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The proteasome as a drug target for treatment of parasitic diseases. 蛋白酶体作为治疗寄生虫病的药物靶点。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-01-01 Epub Date: 2024-09-23 DOI: 10.1016/bs.apar.2024.04.001
Lawrence J Liu, Anthony J O'Donoghue, Conor R Caffrey

The proteasome is a proteolytically active molecular machine comprising many different protein subunits. It is essential for growth and survival in eukaryotic cells and has long been considered a drug target. Here, we summarize the biology of the proteasome, the early research relating to the development of specific proteasome inhibitors (PIs) for treatment of various cancers, and their translation and eventual evolution as exciting therapies for parasitic diseases. We also highlight the development and adaptation of technologies that have allowed for a deep understanding of the idiosyncrasies of individual parasite proteasomes, as well as the preclinical and clinical advancement of PIs with remarkable therapeutic indices.

蛋白酶体是一种具有蛋白水解活性的分子机器,由许多不同的蛋白质亚基组成。它对真核细胞的生长和存活至关重要,长期以来一直被视为药物靶标。在此,我们总结了蛋白酶体的生物学特性、与开发用于治疗各种癌症的特异性蛋白酶体抑制剂(PIs)有关的早期研究,以及它们作为治疗寄生虫病的令人兴奋的疗法的转化和最终演变。我们还重点介绍了技术的发展和调整,这些技术使我们能够深入了解寄生虫蛋白酶体的特异性,以及具有显著治疗指数的蛋白酶体抑制剂的临床前和临床进展。
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引用次数: 0
Unveiling the peptidases of parasites from the office chair - The endothelin-converting enzyme case study. 从办公椅上揭开寄生虫肽酶的神秘面纱--内皮素转化酶案例研究。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-01-01 Epub Date: 2024-07-08 DOI: 10.1016/bs.apar.2024.05.003
Lukáš Konečný, Kristýna Peterková

The emergence of high-throughput methodologies such as next-generation sequencing and proteomics has necessitated significant advancements in biological databases and bioinformatic tools, therefore reshaping the landscape of research into parasitic peptidases. In this review we outline the development of these resources along the -omics technologies and their transformative impact on the field. Apart from extensive summary of general and specific databases and tools, we provide a general pipeline on how to use these resources effectively to identify candidate peptidases from these large datasets and how to gain as much information about them as possible without leaving the office chair. This pipeline is then applied in an illustrative case study on the endothelin-converting enzyme 1 homologue from Schistosoma mansoni and attempts to highlight the contemporary capabilities of bioinformatics. The case study demonstrate how such approach can aid to hypothesize enzyme functions and interactions through computational analysis alone effectively and emphasizes how such virtual investigations can guide and optimize subsequent wet lab experiments therefore potentially saving precious time and resources. Finally, by showing what can be achieved without traditional wet laboratory methods, this review provides a compelling narrative on the use of bioinformatics to bridge the gap between big data and practical research applications, highlighting the key role of these technologies in furthering our understanding of parasitic diseases.

下一代测序和蛋白质组学等高通量方法的出现促使生物数据库和生物信息学工具取得了重大进展,从而重塑了寄生虫肽酶研究的格局。在这篇综述中,我们概述了这些资源与组学技术的发展及其对该领域的变革性影响。除了对一般和特定数据库及工具进行广泛总结外,我们还提供了如何有效利用这些资源从这些大型数据集中识别候选肽酶的一般方法,以及如何在不离开办公室的情况下获得尽可能多的肽酶信息。然后,我们将这一方法应用于曼氏血吸虫内皮素转换酶 1 同源物的案例研究,并试图突出生物信息学的当代能力。案例研究展示了这种方法如何仅通过计算分析就能有效地帮助假设酶的功能和相互作用,并强调了这种虚拟研究如何指导和优化后续的湿实验室实验,从而节省宝贵的时间和资源。最后,本综述展示了在没有传统湿法实验室方法的情况下可以取得的成果,对利用生物信息学弥合大数据与实际研究应用之间的差距进行了令人信服的叙述,强调了这些技术在加深我们对寄生虫病的了解方面所起的关键作用。
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引用次数: 0
Parasites in ancient Egypt and Nubia: Malaria, schistosomiasis and the pharaohs. 古埃及和努比亚的寄生虫:疟疾、血吸虫病和法老。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-01-01 Epub Date: 2023-12-28 DOI: 10.1016/bs.apar.2023.12.003
Piers D Mitchell

