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Algorithms based on PCR-RFLP of nad1 gene for genotyping of Echinococcus granulosus from human and animal isolates in Egypt 基于nad1基因PCR-RFLP的埃及人和动物细粒棘球绦虫基因分型算法
IF 0.4 Q4 PARASITOLOGY Pub Date : 2021-10-25 DOI: 10.21608/puj.2021.94807.1131
Doaa Nassar, Ahmed Khalifa, H. Elwakil, H. E. Ezz Eldin, H. Abou-Seri
Background: Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) is a simple rapid method for genotyping of Echinococcus garnulosus sensu lato (E. granulosus s. l.) in developing countries. Construction of algorithms based on PCR-RFLP using two restriction enzymes would be useful to study the genetic diversity of the parasite and would help in differentiation between ambiguous genotypes. Objective: The goal of the present work was to develop algorithms based on RFLP of nicotinamide adenine dinucleotide dehydrogenase (NADH) subunit 1 (nad1) sequences of reference genotypes of E. granulosus retrieved from GenBank for genotyping of human and animal isolates of E. granulosus in Egypt. Subjects and Methods: Retrieved nad1 sequences of reference genotypes were digested in silico individually with two restriction enzymes; Haemophilus influenza (HinfI) and Haemophilus aegyptius (HaeIII). The constructed PCR-RFLP algorithms were used for genotyping of 50 human and animal isolates (19 human, 23 camels and 8 pigs) analyzed by PCR-RFLP. To confirm the validity PCR-RFLP algorithms, samples corresponding to determined and undetermined genotypes as inferred from the algorithms were sequenced. Results: Utilizing PCR-RFLP and sequencing revealed that except for two cases (12.5%) which were typed as G1 among humans and one case as G5 in pigs (12.5%), G6 was the commonest genotype among human, camel and pig isolates collected. Conclusion: The algorithms based on PCR-RFLP of nad1 are valuable tools for genotyping of E. granulosus s. l. especially with HinfI RFLP algorithm. Sequencing is still needed to reveal the genotypes of undetermined or ambiguous isolates. E. granulosus genotyping Nasser et al., 279 and pig samples shared the same digestion pattern I, while pattern II appeared exclusively in two human cases (14.3%) out of the 14 typed[11]. However, the application of PCR-RFLP patterns is not broadly used as a result of heterogeneity of Echinococcus genome within different regions of the world. Consequently, designing and conducting a standardized pattern should be interpreted indigenously, to avoid unexpected mutations (such as nucleotide change/insertion or deletion) within the parasite genome[10]. Furthermore, a practical algorithm using more than one restriction enzyme should be constructed for interpretation of PCR-RFLP results[12]. In silico computer-based methods are rapid techniques widely used nowadays for genotyping of microorganisms, that are accurate and less costly[13]. They are facilitated by the great plethora of partial and complete sequences deposited in gene banks from wide geographical areas, as well as the availability of large numbers of analytical software. In silico PCRRFLP was used for genotyping of several parasites like T. vaginalis[14], and Leishmania spp.[15] Some in silico studies were developed for genotyping of Echinococcus spp., where gene sequences retrieved from GenBank were cut with specific restriction
背景:聚合酶链式反应-限制性片段长度多态性(PCR-RFLP)是一种简单快速的发展中国家细粒棘球蚴基因分型方法。使用两种限制性内切酶构建基于PCR-RFLP的算法将有助于研究寄生虫的遗传多样性,并有助于区分不明确的基因型。目的:本工作的目的是开发基于从GenBank中检索到的颗粒大肠杆菌参考基因型烟酰胺腺嘌呤二核苷酸脱氢酶(NADH)亚基1(nad1)序列的RFLP的算法,用于埃及颗粒大肠杆菌的人和动物分离株的基因分型。受试者和方法:用两种限制性内切酶分别在计算机上消化检索到的参考基因型的nad1序列;流感嗜血杆菌(HinfI)和埃及伊蚊嗜血杆菌(HaeIII)。利用构建的PCR-RFLP算法对50个人和动物分离株(19个人、23个骆驼和8头猪)进行了基因分型。为了证实PCR-RFLP算法的有效性,对根据算法推断的已确定和未确定基因型对应的样本进行测序。结果:PCR-RFLP和测序结果显示,除2例(12.5%)人和1例猪为G5外,G6是采集的人、骆驼和猪分离株中最常见的基因型。结论:基于nad1的PCR-RFLP算法是颗粒大肠杆菌基因分型的有价值的工具,尤其是HinfI-RFLP算法。测序仍然需要揭示未确定或不明确分离株的基因型。E.颗粒菌基因分型Nasser等人,279和猪样本共享相同的消化模式I,而模式II仅出现在14个分型病例中的两个人类病例中(14.3%)[11]。然而,由于棘球蚴基因组在世界不同地区的异质性,PCR-RFLP模式的应用并没有得到广泛应用。因此,设计和实施标准化模式应在当地进行解释,以避免寄生虫基因组中出现意外突变(如核苷酸变化/插入或缺失)[10]。此外,应构建使用一种以上限制性内切酶的实用算法来解释PCR-RFLP结果[12]。基于计算机的方法是目前广泛用于微生物基因分型的快速技术,准确且成本较低[13]。来自广泛地理区域的基因库中储存了大量的部分和完整序列,以及大量分析软件的可用性,为它们提供了便利。计算机内PCR-RFLP用于几种寄生虫的基因分型,如阴道毛滴虫[14]和利什曼原虫属。[15]一些计算机内研究用于棘球蚴属的基因分分型。其中,用特定的限制性内切酶切割从GenBank检索的基因序列,以创建用于基因型分化的虚拟RFLP模式[10,16]。从GenBank检索颗粒大肠杆菌参考基因型的nad1基因序列,并使用RFLP软件用限制性内切酶对其进行计算机消化,将允许使用预期获得的消化模式构建颗粒大肠杆菌分离株基因分型的实用算法。因此,本研究的目的是基于两种常用的限制性内切酶HinfI和HaeIII对颗粒E.granularus参考基因型的线粒体nad1基因序列的计算机消化,构建实用的算法。构建的算法将用于使用PCR-RFLP对埃及颗粒大肠杆菌分离株进行基因分型。随后,从PCR-RFLP推断的结果将通过代表不同RFLP模式的所选样品的DNA测序来确认。受试者和方法本描述性分析研究于2018年6月至2019年8月在埃及开罗艾因沙姆斯大学医学院寄生虫学系进行。研究设计:利用计算机软件程序,用HinfI和HaeIII两种常用的限制性内切酶消化颗粒E.参考基因型的nad1基因序列。由此产生的限制模式被用于构建实用的算法来识别不同的基因型。从埃及人和动物分离的颗粒大肠杆菌中提取DNA后,扩增nad1基因并用单个限制性内切酶消化。分离株的基因型由构建的计算机算法确定。为了证实PCR-RFLP算法的有效性,对根据算法推断的已确定和未确定基因型对应的样本进行测序。基于RFLP的颗粒E.参考基因型nad1基因检索算法的构建:最初,E。
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The Anti-schistosomal Activity of Magnetite and Zero-valent Iron Nanoparticles on Schisosoma mansoni: AN in Vivo Study 磁铁矿和零价铁纳米粒子对曼氏血吸虫的体内抗血吸虫活性研究
IF 0.4 Q4 PARASITOLOGY Pub Date : 2021-10-20 DOI: 10.21608/puj.2021.88219.1126
Salwa S Younis, Radwa G Diab, Marwa Eltarahony, F. Arafa
