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Towards elimination of genital schistosomiasis in Africa: Outlining strategic public health objectives and measures to protect future generations. 争取在非洲消灭生殖器血吸虫病:概述公共卫生战略目标和保护子孙后代的措施。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-20 DOI: 10.1017/S0031182025101078
Akinola Stephen Oluwole, Omosefe Osinoiki, Uwem Friday Ekpo, J Russell Stothard, Martins Imhansoloeva, Cosmas Ejong Ndellejong, Pauline Ngina Mwinzi, Victoria Gamba, Christine Makia, Philip Downs, Joy Shu'aibu, Elena Schmidt, Richard Selby

Urogenital schistosomiasis has 2 gender-specific manifestations, male genital schistosomiasis (MGS) and female genital schistosomiasis (FGS). The burdens of MGS and FGS are multifaceted, encompassing financial hardship, emotional and mental health problems and sometimes social stigmatization. Given the pernicious nature of sequelae in the genitalia, managing these chronic health conditions is expensive, difficult and problematic in resource poor settings. Key challenges include lack of epidemiological data on the burden of MGS and FGS, inadequate knowledge among primary and auxiliary health care workers, leading to misdiagnosis, incorrect treatment administration, e.g. overuse of antibiotics, and a lack of appropriate point-of-care diagnostic equipment. Prevention of MGS and FGS is therefore more preferable, however, current preventive programmes and chemotherapy campaigns offering praziquantel are becoming more resource constrained and in most endemic areas are not reaching at-risk adults (and adolescents), sufficiently. Furthermore, there are limited prospects for adequate access to treatment in pre-school children where infections can be first acquired. Therefore, we propose 3 key recommendations guiding movement towards elimination of schistosomiasis as a public health problem: scaling-up praziquantel treatment for other at-risk groups; developing a targeted One Health approach to reduce environmental transmission in both humans and animals; Multi-stakeholder collaboration and community engagement for effective implementation of Water Sanitation and Hygiene components of disease control. Whilst maintaining a school-based approach is still foundational, targeted and sustainable expansion of preventive chemotherapy to other at-risk groups within communities is needed to secure real prospects in elimination of genital schistosomiasis as a public health problem in Africa.

泌尿生殖器血吸虫病有两种性别特异性表现,男性生殖器血吸虫病(MGS)和女性生殖器血吸虫病(FGS)。MGS和FGS的负担是多方面的,包括经济困难、情感和精神健康问题,有时还包括社会污名化。鉴于生殖器后遗症的有害性质,在资源贫乏的环境中,管理这些慢性健康状况是昂贵、困难和有问题的。主要挑战包括缺乏关于MGS和FGS负担的流行病学数据,初级和辅助卫生保健工作者的知识不足,导致误诊,不正确的治疗管理,例如过度使用抗生素,以及缺乏适当的护理点诊断设备。因此,预防MGS和FGS是更可取的,然而,目前提供吡喹酮的预防规划和化疗运动资源越来越有限,而且在大多数流行地区,没有充分接触到有风险的成年人(和青少年)。此外,在首次感染的学龄前儿童中,获得充分治疗的前景有限。因此,我们提出三项重要建议,以指导消除作为公共卫生问题的血吸虫病:扩大对其他危险人群的吡喹酮治疗;制定有针对性的“同一个健康”方针,以减少人类和动物的环境传播;多方利益攸关方合作和社区参与,以有效实施疾病控制的水环境卫生和个人卫生组成部分。虽然维持以学校为基础的方法仍然是基础,但需要有针对性和可持续地将预防性化疗扩大到社区内的其他高危群体,以确保在消除作为非洲公共卫生问题的生殖器血吸虫病方面有真正的前景。
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引用次数: 0
Integrating morphology and genetics to resolve the first reptilian liolopid life cycle in Africa, Paraharmotrema karinganiense (Digenea: Liolopidae). 整合形态学和遗传学来解析非洲第一个爬行类石猿生命周期,Paraharmotrema karinganiense (digene:石猿科)。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-19 DOI: 10.1017/S003118202510125X
Nichole S Donough, Marliese Truter, Victor Wepener, Luc Brendonck, Eli S J Thoré, Nico J Smit

