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Comparative analysis of transcriptomics of Fasciola hepatica at different developmental stages. 不同发育阶段肝吸虫转录组学的比较分析
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.009
N Li, W Tian, L Sun, H Yan, S Hasi

This study explored the transcriptome differences in Fasciola hepatica at different developmental stages and identified functional genes related to growth and development during juvenile stages. DNBSEQ eukaryotic strand-specific transcriptome resequencing technology was used to sequence the transcriptomes of Fasciola hepatica eggs, juveniles, and adults. Additionally, the genes that were highly expressed during the juvenile stage were validated using qRT-PCR. The Q20 values of all three phases of sequencing were above 98%, and the Q30 values were above 94%. The differentially expressed genes (DEGs) in pairwise comparisons were analyzed by GO functional classification and the KEGG pathway database. Many immune-, growth-, and development-related pathways were found, which might be related to cell proliferation, development, and host immune evasion by Fasciola hepatica. In addition, five DEGs with high expression levels during the juvenile stage were identified: Cathepsin B, Glutathione S-transferase mu, heat shock protein 67B2, Kunitz-CH, and Legumain. Validation analyses revealed that these genes play key roles in maintaining normal growth, development, and immunological processes in liver Fasciola hepatica. RNA-seq was used to analyze the biological characteristics of the DEGs at different developmental stages concerning GO functional classification and KEGG metabolic pathways. Five DEGs with high expression during the juvenile stage were identified. These genes are related to the growth, development, and immune function of Fasciola hepatica, which provides a theoretical basis for subsequent research on the proteomics of Fasciola hepatica and the screening of candidate genes for early diagnosis.

本研究探讨了肝吸虫在不同发育阶段的转录组差异,并确定了与幼虫期生长和发育相关的功能基因。该研究利用 DNBSEQ 真核链特异性转录组重测序技术对肝脏法氏囊虫卵、幼虫和成虫的转录组进行了测序。此外,还利用 qRT-PCR 验证了幼虫期高表达的基因。三个阶段测序的 Q20 值均在 98% 以上,Q30 值在 94% 以上。通过 GO 功能分类和 KEGG 通路数据库分析了成对比较的差异表达基因(DEGs)。发现了许多与免疫、生长和发育相关的通路,这些通路可能与肝包虫的细胞增殖、发育和宿主免疫逃避有关。此外,还发现了五个在幼虫期表达水平较高的 DEGs:Cathepsin B、谷胱甘肽 S-transferase mu、热休克蛋白 67B2、Kunitz-CH 和 Legumain。验证分析表明,这些基因在维持肝脏法氏囊病菌的正常生长、发育和免疫过程中发挥着关键作用。研究人员利用 RNA-seq 分析了 DEGs 在不同发育阶段的生物学特征,包括 GO 功能分类和 KEGG 代谢通路。结果发现了五个在幼虫期高表达的 DEGs。这些基因与肝包虫的生长、发育和免疫功能有关,为后续肝包虫蛋白质组学研究和早期诊断候选基因的筛选提供了理论依据。
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引用次数: 0
Rare occurrence of Blastocystis in sea turtles and insects (cockroaches, houseflies, and crickets) from several states in Peninsular Malaysia. 马来西亚半岛几个州的海龟和昆虫(蟑螂、家蝇和蟋蟀)中罕见地出现了 Blastocystis。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.017
S Muhammad Hafiz, A O Attah, S Mohd Salleh, M U Rusli, M T Farah Haziqah