The civilizations of ancient Egypt and Nubia played a key role in the cultural development of Africa, the Near East, and the Mediterranean world. This study explores how their location along the River Nile, agricultural practices, the climate, endemic insects and aquatic snails impacted the type of parasites that were most successful in their populations. A meta-analysis approach finds that up to 65% of mummies were positive for schistosomiasis, 40% for headlice, 22% for falciparum malaria, and 10% for visceral leishmaniasis. Such a disease burden must have had major consequences upon the physical stamina and productivity of a large proportion of the workforce. In contrast, the virtual absence of evidence for whipworm and roundworm (so common in adjacent civilizations in the Near East and Europe) may have been a result of the yearly Nile floods fertilising the agricultural land, so that farmers did not have to fertilise their crops with human faeces.

古埃及和努比亚文明对非洲、近东和地中海世界的文化发展起到了关键作用。这项研究探讨了它们位于尼罗河沿岸的地理位置、农业生产方式、气候、当地特有的昆虫和水生蜗牛是如何影响其人口中最成功的寄生虫类型的。荟萃分析方法发现,高达 65% 的木乃伊血吸虫病阳性,40% 头虱阳性,22% 恶性疟疾阳性,10% 内脏利什曼病阳性。这样的疾病负担肯定会对大部分劳动力的体力和生产力产生重大影响。相比之下,几乎没有鞭虫和蛔虫(在邻近的近东和欧洲文明中非常常见)的证据,这可能是由于每年的尼罗河洪水都会给农田施肥,因此农民不必用人的粪便给庄稼施肥。
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引用次数: 0
PfEMP1 and var genes - Still of key importance in Plasmodium falciparum malaria pathogenesis and immunity. PfEMP1 和 var 基因--仍然是恶性疟原虫疟疾发病机制和免疫中的关键基因。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-01-01 Epub Date: 2024-03-23 DOI: 10.1016/bs.apar.2024.02.001
Lars Hviid, Anja R Jensen, Kirk W Deitsch

The most severe form of malaria, caused by infection with Plasmodium falciparum parasites, continues to be an important cause of human suffering and poverty. The P. falciparum erythrocyte membrane protein 1 (PfEMP1) family of clonally variant antigens, which mediates the adhesion of infected erythrocytes to the vascular endothelium in various tissues and organs, is a central component of the pathogenesis of the disease and a key target of the acquired immune response to malaria. Much new knowledge has accumulated since we published a systematic overview of the PfEMP1 family almost ten years ago. In this chapter, we therefore aim to summarize research progress since 2015 on the structure, function, regulation etc. of this key protein family of arguably the most important human parasite. Recent insights regarding PfEMP1-specific immune responses and PfEMP1-specific vaccination against malaria, as well as an outlook for the coming years are also covered.

由恶性疟原虫感染引起的最严重疟疾仍然是造成人类痛苦和贫困的一个重要原因。恶性疟原虫红细胞膜蛋白 1(PfEMP1)家族的克隆变异抗原介导受感染的红细胞粘附到各种组织和器官的血管内皮上,是该疾病发病机制的核心组成部分,也是疟疾获得性免疫反应的关键靶点。自我们近十年前发表 PfEMP1 家族的系统概述以来,我们积累了许多新的知识。因此,在本章中,我们旨在总结自 2015 年以来有关这一可谓人类最重要寄生虫的关键蛋白家族的结构、功能、调控等方面的研究进展。本章还将介绍有关 PfEMP1 特异性免疫反应和 PfEMP1 特异性疟疾疫苗接种的最新见解,以及对未来几年的展望。
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引用次数: 0
Proteases and protease inhibitors in saliva of hard ticks: Biological role and pharmacological potential. 硬蜱唾液中的蛋白酶和蛋白酶抑制剂:生物学作用和药理学潜力
3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-01-01 Epub Date: 2024-10-18 DOI: 10.1016/bs.apar.2024.09.001
Jiří Černý, Gunjan Arora