The Liolopidae (Diplostomoidea) are a small family of digeneans that parasitize reptiles and amphibians as adults. Knowledge of intermediate hosts in this family remains scarce, leaving a major gap in the understanding of liolopid biology. To date, the only fully elucidated life cycle is that of Liolope copulans Cohn 1902, a species infecting Asian salamanders, with no other cercarial or metacercarial stages known. This study aimed to identify potential intermediate hosts for Paraharmotrema karinganiense, found in several chelonian species from southeastern Mozambique and South Africa. African apple snails of the genus Lanistes and Nothobranchius killifish were sampled from temporary pools in Karingani Game Reserve, southern Mozambique. Snails were screened over 9 months for cercarial shedding, and encapsulated metacercariae recovered from the spotted killifish (N. orthonotus, Peters) (Cyprinodontiformes: Nothobranchiidae) were excysted for morphological and molecular analyses. Fork-tailed cercariae from Lanistes sp. and 1 metacercaria found in the spotted killifish were genetically identical to the adult of P. karinganiense. This study provides the second documented life cycle of a liolopid trematode and presents the first life cycle for the family based on natural infections, being the first completely documented life cycle for freshwater trematodes from southern Africa. This linkage of larval and adult specimens signifies the importance of Nothobranchius killifish as intermediate hosts as well providing insight in parasite transmission dynamics within temporary aquatic ecosystems.

蠓科(diplostomo总科)是一种寄生在爬行动物和两栖动物身上的小蝇科。关于这个家族的中间宿主的知识仍然很少,这使得对类油生物的理解存在很大的空白。迄今为止,唯一完全阐明的生命周期是Liolope copulans Cohn 1902,这是一种感染亚洲蝾螈的物种,没有其他已知的尾蚴或元尾蚴阶段。本研究旨在确定在莫桑比克东南部和南非的几种龟类中发现的karinganiense副harmotrema的潜在中间宿主。在莫桑比克南部Karingani野生动物保护区的临时水池中取样了Lanistes属的非洲苹果螺和Nothobranchius鳉鱼。对钉螺进行了9个月的尾蚴脱落筛选,并从斑点鳉鱼(N. orthonotus, Peters)(鲤形目:无鳃科)中提取包膜囊蚴进行形态学和分子分析。在斑点鳉鱼中发现的叉尾尾蚴和1个囊蚴与卡林甘斑鳉鱼成虫基因相同。本研究提供了第二个记录在案的类油吸虫生命周期,并提出了基于自然感染的家族的第一个生命周期,这是南部非洲淡水吸虫的第一个完整记录的生命周期。这种幼虫和成虫标本的联系表明了鳉鱼作为中间宿主的重要性,并为临时水生生态系统中寄生虫传播动力学提供了见解。
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引用次数: 0
Scoping a social science agenda for male genital schistosomiasis in sub-Saharan Africa: posing key questions to frame appropriate research themes. 确定撒哈拉以南非洲男性生殖器血吸虫病的社会科学议程:提出关键问题以构建适当的研究主题。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-13 DOI: 10.1017/S0031182025101121
Owen Nyamwanza, Webster Mavhu, J Russell Stothard, Margaret Gyapong, Sally Theobald