Blastocystis a single-celled eukaryotic protist, is known to inhabit the intestines of various hosts, including humans, and has been implicated in a wide spectrum of symptoms, ranging from gastrointestinal issues to skin disorders, thereby establishing its status as an emerging infectious agent. In this study, the prevalence of Blastocystis infection was investigated in insects, including cockroaches, houseflies, and crickets, as well as sea turtles. Additionally, the genotypic characteristics of the isolated Blastocystis strains were examined, and the evolutionary relationships between Blastocystis species found in sea turtles, and animals/humans were determined. Microscopic techniques and molecular methods were utilized in this study. The results showed that four out of 90 insects (4.44%) and one out of 13 sea turtles (7.7%) were infected by Blastocystis. Furthermore, detailed observations revealed the presence of characteristic morphological features, such as vacuolar forms in the cockroach, cricket and sea turtle samples and binary fission from cockroach samples, indicative of Blastocystis' mode of reproduction. While the ST8 of Blastocystis in sea turtles were successfully identified, no subtyping was achieved for the infected insects. This study not only establishes the occurrence of Blastocystis infection in sea turtles but also uncovers its ability to infect insects, suggesting a potential reservoir role for these organisms. Overall, this research emphasizes the significance of comprehending the prevalence, genotypic diversity, and evolutionary relationships of Blastocystis across various hosts. Such insights are instrumental in developing effective control measures and public health interventions to mitigate the associated symptoms and prevent future outbreaks.

布氏囊虫是一种单细胞真核原生动物,已知会栖息在包括人类在内的各种宿主的肠道中,并与从胃肠道问题到皮肤病等多种症状有关,从而确立了其作为一种新兴传染病病原体的地位。本研究调查了蜚蠊、家蝇、蟋蟀等昆虫以及海龟的布氏囊虫感染率。此外,还研究了分离出的 Blastocystis 菌株的基因型特征,并确定了在海龟和动物/人类中发现的 Blastocystis 菌种之间的进化关系。这项研究采用了显微镜技术和分子方法。结果显示,90 只昆虫中有 4 只(4.44%)和 13 只海龟中有 1 只(7.7%)感染了 Blastocystis。此外,详细的观察结果显示,蟑螂、蟋蟀和海龟样本中都出现了特征性的形态特征,如空泡形态,蟑螂样本中出现了二分裂,这表明了 Blastocystis 的繁殖模式。虽然成功鉴定了海龟中布氏囊虫的 ST8,但受感染昆虫的亚型却没有鉴定出来。这项研究不仅确定了海龟感染 Blastocystis 的情况,还发现了 Blastocystis 感染昆虫的能力,这表明这些生物可能扮演着储库的角色。总之,这项研究强调了了解 Blastocystis 在不同宿主中的流行情况、基因型多样性和进化关系的重要性。这些见解有助于制定有效的控制措施和公共卫生干预措施,以减轻相关症状并防止未来疫情爆发。
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引用次数: 0
Bacillus cereus in rice: A review on food poisoning, antimicrobial resistance, and control measures. 大米中的蜡样芽孢杆菌:食物中毒、抗菌药耐药性和控制措施综述。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.010
P Y Woh, C Ng

Rice is often associated with Bacillus cereus (B. cereus) food poisoning. This review aims to explore the food poisoning activity, antimicrobial resistance, and control measures of B. cereus in rice from 1974 to October 2023. We searched for eligible studies from the PubMed database based on explicit criteria following the PRISMA checklist. A total of 117 articles were collected, and the final analysis included 29 studies. Quality appraisal was performed using AMSTAR 2, SANRA 2, and Critical Appraisal Tool standards. B. cereus can grow and multiply in food to cause emetic vomiting or diarrheal syndrome. The primary etiology of B. cereus contamination is improper food handling and storage temperature during the cooking, cooling, and reheating stages of rice. The alarming rise of antimicrobial resistance in B. cereus to beta-lactam antibiotics necessitates alternatives from natural antimicrobial preservatives such as carvacrol, chitosan, or trans-cinnamaldehyde to prevent microbial infestation and toxin production. Implementing food safety strategies tailored to specific food settings, such as restaurants and factorymanufactured ready-to-eat rice, is critical for preventing food contamination by B. cereus. Given the heat-resistant spores and intoxication properties of B. cereus, it is important to develop effective interventions and hygienic protocols from farm to fork.

