Background: Biting midges (Culicoides spp.) are vectors of diverse microbes such as viruses, bacteria, protozoa, and nematodes that cause diseases in both wild and domestic animals. Despite their ecological significance and role in disease transmission, the composition and underlying mechanisms shaping the gut microbiota of Culicoides remain poorly characterized.
Objectives: This study aimed to investigate the composition and functional profiles of the gut microbiota of adult Culicoides collected from three representative cities spanning tropical, subtropical, and temperate climate zones in China.
Methods: 16S high-throughput sequencing was used to study the microbial composition and function of Culicoides in the three regions. This study further incorporated six environmental factors and seven genetic diversity indices to explore their relationships with the microbial community.
Results: The findings revealed significant variations in the gut microbial composition, dominant species, and diversity of Culicoides across different climate zones. NoTable differences were observed in microbial functions related to insect growth, development, and oxidative stress, with Culicoides from the Sanya zone exhibiting a greater abundance of functions and participating in more signaling processes. Environmental factors and host genetic diversity across different habitats collectively shape the composition of the gut microbiota of Culicoides. Structural equation modeling (SEM) revealed that environmental factors exert predominantly direct selective effects on microbial community assembly, whereas host genetic diversity plays a critical indirect regulatory role. These environment-host-microbiota interactions exhibit significant spatial heterogeneity. In low-latitude regions (Sanya), environmental factors mainly manifest direct filtering effects, whereas in ecotone areas (Ruili), environmental pressures indirectly modulate microbial composition by altering host genetic adaptation.
Conclusions: Our findings revealed that Culicoides gut microbiomes exhibit distinct biogeographical divergence, characterized by environment-driven variations in microbial community structure and functional potential. Host genetic adaptation serves as a key mediator and synergistic modulator of these patterns. This tripartite environment-host-microbiome interaction demonstrates clear dependence on geographic gradient.
{"title":"Gut microbiome diversity and functional profiles of Culicoides across Sanya, Ruili, and Linyi, China.","authors":"Juan Teng, Wen Li, Yuda Wei, Chongcai Wang, Xiaoyun Yun, Yunlan Lu, Jian Chen, Xuzhi Ma, Yae Zhao","doi":"10.1016/j.actatropica.2026.108013","DOIUrl":"https://doi.org/10.1016/j.actatropica.2026.108013","url":null,"abstract":"<p><strong>Background: </strong>Biting midges (Culicoides spp.) are vectors of diverse microbes such as viruses, bacteria, protozoa, and nematodes that cause diseases in both wild and domestic animals. Despite their ecological significance and role in disease transmission, the composition and underlying mechanisms shaping the gut microbiota of Culicoides remain poorly characterized.</p><p><strong>Objectives: </strong>This study aimed to investigate the composition and functional profiles of the gut microbiota of adult Culicoides collected from three representative cities spanning tropical, subtropical, and temperate climate zones in China.</p><p><strong>Methods: </strong>16S high-throughput sequencing was used to study the microbial composition and function of Culicoides in the three regions. This study further incorporated six environmental factors and seven genetic diversity indices to explore their relationships with the microbial community.</p><p><strong>Results: </strong>The findings revealed significant variations in the gut microbial composition, dominant species, and diversity of Culicoides across different climate zones. NoTable differences were observed in microbial functions related to insect growth, development, and oxidative stress, with Culicoides from the Sanya zone exhibiting a greater abundance of functions and participating in more signaling processes. Environmental factors and host genetic diversity across different habitats collectively shape the composition of the gut microbiota of Culicoides. Structural equation modeling (SEM) revealed that environmental factors exert predominantly direct selective effects on microbial community assembly, whereas host genetic diversity plays a critical indirect regulatory role. These environment-host-microbiota interactions exhibit significant spatial heterogeneity. In low-latitude regions (Sanya), environmental factors mainly manifest direct filtering effects, whereas in ecotone areas (Ruili), environmental pressures indirectly modulate microbial composition by altering host genetic adaptation.</p><p><strong>Conclusions: </strong>Our findings revealed that Culicoides gut microbiomes exhibit distinct biogeographical divergence, characterized by environment-driven variations in microbial community structure and functional potential. Host genetic adaptation serves as a key mediator and synergistic modulator of these patterns. This tripartite environment-host-microbiome interaction demonstrates clear dependence on geographic gradient.</p>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":" ","pages":"108013"},"PeriodicalIF":2.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146140737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Toxoplasma gondii is an obligate intracellular protozoan parasite capable of infecting virtually all warm-blooded animals. The kynurenine pathway (KP), a key route of tryptophan catabolism, serves as a critical immunometabolic checkpoint in cancer, autoimmune disorders, and neurodegenerative diseases. Although the kynurenine monooxygenase (KMO)-derived metabolite quinolinic acid (QUIN) has well-documented antiviral effects, its role in antiparasitic immunity remains unexplored. Here, we identify KMO as a critical mediator of host defense against T. gondii. Upon infection, T. gondii significantly suppresses host KMO expression along with its downstream metabolites, including 3-hydroxykynurenine (3-HK) and QUIN. Functional studies in Vero cells demonstrate that KMO overexpression effectively restricts parasite proliferation, whereas RNA interference (RNAi)-mediated knockdown (KD) of KMO increases parasite burden. Collectively, these findings establish KMO as a non-canonical determinant of anti-T. gondii immunity and nominate KP potentiation as a therapeutic strategy for toxoplasmosis.