Background: Depending mainly on Praziquantel (PZQ) for treatment of schistosomiasis poses a great challenge in terms of effectiveness and resistance. Nanoscale particles formed by metals as iron nanoparticles (INPs) have recently gained approval from the Food and Drug Administration for use as therapeutic agents. Therefore, INPs application as potential therapeutic agents against schistosomiasis may give promising results. Objective: The present study aimed at assessing the efficacy of INPs; iron oxide or magnetite INPs (MNPs) and zero-valent INPs (ZV-INPs) on S. mansoni using parasitological and histopathological parameters. Material and Methods: In the current study, MNPs and ZV-INPs were prepared by biogenic synthesis and were given to mice orally on the 42nd day post infection (dpi) with S. mansoni in a dose of 10 mg/kg for four consecutive doses. The therapeutic efficacy was assessed using parasitological (mortality rate, adult worm load as well as female fecundity) and histopathological parameters (tissue egg count in both liver and intestine) in comparison to untreated and PZQ treated control groups. Results: Results revealed that ZV-INPs have a significant effect in decreasing both tissue egg count and hepatic granulomata size. While the MNPs have a significant effect against the total and female worms burden, tissue egg counts, female fecundity, and number of liver granuloma. Conclusion: Herein, it was concluded that both types of INPs used in the study are potentially effective anti-schistosomal agents. PARASITOLOGISTS UNITED JOURNAL 270 viability in a dose-dependent manner. Third, the most important factor of NPs toxicity is their stability, both in vivo and during synthesis and storage[7-9]. Non-oxidized ZV-INPs are widely used in environmental research due to their ability to produce high-energy reactive oxygen species. The latter can overcome and degrade organic pollutants that are non-decomposable from the environment. In the field of medicine, the incorporation of ZV-INPs with silver targeting malignant cells, led to malignant cell apoptosis and autophagy[6]. On the other hand, magnetic NPs, especially iron oxide or MNPs, became of new interest for scientists due to the phenomenon of super-paramagnetism. They obey the Coulomb’s law of electrostatic force interaction[10], where they can be directed to active sites in vivo under the influence of an external electromagnetic field[11]. Hence, ferrimagnetic iron oxide NPs gain medical interest especially in the field of diagnostics. In the field of therapeutics, ferumoxytol is a newly modified product that is approved for treatment of anemia[12], and is considered as a promising drug in treatment of cancer due to its effect on macrophage polymerization[13]. In the field of infectious diseases, MNPs have shown promising potential for the delivery of certain bactericidal agents to highly restricted microenvironments[14]. This mainly depends on the phenomenon of magnetic fluid hyperthermi
背景:主要依靠吡喹酮(PZQ)治疗血吸虫病在疗效和耐药性方面面临巨大挑战。由金属形成的纳米颗粒如铁纳米颗粒(INPs)最近获得了美国食品药品监督管理局的批准,可以用作治疗剂。因此,应用INPs作为潜在的血吸虫病治疗剂可能会产生有希望的结果。目的:本研究旨在评估INPs的疗效;使用寄生虫学和组织病理学参数对S.mansoni的氧化铁或磁铁矿INPs(MNPs)和零价INPs(ZV INPs)。材料和方法:在本研究中,通过生物合成制备MNPs和ZV INPs,并在感染曼氏假单胞菌后第42天(dpi)以10mg/kg的剂量连续四次口服给小鼠。与未治疗和PZQ治疗的对照组相比,使用寄生虫学(死亡率、成虫载量以及雌性繁殖力)和组织病理学参数(肝脏和肠道的组织卵子计数)来评估治疗效果。结果:ZV-INPs对降低组织卵子数和肝脏肉芽肿物大小有显著作用。而MNPs对总虫重和雌虫重、组织卵子数、雌虫繁殖力和肝肉芽肿数量有显著影响。结论:本研究中使用的两种INP都是潜在的有效抗血吸虫药物。PARASITOLOGISTS UNITED JOURNAL 270活力呈剂量依赖性。第三,NPs毒性的最重要因素是其在体内以及合成和储存过程中的稳定性[7-9]。非氧化ZV INP由于其产生高能活性氧的能力而被广泛用于环境研究。后者可以克服和降解环境中不可分解的有机污染物。在医学领域,ZV INPs与靶向恶性细胞的银结合,导致恶性细胞凋亡和自噬[6]。另一方面,由于超顺磁性现象,磁性NP,特别是氧化铁或MNP,成为科学家们新的兴趣。它们遵循静电力相互作用的库仑定律[10],在外部电磁场的影响下,它们可以被引导到体内的活性位点[11]。因此,铁磁性氧化铁纳米颗粒获得了医学上的兴趣,尤其是在诊断领域。在治疗学领域,ferumoxytol是一种新的改良产品,已被批准用于治疗贫血[12],由于其对巨噬细胞聚合的影响,被认为是治疗癌症的一种有前途的药物[13]。在传染病领域,MNPs已显示出将某些杀菌剂输送到高度受限的微环境的潜力[14]。这主要取决于磁流体热疗的现象,即波动磁场的应用使磁性NP以热量的形式耗散能量,导致其周围的温度局部升高[15]。然而,几项研究证明,MNPs和ZV INPs的内在抗菌特性是由于活性氧的产生,这些活性氧会损害微生物的DNA、RNA和蛋白质[16-18]。在医学寄生虫学的范围内,超顺磁性氧化铁纳米粒子为体内溶组织大肠杆菌滋养体引入了一种新的非侵入性跟踪技术[19]。此外,MNPs在分离恶性疟原虫感染红细胞和未感染红细胞方面显示出其有效性[20]。通过使用ELISA检测血吸虫抗原,珠状氧化铁在诊断血吸虫病方面显示出可接受的敏感性和可行性[21]。在治疗水平上,磁流体热疗被证明是NP在体外对抗原生动物寄生虫墨西哥乳杆菌的作用机制[22]。最后,INPs先前在成年曼氏锥虫身上进行了体外测试,结果显示扫描电子显微镜显示了几种被膜紊乱。此外,NP被证明会增加亚历山大蜗牛的死亡率[23]。因此,我们设计了本研究,利用寄生虫学和组织病理学参数,与PZQ相比,ZV INPs和MNPs对实验性曼氏血吸虫病的疗效。材料与方法本病例对照实验研究于2021年1-4月进行。小鼠感染以及所有寄生虫学和组织病理学评估在埃及亚历山大市亚历山大大学医学院医学寄生虫学系实验室进行。INPs的生物合成在亚历山大市科学研究与技术应用城(SRTA市)的实验室进行。研究设计:40只小鼠实验性感染S。 曼氏尾蚴和被平均分为四组(表1)。在开始治疗前,进行粪便检查以确认没有任何其他寄生虫感染。与传统的合成方法相比,由于其安全性和低成本,铁纳米粒子是通过生物合成制备的。进行了一项初步研究,以确定能够降低总蠕虫负荷的MNPs和ZV INPs的最低有效剂量,并选择连续四天的10mg/kg/d。从第42 dpi开始口服PZQ和INP。所有动物在第49天dpi处死。与PZQ相比,用于评估INPs治疗效果的参数包括寄生虫学和组织病理学评估。寄生虫和蜗牛:目前的研究中使用了埃及曼氏血吸虫菌株。从埃及开罗Theodor Bilharz研究所血吸虫生物供应中心获得了20只脱落的成年亚历山大双歧杆菌蜗牛(直径4-6mm)。让蜗牛在光照下脱落,并用新鲜排出的尾蚴感染小鼠。使用划桨技术,用100只新脱落的尾蚴感染每只小鼠[24]。实验动物:从亚历山大大学医学院医学寄生虫学系动物室获得40只雄性瑞士品系白化小鼠,每只4-6周大,体重20-25克。埃及小鼠被保存在特征I、II、III、IV组中,受感染且未经处理。感染并以500mg/kg的剂量口服PZQ治疗一次。感染并用ZV INPs(10mg/kg/d)治疗连续四天。感染MNPs并用MNPs(10 mg/kg/d)治疗连续四天。表1。小鼠研究组。MNP:磁铁矿INP;PZQ:吡喹酮;ZV INPs:铁纳米颗粒对血吸虫的零价INPs影响Younis等人,271在标准光照和温度条件下的无病原体环境。他们轮流吃面包和牛奶以及小麦。这些动物可以自由获得食物和水。