大米经常与蜡样芽孢杆菌(B. cereus)食物中毒有关。本综述旨在探讨 1974 年至 2023 年 10 月期间大米中蜡样芽孢杆菌的食物中毒活性、抗菌药耐药性和控制措施。我们按照 PRISMA 检查表的明确标准从 PubMed 数据库中搜索符合条件的研究。共收集到 117 篇文章,最终分析包括 29 项研究。质量评估采用 AMSTAR 2、SANRA 2 和 Critical Appraisal Tool 标准进行。蜡样芽孢杆菌可在食物中生长繁殖,引起催吐呕吐或腹泻综合征。造成蜡样芽孢杆菌污染的主要原因是在烹饪、冷却和加热米饭的过程中食品处理和储存温度不当。蜡样芽孢杆菌对β-内酰胺类抗生素的抗菌性上升令人担忧,因此有必要使用香芹酚、壳聚糖或反式肉桂醛等天然抗菌防腐剂作为替代品,以防止微生物侵染和毒素产生。针对特定的食品环境(如餐馆和工厂生产的即食米饭)实施食品安全战略,对于防止蜡样芽孢杆菌污染食品至关重要。鉴于蜡样芽孢杆菌具有耐热孢子和中毒特性,因此必须制定从农场到餐桌的有效干预措施和卫生规程。
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引用次数: 0
Detection of the carcinogenic liver fluke, Opisthorchis viverrini: comparison of two coprological methods versus the automatic feces analyzer. 致癌肝吸虫 Opisthorchis viverrini 的检测:两种粪便学方法与自动粪便分析仪的比较。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.005
A Boonsuya, P Arunsan, P Pechdee, N La, C Thanchonnang, N K Rattanapitoon, S K Rattanapitoon

Liver fluke infection, particularly Opisthorchis viverrini, poses a significant public health risk in Thailand, where it is closely associated with cholangiocarcinoma and contributes to substantial mortality in the northeastern region. Diagnosis of this condition employs various parasitological approaches. This research aims to compare the diagnostic accuracy of three parasitological techniques: the Kato Katz technique (KKT), the formalin-ethyl acetate concentration technique (FECT), and the Fully Automatic Feces Analyzer (FAFA) for O. viverrini identification. A total of 455 fecal specimens were collected from rural areas across five provinces in northeastern Thailand. The specimens were processed according to each method and examined through microscopy for KKT and FECT, and by utilizing an artificial intelligence-based machine for FAFA. Data analysis was conducted to assess parasitic infection rates and observe diagnostic accuracy. The results revealed a parasitic infection rate of 19.34%, with the majority of infections attributed to O. viverrini (18.02%), followed by Strongyloides stercoralis (0.88%). FECT exhibited the highest positive detection of O. viverrini eggs (16.48%), followed by FAFA (10.55%), and KKT (8.57%), respectively. Statistical analysis indicated sensitivity and specificity values for O. viverrini detection by KKT (100% and 89.21%), FECT (98.67% and 97.63%), and FAFA (97.92% and 91.15%). The positive predictive value, negative predictive value, and kappa were reported for FECT (89.16%, 99.73%, 0.92), FAFA (56.63%, 99.73%, 0.67), and KKT (45.78%, 100%, 0.58). Additionally, the preparation time for KKT, FECT, and FAFA was 30, 15, and 10 min, respectively. In conclusion, this study highlights FECT, KKT, and FAFA as comparably sensitive in diagnosing O. viverrini. The FAFA machine emerges as a potentially valuable tool for detecting O. viverrini and other parasitic infections, showcasing promise for clinical use. The findings provide valuable insights into the diagnostic landscape and underscore the potential of FAFA in enhancing efficiency and accuracy in parasitological assessments.