Hard ticks (family Ixodidae) are significant vectors of pathogens affecting humans and animals. This review explores the composition of tick saliva, focusing on proteases and protease inhibitors, their biological roles, and their potential in vaccines and therapies. Tick saliva contains various proteases, mostly metalloproteases, serpins, cystatins, and Kunitz-type inhibitors, which modulate host hemostatic, immune, and wound healing responses to facilitate blood feeding and pathogen transmission. Proteases inhibit blood clotting, degrade extracellular matrix components, and modulate immune responses. Serpins, cystatins, and Kunitz-type inhibitors further inhibit key proteases involved in coagulation and inflammation, making them promising candidates for anticoagulant, anti-inflammatory, and immunomodulatory therapies. Several tick proteases and protease inhibitors have shown potential as vaccine targets, reducing tick feeding success and pathogen transmission. Future research should focus on comprehensive proteomic and genomic analyses, detailed structural and functional studies, and vaccine trials. Advanced omics approaches and bioinformatics tools will be crucial in uncovering the complex interactions between ticks, hosts, and pathogens, improving tick control strategies and public health outcomes.

硬蜱(Ixodidae 科)是影响人类和动物的病原体的重要传播媒介。这篇综述探讨了蜱唾液的成分,重点是蛋白酶和蛋白酶抑制剂、它们的生物学作用以及在疫苗和疗法中的潜力。蜱唾液中含有各种蛋白酶,主要是金属蛋白酶、丝氨酸、胱氨酸和库尼茨型抑制剂,它们能调节宿主的止血、免疫和伤口愈合反应,从而促进血液摄取和病原体传播。蛋白酶抑制血液凝结、降解细胞外基质成分并调节免疫反应。丝氨酸、胱氨酸和库尼茨型抑制剂可进一步抑制参与凝血和炎症反应的关键蛋白酶,因此有望成为抗凝、抗炎和免疫调节疗法的候选药物。一些蜱蛋白酶和蛋白酶抑制剂已显示出作为疫苗靶点的潜力,可降低蜱的摄食成功率和病原体传播。未来的研究应侧重于全面的蛋白质组和基因组分析、详细的结构和功能研究以及疫苗试验。先进的组学方法和生物信息学工具对于揭示蜱虫、宿主和病原体之间复杂的相互作用、改善蜱虫控制策略和公共卫生成果至关重要。
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引用次数: 0
Fish ectoparasite detection, collection and curation. 鱼类体外寄生虫的检测、收集和整理。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-01-01 Epub Date: 2024-07-04 DOI: 10.1016/bs.apar.2024.05.001
Xian Zhe Chew, Jennifer Cobcroft, Kate S Hutson

Fish parasitology is a dynamic and internationally important discipline with numerous biological, ecological and practical applications. We reviewed optimal fish and parasite sampling methods for key ectoparasite phyla (i.e. Ciliophora, Platyhelminthes, Annelida and Arthropoda) as well as recent advances in molecular detection of ectoparasites in aquatic environments. Ideally, fish capture and anaesthesia as well as parasite recovery methods should be validated to eliminate potential sampling bias and inaccuracy in determining ectoparasite population parameters. There are considerable advantages to working with fresh samples and live parasites, when combined with appropriate fixation methods, as sampling using dead or decaying materials can lead to rapid decomposition of soft-bodied parasites and subsequent challenges for identification. Sampling methods differ between target phyla, and sometimes genera, with optimum techniques largely associated with identification of parasite microhabitat and the method of attachment. International advances in fish parasitology can be achieved through the accession of whole specimens and/or molecular voucher specimens (i.e. hologenophores) in curated collections for further study. This approach is now critical for data quality because of the increased application of environmental DNA (eDNA) for the detection and surveillance of parasites in aquatic environments where the whole organism may be unavailable. Optimal fish parasite sampling methods are emphasised to aid repeatability and reliability of parasitological studies that require accurate biodiversity and impact assessments, as well as precise surveillance and diagnostics.