受试制剂PZQ:Distocide TM(EIPICO,埃及),600 mg片剂,从当地药店购买。在使用前将一片片剂粉碎并溶解在6ml 60%乙醇中以获得浓度为100mg/ml的溶液。在第42次dpi时,第II组中的每只小鼠使用球形喂食针通过灌胃方式口服0.1 ml含有10 mg PZQ的制备溶液(即,总剂量为500 mg/kg)[25]。INPs的生物合成:如前所述,奇异变形杆菌菌株10B在需氧和厌氧条件下进行MNPs和ZV INPs的生物合成[26,27]。INPs的表征:为了确定生物合成的MNPs和ZV INPs的标准,进行了以下评估[28,29]。首先,用UVVis分光光度计(Labomed型号UV-Vis双光束分光光度仪,美国)测量吸收光谱。其次,通过X射线衍射仪(Shimadzu 7000,USA)鉴定结晶性质的测定。第三,通过透射电子显微镜(JEOL JEM-1230,日本)完成对尺寸和形态的描述。第四,利用振动样品磁强计(VSM)对其磁特性进行了研究。最后,通过Zetasizer Nano(Malvern Instruments,Worcestershire,UK)记录具有多分散指数(PDI)的静电电势的测量。INPs的给药:在第42dpi,第III组和第IV组中的每只小鼠分别接受0.2ml由1mg/ml ZV INPs和MNPs组成的制备的悬浮液。使用球头喂食针通过灌胃法对小鼠进行连续四天的口服接种。寄生虫学评估:从第35次dpi开始,通过粪便检查确认小鼠感染。寄生虫学评估包括估计成虫总数、雌虫载量、肝脏和肠道的组织卵子数以及雌虫的繁殖力。通过灌注技术[30]从肝和肠系膜血管中回收成年蠕虫,以评估小鼠在第49 dpi[31]处死后的成年蠕虫负担。所有小鼠都注射了500单位的肝素,然后通过静脉注射过量(150 ml/kg)的硫喷妥钠进行麻醉[32]。对从肝血管和门静脉回收的成年蠕虫进行计数[33]。为了测定组织卵子数,称重每只小鼠的肝脏和肠道部分,切成小块,然后用每克组织10毫升4%氢氧化钾人工消化。盖上容器并在室温下放置过夜,以确保组织完全消化而不会破坏鸡
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引用次数: 2
Stressing a Tired Host: Cryptosporidium Species and Helicobacter Pylori Infections in Diabetes Mellitus Patients with Gastrointestinal Manifestations 应激疲劳宿主:胃肠道表现的糖尿病患者的隐孢子虫种类和幽门螺杆菌感染
IF 0.4 Q4 PARASITOLOGY Pub Date : 2021-10-20 DOI: 10.21608/puj.2021.92425.1130
I. Abdel-Shafi, H. Fadl, Naglaa M Elsayed, Naglaa S. M. El-Gebaly, M. Rehan
Background: Cryptosporidium spp. and Helicobacter pylori are widespread gastrointestinal infections that appear to resist treatment in many cases. Cryptosporidiosis results in increased intestinal permeability while H. pylori causes atrophic changes in stomach, and both are opportunistic pathogens. The outcome of infection depends largely on the degree of the host immune status. Diabetes mellitus (DM) is a growing health problem in Egypt, with detrimental consequences that can affect the immune system, the gastrointestinal tract, and virtually all body systems, exposing diabetic patients to higher susceptibility to infections and intensified morbidity. Objective: The present study was designed to determine the burden of Cryptosporidium spp. and H. pylori among diabetic patients compared to non-diabetic patients attending Kasr Al Ainy hospitals. Subjects and Methods: Stool samples, demographic and clinical data were collected from 80 patients, 40 diabetics and 40 non-diabetics, with gastrointestinal manifestations. Microscopic stool examination and coproimmunoassays for the detection of Cryptosporidium spp. and H. pylori were performed for all samples. Results: Cryptosporidium spp. infection was detected in 15% of diabetics; with a frequency of 7.4% and 30.8% in patients with controlled DM and uncontrolled DM, respectively, and in 5% of non-diabetics. While H. pylori was equally detected at a rate of 60% in non-diabetic and diabetic patients (51.9% and 76.9% in patients with controlled DM and uncontrolled DM, respectively). Microscopic examination of stools revealed Blastocystis in 25% of diabetics (22.2% in controlled DM versus 30.7% in uncontrolled DM) and in 5% of non-diabetic patients. Co-infection with Cryptosporidium and H. pylori occurred in 10% of diabetic cases (3.7% in controlled DM versus 23.1% in uncontrolled DM), and in 5% of non-diabetic patients. Conclusion: Diabetic patients had a higher infection rate of Cryptosporidium as well as Blastocystis in comparison to non-diabetics. Screening for intestinal parasites is needed to control the infection and reduce morbidity in diabetics. PARASITOLOGISTS UNITED JOURNAL 262 cryptosporidiosis is increasing, and the frequency of infection is likely to be one hundred-fold higher than the number of reported cases[14]. Parasite oocysts are transmitted primarily through the fecal oral route[15], and hence Cryptosporidium is responsible for several waterborne outbreaks of gastrointestinal disease[16-18]. The oocysts are highly infectious and are resistant to hard environmental conditions[19,20]. The severity, persistence, and outcome of infection depend largely on the host immune status[21]. A self-limited disease usually occurs in the immunocompetent individuals, the most common symptom being a watery diarrhoea, while in immunocompromised patients, prolonged diarrhoea can be life threatening[22]. Cryptosporidiosis pathogenesis may include increased intestinal permeability, chloride loss, altered gl
背景:隐孢子虫和幽门螺杆菌是广泛存在的胃肠道感染,在许多病例中出现耐药性。隐孢子虫病导致肠道通透性增加,幽门螺旋杆菌引起胃萎缩,两者都是机会致病菌。感染的结果在很大程度上取决于宿主免疫状态的程度。糖尿病(DM)在埃及是一个日益严重的健康问题,其有害后果可影响免疫系统、胃肠道和几乎所有身体系统,使糖尿病患者更容易感染并加剧发病率。目的:本研究旨在确定在Kasr Al Ainy医院就诊的糖尿病患者与非糖尿病患者的隐孢子虫和幽门螺杆菌负担。对象与方法:收集80例有胃肠道症状的患者(糖尿病患者40例,非糖尿病患者40例)的粪便样本、人口学及临床资料。所有标本均行粪便显微镜检查和粪原免疫检测隐孢子虫和幽门螺杆菌。结果:15%的糖尿病患者检出隐孢子虫感染;在控制型糖尿病和未控制型糖尿病患者中分别为7.4%和30.8%,在非糖尿病患者中为5%。而在非糖尿病患者和糖尿病患者中,幽门螺杆菌的检出率为60%(控制型糖尿病和未控制型糖尿病分别为51.9%和76.9%)。显微镜检查结果显示,25%的糖尿病患者(糖尿病控制组为22.2%,糖尿病未控制组为30.7%)和5%的非糖尿病患者存在囊虫。10%的糖尿病患者同时感染隐孢子虫和幽门螺杆菌(控制糖尿病为3.7%,未控制糖尿病为23.1%),非糖尿病患者为5%。结论:糖尿病患者隐孢子虫和囊虫感染率高于非糖尿病患者。为了控制糖尿病患者的感染和降低发病率,需要进行肠道寄生虫筛查。隐孢子虫病正在增加,感染的频率可能比报告的病例数高100倍。寄生卵囊主要通过粪口途径传播,因此隐孢子虫是几起水传播的胃肠道疾病暴发的罪魁祸首[16-18]。卵囊具有很强的传染性,对恶劣的环境条件具有抵抗力[19,20]。感染的严重程度、持续性和结果在很大程度上取决于宿主的免疫状态。一种自限性疾病通常发生在免疫正常的个体中,最常见的症状是水样腹泻,而在免疫功能低下的患者中,长时间的腹泻可能危及生命。隐孢子虫病的发病机制可能包括肠道通透性增加、氯离子丢失、受感染肠细胞内葡萄糖转运机制改变、吸收不良和宿主对感染的免疫反应[22-24]。