肝吸虫感染,尤其是 Opisthorchis viverrini,对泰国的公共卫生构成了重大威胁,它与胆管癌密切相关,在泰国东北部地区造成大量死亡。对这种疾病的诊断采用了多种寄生虫学方法。本研究旨在比较三种寄生虫学技术的诊断准确性:加藤卡茨技术(KKT)、福尔马林-醋酸乙酯浓缩技术(FECT)和全自动粪便分析仪(FFA)对 O. viverrini 的鉴定。从泰国东北部五个府的农村地区共采集了 455 份粪便标本。根据每种方法对标本进行处理,并通过显微镜对 KKT 和 FECT 进行检查,利用基于人工智能的机器对 FAFA 进行检查。数据分析用于评估寄生虫感染率和观察诊断准确性。结果显示,寄生虫感染率为 19.34%,其中大多数感染是由 O. viverrini(18.02%)引起的,其次是 Strongyloides stercoralis(0.88%)。FECT 对卵囊虫卵的阳性检测率最高(16.48%),其次分别是 FAFA(10.55%)和 KKT(8.57%)。统计分析表明,KKT(100% 和 89.21%)、FECT(98.67% 和 97.63%)和 FAFA(97.92% 和 91.15%)检测到 O. viverrini 的灵敏度和特异性值。据报告,FECT(89.16%、99.73%、0.92)、FAFA(56.63%、99.73%、0.67)和 KKT(45.78%、100%、0.58)的阳性预测值、阴性预测值和 kappa 值都很高。此外,KKT、FECT 和 FAFA 的准备时间分别为 30、15 和 10 分钟。总之,本研究强调了 FECT、KKT 和 FAFA 对诊断 O. viverrini 的灵敏度相当。FAFA机器是检测O. viverrini和其他寄生虫感染的一种有潜在价值的工具,有望用于临床。研究结果为诊断领域提供了宝贵的见解,并强调了 FAFA 在提高寄生虫学评估的效率和准确性方面的潜力。
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引用次数: 0
Occurrence and ultrastructural surface of Blastocystis isolated from water sources in Kedah and Penang, Malaysia. 从马来西亚吉打州和槟榔屿水源中分离的 Blastocystis 的出现和超微结构表面。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.018
A O Attah, K Y Ong, A Sanggari, I L Lee, N A I I Nik Him, A H Ismail, M T Farah Haziqah

Blastocystis is a ubiquitous waterborne parasite that has been implicated in some disease conditions including colorectal cancer and irritable bowel syndrome, and its surface coat characteristics have been associated with its pathogenicity. Although the morphology of Blastocystis isolates from human and animal sources have been studied, there is a paucity of data on the surface ultrastructure of Blastocystis isolated from water sources. Therefore, this study aimed to determine the occurrence and the ultrastructural surface of Blastocystis isolates from several water sources in Kedah and Penang, Malaysia. A total of 12 water samples were collected, namely, Pinang River and USM Harapan Lake all in Penang, whereas Lata Bayu Waterfall in Baling and UniSHAMS Lake, Kuala Ketil in Kedah. These were examined for Blastocystis by centrifugation and in vitro cultivation. Scanning electron microscopy (SEM) and light microscopy were employed to study the morphological characteristics and the surface ultrastructure of the parasite. Polymerase chain reaction (PCR) was carried out to obtain the subtypes (ST) of the positive Blastocystis isolates. The result revealed 25.0% (3/12) contamination with Blastocystis in which ST1, ST2, and an unknown ST (with a high similarity to ST1) were detected in water samples from the upstream, downstream, and midstream, respectively of Pinang River. Our study also revealed similarities in the sizes of the isolates from different river points, which were notably more diminutive compared to the sizes of the parasites observed in existing data from human and animal isolates. The surface characteristics showed a collection of single and dividing cells with smooth, folded surfaces enclosed in a film-like layer. Additionally, there were roundish, irregularly shaped cells with rough surfaces, and a woolly appearance. This study has added to our knowledge of the surface ultrastructure of Blastocystis and its possible contribution to the pathogenicity of the parasite.

布氏囊虫是一种无处不在的水传播寄生虫,与一些疾病(包括结肠直肠癌和肠易激综合征)有关,其表面包膜特征与其致病性有关。虽然已经对从人类和动物来源中分离出的布氏囊虫的形态进行了研究,但有关从水源中分离出的布氏囊虫表面超微结构的数据却很少。因此,本研究旨在确定从马来西亚吉打州和槟榔屿的几个水源中分离出的 Blastocystis 的发生率和表面超微结构。本研究共收集了 12 份水源样本,分别是槟城的槟榔屿河和 USM Harapan 湖、巴陵的拉塔巴尤瀑布和吉打州的瓜拉凯迪尔 UniSHAMS 湖。通过离心分离和体外培养的方法,对这些水体进行了Blastocystis检测。扫描电子显微镜(SEM)和光学显微镜用于研究寄生虫的形态特征和表面超微结构。聚合酶链式反应(PCR)被用来获得阳性布拉氏囊虫分离物的亚型(ST)。结果显示,在彬南河上游、下游和中游的水样中分别检测到了 25.0%(3/12)的囊泡虫污染,其中 ST1、ST2 和未知 ST(与 ST1 相似度很高)。我们的研究还发现,不同河点分离出的寄生虫大小相似,与现有的人类和动物分离数据中观察到的寄生虫大小相比,明显更小。表面特征显示,寄生虫由单细胞和分裂细胞组成,表面光滑、褶皱,被一层薄膜包裹。此外,还有表面粗糙、形状不规则的圆形细胞,外观呈羊毛状。这项研究增加了我们对布氏囊虫表面超微结构的了解,以及它对寄生虫致病性的可能贡献。
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引用次数: 0
Vector-borne diseases in Cyprus: A detailed review of the literature. 塞浦路斯的病媒传染病:对文献的详细审查。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.014
A Seyer-Cagatan, E Ruh, A Taylan-Ozkan