The prevalence of female genital schistosomiasis (FGS) and male genital schistosomiasis (MGS) remains high in many low-to-medium-income countries, and each has sex-specific disease sequelae with wider detrimental gender and health impacts. Social science research studies on the former outnumber those on the latter. Indeed, in many countries across sub-Saharan Africa (SSA), MGS (as with male reproductive and sexual health issues in general) is overlooked, underappreciated, and broadly orphaned within urogenital and intestinal schistosomiasis research and control. Similarly, in those countries where MGS has been reported formally, its psychosocial dimensions and effects remain poorly understood, especially in terms of context-specific cultural and societal factors. In this scoping review, we attempt to better contextualize MGS within men's sexual and reproductive health and rights (SRHR) and general wellbeing, as it often draws parallels with social science research in FGS. We discuss common psychosocial determinants, highlighting why current surveillance of MGS is particularly poor and the primary health care response to mitigate it is bottlenecked and largely stalled within the wider health system, from both top-down and bottom-up perspectives. Our specific approach remains cognisant of the context of infected households where all members could be suffering from urogenital and/or intestinal schistosomiasis. Looking ahead, we develop and frame a pragmatic social science research agenda to encourage and better explore and assess the detrimental impact of MGS on infected men and boys, considering appropriate ameliorations more holistically within primary care.

在许多中低收入国家,女性生殖器血吸虫病和男性生殖器血吸虫病的流行率仍然很高,每种疾病都有性别特有的疾病后遗症,对性别和健康造成更广泛的有害影响。社会科学对前者的研究多于后者。事实上,在撒哈拉以南非洲(SSA)的许多国家,MGS(与一般的男性生殖和性健康问题一样)在泌尿生殖和肠道血吸虫病的研究和控制中被忽视、不受重视,并被广泛遗弃。同样,在那些已正式报告MGS的国家,其心理社会层面和影响仍然知之甚少,特别是在特定背景的文化和社会因素方面。在这一范围审查中,我们试图更好地将男性性健康和生殖健康与权利(SRHR)以及总体福祉纳入MGS的背景,因为它经常与FGS的社会科学研究相似。我们讨论了常见的社会心理决定因素,从自上而下和自下而上的角度强调了为什么目前对MGS的监测特别差,以及减轻它的初级卫生保健反应在更广泛的卫生系统中存在瓶颈和很大程度上停滞不前。我们的具体做法仍然认识到受感染家庭的情况,其中所有成员都可能患有泌尿生殖和/或肠道血吸虫病。展望未来,我们制定和制定了一项务实的社会科学研究议程,以鼓励和更好地探索和评估艾滋病毒/艾滋病对受感染男子和男孩的有害影响,同时考虑在初级保健范围内更全面地进行适当改善。
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引用次数: 0
Who eats whom? Interactions between the non-native snail Physa acuta, local digeneans, and a commensal oligochaete. 谁吃谁?非本地蜗牛、本地蜗牛和共生寡毛蜗牛之间的相互作用。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-10 DOI: 10.1017/S0031182025101169
Anna Stanicka, Jarosław Kobak, Zuzanna Kowaleska, Monika Lewalska, Wiktoria Pacek, Arkadiusz Grzeczka, Szymon Graczyk, Anna Cichy, Elżbieta Żbikowska

Parasite transmission can be disrupted when their free-living larval stages are consumed by non-host organisms. Yet, the contribution of benthic scrapers to this process remains insufficiently explored. Here, we experimentally assessed the ability of the North American pulmonate snail Physa acuta to reduce the abundance of free-living digenean larvae - cercariae of Diplostomum sp. and Trichobilharzia sp., and adolescariae of Notocotylus sp. - and evaluated how this effect is modulated by snail body size and colonisation by other organisms. Larval consumption by P. acuta occurred in all treatments and was highest for settled Notocotylus sp. adolescariae, particularly among larger individuals. The extent of larval reduction varied with infection by digenean metacercariae (xiphidiometacercariae), which either enhanced or inhibited feeding depending on parasite identity. It also varied with colonisation by Chaetogaster limnaei limnaei, whose presence increased the ingestion of planktonic cercariae, likely due to the combined feeding activity of the snail and its commensal oligochaete. Most snails harboured metacercariae, indicating that P. acuta frequently functions as a second intermediate host in its non-native range. Our findings highlight the dual ecological role of P. acuta - both as a consumer of free-living parasite stages and as a competent host. This trophic interaction may disrupt parasite transmission while providing nutritional benefits that support the ecological success and spread of this non-native species. Conversely, by serving as a host, P. acuta may facilitate the persistence and dissemination of parasitic taxa in invaded ecosystems.