鱼类寄生虫学是一门充满活力的国际性重要学科,在生物学、生态学和实际应用方面都有大量研究。我们回顾了主要体外寄生虫门类(即纤毛虫纲、扁形动物纲、无针虫纲和节肢动物纲)的最佳鱼类和寄生虫取样方法,以及水生环境中体外寄生虫分子检测的最新进展。理想情况下,鱼类捕获和麻醉以及寄生虫回收方法都应经过验证,以消除潜在的取样偏差和确定体外寄生虫种群参数的不准确性。使用新鲜样本和活体寄生虫并结合适当的固定方法有相当大的优势,因为使用死的或腐烂的材料取样会导致软体寄生虫快速分解,从而给鉴定带来挑战。取样方法因目标鱼类而异,有时甚至因属而异,最佳技术主要与寄生虫微生境的鉴定和附着方法有关。通过将完整标本和/或分子生物学凭证标本(如全息鱼)收集起来供进一步研究,可以在鱼类寄生虫学方面取得国际性进展。由于环境 DNA(eDNA)越来越多地用于检测和监控水生环境中的寄生虫,而整个生物体可能无法获得,因此这种方法对数据质量至关重要。强调最佳鱼类寄生虫取样方法有助于寄生虫学研究的可重复性和可靠性,这些研究需要准确的生物多样性和影响评估,以及精确的监测和诊断。
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引用次数: 0
Advanced approaches for the diagnosis and chemoprevention of canine vector-borne pathogens and parasites-Implications for the Asia-Pacific region and beyond. 犬媒介传播病原体和寄生虫的诊断和化学预防的先进方法-对亚太地区及其他地区的影响。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/bs.apar.2022.12.001
Lucas G Huggins, Anson V Koehler, Robin B Gasser, Rebecca J Traub

Vector-borne pathogens (VBPs) of canines are a diverse range of infectious agents, including viruses, bacteria, protozoa and multicellular parasites, that are pernicious and potentially lethal to their hosts. Dogs across the globe are afflicted by canine VBPs, but the range of different ectoparasites and the VBPs that they transmit predominate in tropical regions. Countries within the Asia-Pacific have had limited prior research dedicated to exploring the epidemiology of canine VBPs, whilst the few studies that have been conducted show VBP prevalence to be high, with significant impacts on dog health. Moreover, such impacts are not restricted to dogs, as some canine VBPs are zoonotic. We reviewed the status of canine VBPs in the Asia-Pacific, with particular focus on nations in the tropics, whilst also investigating the history of VBP diagnosis and examining recent progress in the field, including advanced molecular methods, such as next-generation sequencing (NGS). These tools are rapidly changing the way parasites are detected and discovered, demonstrating a sensitivity equal to, or exceeding that of, conventional molecular diagnostics. We also provide a background to the armoury of chemopreventive products available for protecting dogs from VBP. Here, field-based research within high VBP pressure environments has underscored the importance of ectoparasiticide mode of action on their overall efficacy. The future of canine VBP diagnosis and prevention at a global level is also explored, highlighting how evolving portable sequencing technologies may permit diagnosis at point-of-care, whilst further research into chemopreventives will be essential if VBP transmission is to be effectively controlled.

犬的媒介传播病原体(VBPs)是一系列不同的感染因子,包括病毒、细菌、原生动物和多细胞寄生虫,它们对宿主有害并可能致命。世界各地的狗都受到犬类VBPs的折磨,但不同的体外寄生虫及其传播的VBPs的范围在热带地区占主导地位。亚太地区的国家在探索犬VBP流行病学方面的研究有限,而少数研究表明VBP的患病率很高,对狗的健康有重大影响。此外,这种影响并不局限于狗,因为一些犬类VBPs是人畜共患的。我们回顾了亚太地区犬类VBP的现状,特别关注热带地区的国家,同时也调查了VBP诊断的历史,并检查了该领域的最新进展,包括先进的分子方法,如下一代测序(NGS)。这些工具正在迅速改变检测和发现寄生虫的方式,显示出与传统分子诊断相同或超过传统分子诊断的灵敏度。我们还提供了一个背景的化学预防产品的军械库可用于保护狗从VBP。在这里,在高VBP压力环境下的实地研究强调了体外杀虫方式对其整体功效的重要性。本文还探讨了犬VBP诊断和预防在全球范围内的未来,强调了不断发展的便携式测序技术如何允许在护理点进行诊断,同时,如果要有效控制VBP的传播,进一步研究化学预防措施将是必不可少的。
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引用次数: 4
Ups and downs of infections with the broad fish tapeworm Dibothriocephalus latus in Europe (Part II) and Asia from 1900 to 2020. 1900年至2020年欧洲和亚洲阔鱼绦虫感染的起伏(第二部分)。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/bs.apar.2023.05.001
Roman Kuchta, Alžbeta Radačovská, Eva Čisovská Bazsalovicsová, Ivica Králová-Hromadová