Vector-borne diseases have been a growing health concern in recent decades due to the global warming, globalization, and increased international travel. With the typical Mediterranean climate and geographical features, Cyprus provides favorable conditions for the growth and survival of arthropod species. For the purpose of this review article, the terms "Cyprus", "vectors" and "vectorborne diseases" were searched in the National Library of Medicine ('PubMed') and the Google Scholar databases. Published articles in the literature have documented mosquito (including Anopheles, Aedes, Culex, and Culiseta), sandfly (Phlebotomus, Sergentomyia), flea (including Ctenocephalides, Xenopsylla, Leptopsylla), and tick (including Rhipicephalus, Ixodes, Hyalomma, Haemaphysalis) species in the island. The presence of these arthropods poses a risk to public health as they can transmit a variety of diseases to both humans and animals. Research studies in Cyprus have identified infectious agents such as West Nile virus, Leishmania spp., sandfly viruses, Rickettsia spp., Coxiella burnetii, and Bartonella spp. in the local arthropods. More importantly, West Nile virus infection and imported malaria cases (mosquitoborne diseases); leishmaniasis and sandfly fever (sandfly-borne diseases); rickettsiosis, tularemia, Q fever, anaplasmosis, tick-borne relapsing fever, and Lyme disease (tick-borne diseases); and flea-borne rickettsiosis were reported in Cyprus. Taken together with the presence of arthropod vectors, published evidence in the literature suggests that Cyprus is an important region for VBDs. In addition to its climatic and geographical conditions, international travels particularly from endemic countries pose a risk for the circulation of VBDs on the island. Therefore, vector control programs should be continuously implemented, and public awareness must be raised in the region. This review, which to the best of our knowledge is the first comprehensive report on VBDs from Cyprus, will provide insight into future islandwide studies and also will be an important contribution to the elimination of VBDs in the region.

近几十年来,由于全球变暖、全球化和国际旅行的增加,病媒传染的疾病已成为一个日益严重的健康问题。塞浦路斯具有典型的地中海气候和地理特征,为节肢动物物种的生长和生存提供了有利条件。为撰写这篇综述文章,我们在美国国家医学图书馆('PubMed')和谷歌学术数据库中搜索了 "塞浦路斯"、"病媒 "和 "病媒传播疾病 "等词。文献中已发表的文章记录了岛上的蚊子(包括按蚊、伊蚊、库蚊和库利斯达蚊)、沙蝇(Phlebotomus、Sergentomyia)、跳蚤(包括栉头蚤、蚤蚤、蜱)和蜱(包括Rhipicephalus、Ixodes、Hyalomma、Haemaphysalis)物种。这些节肢动物的存在对公共健康构成威胁,因为它们可向人类和动物传播各种疾病。塞浦路斯的研究已在当地节肢动物中发现了西尼罗河病毒、利什曼原虫属、沙蝇病毒、立克次体属、烧伤科克西氏菌和巴顿氏菌等传染性病原体。更重要的是,塞浦路斯报告了西尼罗河病毒感染和输入性疟疾病例(蚊媒疾病);利什曼病和沙蝇热(沙蝇媒疾病);立克次体病、土拉菌病、Q 热、无形体病、蜱媒复发热和莱姆病(蜱媒疾病);以及蚤媒立克次体病。结合节肢动物病媒的存在,文献中公布的证据表明塞浦路斯是一个重要的虫媒生物疾病地区。除气候和地理条件外,国际旅行(尤其是来自流行国家的旅行)也为膀胱阴道畸形病在岛上的传播带来了风险。因此,应持续实施病媒控制计划,并提高该地区的公众意识。据我们所知,本综述是第一份关于塞浦路斯膀胱阴道畸形病的全面报告,它将为未来的全岛研究提供深入见解,同时也将为该地区消除膀胱阴道畸形病做出重要贡献。
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引用次数: 0
Potential use of anti-thrombospondin-related apical merozoite protein (TRAMP) polyclonal antibodies in sandwich enzyme-linked immunosorbent assay (ELISA) for detection of Plasmodium knowlesi. 在夹心酶联免疫吸附试验(ELISA)中使用抗凝血酶相关顶端裂殖蛋白(TRAMP)多克隆抗体检测克雷西疟原虫的可能性。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.016
W S M Wan Nazri, Y L Lau, F W Cheong