当它们自由生活的幼虫阶段被非宿主生物消耗时,寄生虫的传播就会中断。然而,底栖生物刮削器对这一过程的贡献仍然没有得到充分的探索。在这里,我们通过实验评估了北美肺螺(Physa acuta)减少自由生活的蜗牛幼虫(Diplostomum sp.和Trichobilharzia sp.的尾蚴和Notocotylus sp.的青春期)的能力,并评估了这种效果是如何被蜗牛的体型和其他生物的定植调节的。在所有处理中均发生了尖尾蜱的幼虫消耗,其中以定居的青春期nototylus的幼虫消耗最高,尤其是在体型较大的个体中。幼虫减少的程度随digenean metacercariae的感染而变化,这取决于寄生虫的身份,可以增强或抑制摄食。它还随着limnaei limnaei毛囊螺的定殖而变化,它们的存在增加了浮游尾蚴的摄取量,可能是由于蜗牛及其共生的寡毛螺的联合摄食活动。大多数蜗牛都携带囊蚴,这表明急性假单胞虫经常在其非本地范围内充当第二个中间宿主。我们的研究结果强调了尖尖p.a acuta的双重生态作用——既是自由生活的寄生虫阶段的消费者,也是有能力的宿主。这种营养相互作用可能会破坏寄生虫的传播,同时提供营养益处,支持这种非本地物种的生态成功和传播。相反,作为寄主,尖尖棘豆可能促进寄生类群在入侵生态系统中的持续和传播。
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引用次数: 0
Functional analysis of Ca2+ signalling in Besnoitia besnoiti tachyzoites. 黄花苜蓿速殖子Ca2+信号的功能分析。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-10 DOI: 10.1017/S0031182025101182
Camilo Larrazabal, Daniela Grob, Zahady D Velásquez, Carlos Hermosilla, Anja Taubert, Iván Conejeros

Besnoitia besnoiti is an apicomplexan parasite, the causal agent of bovine besnoitiosis. This disease is characterised by cyst formation in the skin and mucosa. During early infection, fast proliferating tachyzoites invade and replicate within host endothelial cells. In non-excitable cells, extracellular signals activate the inositol-triphosphate/calcium (InsP3/Ca2+) pathway, which depends on phospholipase C (PLC) activation, inducing an increase in IP3 levels, followed by intracellular Ca2+ release. Despite the understanding of Ca2+ signalling, this process in B. besnoiti tachyzoites is unclear. This work aimed to study Ca2+ dynamics during B. besnoiti infection in bovine umbilical vein endothelial cells (BUVEC) and the role of the InsP3/Ca2+ pathway during B. besnoiti infection. Ca2+ dynamics during tachyzoite replication were determined in B. besnoiti-infected BUVEC loaded with fluo-4-AM. The role of InsP3/Ca2+ signalling for parasite invasion was evaluated by treatments with Ca2+ chelators (BAPTA, EGTA) or PLC inhibitors (U73122, D609). PLC activation was studied in fluo-4-loaded free tachyzoites using the PLC activator m-3M3FBS, in the presence or absence of PLC inhibitors. Current data show an infection-driven increase in total Ca2+ signals in B. besnoiti-infected BUVEC over time. BAPTA, but not EGTA, treatments of tachyzoites affected their invasion, reducing infection rates by 85.4 ± 9.3%, suggesting that intracellular Ca2+ sources are necessary for B. besnoiti invasion. In line, treatments with U73122 and D609 reduced infection rates by 79.3 ± 9.4% and 49.7 ± 8.9%, respectively, demonstrating that PLC participation is required for host cell infection. Finally, m-3M3FBS treatments induced a PLC-independent Ca2+ flux in B. besnoiti tachyzoites.