{"title":"Host Kynurenine Monooxygenase (KMO) Serves as a Critical Immune Defense Factor Restricting Toxoplasma gondii Proliferation.","authors":"Sheng-Jie Tang, Zhong-Yang Chen, Ya-Fei Song, Yanlong Gu, Yanmin You, Dong-Hui Zhou","doi":"10.1016/j.actatropica.2026.108012","DOIUrl":"https://doi.org/10.1016/j.actatropica.2026.108012","url":null,"abstract":"<p><p>Toxoplasma gondii is an obligate intracellular protozoan parasite capable of infecting virtually all warm-blooded animals. The kynurenine pathway (KP), a key route of tryptophan catabolism, serves as a critical immunometabolic checkpoint in cancer, autoimmune disorders, and neurodegenerative diseases. Although the kynurenine monooxygenase (KMO)-derived metabolite quinolinic acid (QUIN) has well-documented antiviral effects, its role in antiparasitic immunity remains unexplored. Here, we identify KMO as a critical mediator of host defense against T. gondii. Upon infection, T. gondii significantly suppresses host KMO expression along with its downstream metabolites, including 3-hydroxykynurenine (3-HK) and QUIN. Functional studies in Vero cells demonstrate that KMO overexpression effectively restricts parasite proliferation, whereas RNA interference (RNAi)-mediated knockdown (KD) of KMO increases parasite burden. Collectively, these findings establish KMO as a non-canonical determinant of anti-T. gondii immunity and nominate KP potentiation as a therapeutic strategy for toxoplasmosis.</p>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":" ","pages":"108012"},"PeriodicalIF":2.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146140692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-03DOI: 10.1016/j.actatropica.2026.108010
Hương Giang Lê, Tuấn Cường Võ, Thu Hằng Nguyễn, Minkyoung Cho, Yeonchul Hong, Hak Sun Yu, Byoung-Kuk Na
Acanthamoeba species are causative agents of the sight-threatening ocular disease, Acanthamoeba keratitis (AK). (‒)-Epicatechin (EC) has been reported to exhibit anti-amoebic activity against laboratory strains of A. castellanii and A. polyphaga, suggesting its potential as an AK drug alternative. However, its efficacy against clinical isolates of Acanthamoeba species and its feasibility as a treatment for AK have not yet been investigated. In this study, we analyzed the anti-amoebic activity of EC against Acanthamoeba clinical isolates and its synergistic effect with chlorhexidine (CHX) to validate its potential in developing or optimizing AK treatment regimes. The anti-amoebic activity of EC against trophozoites and cysts of 10 clinical isolates of Acanthamoeba species was analyzed. The synergistic anti-amoebic effect of EC and CHX was also investigated. EC exhibited anti-amoebic activity against clinical isolates of Acanthamoeba, but showed varying efficacy, with IC50 values ranging from 43.24 to 271.30 µM against trophozoites. EC induced apoptosis-like programmed cell death in the trophozoites of these clinical isolates, and also had partial cysticidal activity. Co-treatment with EC and CHX exhibited prominent in vitro synergistic anti-amoebic activity against Acanthamoeba trophozoites and cysts, and co-treatment with EC and a subclinical dose of CHX (0.001 and 0.002%) revealed a dose-dependent anti-amoebic effect on both trophozoites and cysts equivalent to or greater than a clinical dose of CHX (0.02%). The promising anti-amoebic activity of EC against Acanthamoeba clinical isolates, along with the observed synergistic effect with CHX, highlights its potential as a drug candidate or an adjunctive treatment for AK.
{"title":"(‒)-Epicatechin enhances the anti-Acanthamoeba activity of chlorhexidine through synergistic action.","authors":"Hương Giang Lê, Tuấn Cường Võ, Thu Hằng Nguyễn, Minkyoung Cho, Yeonchul Hong, Hak Sun Yu, Byoung-Kuk Na","doi":"10.1016/j.actatropica.2026.108010","DOIUrl":"10.1016/j.actatropica.2026.108010","url":null,"abstract":"<p><p>Acanthamoeba species are causative agents of the sight-threatening ocular disease, Acanthamoeba keratitis (AK). (‒)-Epicatechin (EC) has been reported to exhibit anti-amoebic activity against laboratory strains of A. castellanii and A. polyphaga, suggesting its potential as an AK drug alternative. However, its efficacy against clinical isolates of Acanthamoeba species and its feasibility as a treatment for AK have not yet been investigated. In this study, we analyzed the anti-amoebic activity of EC against Acanthamoeba clinical isolates and its synergistic effect with chlorhexidine (CHX) to validate its potential in developing or optimizing AK treatment regimes. The anti-amoebic activity of EC against trophozoites and cysts of 10 clinical isolates of Acanthamoeba species was analyzed. The synergistic anti-amoebic effect of EC and CHX was also investigated. EC exhibited anti-amoebic activity against clinical isolates of Acanthamoeba, but showed varying efficacy, with IC<sub>50</sub> values ranging from 43.24 to 271.30 µM against trophozoites. EC induced apoptosis-like programmed cell death in the trophozoites of these clinical isolates, and also had partial cysticidal activity. Co-treatment with EC and CHX exhibited prominent in vitro synergistic anti-amoebic activity against Acanthamoeba trophozoites and cysts, and co-treatment with EC and a subclinical dose of CHX (0.001 and 0.002%) revealed a dose-dependent anti-amoebic effect on both trophozoites and cysts equivalent to or greater than a clinical dose of CHX (0.02%). The promising anti-amoebic activity of EC against Acanthamoeba clinical isolates, along with the observed synergistic effect with CHX, highlights its potential as a drug candidate or an adjunctive treatment for AK.</p>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":" ","pages":"108010"},"PeriodicalIF":2.5,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1016/j.actatropica.2026.108009