在免疫缺陷患者中,胆道和呼吸道也可能受累[25,26]。隐孢子虫病与结直肠癌之间存在联系。胆管癌,并发慢性隐孢子虫病和胆管炎,也被认为是[27]。此外,幽门螺杆菌是一种革兰氏阴性螺旋菌,在全球约50%的人口的胃中发现。慢性感染可引起胃萎缩变化和化生[28,29]。幽门螺杆菌感染可以直接从一个人传播到另一个人,也可以通过环境暴露途径间接传播。幽门螺杆菌和肠道寄生虫的同时感染可能与粪便暴露有关。肠道的共定植可能归因于全球数百万人肠道寄生虫的影响,从而增加了与幽门螺杆菌合并感染的几率。此外,由于幽门螺杆菌可以为肠道寄生虫提供有利条件,反之亦然,因此可以假设相互共生[10]。不同的研究结果显示幽门螺杆菌感染是2型糖尿病的危险因素[33-35]。细菌型2-DM相互作用的机制可能与感染诱导的炎症、炎症细胞因子的产生和激素失衡有关。隐孢子虫和幽门螺旋杆菌的共存对糖尿病患者提出了挑战。除了上述可能的并发症外,随着幽门螺杆菌抗生素耐药性的报道越来越多,以及对隐孢子虫[36]缺乏完全有效的药物治疗,这两种病原体都很难治疗。在这种情况下,必须注意的是,糖尿病的有害后果几乎可以涉及所有身体系统,使糖尿病患者的宿主受损。本研究旨在测定隐孢子虫和隐孢子虫的负荷。 在Kasr Al Ainy医院就诊的糖尿病患者与非糖尿病患者的幽门螺杆菌感染率。研究对象和方法本病例对照研究于2018年9月至2019年6月期间在开罗大学医学院Kasr AlAiny寄生虫学诊断和研究部门(DRUP)和糖尿病部门就诊的患者中进行。研究人群和样本收集:共有80名出现胃肠道症状且未接受免疫抑制治疗的患者被纳入研究;40名糖尿病患者和40名非糖尿病患者。两组患者的年龄和性别相匹配。从所有参与者中获得相关数据,包括人口统计数据、胃肠道表现和糖尿病的临床病史,包括显著的HbA1c水平。将每位患者的粪便样本收集在有标签、防漏、干燥和清洁的塑料粪便容器中。每个粪便样本中,一小部分保存在-20°C中用于后续的共原免疫测定,其余样本保存在福尔马林生理盐水固定液中用于寄生虫学检查。粪便检查:粪便标本镜检采用直接湿涂片法和醋酸甲醛沉淀法常规筛查虫卵及其他寄生期[38]。粪原免疫测定:将冷冻的粪便标本在室温下解冻后进行检测。对于每个样本,使用RIDA QUICK隐孢子虫ICT (R-Biopharm AG, Germany Cat)进行两次检测。# N1203)用于检测隐孢子虫共原抗原[39];和OnSite幽门螺杆菌抗原快速检测盒(CTK Biotech, Inc., San Diego, CA, USA)# R0192C)检测幽门螺杆菌共原抗原[40]。两项测试都是按照制造商的说明进行的。统计方法:使用社会科学统计软件包(SPSS)版本26 (IBM Corp., Armonk, NY, USA)对数据进行编码和制表。定量变量采用均值、标准差(±SD)、最小值和最大值进行汇总,分类变量采用频率(例数)和相对频率(百分比)进行汇总。组间比较采用非配对t检验和卡方(X2)检验。当期望频率<5时,采用精确Fisher检验。p值<0.05认为有统计学意义。伦理考虑:本工作的所有程序均符合1964年《赫尔辛基宣言》所承认的伦理标准。获得了所有参与者的知情同意。被感染的病人得到通知并得到适当的治疗。糖尿病患者的隐孢子虫和幽门螺旋杆菌
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引用次数: 3
Nuclear Factor-kappa B Signaling Pathways and Parasitic Infections: An Overview 核因子κ B信号通路与寄生虫感染:综述
IF 0.4 Q4 PARASITOLOGY Pub Date : 2021-10-11 DOI: 10.21608/puj.2021.91389.1129
Samar M. Alhusseiny, Samar ElBeshbishi
Host nuclear factor-kappa B (NF-κB) transcription factor plays a pivotal role in innate immunity and resistance to infection. It induces the expression of several genes that encode pro-inflammatory cytokines. It also participates in regulating the differentiation and survival of innate immune cells and lymphocytes. Infection of host cells with pathogens usually activates host NF-κB signaling pathways. The majority of parasites evolved diverse protective mechanisms against NF-κB activity to shield their continued existence. Herein, we present brief insights into NF-κB signaling pathways, activators and inhibitors, and the main subsequent events following protozoan and helminthic infections in vitro, as well as in vivo either in experimental models, or in humans. Understanding the underlying mechanisms of NF-κB activation and inhibition may be of great help as a therapeutic strategy against different parasitic infections. Abbreviations: DCs: Dendritic cells; ECs: Endothelial cells; ESPs: Excretory-secretory products; IKK: Inhibitor of nuclear factorkappa B kinase; IKKα: Inhibitor of NF-κB kinase-α; IKKβ: Inhibitor of NF-κB kinase-β; IL: Interleukin; iNOS: Inducible nitric oxide synthase; IκB: Inhibitor of NF-κB; IκBα: Inhibitor of NF-κB-α; LPS: Lipopolysaccharide; NF-κB: Nuclear factor-kappa B; NO: nitric oxide; TLR: Toll-like receptor; TNF-α: Tumor necrosis factor-α. Nuclear factor-κB and parasitic infections Alhusseiny and El-Beshbishi 219 with immune and inflammatory responses, whereas the latter is a secondary signaling pathway concerned with controling adaptive immunity, B cell function, and lymphoid organ development[1]. Activators of the classical pathway include lipopolysaccharide (LPS), tumor necrosis factor-α (TNF-α), or interleukin (IL)-1β, that attach to specific receptors. Sequences include IKKβ-mediated phosphorylation of IκBα that becomes degraded through the proteasome releasing p50/p65 dimers. On the other hand, the alternative pathway is induced by B-cell activating factor (BAFF) or lymphotoxin β. It includes IKKα activation through NF-κB inducing kinase (NIK), p100 phosphorylation by IKKα, and its processing by the proteasome to yield p52. Next steps include liberation of RelB/p52 dimers, nuclear translocation, and triggering specific genes, which are different from the genes controlled by the classical pathway. In the atypical pathway, hypoxic injury or oxidative stress (DNA damage) leads to massive IκBα phosphorylation via p38-induced casein kinase-2 (CK-2) and release of p50/p65 dimers[9]. Role of NF-κB signaling in immune response and inflammatory process Extensive studies have been conducted on NF-κB signaling pathways owing to its major role in activating plentiful genes implicated in the infection response. Cell surface toll-like receptors (TLRs) expressed via dendritic cells (DCs), mucosal epithelial cells, and macrophages are the main component of the innate immune response that identifies pathogens (cell wall LPS and nu