牛绒毛病是一种顶复合体寄生虫,是牛绒毛病的病原。这种疾病的特征是皮肤和粘膜形成囊肿。在早期感染中,快速增殖的速殖子侵入宿主内皮细胞并进行复制。在不可兴奋的细胞中,细胞外信号激活肌醇-三磷酸/钙(InsP3/Ca2+)途径,该途径依赖于磷脂酶C (PLC)的激活,诱导IP3水平的增加,随后是细胞内Ca2+释放。尽管了解Ca2+信号传导,但在B. besnoiti速殖子中的这一过程尚不清楚。本研究旨在研究牛脐静脉内皮细胞(BUVEC)感染牛脐静脉内皮细胞(BUVEC)时Ca2+的动态,以及InsP3/Ca2+通路在牛脐静脉内皮细胞感染过程中的作用。在加载了fluo-4-AM的B. besnotis感染的BUVEC中,测定了速殖子复制过程中的Ca2+动态。通过Ca2+螯合剂(BAPTA, EGTA)或PLC抑制剂(U73122, D609)的处理,评估了InsP3/Ca2+信号在寄生虫入侵中的作用。在存在或不存在PLC抑制剂的情况下,使用PLC活化剂m-3M3FBS研究了负载氟-4的游离速殖子中PLC的活化。目前的数据显示,随着时间的推移,感染驱动的总Ca2+信号在贝氏杆菌感染的BUVEC中增加。BAPTA对速殖子的侵袭有影响,而EGTA对速殖子的侵袭没有影响,其感染率降低了85.4±9.3%,表明细胞内Ca2+源是B. besnoiti侵袭所必需的。与此同时,U73122和D609分别降低了79.3±9.4%和49.7±8.9%的感染率,表明PLC参与宿主细胞感染是必要的。最后,m-3M3FBS处理诱导了与plc无关的B. besnoiti速殖子Ca2+通量。
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引用次数: 0
Using precision mapping of schistosomiasis to guide female genital schistosomiasis (FGS) screening in Cameroon, sub-Saharan Africa. 利用血吸虫病精确制图指导撒哈拉以南非洲喀麦隆女性生殖器血吸虫病筛查
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-06 DOI: 10.1017/S003118202510111X
Louis-Albert Tchuem Tchuenté, Nestor Feussom Gipwe, Emmanuelle Yimgoua, Vanessa Christinet, Jutta Reinhard-Rupp, J Russell Stothard

Schistosomiasis remains a significant public health concern in sub-Saharan Africa, particularly among women and children. In Cameroon, urogenital and intestinal schistosomiasis affect the lives of millions of impoverished populations, and female genital schistosomiasis (FGS) remains a serious threat which has not been quantified explicitly. The extent of stigmatization and discrimination related to FGS is currently unknown. This study explores the use of precision mapping to identify high-risk communities for urogenital schistosomiasis and guide targeted screening for FGS. Parasitological surveys were conducted between November 2020 and July 2021 in four health districts using urine filtration and Kato-Katz techniques, first in schools to identify areas of higher transmission, and secondly in selected high-risk communities. Geographic information system tools were employed to identify high transmission foci and households of targeted infected women. Results of surveys in schools showed no schistosomiasis transmission in Ayos (0%) and low prevalence in Akonolinga (8%), while Bertoua and Doume had high prevalence, up to 33% and 48% infection with Schistosoma haematobium, respectively. These results made the two health districts of Bertoua and Doume suitable for focused FGS investigations. Surveys in communities revealed higher schistosomiasis prevalence and infection intensity in Doume compared to Bertoua. Precision mapping effectively identified infected women and enabled targeted recruitment for further clinical studies, facilitating efficient resource allocation for gynaecological follow-up. This approach demonstrates the value of geospatial tools in enhancing targeted public health interventions, disease surveillance and control strategies.