Plasmodium knowlesi, primarily a zoonotic malaria species is the most common malaria pathogen in the Southeast Asia especially in Malaysian Borneo, Malaysia. Due to morphological resemblance of P. knowlesi to other human Plasmodium, the sensitivity for microscopic detection of P. knowlesi, which is the gold standard, is compromised. Thus, efforts have been made in finding alternatives for the disease diagnosis. This study described the potential use of anti-PkTRAMP polyclonal antibodies in sandwich ELISA for P. knowlesi detection. Anti-PkTRAMP polyclonal antibodies raised from mice and rabbit were first evaluated for their binding capability towards native proteins in P. knowlesi lysates using Western blot. These mice and rabbit polyclonal antibodies were then used in the sandwich ELISA as capture and detection antibodies, respectively. P. knowlesi A1H1 culture was utilised to determine the limit of detection (LOD) of this assay. Its clinical performance was determined by testing with archived human malaria and uninfected samples. Western blot analysis affirmed the polyclonal antibodies reactivity to P. knowlesi. The LOD obtained from three replicated assays was at 0.015% parasitaemia. The assay has 76% sensitivity and 75% specificity for P. knowlesi. Its positive and negative predictive values were 76% and 75%, respectively. No cross reactivity with P. falciparum and healthy samples was observed, except for P. vivax where 10 out of 12 samples were detected. In conclusion, anti-PkTRAMP polyclonal antibodies can be useful in detecting P. knowlesi. Regardless, the full potential of anti-PkTRAMP antibodies for diagnostic purposes need to be explored further.

知更鸟疟原虫主要是人畜共患疟疾的一种,是东南亚地区最常见的疟疾病原体,尤其是在马来西亚婆罗洲。由于知更鸟疟原虫与其他人类疟原虫形态相似,显微镜检测知更鸟疟原虫的灵敏度受到影响,而显微镜检测是检测知更鸟疟原虫的黄金标准。因此,人们一直在努力寻找疾病诊断的替代方法。本研究描述了在夹心酶联免疫吸附试验中使用抗 PkTRAMP 多克隆抗体检测 P. knowlesi 的可能性。首先用 Western 印迹法评估了从小鼠和兔子身上提取的抗 PkTRAMP 多克隆抗体与 P. knowlesi 裂解液中的原生蛋白的结合能力。然后将这些小鼠和兔多克隆抗体分别作为捕获抗体和检测抗体用于夹心酶联免疫吸附试验。用柯莱斯病菌 A1H1 培养物来确定该检测方法的检测限(LOD)。通过对存档的人类疟疾样本和未感染样本进行检测,确定了该检测方法的临床性能。Western 印迹分析证实了多克隆抗体对柯莱西疟原虫的反应性。通过三次重复检测得出的 LOD 值为 0.015%。该检测方法对柯莱斯虫的敏感性为 76%,特异性为 75%。其阳性和阴性预测值分别为 76% 和 75%。与恶性疟原虫和健康样本没有交叉反应,但对间日疟原虫有交叉反应,12 个样本中有 10 个样本检测到了间日疟原虫。总之,抗 PkTRAMP 多克隆抗体可用于检测克雷西疟原虫。尽管如此,抗PkTRAMP抗体用于诊断的全部潜力仍有待进一步探索。
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引用次数: 0
Cerebral toxoplasmosis in Malaysia: a debilitating disease, an insight from a case study. 马来西亚的脑弓形虫病:一种使人衰弱的疾病,一项个案研究的启示。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.006
A Muslim, F R Mohd Rustam, M S Mohd Khalid, N Sahlan