Rebeca Ramírez-Bustamante, Ana Ruth Diaz-Victoria, Agnès Fleury
<p><strong>Background: </strong>While the incidence of neurocysticercosis (NC) with viable parasites has been declining in Mexico and some other countries, this trend is not observed globally, and the burden of patients who have previously suffered from NC remains considerable. Cognitive manifestations are often overlooked in the clinical management of NC. In routine practice, patients are generally considered cured once viable parasites are no longer detectable, despite the potential for persistent neurological sequelae.</p><p><strong>Objectives: </strong>To evaluate the frequency, characteristics, and severity of cognitive sequelae in patients with a history of NC.</p><p><strong>Methods: </strong>We conducted a cross-sectional, descriptive study at the National Institute of Neurology and Neurosurgery in Mexico City, between 2022 and 2024, involving 105 patients with a history of neurocysticercosis who had no viable parasites at the time of inclusion. Patients were categorized into three groups: parenchymal NC with a single calcification, parenchymal NC with multiple calcifications, and healed extraparenchymal NC who, at the time of NC diagnosis, had intracranial hypertension requiring ventriculoperitoneal shunt placement. Cognitive function was assessed using the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). Results were compared to those from a healthy control group, matched with patients by age, sex and educational level.</p><p><strong>Results: </strong>The results highlight a significant cognitive impairment in patients with a history of NC compared to controls: MMSE: 22 (Boppré et al., 2001- (Tseng et al., 2024) vs. 26 (Tseng et al., 2024- (Helmstaedter and Witt, 2017), p < 0.0001; MoCA: 20 (Tombaugh and McIntyre, 1992; Aguilar-Navarro et al., 2018; Cervigni et al., 2022; Del Brutto et al., 2019; Boppré et al., 2001; Rodrigues et al., 2012; Rabearisoa et al., 2024) vs. 25 (Rabearisoa et al., 2024; Hamamoto Filho et al., 2019; Tseng et al., 2024; Koivisto et al., 2013; Xiao et al., 2022; Helmstaedter and Witt, 2017), p < 0.0001. When comparing the three groups of patients, MMSE results showed a higher frequency of dementia in the patients with history of extraparenchmal NC (18 %) compared to the patients with history of parenchymal NC (0 %), p=0.001, while frequency of mild cognitive impairment was higher in the parenchymal group (78 %) vs. extraparenchymal grup (47.3 %), p=0.003. Notably, cognitive function was not influenced by the presence of active epilepsy, its treatment, or prior pharmacological or surgical interventions specific to NC. The MMSE and MoCA scores showed a significant positive correlation when all individuals included in the study were taken into account (r = 0.65, p < 0.0001), and this correlation remained significant when each patient subgroup was analyzed separately.</p><p><strong>Conclusion: </strong>The results of this work indicate that NC is associated with substantial cognitive
背景:虽然在墨西哥和其他一些国家,带有活寄生虫的神经囊虫病(NC)的发病率一直在下降,但在全球范围内并未观察到这一趋势,以前患有NC的患者的负担仍然相当大。认知表现在NC的临床治疗中经常被忽视。在常规实践中,尽管可能存在持续的神经系统后遗症,但一旦不再检测到活寄生虫,通常认为患者已治愈。目的:评价NC病史患者认知后遗症的发生频率、特点和严重程度。方法:我们在2022年至2024年期间在墨西哥城的国家神经病学和神经外科研究所进行了一项横断面描述性研究,纳入了105例有神经囊虫病病史且在纳入时没有活寄生虫的患者。患者被分为三组:单发钙化的实质性NC,多发钙化的实质性NC,以及在NC诊断时因颅内高压需要放置脑室-腹膜分流器而愈合的实质外NC。认知功能评估采用简易精神状态检查(MMSE)和蒙特利尔认知评估(MoCA)。将结果与健康对照组的结果进行比较,并根据患者的年龄、性别和教育水平进行匹配。结果:研究结果强调,与对照组相比,有NC病史的患者存在显著的认知功能障碍:MMSE: 22 (boppr等人,2001- (Tseng等人,2024)vs. 26 (Tseng等人,2024- (Helmstaedter和Witt, 2017), p < 0.0001;MoCA: 20 (Tombaugh and McIntyre, 1992, Aguilar-Navarro等人,2018,Cervigni等人,2022,Del Brutto等人,2019,boppreve等人,2001,Rodrigues等人,2012,Rabearisoa等人,2024)vs. 25 (Rabearisoa等人,2024,Hamamoto Filho等人,2019,Tseng等人,2024,Koivisto等人,2013,Xiao等人,2022,Helmstaedter and Witt, 2017), p < 0.0001。在比较三组患者时,MMSE结果显示,有脑实质外NC病史的患者痴呆发生率(18%)高于有脑实质外NC病史的患者(0%),p=0.001,而轻度认知功能障碍发生率在脑实质外NC组(78%)高于脑实质外NC组(47.3%),p=0.003。值得注意的是,认知功能不受活动性癫痫的存在、治疗或既往针对NC的药物或手术干预的影响。当考虑纳入研究的所有个体时,MMSE和MoCA评分显示出显著的正相关(r = 0.65,p < 0.0001),当单独分析每个患者亚组时,这种相关性仍然显著。结论:这项工作的结果表明NC与大量的认知后遗症有关,应作为全面患者护理的一部分加以认识和解决。