血吸虫病仍然是撒哈拉以南非洲的一个重大公共卫生问题,特别是在妇女和儿童中。在喀麦隆,泌尿生殖和肠道血吸虫病影响着数百万贫困人口的生活,女性生殖血吸虫病(FGS)仍然是一个尚未明确量化的严重威胁。与FGS相关的污名化和歧视程度目前尚不清楚。本研究探讨了使用精确制图来确定泌尿生殖血吸虫病的高危社区,并指导FGS的靶向筛查。2020年11月至2021年7月期间,在四个卫生区使用尿液过滤和Kato-Katz技术进行了寄生虫学调查,首先在学校确定传播较高的地区,其次在选定的高风险社区进行调查。利用地理信息系统工具确定高传播灶和目标感染妇女的家庭。学校调查结果显示,阿约斯省无血吸虫病传播(0%),阿克诺林加省流行率低(8%),而贝尔图阿省和杜梅省流行率高,分别高达33%和48%的血血吸虫感染率。这些结果使贝尔图阿和杜梅这两个卫生区适合进行FGS的重点调查。社区调查显示,与贝尔图阿相比,杜梅的血吸虫病患病率和感染强度更高。精确测绘有效地确定了受感染的妇女,并为进一步的临床研究提供了有针对性的招募,促进了妇科随访的有效资源分配。这一方法显示了地理空间工具在加强有针对性的公共卫生干预、疾病监测和控制战略方面的价值。
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引用次数: 0
Hidden in morphology, revealed by molecular genetics: Synonymisation of Gogatea burmanicus (Chatterji, 1940) with Gogatea serpentum (Gogate, 1932) (Digenea: Cyathocotylidae). 形态学隐藏,分子遗传学揭示:Gogatea burmanicus (Chatterji, 1940)与Gogatea serpentum (Gogate, 1932)的同义性(Digenea: Cyathocotylidae)。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-06 DOI: 10.1017/S0031182025101054
Sila Viriyautsahakul, Vachirapong Charoennitiwat, Kittipong Chaisiri, Abigail Hui En Chan, Chonlada Tippawan, Alexis Ribas, Panithi Laoungbua, Tanapong Tawan, Urusa Thaenkham, Napat Ratnarathorn
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引用次数: 0
Overcoming chemical barriers: a new species of Rhabdias (Nematoda: Rhabdiasidae) from Dendrobates tinctorius (Anura: Dendrobatidae) in the Brazilian Amazon. 克服化学屏障:巴西亚马逊河流域一新种横纹肌(线虫纲:横纹肌科)来自于树突虫(无尾目:树突虫科)。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-03 DOI: 10.1017/S003118202510108X
Lorena Freitas Souza Tavares-Costa, Talita Pantoja Ribeiro, Ronald Ferreira Jesus, Fred Haick, Maria Isabel Müller, Francisco Tiago Vasconcelos Vasconcelos Melo

The nematode genus Rhabdias comprises over 100 species of parasitic nematodes that infect amphibians and reptiles, with a wide geographical distribution. To date, 25 species have been reported from the Neotropical region. Despite this diversity, few integrative studies, combining morphological and molecular data have been conducted to characterize species within the genus. Therefore, the main objective of the present study is to describe, through an integrative approach, a new species of Rhabdias found parasitizing the lungs of an anuran with a high concentration of skin toxins, Dendrobates tinctorius, from the Brazilian Amazon. The new species of Rhabdias is characterized by an elongated body, uniform cuticular inflation attenuated at the extremities, 4 submedian lips and 2 lateral lips, a cup-shaped buccal capsule, and an elongated tail. The morphology of the buccal capsule in Rhabdias camposi n. sp. is also unique among Rhabdias representatives, as this morphological character is known so far. Thus, we emphasize that a detailed study of this morphological trait for species of the genus will be crucial for species diagnosis. Molecular and phylogenetic analyses were performed using mitochondrial COI gene sequences. We observed that the new taxon is closely related to Rhabdias waiapi, a parasite of Pristimantis chiastonotus. Rhabdias camposi n. sp. represents the 26th species of the genus reported from the Neotropics in amphibians and the first described from a Dendrobates tinctorius host in Brazil.