Toxoplasmosis is an infectious disease caused by the intracellular protozoan parasite, Toxoplasma gondii. While the infection is typically asymptomatic in healthy individuals, it can progress to cerebral toxoplasmosis, especially in those with human immunodeficiency virus (HIV) or weakened immune systems. In this communication, we present a case of a newly diagnosed HIV infection patient who presented with neurological symptoms. The patient was later diagnosed with probable cerebral toxoplasmosis. The case depicts the severe consequences of toxoplasmosis in immunocompromised patients, highlighting the urgent need to identify those at high risk of contracting the disease and the importance of prophylactic treatment. This requires the necessity for early HIV diagnosis and close monitoring of HIV-positive patients.

弓形虫病是一种由细胞内原生寄生虫弓形虫引起的传染病。虽然健康人感染后通常无症状,但也可能发展为脑弓形虫病,尤其是那些感染了人类免疫缺陷病毒(HIV)或免疫系统较弱的人。在这篇通讯中,我们介绍了一例新确诊的艾滋病病毒感染者,该患者出现了神经系统症状。患者后来被诊断为可能患有脑弓形虫病。该病例描述了弓形虫病对免疫力低下患者造成的严重后果,强调了识别高危人群的紧迫性和预防性治疗的重要性。这就要求必须及早诊断艾滋病毒,并对艾滋病毒阳性患者进行密切监测。
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引用次数: 0
Study on the neurotoxicity of the temephos impregnated kenaf cellulose nanofiber (KCNF+T) aerosols against the female Aedes aegypti mosquitoes. 研究浸渍了克无踪纤维素纳米纤维(KCNF+T)的特灭磷气溶胶对埃及伊蚊雌蚊的神经毒性。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.008
N Sabri, J Kamaldin, M Sivanathan, R Rasli

The study has generated visible aerosols with the diameter of 11 to 35 µm from the kenaf cellulose nanofiber (KCNF) impregnated with the temephos (KCNF+T) in water suspension. The study aimed to determine whether the KCNF+T aerosols are capable to elicit neurotoxicity in the adult mosquitoes via the respiratory exposure route by observing their behavioural response and measuring its body acetylcholine esterase (AChE) activity. Adult Aedes aegypti mosquitoes were assigned to one negative control group and three treatment groups namely, distilled water (vehicle control), KCNF and KCNF+T. The study adopted the MS1911 whereby the aerosols generated are released into the insecticide bioassay glass chamber (IBGC) separately to achieve four different aerosols concentrations of 6.4 ml/m3, 12.8 ml/m3, 19.2 ml/m3, and 25.6 ml/m3. Then the 20 sugar-fed mosquitoes were released free-flying into each IBGC to observe its behavioural response (knockdown) at 30, 60, 120, 180, 240, 300 minutes intervals and 24th hour mortality. Results showed that only mosquitoes exposed to KCNF+T aerosols exhibited persistent knockdown. There was significant difference (p< 0.05) between observation intervals with the cumulative knockdown of 84.8%, 92.8%, 99.0%, 100.0%, 100.0%, 100.0% compared with the KCNF aerosols. Further, it was distinctive that only KCNF+T is capable to cause the female mosquitoes moribund/mortality at the 24th hour with 90% at the lowest aerosol concentration of 6.4 ml/m3. The neuroenzyme assay on the mosquito that died from the KCNF+T exposure verified to have reduced AChE enzyme activity. The behavioural response and reduction of the AChE activity strongly suggests the temephos from the KCNF+T aerosols has been released into the mosquito body causing the neurotoxicity but KCNF alone is not neurotoxic.