The broad fish tapeworm, Dibothriocephalus latus (Diphyllobothriidea), is the most important causative agent of diphyllobothriosis, a fish-borne zoonosis, in Europe. Part I of this review focused on the occurrence of D. latus in northwestern and central Europe, particularly in Fennoscandia, the Baltic, the Alpine lakes and Danube River regions during 1900-2020. Part II summarises data on D. latus from the European and Asian parts of Russia and from Asian countries. The tapeworm has occurred throughout Russia, with the most important foci in (i) the Republic of Karelia in the northwest of European Russia, (ii) the Volga River basin in the central and southern parts of European Russia, (iii) the Ob-Irtysh rivers region in the Ural region, (iv) the Yenisei-Lena rivers region in Siberia, and (v) the Lake Baikal basin in Siberia. The incidence of diphyllobothriosis has declined in recent decades, especially in European Russia, but zoonosis is still prevalent in some regions of Siberia. Cases reported from Arctic regions, the region around Lake Baikal, and the Pacific coast, including the Amur basin, however, were probably misidentifications with D. dendriticus and/or D. nihonkaiensis. No other Asian country where D. latus findings represented either imported cases or misidentifications had natural focus of diphyllobothriosis. Patterns of distribution of D. latus occurrence were similar in all Eurasian foci between 1900 and 2020. The numbers of records were associated with historical and epidemiological milestones of particular time periods.

宽鱼绦虫,二虫头绦虫,是欧洲鱼媒人畜共患病二虫头绦虫病最重要的病原体。本综述的第一部分着重于1900-2020年期间在欧洲西北部和中部,特别是在芬诺斯坎迪亚、波罗的海、高山湖泊和多瑙河地区的latus的发生。第二部分总结了来自俄罗斯欧洲和亚洲地区以及亚洲国家的拉图斯的数据。绦虫在俄罗斯各地都有发生,最重要的疫源地是(i)俄罗斯欧洲部分西北部的卡累利阿共和国,(ii)俄罗斯欧洲部分中部和南部的伏尔加河流域,(iii)乌拉尔地区的鄂河-额尔齐斯河流域,(iv)西伯利亚的叶尼塞-勒纳河流域,以及(v)西伯利亚的贝加尔湖流域。近几十年来,特别是在俄罗斯的欧洲地区,双头绦虫病的发病率有所下降,但人畜共患病在西伯利亚的一些地区仍然普遍存在。然而,来自北极地区、贝加尔湖周围地区和太平洋沿岸地区(包括黑龙江盆地)的病例报告可能被错误地识别为树突夜蛾和/或日本海夜蛾。在其他亚洲国家,无论是输入性病例还是错误鉴定,都没有出现双叶螺旋体病的自然疫源地。1900年至2020年期间,在欧亚大陆各疫源地中,拉氏霉病的分布模式相似。记录的数量与特定时期的历史和流行病学里程碑有关。
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引用次数: 1
Review of the metazoan parasites of the economically and ecologically important African sharptooth catfish Clarias gariepinus in Africa: Current status and novel records. 在非洲具有重要经济和生态意义的非洲尖牙鲶鱼Clarias gariepinus后生动物寄生虫的研究进展:现状和新记录。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/bs.apar.2022.11.001
Marliese Truter, Kerry A Hadfield, Nico J Smit

One of the most widely distributed African freshwater fish is the African sharptooth catfish Clarias gariepinus (Burchell) that is naturally distributed in 8 of the 10 ichthyofaunal regions of this continent. Clarias gariepinus is a highly valued and cheap staple to local communities and an ideal aquaculture species. Consequently, interest in the parasitic communities of C. gariepinus has increased as parasites may accidentally be ingested by humans when eating uncooked fish or can be introduced into culture systems through fish stocks supplied from local rivers which affect yield, growth, and marketability. This review provides an overview of the ∼107 metazoan parasite species known to parasitise C. gariepinus in Africa and their general life cycles, morphology, paratenic and post-cyclic infections, and the biogeography and validity of records are discussed. A brief overview is included on the application of some of these parasites in environmental studies and their link to human health.