{"title":"Cognitive sequelae associated with parenchymal and extraparenchymal neurocysticercosis.","authors":"Rebeca Ramírez-Bustamante, Ana Ruth Diaz-Victoria, Agnès Fleury","doi":"10.1016/j.actatropica.2026.108009","DOIUrl":"10.1016/j.actatropica.2026.108009","url":null,"abstract":"<p><strong>Background: </strong>While the incidence of neurocysticercosis (NC) with viable parasites has been declining in Mexico and some other countries, this trend is not observed globally, and the burden of patients who have previously suffered from NC remains considerable. Cognitive manifestations are often overlooked in the clinical management of NC. In routine practice, patients are generally considered cured once viable parasites are no longer detectable, despite the potential for persistent neurological sequelae.</p><p><strong>Objectives: </strong>To evaluate the frequency, characteristics, and severity of cognitive sequelae in patients with a history of NC.</p><p><strong>Methods: </strong>We conducted a cross-sectional, descriptive study at the National Institute of Neurology and Neurosurgery in Mexico City, between 2022 and 2024, involving 105 patients with a history of neurocysticercosis who had no viable parasites at the time of inclusion. Patients were categorized into three groups: parenchymal NC with a single calcification, parenchymal NC with multiple calcifications, and healed extraparenchymal NC who, at the time of NC diagnosis, had intracranial hypertension requiring ventriculoperitoneal shunt placement. Cognitive function was assessed using the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). Results were compared to those from a healthy control group, matched with patients by age, sex and educational level.</p><p><strong>Results: </strong>The results highlight a significant cognitive impairment in patients with a history of NC compared to controls: MMSE: 22 (Boppré et al., 2001- (Tseng et al., 2024) vs. 26 (Tseng et al., 2024- (Helmstaedter and Witt, 2017), p < 0.0001; MoCA: 20 (Tombaugh and McIntyre, 1992; Aguilar-Navarro et al., 2018; Cervigni et al., 2022; Del Brutto et al., 2019; Boppré et al., 2001; Rodrigues et al., 2012; Rabearisoa et al., 2024) vs. 25 (Rabearisoa et al., 2024; Hamamoto Filho et al., 2019; Tseng et al., 2024; Koivisto et al., 2013; Xiao et al., 2022; Helmstaedter and Witt, 2017), p < 0.0001. When comparing the three groups of patients, MMSE results showed a higher frequency of dementia in the patients with history of extraparenchmal NC (18 %) compared to the patients with history of parenchymal NC (0 %), p=0.001, while frequency of mild cognitive impairment was higher in the parenchymal group (78 %) vs. extraparenchymal grup (47.3 %), p=0.003. Notably, cognitive function was not influenced by the presence of active epilepsy, its treatment, or prior pharmacological or surgical interventions specific to NC. The MMSE and MoCA scores showed a significant positive correlation when all individuals included in the study were taken into account (r = 0.65, p < 0.0001), and this correlation remained significant when each patient subgroup was analyzed separately.</p><p><strong>Conclusion: </strong>The results of this work indicate that NC is associated with substantial cognitive","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":" ","pages":"108009"},"PeriodicalIF":2.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1016/j.actatropica.2026.108008
Maksim Koryukov, Andrey Kechin, Mariya Gordukova, Darya Shamovskaya, Svetlana Akalovich, Alexander Rymko, Maksim Filipenko
Respiratory infections are among the leading causes of morbidity and mortality worldwide, especially among children, the elderly, and immunocompromised individuals. To address the limitations of the existing diagnostic tools and improve testing efficiency, we developed, optimized and tested in-house targeted next-generation sequencing assay capable of simultaneously detecting 32 groups of viruses and 13 bacteria commonly associated with respiratory infections. Using NGS-PrimerPlex, we designed a total of 117 primer pairs-at least two per pathogen-targeting different genomic regions. These primers were divided into three multiplex PCR reactions and evaluated both in silico for specificity and coverage, and in vitro via monoplex PCR with positive controls and polyacrylamide gel electrophoresis. We systematically optimized key variables including primer (15-260 nM) and dNTP (0.1-1.6 mM) concentrations, PCR cycle number (20-35), annealing temperature (57-62°C), ramp rate (0.2-4°C/s), and reverse transcription protocols. The assay was validated using 120 complementary DNA (cDNA) samples from patients at Speransky Children's Hospital #9 in Moscow, Russia, previously tested with a commercial multiplex PCR respiratory virus panel. The NGS assay showed complete concordance with the PCR results in 60% of positive samples, increasing to 74% when samples with Cq values above 29 were excluded. Additionally, the NGS assay detected target pathogens in 13 PCR-negative samples and identified other respiratory pathogens not included in the commercial panel in 47 PCR-negative samples. Overall, the assay identified at least one target pathogen in 86 of 120 samples, demonstrating its potential for comprehensive respiratory pathogen detection, surveillance, and clinical diagnostics. Our findings offer a robust foundation for future development of targeted NGS-based assays.