该研究利用浸渍了特灭磷(KCNF+T)的纳米纤维素(Kenaf cellulose nanofiber,KCNF)在水悬浮液中产生直径为 11 至 35 微米的可见气溶胶。研究旨在通过观察成蚊的行为反应和测量其体内乙酰胆碱酯酶(AChE)的活性,确定 KCNF+T 气溶胶是否能够通过呼吸接触途径引起成蚊的神经中毒。埃及伊蚊成蚊被分配到一个阴性对照组和三个处理组,即蒸馏水(载体对照)、KCNF 和 KCNF+T。研究采用 MS1911 方法,将产生的气溶胶分别释放到杀虫剂生物测定玻璃箱(IBGC)中,以达到 6.4 毫升/立方米、12.8 毫升/立方米、19.2 毫升/立方米和 25.6 毫升/立方米四种不同的气溶胶浓度。然后,将 20 只喂了糖的蚊子自由放飞到每个 IBGC 中,观察它们在 30、60、120、180、240、300 分钟间隔内的行为反应(击倒)和第 24 小时的死亡率。结果显示,只有暴露于 KCNF+T 气溶胶的蚊子才表现出持续的击倒。与 KCNF 气溶胶相比,不同观察间隔期的累积击倒率分别为 84.8%、92.8%、99.0%、100.0%、100.0%、100.0%,差异明显(p< 0.05)。此外,在最低气溶胶浓度为 6.4 毫升/立方米时,只有 KCNF+T 能够使雌蚊在 24 小时内奄奄一息/死亡 90%。对因接触 KCNF+T 而死亡的蚊子进行的神经酶测定证实,其 AChE 酶活性降低。蚊子的行为反应和乙酰胆碱酯酶活性的降低有力地表明,KCNF+T 气溶胶中的特灭磷已释放到蚊子体内,导致神经中毒,但单独的 KCNF 并无神经毒性。
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引用次数: 0
First reported cases of Borrelia and dengue co-infection: A case series. 首次报告的包虫病和登革热合并感染病例:系列病例。
Pub Date : 2024-09-01 DOI: 10.47665/tb.41.3.012
A A Irekeola, N Ahmed, M I Abdul Hadi, T C Yung, M F Mohd Shukri, M M Mafauzy, N Mohamad, W S Wan Mohamad, N I Mohd Nasir, R H Shueb, M H Fauzi, A M B Hashim, W C Chua, Y Y Chan

Dengue fever is one of the most common diagnoses in patients presenting with acute febrile illness in tropical countries. Borrelia, on the other hand, is the cause of vector-borne infections of relapsing fever and Lyme disease. While co-infections of dengue with chikungunya, Zika, malaria, influenza and typhoid have been reported, clinical cases of Borrelia infections have never been reported in Malaysia. Based on available evidence, this is the first case series to report dengue fever and Borrelia spp. co-infection. All three patients in this report were admitted to medical wards on day 3 to day 8 of illness for dengue fever as evidenced by a positive dengue NS1 antigen test. The clinical manifestations were typical of dengue fever, with all patients having high grade fever, myalgia, and arthralgia. All patients also had thrombocytopenia. Features of severe dengue, such as shock, hemorrhage and impaired consciousness were absent. Borrelia DNA were detected in the blood samples of the patients. However, all the patients denied having skin lesions and a history of insect bites. All the patients were given intravenous fluid therapy and were discharged after 3 to 5 days of hospitalization.

登革热是热带国家急性发热性疾病患者最常见的诊断之一。另一方面,波氏杆菌是病媒传播的复发性热和莱姆病的病原体。虽然登革热与基孔肯雅病、寨卡病、疟疾、流感和伤寒的合并感染已有报道,但马来西亚从未有过鲍氏包虫病感染的临床病例。根据现有证据,这是首例报告登革热与鲍氏包虫病同时感染的系列病例。本报告中的三名患者均在发病第3天至第8天因登革热入住内科病房,登革热NS1抗原检测结果呈阳性。临床表现为典型的登革热,所有患者均有高热、肌痛和关节痛。所有患者还伴有血小板减少。没有出现休克、出血和意识障碍等严重登革热症状。在患者的血液样本中检测到了波氏杆菌 DNA。然而,所有患者都否认有皮肤损伤和昆虫叮咬史。所有患者均接受了静脉输液治疗,住院 3 至 5 天后出院。
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引用次数: 0
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Tropical biomedicine
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