宿主核因子κB(NF-κB)转录因子在先天免疫和抵抗感染中起着关键作用。它诱导编码促炎细胞因子的几个基因的表达。它还参与调节先天免疫细胞和淋巴细胞的分化和存活。病原体感染宿主细胞通常会激活宿主NF-κB信号通路。大多数寄生虫进化出针对NF-κB活性的多种保护机制,以保护它们的持续存在。在此,我们简要介绍了NF-κB信号通路、激活剂和抑制剂,以及体外以及体内实验模型或人类感染原生动物和蠕虫后的主要后续事件。了解NF-κB激活和抑制的潜在机制可能对作为治疗不同寄生虫感染的策略有很大帮助。缩写:DC:树突状细胞;内皮细胞:内皮细胞;ESP:排泄分泌产物;IKK:核因子κB激酶抑制剂;IKKα:NF-κB激酶-α抑制剂;IKKβ:NF-κB激酶-β抑制剂;IL:白细胞介素;iNOS:诱导型一氧化氮合酶;IκB:NF-κB的抑制剂;IκBα:NF-κB-α的抑制剂;LPS:脂多糖;NF-κB:核因子κB;NO:一氧化氮;TLR:Toll样受体;TNF-α:肿瘤坏死因子-α。核因子-κB和寄生虫感染Alhusseiny和El Beshbishi 219具有免疫和炎症反应,而后者是与控制适应性免疫、B细胞功能和淋巴器官发育有关的次要信号通路[1]。经典途径的激活剂包括脂多糖(LPS)、肿瘤坏死因子-α(TNF-α)或白细胞介素(IL)-1β,它们附着在特定受体上。序列包括IKKβ介导的IκBα磷酸化,通过释放p50/p65二聚体的蛋白酶体降解。另一方面,B细胞活化因子(BAFF)或淋巴毒素β诱导了替代途径。它包括通过NF-κB诱导激酶(NIK)激活IKKα,通过IKKα磷酸化p100,以及通过蛋白酶体加工产生p52。接下来的步骤包括释放RelB/p52二聚体、核易位和触发特定基因,这些基因与经典途径控制的基因不同。在非典型途径中,缺氧损伤或氧化应激(DNA损伤)通过p38诱导的酪蛋白激酶-2(CK-2)和p50/p65二聚体的释放导致大量IκBα磷酸化[9]。NF-κB信号在免疫反应和炎症过程中的作用由于其在激活与感染反应有关的大量基因方面的主要作用,人们对NF-κB信号通路进行了广泛的研究。通过树突状细胞(DC)、粘膜上皮细胞和巨噬细胞表达的细胞表面toll样受体(TLRs)是识别病原体(细胞壁LPS和核酸)的先天免疫反应的主要成分[10]。一旦触发,所有TLR都支持NF-κB信号通路[11]。这些NF-κB途径引发巨噬细胞炎症蛋白-1α(MIP-1α)、促炎细胞因子(如TNF-α、IL-1和IL-6),以及血管细胞粘附分子-1和e-选择素表达等粘附分子[10]。据报道,E-选择素属于细胞粘附分子,由细胞因子激活的内皮细胞(EC)表达。它被命名为CD62E,被认为在炎症反应中具有主要作用[12]。释放后,TNF-α和IL-1重新激活NF-κB通路,并进一步增强反应。此外,NF-κB激活B和T淋巴细胞受体(共刺激和抗原),并通过B细胞激活因子活性支持B细胞的生存和分化[13]。NF-κB信号通路的抑制在大多数细胞中,NF-κB通路的激活通常是一个临时过程(约30-60分钟)。持续的NF-κB信号传导被反馈回路中NF-κB的下调所抑制(负反馈)。编码IκBα的基因受到NF-κB的刺激,新形成的IκB a进入细胞核,从DNA中清除NF-κB,并将复合物再次发送到细胞质。在那里,NF-κB被保留,直到进一步激活[13]。NF-κB的失调与多种健康问题有关,如多发性硬化症、脑卒中、阿尔茨海默病、动脉粥样硬化、支气管哮喘、糖尿病、病毒感染和遗传疾病。通过药理学或遗传疗法适当控制NF-κB信号传导是治疗NF-κB相关疾病的一种新策略[14]。有趣的是,NF-κB信号通路可以通过许多不同水平抑制NF-κB活性的药物来预防,包括:•非甾体抗炎药(例如。
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引用次数: 2
Invasion and egress cascade in intracellular protozoa: Part 2 (T. gondii) 细胞内原生动物的入侵和输出级联:第2部分(弓形虫)
IF 0.4 Q4 PARASITOLOGY Pub Date : 2021-08-01 DOI: 10.21608/puj.2021.86834.1125
S. Abaza
As an apicomplexan member, T. gondii has a complex life cycle that involves multiplication within vertebrate and invertebrate hosts by specialized cell-invasive and egressed life cycle stages, called zoites. They are unique eukaryotic cells with characteristic four main sub-cellular structures. They include a specific inner membrane complex beneath the plasma membrane, an apical “conoid” to sustain parasite micro-tubular cytoskeleton, a plastid responsible for lipids synthesis, and specific secretory organelles; micronemes (MICs), rhoptries (ROs) and dense granules (DGs). The last is involved in maturation of the parasitophorous vacuole (PV), where the parasite multiplies; the first essential step after invasion and before egress. Similar to Plasmodium sp., successful invasion and egress cascade accounts mainly on efficient rapid invasion without alteration of host cell cytoskeleton, and multiplication within host cells inside its PV. However, Plasmodium sp. export proteins into host cell cytoplasm and plasma membrane utilizing PV as a trafficking vehicle. Instead, PV of T. gondii zoites utilized abundantly expressed DGs and ROs proteins to build up the intra-vacuolar membranous network (IVMN) for trafficking. The present editorial aims to clarify roles of proteins released from MICs, ROs and DGs in invasion and egress cascade of T. gondii.
作为顶复合体的成员,弓形虫有一个复杂的生命周期,包括在脊椎动物和无脊椎动物宿主中通过特殊的细胞入侵和退出生命周期阶段进行繁殖,称为zoite。它们是独特的真核细胞,具有四个主要亚细胞结构的特征。它们包括质膜下的特定内膜复合体、维持寄生虫微管细胞骨架的顶端“圆锥形体”、负责脂质合成的质体和特定的分泌细胞器;微素(mic)、红素(ROs)和致密颗粒(dg)。最后一个过程涉及寄生液泡(PV)的成熟,在那里寄生虫繁殖;这是入侵后和撤离前的第一步。与疟原虫类似,成功的入侵和退出级联反应主要是在不改变宿主细胞骨架的情况下有效地快速入侵,并在宿主细胞内进行PV内增殖。然而,疟原虫利用PV作为运输载体将蛋白质输出到宿主细胞质和质膜中。相反,弓形虫的PV利用大量表达的DGs和ROs蛋白来构建液泡内膜网络(IVMN)进行运输。本文旨在阐明从mic、ROs和dg中释放的蛋白在弓形虫入侵和输出级联中的作用。
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引用次数: 0
Seroprevalence of Toxoplasma gondii antibodies using Sabin- Feldman dye test among equines in Isparta province, Turkey Sabin-Feldman染色法检测土耳其伊斯帕塔省马弓形虫抗体的血清流行率
IF 0.4 Q4 PARASITOLOGY Pub Date : 2021-05-22 DOI: 10.21608/PUJ.2021.69445.1112
M. Acıöz, F. Bozkaya, C. Babür
Background: Toxoplasmosis is a protozoan disease widely spread among different animal species with an incidence of up to 90%. The presence of this agent among equine species has been reported to be about 46.3%. T.gondii infection in equids could favor the spreading of the infection as equine carcasses are used for animal diets in zoos, as well as dead equine carcasses left outside villages are eaten by stray dogs and cats. This study was conducted to determine the seroprevalence of T. gondii among equine species (horses, donkeys and mules) raised in Isparta province of Turkey by using Sabin Feldman Dye test which is a reference test widely used for detecting T. gondii antibodies in different animal species. Objective: The aim of this study was to investigate the seroprevalence of Toxoplasma gondii (T. gondii) among equids in Isparta province, Turkey. Material and Methods: Blood samples were collected from 192 animals including horses (n=72), donkeys (n=88) and mules (n= 32) from January to December of 2016. Separated sera were tested for Anti-T. gondii antibodies using the Sabin-Feldman Dye Test (SFDT). Results: Out of 192 samples, 44 (22.9%) reacted positive. Sero-positivity was 27.8%, 27.8% and 25.0% in horses, donkeys, and mules, respectively with no statistical difference. According to age of animals, the seroprevalence was 14.3%, 32.8%, and 20.8% in age groups 0-5, 6-10 and over 11 years, respectively with a statistically significant difference. Sero-positivity in male animals was 19.44% and in females 25.0%, with no statistical difference. Conclusion: The prevalence of exposure to T. gondii was determined as 22.9% in equids in Isparta province.