{"title":"New targeted next-generation sequencing (NGS) panel for detection of acute respiratory infection pathogens.","authors":"Maksim Koryukov, Andrey Kechin, Mariya Gordukova, Darya Shamovskaya, Svetlana Akalovich, Alexander Rymko, Maksim Filipenko","doi":"10.1016/j.actatropica.2026.108008","DOIUrl":"10.1016/j.actatropica.2026.108008","url":null,"abstract":"<p><p>Respiratory infections are among the leading causes of morbidity and mortality worldwide, especially among children, the elderly, and immunocompromised individuals. To address the limitations of the existing diagnostic tools and improve testing efficiency, we developed, optimized and tested in-house targeted next-generation sequencing assay capable of simultaneously detecting 32 groups of viruses and 13 bacteria commonly associated with respiratory infections. Using NGS-PrimerPlex, we designed a total of 117 primer pairs-at least two per pathogen-targeting different genomic regions. These primers were divided into three multiplex PCR reactions and evaluated both in silico for specificity and coverage, and in vitro via monoplex PCR with positive controls and polyacrylamide gel electrophoresis. We systematically optimized key variables including primer (15-260 nM) and dNTP (0.1-1.6 mM) concentrations, PCR cycle number (20-35), annealing temperature (57-62°C), ramp rate (0.2-4°C/s), and reverse transcription protocols. The assay was validated using 120 complementary DNA (cDNA) samples from patients at Speransky Children's Hospital #9 in Moscow, Russia, previously tested with a commercial multiplex PCR respiratory virus panel. The NGS assay showed complete concordance with the PCR results in 60% of positive samples, increasing to 74% when samples with Cq values above 29 were excluded. Additionally, the NGS assay detected target pathogens in 13 PCR-negative samples and identified other respiratory pathogens not included in the commercial panel in 47 PCR-negative samples. Overall, the assay identified at least one target pathogen in 86 of 120 samples, demonstrating its potential for comprehensive respiratory pathogen detection, surveillance, and clinical diagnostics. Our findings offer a robust foundation for future development of targeted NGS-based assays.</p>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":" ","pages":"108008"},"PeriodicalIF":2.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.actatropica.2026.107976
Eva Bártová , Ali Halajian , Marie Budíková , Alena Žákovská , Heloise Heyne
Ticks carry and transmit various pathogens, which may be of veterinary and medical importance. There is limited information on the presence of tick-borne zoonotic pathogens in wild animals in southern Africa. The aim of our study was to detect five bacteria (Anaplasma phagocytophilum, Borrelia burgdorferi s.l., Coxiella burnetii, Ehrlichia chaffeensis and Rickettsia species) in ticks collected from wild animals in six provinces of South Africa. A total of 2268 ticks (911 Amblyomma, 683 Haemaphysalis, 655 Rhipicephalus, eight Hyalomma, six Ixodes and five Ornithodoros) were used for DNA isolation. In total 870 samples of ticks pooled (adults individually, five nymphs per sample, and ten larvae per sample), with respect to tick genera, sex, developmental stage, year, season, and locality of sampling, were subjected to PCR. Bacterial infection was detected in 453 (52 %) samples, with single infection in 290 (33 %) and co-infection in 163 (18.7 %) samples. Amblyomma, and Rhipicephalus ticks were infected with diverse pathogens, whereas Ixodes and Ornithodoros ticks were generally infected with a single bacterium (Anaplasma or Rickettsia); whereas Hyalomma were negative. The highest prevalence was detected for A. phagocytophilum (32 %), followed by E. chaffeensis (21 %), Rickettsia spp. (17 %), C. burnetii (3 %), and B. burgdorferi s.l. (0.5 %). The results statistically differed in tick genus, sex and developmental stage, year of sampling, and provinces. The results of this study present new knowledge about five bacterial infections in ticks collected in six provinces of South Africa which may provide the basis for more extensive epidemiological research in this area.
{"title":"Molecular detection of Anaplasma phagocytophilum, Borrelia burgdorferi s.l., Coxiella burnetii, Ehrlichia chaffeensis and Rickettsia spp. in ticks collected from wild animals in six provinces of South Africa","authors":"Eva Bártová , Ali Halajian , Marie Budíková , Alena Žákovská , Heloise Heyne","doi":"10.1016/j.actatropica.2026.107976","DOIUrl":"10.1016/j.actatropica.2026.107976","url":null,"abstract":"<div><div>Ticks carry and transmit various pathogens, which may be of veterinary and medical importance. There is limited information on the presence of tick-borne zoonotic pathogens in wild animals in southern Africa. The aim of our study was to detect five bacteria (<em>Anaplasma phagocytophilum, Borrelia burgdorferi</em> s.l., <em>Coxiella burnetii, Ehrlichia chaffeensis</em> and <em>Rickettsia</em> species) in ticks collected from wild animals in six provinces of South Africa. A total of 2268 ticks (911 <em>Amblyomma</em>, 683 <em>Haemaphysalis</em>, 655 <em>Rhipicephalus</em>, eight <em>Hyalomma</em>, six <em>Ixodes</em> and five <em>Ornithodoros</em>) were used for DNA isolation. In total 870 samples of ticks pooled (adults individually, five nymphs per sample, and ten larvae per sample), with respect to tick genera, sex, developmental stage, year, season, and locality of sampling, were subjected to PCR. Bacterial infection was detected in 453 (52 %) samples, with single infection in 290 (33 %) and co-infection in 163 (18.7 %) samples. <em>Amblyomma,</em> and <em>Rhipicephalus</em> ticks were infected with diverse pathogens, whereas <em>Ixodes</em> and <em>Ornithodoros</em> ticks were generally infected with a single bacterium (<em>Anaplasma</em> or <em>Rickettsia</em>); whereas <em>Hyalomma</em> were negative. The highest prevalence was detected for <em>A. phagocytophilum</em> (32 %), followed by <em>E. chaffeensis</em> (21 %), <em>Rickettsia</em> spp. (17 %), <em>C. burnetii</em> (3 %), and <em>B. burgdorferi</em> s.l. (0.5 %). The results statistically differed in tick genus, sex and developmental stage, year of sampling, and provinces. The results of this study present new knowledge about five bacterial infections in ticks collected in six provinces of South Africa which may provide the basis for more extensive epidemiological research in this area.</div></div>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":"274 ","pages":"Article 107976"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145948348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.actatropica.2026.107982
Javier Balsa-Vázquez , José Miguel Rubio-Muñoz , Alexandre Duvignaud , Sami Alcedo , Ana Pérez de Ayala , Joaquín Salas-Coronas , Matilde Elía-López , Paolo Cattaneo , Coral Arévalo-Cañas , Silvia García-Bujalance , José Manuel Ruiz-Giardín , Francesca F Norman , Gerardo Rojo-Marcos
Current molecular diagnostic methods have revealed a high prevalence of mixed Plasmodium infections in endemic areas. There is currently very little information on mixed infections with Plasmodium ovale spp. and P. falciparum. A retrospective multicentre cohort study analysed 28 imported mixed Plasmodium ovale wallikeri/Plasmodium falciparum cases and 11 Plasmodium ovale curtisi/Plasmodium falciparum infections compared to 117 matched P. falciparum mono-infections diagnosed by PCR. Results revealed no significant differences in clinical presentation, severity, or hospitalization rates. However, in P. ovale wallikeri co-infections, total leukocyte counts were higher (median 6.25 vs 4.85 × 10⁹/L; p = 0.010) and the parasitemia index was lower (median 0.6 % vs 1.0 %; p = 0.025) with similar absolute parasitemia (2462 vs 3046/µL; p = 0.384). In P. ovale curtisi co-infections, ALT levels were lower (18.0 vs 27.3 IU/L; p = 0.022) and thrombocytopenia was more frequent (100 % vs 51 % <150 × 10⁹/L; p = 0.003) with lower platelet counts (105 vs 148 × 10⁹/L; p = 0.036). The diagnostic, clinical, or prognostic significance of these findings remains uncertain or limited at this time. The predominance of P. ovale wallikeri over P. ovale curtisi in mixed cases suggests a negative interaction between P. falciparum and P. ovale curtisi.