Rhabdias线虫属包括100多种寄生线虫,感染两栖动物和爬行动物,地理分布广泛。迄今为止,新热带地区已报告了25种。尽管存在这种多样性,但很少有结合形态学和分子数据的综合研究对属内的物种进行了表征。因此,本研究的主要目的是通过一种综合的方法来描述一种新的Rhabdias物种,它寄生在巴西亚马逊地区的一种具有高浓度皮肤毒素的anuran的肺部,叫做dendroates tinctorius。该新种的特征是身体细长,四肢均匀的角质层膨胀减弱,4个中下唇和2个外侧唇,一个杯状的颊囊和一个细长的尾巴。颊囊的形态在Rhabdias camposi n. sp.中也是独一无二的,因为这种形态特征是迄今为止所知的。因此,我们强调对该属物种的这一形态特征的详细研究将对物种诊断至关重要。利用线粒体COI基因序列进行分子和系统发育分析。结果表明,该新分类群与chiastonotus的寄生虫Rhabdias waiapi有亲缘关系。Rhabdias camposi n. sp代表了新热带两栖动物中报道的第26种属,以及在巴西的dendroates tinctorius宿主中首次描述的属。
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引用次数: 0
A formative appraisal of female genital schistosomiasis (FGS) score card results against point-of-care gynaecological and molecular parasitological information within four counties of Liberia. 对利比里亚四个县的女性生殖器血吸虫病(FGS)记分卡结果与护理点妇科和分子寄生虫学信息的形成性评估。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-03 DOI: 10.1017/S0031182025101133
Ayesha E R Bell-Gam Woto, Lucas J Cunningham, Anthony K Bettee, Harley Seward, Andrew Samorlu, Manfred Yarkpawolo, C Simeon S Borbor, T Henry Kohar, Abedenego S Wright, Joseph Y Flomo, Rebecca Vesselee, Tenneh Freeman, Massa Dukuly, Hawa Kormassa Johnson, Farmah Shellie, Chester Peters, Johnathan S Beglar, Robert Y Nyumah, Alexander Korpu, Peter Edesiri Ohwoka, Marion Risse, Alexandra Juhasz, E James La Course, Bernice Dahn, J Russell Stothard

Liberia (West Africa) has an extensive (co)burden of urogenital and intestinal schistosomiasis; each largely restricted to more inland areas. Where urogenital schistosomiasis is endemic, as both disease surveillance and case management are nascent, many women may unknowingly be living with Female Genital Schistosomiasis (FGS). Using a recently developed FGS score card, we appraised FGS score card valuations with point-of-care gynaecological and molecular parasitological evaluations as undertaken within typical primary care settings of four Liberian counties. A total of 400 women, 100 participants from each of four endemic inland counties, underwent a cursory gynaecological examination using a speculum for visible FGS lesions, undertaken by a midwife, and provided a urine sample that was examined by centrifugation with microscopy for Schistosoma ova. Urine-sediments in ethanol were later analysed with a high-resolution melt (HRM) real-time (rt) PCR assay to screen for Schistosoma genetic markers. Using a combination of clinical and parasitological information, overall prevalence of UGS and FGS was <10% and a single case of putative FGS-associated co-infection with Schistosoma mansoni was observed. Participant interviews with the FGS score cards provided an insight into at-risk lifestyle and environmental factors, e.g. women who fished regularly were more likely to present with FGS whereas those who lived > 15 km from a local river were less likely to present with FGS. In this resource-poor setting of Liberia, active surveillance for FGS with either clinical or parasitological methods remains challenging such that sole future use of the FGS score card is most pragmatic for primary care.