背景:弓形虫病是一种广泛传播于不同动物物种的原生动物疾病,发病率高达90%。据报道,这种病原体在马中的存在率约为46.3%。马身上的弓形虫感染可能有利于感染的传播,因为动物园里的马尸体被用作动物饲料,而留在村庄外的马尸体也被流浪狗和猫吃掉。本研究采用Sabin-Feldman-Dye试验确定了在土耳其伊斯帕塔省饲养的马种(马、驴和骡子)中弓形虫的血清流行率,该试验是一种广泛用于检测不同动物物种弓形虫抗体的参考试验。目的:本研究旨在调查土耳其伊斯帕塔省马群中弓形虫(T.gondii)的血清流行情况。材料和方法:从2016年1月至12月,从192只动物身上采集血样,包括马(n=72)、驴(n=88)和骡子(n=32)。对分离的血清进行抗-T。使用Sabin-Feldman染料测试(SFDT)的弓形虫抗体。结果:192份样品中,44份(22.9%)呈阳性反应。马、驴和骡子的血清阳性率分别为27.8%、27.8%和25.0%,无统计学差异。根据动物年龄,0-5岁、6-10岁和11岁以上年龄组的血清流行率分别为14.3%、32.8%和20.8%,差异具有统计学意义。雄性动物血清阳性率为19.44%,雌性为25.0%,无统计学差异。结论:在伊斯帕塔省,马接触弓形虫的患病率为22.9%。
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引用次数: 1
Virulence factors 毒力因子
IF 0.4 Q4 PARASITOLOGY Pub Date : 2020-08-01 DOI: 10.21608/puj.2020.34856.1080
S. Abaza
Parasites developed several strategies for their survival and host tissue invasion. Helminths express potent molecules mainly for immunomodulation, which is why they stay in their hosts for years. Helminths display several mechanisms not only to evade host immune response(s), but also to preserve the host for as long as they could live. In contrast, protozoa evolve several policies primarily for pathogenesis, and invasion. Therefore, variable clinical manifestations are reported in protozoal diseases. Both symptomatic and asymptomatic cases are commonly observed in amoebiasis, giardiasis, trichomoniasis, cryptosporidiosis and toxoplasmosis, while mild, moderate, and severe cases occur in malaria, leishmaniasis, African sleeping sickness and Chagas’ disease. This was primarily attributed to strains variability and to a lesser extent, to host immune response(s). With recent evolutionary technology in molecular parasitology and bioinformatics, several molecules are established as virulence factors. These factors encourage researchers and scientists to develop novel drug targets and/or vaccine candidates. The present review aims to highlight, and review virulence strategies adapted by parasites to invade host tissue, enhance its replication and spread, as well as other processes for immunomodulation or immunoevasion of host immune response(s). Abbreviations: CATH: Cathepsin; CP: Cysteine protease; CPI: Cysteine protease inhibitor; CYS: Cystatin; endogenous CPI; EMP1: Erythrocyte membrane protein 1; EVs: Extracellular vesicles; GP: Glycoprotein; HSP: Heat shock protein; MEROPS: Proteases database (www.ebi.ac.uk/merops/); MP: Metalloprotease; PV: Parasitophorous vacuole; SP: Serine protease; SUB: Subtilase, subtilisin-like proteases; VSPs: Variant surface proteins. Parasite virulence Abaza 77 communicate within their own populations for several functions including growth promotion, host immune system evasion, disease transmission, and manipulation of micro-environmental stress. Communication is also directed to the host through trafficking transfer of effector molecules to host cells to manipulate host gene expression, and consequently mediate parasite pathogenicity[7]. • Extracellular vesicles (EVs): These are nano-scale lipid bilayer membrane-bound structures. They contribute in the trafficking of virulence factors required for parasite nutrition, cytoadherence, host cell migration and invasion, cytotoxicity, and host immune system evasion[7]. Reviewing literature, EVs are classified into exosomes, microvesicles and apoptotic bodies. Exsomes and microvesicles are released with conserved biogenesis and functional roles. For example, exsomes in G. lamblia, T. vaginalis and pathogenic trypanosomatids are released at the flagellar pocket, whereas they are intracellularly released in apicomplexans as microvesicles[8]. It is worth mentioning that Plasmodium EVs include exonemes, micronemes, and mononemes. They are merozoite secretory apical organelles that
寄生虫为其生存和宿主组织入侵制定了几种策略。蠕虫主要表达用于免疫调节的强效分子,这就是它们在宿主体内停留多年的原因。蠕虫表现出几种机制,不仅可以逃避宿主的免疫反应,还可以使宿主存活多久。相比之下,原生动物进化出了几种主要针对发病机制和入侵的策略。因此,原生动物疾病的临床表现多种多样。有症状和无症状的病例通常发生在阿米巴病、贾第虫病、滴虫病、隐孢子虫病和弓形虫病中,而轻度、中度和重度病例发生在疟疾、利什曼病、非洲昏睡病和查加斯病中。这主要归因于菌株的变异性,在较小程度上归因于宿主的免疫反应。随着分子寄生虫学和生物信息学的最新进化技术,一些分子被确定为毒力因子。这些因素鼓励研究人员和科学家开发新的药物靶点和/或候选疫苗。本综述旨在强调和综述寄生虫入侵宿主组织、增强其复制和传播的毒力策略,以及宿主免疫反应的免疫调节或免疫逃避的其他过程。缩写:CATH:组织蛋白酶;CP:半胱氨酸蛋白酶;CPI:半胱氨酸蛋白酶抑制剂;CYS:半胱氨酸蛋白酶抑制剂;内生CPI;EMP1:红细胞膜蛋白1;EVs:细胞外小泡;GP:糖蛋白;HSP:热休克蛋白;MEROPS:蛋白酶数据库(www.ebi.ac.uk/MEROPS/);MP:金属蛋白酶;PV:寄生液泡;SP:丝氨酸蛋白酶;SUB:枯草蛋白酶,枯草蛋白酶样蛋白酶;VSPs:变体表面蛋白。寄生虫毒力Abaza 77在其自身种群内进行多种功能交流,包括促进生长、宿主免疫系统逃避、疾病传播和操纵微环境压力。通信也通过将效应分子转移到宿主细胞来操纵宿主基因表达,从而介导寄生虫致病性,从而指向宿主[7]。•细胞外小泡(EVs):这些是纳米级脂质双层膜结合结构。它们参与了寄生虫营养、细胞粘附、宿主细胞迁移和入侵、细胞毒性和宿主免疫系统逃避所需的毒力因子的运输[7]。综述文献,EVs分为外泌体、微泡和凋亡小体。分泌体和微泡的释放具有保守的生物发生和功能作用。例如,兰氏锥虫、阴道锥虫和致病性锥虫的外露体在鞭毛囊中释放,而它们在细胞内以微泡的形式在顶端复合体中释放[8]。值得一提的是,疟原虫EVs包括外显子、微核和单核。它们是裂殖子分泌顶端细胞器,分别在寄生液泡(PV)枯草蛋白酶1和2(SUB1,SUB2)以及菱形-1(ROM1)中表达。它们在出口和新入侵级联中的作用将在稍后讨论[9]。•出口级联:广泛的致病菌和原生动物采用多种策略进入和离开宿主,具有最佳的存活率、复制率、生命周期阶段的进展率以及传播率。病原体的排出具有根本的重要性,因为它与病原体的传播、传播和炎症过程密切相关。因此,参与出口机制的分子被认为是传播和感染的关键步骤,即它们被认为是间接毒力因子。在他们的综述中,Friedrich和他的同事[10]在一张表中列出了一些与弓形虫以及疟原虫、锥虫和利什曼原虫的出口机制有关的分子。排出策略旨在克服宿主细胞膜、细胞骨架和细胞器。病原体利用蛋白酶、脂肪酶和成孔蛋白作为主动出口的分子效应物。此外,病原体利用分子模拟来模拟宿主细胞骨架的动力学。例如,一些病原体,如克氏锥虫,逃脱PV,在宿主细胞胞质溶胶中复制。然而,寄生虫必须控制这第一个出口步骤,以保持宿主细胞的完整性。复制后,发生第二个受控出口事件,以释放感染新宿主细胞的复制[10]。在疟原虫中。 ,出口和从头入侵级联包括以下步骤:1)当SUB1参与裂殖子出口时,SUB2是裂殖子从头RBCs入侵所必需的;2) 光伏膜降解;3) RBC膜和细胞骨架的破坏基本上是由SUB1、SUB2和ROM1完成的,以及4)丝氨酸重复抗原(SERA5和SERA6);从SUB1和SUB2释放的裂殖子表面蛋白(MSP1、6和7)与ROM1一起催化膜间切割,导致RBCs的从头入侵。纤溶酶和天冬氨酰蛋白酶也确立了它们在出口和从头级联中的作用,作为控制SUB1成熟的rhoptery蛋白的成熟因子[9]。•泛素-蛋白酶体系统(UBS):UPS在几种细胞途径中发挥着重要作用,包括寄生虫生物学和毒力所需的途径,即增殖和细胞分化,这是原生动物在宿主内定殖的关键步骤。细胞内蛋白质的周转由两种蛋白水解细胞器进行:溶酶体和蛋白酶体,利用UPS释放的分子[11]。最常见的报道分子是20S,被描述为28个蛋白质亚基的桶形组装。对于寄生虫的增殖和分化,20S蛋白酶体将其自身的蛋白质降解为寡肽(3-15个氨基酸),然后进行肽水解。因此,水解氨基酸被用于生命周期阶段的生物合成。来自智利的Muñoz和她的同事[12]综述了20S在溶组织大肠杆菌、致病性锥虫和弓形虫中的作用和功能,验证了它们是毒力因子和潜在的药物靶点。他们还声称,UPS不仅是一种降解机器,而且它还被用作参与多种途径的调节因子,包括细胞生长、炎症反应和抗原处理[12]。毒力因子的鉴定:毫无疑问,毒力因子的识别将有助于研究人员利用虚拟或高通量筛选,发现或开发新的或合成的抑制剂,用作新药和/或候选疫苗。回顾文献,使用了两种方法来鉴定毒力因子,一种是毒力和无毒分离株之间的比较转录组分析,另一种是基因敲除,即RNA干扰来鉴定基因功能。与寄生虫毒力有关的机制:寄生虫利用几种策略来建立其在宿主中的持久性,即存活(存活)和活性(毒力)。据报道,用于实现这些任务的机制包括蛋白水解活性、抗原变异、蛋白质折叠和机械机制(表1)。由几种蛋白酶实现的蛋白酶水解活性是几乎所有寄生虫的主要策略。其次是抗原变异,在利什曼原虫、疟原虫和克鲁兹锥虫的不同物种中最常见。由编码热休克蛋白(HSPs)的基因实现的蛋白质折叠在少数寄生虫中报道较少。值得一提的是,该机械机制仅在G.lamblia中有报道。寄生虫学联合杂志78应该考虑到,在某些情况下,由于非寄生虫分子,如漏诊、无效治疗或耐药性、免疫抑制和相关的内共生,可能会产生毒力。在讨论寄生毒力因子之前,需要考虑两点:内共生和毒力因子通过细胞膜的运输。内共生:关于肠道致病性大肠杆菌和溶组织大肠杆菌毒力的贡献,有很多争议。在溶组织大肠杆菌培养物中培养大肠杆菌可以降低[22]或增加[23]其毒力。最近的一项研究表明,由于表达的EhCPs 1、2、4和5的蛋白水解活性增加,肠致病性大肠杆菌或非致病性内阿米巴在细胞系培养和实验模型中都改变了引起阿米巴病的溶组织大肠杆菌毒力[24]。另一方面,Burgess和她的同事[25]在他们的综述中重点关注肠道非致病微生物群不仅对肠道原生动物的贡献,而且对肠外原生动物如疟原虫和阴道T.vaginalis的贡献。评审人员将肠道原生动物毒力的降低归因于粘膜部位寄生虫细胞粘附性的降低。然而,肠道微生物群可能通过改变颗粒形成和/或适应性免疫以及增加非肠道原生动物的毒力来改变系统免疫。此外,评审人员列出了常见的与溶组织E.lamblia、阴道T.vaginalis相关的肠道非致病微生物群。恶性疟原虫和隐孢子虫和芽囊虫的种类。有趣的是,得出的结论是,使用微生物群的治疗可能为肠道原生动物感染提供一种成本效益高的预防策略[25]。 建议用四环素治疗丝虫病患者会导致共生丝虫和沃尔巴克氏体的蠕虫不育。研究表明,重组沃尔巴克氏体表面蛋白易于宿主免疫逃避,增加了疾病的致病性和毒力[26]。此外,阴道毛滴虫病毒(TVV)在寄生虫毒力中的作用在几项研究中得到了证实;作为各种表型变化的诱导[27]和对寄生虫细胞