非洲尖牙鲶鱼是非洲分布最广泛的淡水鱼之一,它自然分布在非洲大陆10个鱼类区中的8个。对当地社区来说,Clarias gariepinus是一种价值很高且价格低廉的主食,也是一种理想的水产养殖品种。因此,人们对加里平螺旋体寄生群落的兴趣增加了,因为寄生虫可能在食用未煮熟的鱼时被人类意外摄入,或者可能通过当地河流供应的鱼类资源被引入养殖系统,从而影响产量、生长和销售。本文综述了非洲已知的寄生于加里平棘虫的~ 107种后生动物寄生虫及其一般生命周期、形态、副周期和后周期感染,并讨论了生物地理学和记录的有效性。简要概述了其中一些寄生虫在环境研究中的应用及其与人类健康的联系。
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引用次数: 2
The long road to schistosomiasis elimination in Zanzibar: A systematic review covering 100 years of research, interventions and control milestones. 桑给巴尔消除血吸虫病的漫长道路:涵盖100年研究、干预和控制里程碑的系统综述。
3区 医学 Q1 Immunology and Microbiology Pub Date : 2023-01-01 Epub Date: 2023-07-17 DOI: 10.1016/bs.apar.2023.06.001
Lydia Trippler, Stefanie Knopp, Sophie Welsche, Bonnie L Webster, J Russell Stothard, Lynsey Blair, Fiona Allan, Shaali Makame Ame, Saleh Juma, Fatma Kabole, Said Mohammed Ali, David Rollinson, Tom Pennance

Zanzibar is among the few places in sub-Saharan Africa where interruption of Schistosoma transmission seems an achievable goal. Our systematic review identifies and discusses milestones in schistosomiasis research, control and elimination efforts in Zanzibar over the past 100 years. The search in online databases, libraries, and the World Health Organization Archives revealed 153 records published between May 1928 and August 2022. The content of records was summarised to highlight the pivotal work leading towards urogenital schistosomiasis elimination and remaining research gaps. The greatest achievement following 100 years of schistosomiasis interventions and research is undoubtedly the improved health of Zanzibaris, exemplified by the reduction in Schistosoma haematobium prevalence from>50% historically down to<5% in 2020, and the absence of severe morbidities. Experiences from Zanzibar have contributed to global schistosomiasis guidelines, whilst also revealing challenges that impede progression towards elimination. Challenges include: transmission heterogeneity requiring micro-targeting of interventions, post-treatment recrudescence of infections in transmission hotspots, biological complexity of intermediate host snails, emergence of livestock Schistosoma species complicating surveillance whilst creating the risk for interspecies hybridisation, insufficient diagnostics performance for light intensity infections and female genital schistosomiasis, and a lack of acceptable sanitary alternatives to freshwater bodies. Our analysis of the past revealed that much can be achieved in the future with practical implementation of integrated interventions, alongside operational research. With continuing national and international commitments, interruption of S. haematobium transmission across both islands is within reach by 2030, signposting the future demise of urogenital schistosomiasis across other parts of sub-Saharan Africa.

桑给巴尔是撒哈拉以南非洲为数不多的几个阻断血吸虫病传播似乎是可以实现的目标的地方之一。我们的系统综述确定并讨论了过去100年桑给巴尔血吸虫病研究、控制和消除工作的里程碑。在线数据库、图书馆和世界卫生组织档案馆的搜索显示,1928年5月至2022年8月期间公布了153份记录。对记录的内容进行了总结,以突出消除泌尿生殖道血吸虫病的关键工作和剩余的研究空白。经过100年的血吸虫病干预和研究,最大的成就无疑是桑给巴尔人的健康状况得到了改善,例如血吸虫病流行率从历史上的50%下降到
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引用次数: 0
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Advances in Parasitology
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