目前的分子诊断方法显示混合疟原虫感染在流行地区的高流行率。目前关于卵形疟原虫和恶性疟原虫混合感染的信息很少。一项回顾性多中心队列研究分析了28例输入性混合卵形瓦利克氏疟原虫/恶性疟原虫病例和11例卵形curtis疟原虫/恶性疟原虫感染病例,与PCR诊断的117例匹配的单一恶性疟原虫感染病例进行了比较。结果显示临床表现、严重程度或住院率无显著差异。然而,在卵圆锥虫合并感染中,总白细胞计数较高(中位数6.25 vs 4.85 × 10⁹/L; p=0.010),寄生虫血症指数较低(中位数0.6% vs 1.0%; p=0.025),绝对寄生虫血症相似(2,462 vs 3,046/µL; p=0.384)。在卵形静脉炎合并感染中,ALT水平较低(18.0 vs 27.3 IU/L; p=0.022),血小板减少症更频繁(100% vs 51%)
{"title":"Comparison of routine clinical profiles of patients with imported P. falciparum malaria and co-infection with Plasmodium ovale wallikeri or Plasmodium ovale curtisi","authors":"Javier Balsa-Vázquez , José Miguel Rubio-Muñoz , Alexandre Duvignaud , Sami Alcedo , Ana Pérez de Ayala , Joaquín Salas-Coronas , Matilde Elía-López , Paolo Cattaneo , Coral Arévalo-Cañas , Silvia García-Bujalance , José Manuel Ruiz-Giardín , Francesca F Norman , Gerardo Rojo-Marcos","doi":"10.1016/j.actatropica.2026.107982","DOIUrl":"10.1016/j.actatropica.2026.107982","url":null,"abstract":"<div><div>Current molecular diagnostic methods have revealed a high prevalence of mixed <em>Plasmodium</em> infections in endemic areas. There is currently very little information on mixed infections with <em>Plasmodium ovale</em> spp. and <em>P. falciparum</em>. A retrospective multicentre cohort study analysed 28 imported mixed <em>Plasmodium ovale wallikeri/Plasmodium falciparum</em> cases and 11 <em>Plasmodium ovale curtisi/Plasmodium falciparum</em> infections compared to 117 matched <em>P. falciparum</em> mono-infections diagnosed by PCR. Results revealed no significant differences in clinical presentation, severity, or hospitalization rates. However, in <em>P. ovale wallikeri</em> co-infections, total leukocyte counts were higher (median 6.25 vs 4.85 × 10⁹/L; p = 0.010) and the parasitemia index was lower (median 0.6 % vs 1.0 %; p = 0.025) with similar absolute parasitemia (2462 vs 3046/µL; p = 0.384). In <em>P. ovale curtisi</em> co-infections, ALT levels were lower (18.0 vs 27.3 IU/L; p = 0.022) and thrombocytopenia was more frequent (100 % vs 51 % <150 × 10⁹/L; p = 0.003) with lower platelet counts (105 vs 148 × 10⁹/L; p = 0.036). The diagnostic, clinical, or prognostic significance of these findings remains uncertain or limited at this time. The predominance of <em>P. ovale wallikeri</em> over <em>P. ovale curtisi</em> in mixed cases suggests a negative interaction between <em>P. falciparum</em> and <em>P. ovale curtisi</em>.</div></div>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":"274 ","pages":"Article 107982"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.actatropica.2026.107989
Shiwen Hua , Xiang Li , Zhenli Xu , Rui Chen , Qinghua Wu , Wenge Yang , Yun Tao , Shanshan Duan , Jian Ding , Jie Wan , Jingjie Lei , Yang Cheng , Yifan Sun , Youyi Liu , Su Han
Background
Clonorchiasis is a significant foodborne zoonotic parasitic disease that leads to severe complications such as cholecystitis, liver cirrhosis, and biliary obstruction (BO). Abnormalities in bile acids (BAs) play a crucial role in BO progression. Nevertheless, the abnormalities in BAs and their role in BO patients with Clonorchis sinensis (C. sinensis) infection remain inadequately understood.
Methods
This study included BO patients with or without C. sinensis infection. Bile samples were collected via Endoscopic Retrograde Cholangiopancreatography (ERCP) and bile acid (BA) profiles were analyzed by liquid chromatography electrospray ionization tandem mass spectrometry (LC-MS/MS). Biliary microbiota was analyzed through high-throughput 16S ribosomal RNA (16S rRNA) gene sequencing. Spearman correlation assessed associations between BA, biochemical markers, and biliary microbiota.
