RESULTS

Overall, frequency of the parasite was 24.46% while, 29.41% of people who referred to general clinic, 20.27%, and 25.42% of IBS/IBD and urticarial cases were infected, respectively. Subtyping result showed that 28.89% of all people were infected with Blastocystis sp. while the prevalence of ST3, ST2 and ST1 were 22.22%, 22.22%, and 17.78%, respectively. Blastocystis sp., was identified in most IBS/IBD cases (46.7%) followed with ST2 and ST3 (13.3 and 13.3, respectively). Whereas, in chronic urticaria group ST2(33.3%) was the major subtype and most individuals in control group were infected with ST3 (33.3%). Pearson's Chi Square test showed no significant differences between the parasite or subtype prevalence and diseases (p > 0.05).

CONCLUSION

Given significant factors have effect on clinical signs including host or parasite genetics, microbiota, as well as environmental factors, it seems that further studies are needed to find out different markers of host susceptibility to diverse parasite genotypes in patients with irritable bowel syndrome or urticaria.

Differential mucins secretion by intestinal mucous cells of Chelon ramada in response to an enteric helminth Neoechinorhynchus agilis (Acanthocephala)

Intestinal mucous cells produce and secrete mucins which hydrate, lubricate and protect the intestinal epithelium from mechanical injuries due to the transition of digesta or action of pathogens. Intestinal mucous cells are considered elements of the innate immune system as they secrete lectins, toxins, immunoglobulins, and anti-microbial peptides. Acid mucins can surround and eliminate many pathogenic microorganisms. We performed a quantitative analysis of the density and mucus composition of different intestinal mucous cell types from mullet (Chelon ramada) that were infected solely with Neoechinorhynchus agilis. Most N. agilis were encountered in the middle region of the intestine. Mucous cell types were identified with Alcian Blue (pH2.5) and Periodic acid-Schiff (PAS) histochemistry, and by staining with a panel of seven lectins. Mucus enriched for high viscosity acid mucins was accumulated near points of worm attachment. Parasites were surrounded by an adherent mucus layer or blanket. Ultrastructural examination showed intestinal mucous cells typically possessed an elongated, basally positioned nucleus and numerous electron dense and lucent vesicles in the cytoplasm. The results show both an increase in mucus production and changes in mucin composition in infected mullet in comparison with uninfected conspecifics.

To Study the Prevalence of Various Enteric Parasitic Infections Among HIV Infected Individuals in the P.D.U. Medical College and Hospital, Rajkot, Gujarat, India

BACKGROUND AND OBJECTIVES

Enteric parasites are a major cause of diarrhoea in HIV infected individuals. The present study was undertaken to detect the enteric parasites in HIV infected patients with diarrhoea, who were at different levels of immunity.

METHODS

This study was carried out in the P.D.U Medical College and Civil Hospital, Rajkot, India. during the period from June 2009 to June 2010. A total of 100 stool samples from HIV seropositive patients were examined for opportunistic, gastrointestinal parasitic infections. The samples were classified according to the age groups, sex, and occupation, a history of diarrhoea and different categories of the CD4 cell count. The stool samples were collected and examined for enteric parasites by microscopy and by special staining methods. The CD4 cell counts were estimated by using the FACS count system.

RESULTS

The intestinal parasitic pathogens were detected in 28% patients. Among all, Isospora appeared to have the highest prevalence (18%), followed by Giardia lamblia (5%), Strongyloides stercoralies (3%) and Cryptosporidium parvum (2%). In the HIV infected patients with a CD4 count of < 200 cells/μl, Isospora was the most commonly observed (56%) pathogen. The proportion of the opportunistic pathogens in the patients with CD4 counts of <200 cells/μl was significantly higher as compared to those in the other two groups of patients with CD4 counts of >200 respectively.

INTERPRETATION AND CONCLUSIONS

Parasitic infections were detected in 28% of the HIV infected patients and a low CD4 count was significantly associated with an opportunistic infection. The detection of the aetiologic pathogens might help the clinicians in deciding the appropriate management strategies.