利比里亚(西非)有广泛的(共同)泌尿生殖和肠道血吸虫病负担;它们大多局限于内陆地区。在泌尿生殖系统血吸虫病流行的地方,由于疾病监测和病例管理都处于初级阶段,许多妇女可能在不知情的情况下感染了女性生殖系统血吸虫病。使用最近开发的FGS记分卡,我们通过在利比里亚四个县的典型初级保健机构中进行的护理点妇科和分子寄生虫学评估来评估FGS记分卡的价值。共有400名妇女(来自四个流行的内陆县,每个县100名参与者)接受了由助产士进行的粗略妇科检查,使用窥镜检查可见的FGS病变,并提供了尿液样本,通过显微镜离心检查血吸虫卵。随后用高分辨率熔融(HRM)实时(rt) PCR分析乙醇中的尿液沉积物,以筛选血吸虫遗传标记。结合临床和寄生虫学信息,UGS和FGS的总体患病率在距离当地河流15公里的地方较不可能出现FGS。在利比里亚这种资源贫乏的环境中,通过临床或寄生虫学方法对FGS进行积极监测仍然具有挑战性,因此未来唯一使用FGS记分卡对初级保健来说是最实用的。
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引用次数: 0
Phlebotomine sand fly distribution, abundance and pathogen associations in Thailand: a scoping review. 泰国白蛉分布、丰度和病原体关联:范围综述。
IF 2.4 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-03 DOI: 10.1017/S0031182025101091
Babi Kyi Soe, Apinya Arnuphapprasert, Poom Adisakwattana, María Ortuño Gil, Ana Huertas-López

Phlebotomine sand flies are found across multiple regions of Thailand, with growing recognition of their role in transmitting zoonotic pathogens. Environmental factors, including climate variability and vector ecology, may influence their distribution and activity, contributing to the potential spread of zoonotic pathogens in Southeast Asia. However, comprehensive data on sand fly distribution in Thailand remain limited. To address this gap, a systematic review was conducted following PRISMA guidelines. Out of 112 records retrieved, 33 met the inclusion criteria and quality assessment for further analysis. As per results, sand flies are widespread in Thailand, with a high level of species diversity comprising 42 species of 6 different genera. However, several provinces lack data on the presence and distribution of sand flies. Eleven species were identified as the overall abundant species throughout the studies from January 2007 to June 2025 and grouped by abundance: low-abundance species (Sergentomyia barguesae, Sergentomyia phadangensis, Sergentomyia barraudi and Sergentomyia indica), abundant but understudied species (Sergentomyia sylvatica, Sergentomyia anodontis and Neopulpus vietnamensis) and most abundant species (Sergentomyia hodgsoni, Sergentomyia gemmea, Sergentomyia iyengari and Sergentomyia khawi). From the most abundant species, S. khawi tested positive for several pathogens, such as Leishmania spp., Trypanosoma spp., Bartonella spp. and orbivirus. Besides, S. khawi has been shown to exhibit human-biting behaviour through the analysis of blood meal. These findings raise concerns about its potential role in pathogen transmission, especially concerning zoonotic pathogens. However, vector competence remains unproven for some of these pathogens, suggesting the need for further research.

白蛉分布在泰国多个地区,人们越来越认识到它们在传播人畜共患病病原体方面的作用。包括气候变异和媒介生态在内的环境因素可能影响它们的分布和活动,从而助长人畜共患病原体在东南亚的潜在传播。然而,关于泰国沙蝇分布的综合数据仍然有限。为了解决这一差距,按照PRISMA指南进行了系统审查。在检索到的112份记录中,33份符合纳入标准和质量评估以供进一步分析。结果表明,泰国沙蝇分布广泛,种类多样性高,有6属42种。然而,一些省份缺乏关于沙蝇存在和分布的数据。2007年1月至2025年6月共鉴定出11种总体丰度较高的物种,按丰度分类为:低丰度物种(bargenomyia bardangensis、barraudi Sergentomyia)和indica Sergentomyia),丰度较高但研究不足的物种(Sergentomyia sylvatica、anodontis和Neopulpus vietnamensis)和丰度最高的物种(hodgsoni Sergentomyia gemmea、iyengari Sergentomyia ihawi)。从数量最多的物种来看,卡瓦氏链球菌对几种病原体检测呈阳性,如利什曼原虫、锥虫、巴尔通体和眶病毒。此外,通过对血粉的分析表明,S. khawi具有咬人行为。这些发现引起了人们对其在病原体传播中的潜在作用的关注,特别是在人畜共患病原体方面。然而,其中一些病原体的媒介能力仍未得到证实,这表明需要进一步研究。
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Parasitology
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