Result
Metabolomic analysis revealed that the levels of chenodeoxycholic acid (CDCA), ursodeoxycholic acid (UDCA), hyodeoxycholic acid (HDCA), and 3β-cholic acid (βCA) were significantly reduced in C. s-infected group and positively correlated with Enterococcus abundance. Furthermore, the levels of alkaline phosphatase (ALP) demonstrated a strong positive correlation with CA (cholic acid)/CDCA (r = 0.74, P = 0.01) and (CA+deoxycholic acid [DCA])/(CDCA+lithocholic acid [LCA]) (r = 0.75, P = 0.01) in the C. s-infected group.
Conclusions
BO patients infected with C. sinensis displayed BA profiles, with reduced CDCA, UDCA, HDCA, and β-CA levels correlating with Enterococcus abundance. These preliminary findings suggest an interaction among BA metabolism, the biliary microbiota, and liver damage associated with parasitic infection.
{"title":"Bile acid alterations in biliary obstruction patients with clonorchiasis","authors":"Shiwen Hua , Xiang Li , Zhenli Xu , Rui Chen , Qinghua Wu , Wenge Yang , Yun Tao , Shanshan Duan , Jian Ding , Jie Wan , Jingjie Lei , Yang Cheng , Yifan Sun , Youyi Liu , Su Han","doi":"10.1016/j.actatropica.2026.107989","DOIUrl":"10.1016/j.actatropica.2026.107989","url":null,"abstract":"<div><h3>Background</h3><div>Clonorchiasis is a significant foodborne zoonotic parasitic disease that leads to severe complications such as cholecystitis, liver cirrhosis, and biliary obstruction (BO). Abnormalities in bile acids (BAs) play a crucial role in BO progression. Nevertheless, the abnormalities in BAs and their role in BO patients with <em>Clonorchis sinensis</em> (<em>C. sinensis</em>) infection remain inadequately understood.</div></div><div><h3>Methods</h3><div>This study included BO patients with or without <em>C. sinensis</em> infection. Bile samples were collected via Endoscopic Retrograde Cholangiopancreatography (ERCP) and bile acid (BA) profiles were analyzed by liquid chromatography electrospray ionization tandem mass spectrometry (LC-MS/MS). Biliary microbiota was analyzed through high-throughput 16S ribosomal RNA (16S rRNA) gene sequencing. Spearman correlation assessed associations between BA, biochemical markers, and biliary microbiota.</div></div><div><h3>Result</h3><div>Metabolomic analysis revealed that the levels of chenodeoxycholic acid (CDCA), ursodeoxycholic acid (UDCA), hyodeoxycholic acid (HDCA), and 3β-cholic acid (βCA) were significantly reduced in <em>C. s</em>-infected group and positively correlated with <em>Enterococcus</em> abundance. Furthermore, the levels of alkaline phosphatase (ALP) demonstrated a strong positive correlation with CA (cholic acid)/CDCA (<em>r</em> = 0.74, <em>P</em> = 0.01) and (CA+deoxycholic acid [DCA])/(CDCA+lithocholic acid [LCA]) (<em>r</em> = 0.75, <em>P</em> = 0.01) in the <em>C. s</em>-infected group.</div></div><div><h3>Conclusions</h3><div>BO patients infected with <em>C. sinensis</em> displayed BA profiles, with reduced CDCA, UDCA, HDCA, and β-CA levels correlating with <em>Enterococcus</em> abundance. These preliminary findings suggest an interaction among BA metabolism, the biliary microbiota, and liver damage associated with parasitic infection.</div></div>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":"274 ","pages":"Article 107989"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.actatropica.2026.107988
Zhuo Lan , Minhao Zeng , Yan Yang , Xue Bai , Xue Wang , Hongyu Qiu , Junfeng Gao , Guofeng Cheng , Santiago Mas-Coma , Chunren Wang
Fasciola hepatica, a food-borne trematode that parasitizes the liver and bile ducts of cattle, sheep, other ruminants, and humans, is a critical zoonotic disease responsible for substantial hepatic pathology. Kupffer cells (KCs), the resident macrophages of the liver, act as the first line of defense against liver damage. Investigating the gene transcription changes in KCs during F. hepatica infection is essential for identifying new therapeutic targets and improving disease intervention strategies. A sheep model was experimentally infected with F. hepatica to obtain adult flukes, from which excretory and secretory products (ESPs) were prepared. To evaluate their hepatotoxic potential, these ESPs were administered via tail vein injection and intraperitoneal injection in mice, followed by liver extraction and histological analysis. F. hepatica ESPs (FhESPs) were then incubated in vitro with immortalized KCs (ImKCs), and RNA was extracted for transcriptomic profiling to identify differentially expressed genes (DEGs). Gene transcription changes were further validated by qRT-PCR in mouse model. Overall, 308 genes were significantly upregulated, of which colony stimulating factor 3 (CSF3) showed the most pronounced change. And 222 genes were significantly downregulated. GO and KEGG analyses suggested that DEGs are putatively involved in pathways associated with liver fibrosis like JAK/STAT signaling pathway. CSF3 expression in KCs, indicating its possible involvement in IL-17 and JAK/STAT pathways via KEGG analyses. Our findings revealed the altered gene transcription profile in KCs following F. hepatica infection and highlighted CSF3 as a promising new therapeutic target for fasciolosis.