{"title":"Virulence factors","authors":"S. Abaza","doi":"10.21608/puj.2020.34856.1080","DOIUrl":"https://doi.org/10.21608/puj.2020.34856.1080","url":null,"abstract":"Parasites developed several strategies for their survival and host tissue invasion. Helminths express potent molecules mainly for immunomodulation, which is why they stay in their hosts for years. Helminths display several mechanisms not only to evade host immune response(s), but also to preserve the host for as long as they could live. In contrast, protozoa evolve several policies primarily for pathogenesis, and invasion. Therefore, variable clinical manifestations are reported in protozoal diseases. Both symptomatic and asymptomatic cases are commonly observed in amoebiasis, giardiasis, trichomoniasis, cryptosporidiosis and toxoplasmosis, while mild, moderate, and severe cases occur in malaria, leishmaniasis, African sleeping sickness and Chagas’ disease. This was primarily attributed to strains variability and to a lesser extent, to host immune response(s). With recent evolutionary technology in molecular parasitology and bioinformatics, several molecules are established as virulence factors. These factors encourage researchers and scientists to develop novel drug targets and/or vaccine candidates. The present review aims to highlight, and review virulence strategies adapted by parasites to invade host tissue, enhance its replication and spread, as well as other processes for immunomodulation or immunoevasion of host immune response(s). Abbreviations: CATH: Cathepsin; CP: Cysteine protease; CPI: Cysteine protease inhibitor; CYS: Cystatin; endogenous CPI; EMP1: Erythrocyte membrane protein 1; EVs: Extracellular vesicles; GP: Glycoprotein; HSP: Heat shock protein; MEROPS: Proteases database (www.ebi.ac.uk/merops/); MP: Metalloprotease; PV: Parasitophorous vacuole; SP: Serine protease; SUB: Subtilase, subtilisin-like proteases; VSPs: Variant surface proteins. Parasite virulence Abaza 77 communicate within their own populations for several functions including growth promotion, host immune system evasion, disease transmission, and manipulation of micro-environmental stress. Communication is also directed to the host through trafficking transfer of effector molecules to host cells to manipulate host gene expression, and consequently mediate parasite pathogenicity[7]. • Extracellular vesicles (EVs): These are nano-scale lipid bilayer membrane-bound structures. They contribute in the trafficking of virulence factors required for parasite nutrition, cytoadherence, host cell migration and invasion, cytotoxicity, and host immune system evasion[7]. Reviewing literature, EVs are classified into exosomes, microvesicles and apoptotic bodies. Exsomes and microvesicles are released with conserved biogenesis and functional roles. For example, exsomes in G. lamblia, T. vaginalis and pathogenic trypanosomatids are released at the flagellar pocket, whereas they are intracellularly released in apicomplexans as microvesicles[8]. It is worth mentioning that Plasmodium EVs include exonemes, micronemes, and mononemes. They are merozoite secretory apical organelles that","PeriodicalId":41408,"journal":{"name":"Parasitologists United Journal","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45666141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of a web-based learning management platform and formative assessment tools for a Medical Parasitology undergraduate course 医学寄生虫学本科课程网络学习管理平台和形成性评估工具的评估
IF 0.4 Q4 PARASITOLOGY Pub Date : 2020-08-01 DOI: 10.21608/puj.2020.29543.1070
R. Wassef, F. Elkhamisy
Background: Medical education for undergraduate students in preclinical sciences is challenging and often described as boring by students. Educators have to find interesting new methods to deliver information and increase students' engagement and performance. The incorporation of new technological tools can help in this regard.  Objectives: This retrospective study investigated two technological tools: Google Classroom learning management platform and Google Quiz Forms for online assessment, as regards students' satisfaction, engagement, and performance. Design and Methodology: The same Parasitology course has been taught in a classic face-to-face way during the first year of the study and taught by blended learning technique over the second year. The performance of the students of each year was compared and a questionnaire was introduced at the end of the second year to assess the students' satisfaction. Results: Students who took full advantage of these tools showed improvement of their performance (Mean= 79 in the assessment versus 83.6 in their final exam (P=0.01) and achieved significantly better scores than those of year-1 and year-2 in the final exam (Mean= 83.6 versus 76.3 and 72.7 respectively, P<0.001).  Among 128 questionnaire responders, 78.9% preferred the e-learning, 94.5% found the Google Classroom easy to use, 76.6% described it as a time saver for submission of assignments and 96.9% expressed their wish to continue to use the blended learning as well as the formative assessments in other courses and would recommend it to others. They all agreed that the formative assessments at the end of each lecture helped them in summarizing the delivered topic and consolidated the received information. Conclusions: Use of these mobile-friendly, freely available technological tools in resource-limited higher education institutions is recommended to improve the students' engagement and performance in the preclinical sciences.