{"title":"Fasciola hepatica excretory and secretory products reprogram the Kupffer cell transcriptome to modulate hepatic damage progression","authors":"Zhuo Lan , Minhao Zeng , Yan Yang , Xue Bai , Xue Wang , Hongyu Qiu , Junfeng Gao , Guofeng Cheng , Santiago Mas-Coma , Chunren Wang","doi":"10.1016/j.actatropica.2026.107988","DOIUrl":"10.1016/j.actatropica.2026.107988","url":null,"abstract":"<div><div><em>Fasciola hepatica</em>, a food-borne trematode that parasitizes the liver and bile ducts of cattle, sheep, other ruminants, and humans, is a critical zoonotic disease responsible for substantial hepatic pathology. Kupffer cells (KCs), the resident macrophages of the liver, act as the first line of defense against liver damage. Investigating the gene transcription changes in KCs during <em>F. hepatica</em> infection is essential for identifying new therapeutic targets and improving disease intervention strategies. A sheep model was experimentally infected with <em>F. hepatica</em> to obtain adult flukes, from which excretory and secretory products (ESPs) were prepared. To evaluate their hepatotoxic potential, these ESPs were administered via tail vein injection and intraperitoneal injection in mice, followed by liver extraction and histological analysis. <em>F. hepatica</em> ESPs (FhESPs) were then incubated <em>in vitro</em> with immortalized KCs (ImKCs), and RNA was extracted for transcriptomic profiling to identify differentially expressed genes (DEGs). Gene transcription changes were further validated by qRT-PCR in mouse model. Overall, 308 genes were significantly upregulated, of which colony stimulating factor 3 (<em>CSF3</em>) showed the most pronounced change. And 222 genes were significantly downregulated. GO and KEGG analyses suggested that DEGs are putatively involved in pathways associated with liver fibrosis like JAK/STAT signaling pathway. <em>CSF3</em> expression in KCs, indicating its possible involvement in IL-17 and JAK/STAT pathways via KEGG analyses. Our findings revealed the altered gene transcription profile in KCs following <em>F. hepatica</em> infection and highlighted <em>CSF3</em> as a promising new therapeutic target for fasciolosis.</div></div>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":"274 ","pages":"Article 107988"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-31DOI: 10.1016/j.actatropica.2026.108007
Aceel Y Hassan, Hala Diab, Sarah Ahmed Hassan, Nahla El Skhawy
Although the current therapeutic regimens for acute toxoplasmosis, most commonly a combination of pyrimethamine and sulfadiazine, are still considered the standard of care, they are associated with numerous drawbacks, such as bone marrow suppression, and hepatotoxicity. Given these challenges, there is an urgent need to explore and find safer and more effective therapeutic alternatives. Acetazolamide has been widely used in clinical practice for non-infectious illnesses. Lately, increasing attention has been directed toward its repurposing as an antiparasitic agent. Thirty-six mice were infected with Toxoplasma gondii (RH strain) tachyzoites, and divided into three groups: non-treated group, Acetazolamide-treated group and Septrin- treated group. In the present study, the anti - Toxoplasma efficacy of Acetazolamide was assessed in comparison to Septrin using parasitological, ultrastructural, biochemical, immunological, and histopathological studies. Treatment with Acetazolamide significantly prolonged the mice's survival time and reduced tachyzoites count with percentages of reduction of 83.12% and 79.84 % in the peritoneal fluids and hepatic impression smears, respectively. Furthermore, Acetazolamide has dramatically altered the ultrastructure of the tachyzoites, decreased the liver and kidney malondialdehyde levels and suppressed serum cytokines (tumor necrosis factor alpha and interleukin-1β). Histopathological examination of hepatic and renal tissue sections showed amelioration of parenchymal inflammation and scanty parasite. In conclusion, Acetazolamide demonstrated a significant promise as a therapeutic agent for combating acute murine toxoplasmosis with anti-inflammatory and antioxidant effects.
{"title":"Acetazolamide as a novel therapeutic agent against acute experimental toxoplasmosis: Insights into carbonic anhydrase inhibition.","authors":"Aceel Y Hassan, Hala Diab, Sarah Ahmed Hassan, Nahla El Skhawy","doi":"10.1016/j.actatropica.2026.108007","DOIUrl":"10.1016/j.actatropica.2026.108007","url":null,"abstract":"<p><p>Although the current therapeutic regimens for acute toxoplasmosis, most commonly a combination of pyrimethamine and sulfadiazine, are still considered the standard of care, they are associated with numerous drawbacks, such as bone marrow suppression, and hepatotoxicity. Given these challenges, there is an urgent need to explore and find safer and more effective therapeutic alternatives. Acetazolamide has been widely used in clinical practice for non-infectious illnesses. Lately, increasing attention has been directed toward its repurposing as an antiparasitic agent. Thirty-six mice were infected with Toxoplasma gondii (RH strain) tachyzoites, and divided into three groups: non-treated group, Acetazolamide-treated group and Septrin- treated group. In the present study, the anti - Toxoplasma efficacy of Acetazolamide was assessed in comparison to Septrin using parasitological, ultrastructural, biochemical, immunological, and histopathological studies. Treatment with Acetazolamide significantly prolonged the mice's survival time and reduced tachyzoites count with percentages of reduction of 83.12% and 79.84 % in the peritoneal fluids and hepatic impression smears, respectively. Furthermore, Acetazolamide has dramatically altered the ultrastructure of the tachyzoites, decreased the liver and kidney malondialdehyde levels and suppressed serum cytokines (tumor necrosis factor alpha and interleukin-1β). Histopathological examination of hepatic and renal tissue sections showed amelioration of parenchymal inflammation and scanty parasite. In conclusion, Acetazolamide demonstrated a significant promise as a therapeutic agent for combating acute murine toxoplasmosis with anti-inflammatory and antioxidant effects.</p>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":" ","pages":"108007"},"PeriodicalIF":2.5,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146103537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}