背景:临床前科学本科生的医学教育具有挑战性,学生们常常认为这很无聊。教育工作者必须找到有趣的新方法来传递信息,提高学生的参与度和表现。纳入新的技术工具可以在这方面有所帮助。目的:这项回顾性研究调查了两种技术工具:谷歌课堂学习管理平台和谷歌测验表格,用于在线评估学生的满意度、参与度和表现。设计与方法:在研究的第一年,同样的寄生虫学课程以经典的面对面方式教授,第二年则采用混合学习技术教授。比较了每一年学生的表现,并在第二年结束时引入了一份问卷来评估学生的满意度。结果:充分利用这些工具的学生表现出了成绩的改善(评估中的平均值为79,期末考试为83.6(P=0.01),期末考试成绩明显好于一年级和二年级的学生(平均值分别为83.6,76.3和72.7,P<0.001),94.5%的人认为谷歌课堂很容易使用,76.6%的人认为它可以节省提交作业的时间,96.9%的人表示希望在其他课程中继续使用混合学习和形成性评估,并将其推荐给其他人。他们一致认为,每次讲座结束时的形成性评估有助于他们总结所讲的主题,并巩固所收到的信息。结论:建议在资源有限的高等教育机构中使用这些移动友好、免费提供的技术工具,以提高学生在临床前科学方面的参与度和表现。
{"title":"Evaluation of a web-based learning management platform and formative assessment tools for a Medical Parasitology undergraduate course","authors":"R. Wassef, F. Elkhamisy","doi":"10.21608/puj.2020.29543.1070","DOIUrl":"https://doi.org/10.21608/puj.2020.29543.1070","url":null,"abstract":"Background: Medical education for undergraduate students in preclinical sciences is challenging and often described as boring by students. Educators have to find interesting new methods to deliver information and increase students' engagement and performance. The incorporation of new technological tools can help in this regard.  \u0000Objectives: This retrospective study investigated two technological tools: Google Classroom learning management platform and Google Quiz Forms for online assessment, as regards students' satisfaction, engagement, and performance. \u0000Design and Methodology: The same Parasitology course has been taught in a classic face-to-face way during the first year of the study and taught by blended learning technique over the second year. The performance of the students of each year was compared and a questionnaire was introduced at the end of the second year to assess the students' satisfaction. \u0000Results: Students who took full advantage of these tools showed improvement of their performance (Mean= 79 in the assessment versus 83.6 in their final exam (P=0.01) and achieved significantly better scores than those of year-1 and year-2 in the final exam (Mean= 83.6 versus 76.3 and 72.7 respectively, P<0.001).  Among 128 questionnaire responders, 78.9% preferred the e-learning, 94.5% found the Google Classroom easy to use, 76.6% described it as a time saver for submission of assignments and 96.9% expressed their wish to continue to use the blended learning as well as the formative assessments in other courses and would recommend it to others. They all agreed that the formative assessments at the end of each lecture helped them in summarizing the delivered topic and consolidated the received information. \u0000Conclusions: Use of these mobile-friendly, freely available technological tools in resource-limited higher education institutions is recommended to improve the students' engagement and performance in the preclinical sciences.","PeriodicalId":41408,"journal":{"name":"Parasitologists United Journal","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44817157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Expression of cysteine proteinases and cystatins in parasites and use of cysteine proteinase inhibitors in parasitic diseases. Part III: 4. Other protozoa 半胱氨酸蛋白酶和胱蛋白酶在寄生虫中的表达以及半胱氨酸蛋白酶抑制剂在寄生虫病中的应用。第三部分:4。其他原生动物
IF 0.4 Q4 PARASITOLOGY Pub Date : 2020-04-01 DOI: 10.21608/puj.2020.26290.1066
S. Abaza
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引用次数: 0
Infection hazard of exposure to intestinal parasites, H. pylori and hepatitis viruses among municipal sewage workers: a neglect high risk population 城市污水处理工人接触肠道寄生虫、幽门螺杆菌和肝炎病毒的感染危险:被忽视的高危人群
IF 0.4 Q4 PARASITOLOGY Pub Date : 2019-08-01 DOI: 10.21608/puj.2019.13679.1047
Faika Hassanein, Inas M Masoud, A. Shehata
Background: Waste water may contain pathogenic human and animal excreta-derived micro-organisms that can cause infections. Municipal sewage workers are a relevant neglected high-risk population especially in the absence of effective protective equipment and lack of hygienic practices mainly washing hands. Objective: The present study aims to assess the hazards of infection with micro-organisms among municipal sewage workers as a neglected population, besides those infections that maybe acquired via sources other than their occupational hazard. Subjects and Methods: A cross-sectional study was conducted on sewage workers from different sectors in Alexandria Governorate, Egypt. Collected stool samples were subjected to the following techniques; Kato-Katz, ether concentration, Jones’ Media culture, modified Ziehl-Neelsen, and quick hot Gram-chromotrope staining. Stool samples were also tested for Helicobacter pylori antigen (H. pylori Ag). Serum was separated for detection of viral hepatitis C antibodies (HCV Ab), and HBV surface antigen (HBVs Ag). Results: Out of the 410 examined workers, 289 (70.5%) were infected; among them 111 (38.4%) had mixed infections. It was found that 56.8%, and 31.2% harbored intestinal parasitic infections (IPIs) and H. pylori, respectively; and 12.2% had hepatitis mainly HCV (9.8%). Protozoal infections amounted to 54.6%, and only 5.9% had helminthic infections. Blastocystis spp. was the most prevalent parasite (46.8%) followed by Cryptosporidium spp., Entamoeba histolytica/dispar and Microsporidium spp. (15.6%, 11.7%, and 7.8%, respectively). Almost equal percentages were recorded for single IPI and multiple infections (28.3%and 28,5% respectively). Significantly higher rates of IPIs and H. pylori were observed among workers who were in frequent contact with sewage. Also, IPIs were statistically higher among young workers (<40 years), while hepatitis was significantly more prevalent among those from rural areas. Conclusion: Although almost all the detected microbiological infectious hazards can affect sewage workers via sources other than their occupational hazard, our findings call for the importance of self-protection measures that should be in association with regular medical investigation and treatment.
背景:废水中可能含有致病的人类和动物排泄物衍生的微生物,这些微生物会引起感染。城市污水处理工人是一个被忽视的高危人群,尤其是在缺乏有效的防护设备和缺乏主要洗手的卫生习惯的情况下。目的:本研究旨在评估作为被忽视人群的城市污水处理工人感染微生物的危害,以及可能通过职业危害以外的来源获得的感染。受试者和方法:对埃及亚历山大省不同部门的污水处理工人进行了横断面研究。收集的粪便样本采用以下技术:;Kato-Katz,乙醚浓度,Jones培养基,改良Ziehl-Neelsen和快速热革兰氏染色。还对粪便样本进行了幽门螺杆菌抗原(H.pylori Ag)检测。分离血清以检测丙型肝炎病毒抗体(HCV Ab)和HBV表面抗原(HBVs-Ag)。结果:在410名接受检查的工人中,289人(70.5%)被感染;其中混合感染111例(38.4%)。研究发现,56.8%和31.2%的人分别携带肠道寄生虫感染(IPIs)和幽门螺杆菌;以HCV为主的肝炎占12.2%(9.8%),原生动物感染占54.6%,蠕虫感染仅占5.9%。芽孢子虫是最常见的寄生虫(46.8%),其次是隐孢子虫、溶组织内阿米巴和微孢子虫(分别为15.6%、11.7%和7.8%)。单次IPI和多次感染的百分比几乎相等(分别为28.3%和28.5%)。在经常接触污水的工人中观察到IPIs和幽门螺杆菌的发病率显著较高。此外,从统计数据来看,IPI在年轻工人(<40岁)中更高,而肝炎在农村地区的工人中更为普遍。结论:尽管几乎所有检测到的微生物传染病危害都会通过职业危害以外的来源影响污水处理工人,但我们的研究结果要求采取自我保护措施,并与定期的医疗调查和治疗相结合。
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引用次数: 4
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Parasitologists United Journal
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