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EBV and CMV DNAemia across surgical, nephrological and neurological cohorts EBV和CMV dna血症在外科、肾病和神经学队列中的研究。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-20 DOI: 10.1016/j.actatropica.2025.107953
Adnan A. Mubaraki , Abdullah S. Alqahtani , Anas A. Alshamrani , Hussain R. Barnawi , Mohammed M. Algethami , Mohammed A Alabdalli , Ahmed N. Alghamdi , Naifa Alenazi , Ahmed S. Abdel-Moneim

Background

Epstein–Barr virus (EBV) and cytomegalovirus (CMV) are common herpesviruses implicated in various diseases. This study aimed to assess the prevalence of EBV and CMV DNAemia across diverse medical conditions, including neurological disorders.

Methods

This study comprised a retrospective cohort including 2463 patients with various medical conditions screened for either CMV (n = 2090) or EBV (n = 373) using quantitative PCR (qPCR) between 2020 and 2024. Additionally, it also included prospective cohort of 119 patients with diverse neurological disorders who were screened for CMV and EBV by qPCR. Data was analyzed to assess EBV and CMV DNAemia and associations with demographic and clinical factors.

Results

EBV DNAemia was detected in 57/373 patients (15.3 %), significantly associated with age (p = 0.032) and clinical category (p < 0.001). Highest positivity was observed in surgical patients (46.9 %) and children <12 years (31.6 %). Viral loads were predominantly low to moderate, with high-level DNAemia in 28.1 % of cases. CMV DNAemia was found in 239/2090 patients (11.4 %), clustered by clinical category (p < 0.001), with highest absolute numbers among “Other” (55.2 %) and nephrology patients (30.5 %). Low-level CMV DNAemia predominated (70 %), high-level replication was rare (4.5 %), and age or sex were not significant predictors. In the neurological cohort, EBV or CMV was detected in 7/119 cases (5.9 %), all low-level, with no significant associations with age, sex, or diagnosis.

Conclusion

EBV and CMV infections were infrequent but showed selective distribution in certain clinical subgroups, particularly paediatric, surgical, and nephrology patients. Limited evidence of EBV/CMV involvement was observed in specific neurological disorders.
背景:eb病毒(EBV)和巨细胞病毒(CMV)是常见的疱疹病毒,与多种疾病有关。本研究旨在评估EBV和CMV dna血症在不同医疗条件下的患病率,包括神经系统疾病。方法:本研究包括一个回顾性队列,包括2,463名患有各种疾病的患者,在2020年至2024年期间使用定量PCR (qPCR)筛查CMV (n=2,090)或EBV (n=373)。此外,该研究还纳入了119例不同神经系统疾病患者的前瞻性队列,这些患者通过qPCR筛查巨细胞病毒和EBV。分析数据以评估EBV和CMV dna血症及其与人口统计学和临床因素的关系。结果:373例患者中有57例(15.3%)检出EBV DNAemia,与年龄(p = 0.032)、临床分型(p < 0.001)相关。结论:EBV和巨细胞病毒感染并不常见,但在某些临床亚组中有选择性分布,特别是儿科、外科和肾脏病患者。在特定的神经系统疾病中观察到EBV/CMV参与的有限证据。
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引用次数: 0
Pathogen assessment of Galapagos landbirds reveals novel herpesviruses and adenoviruses 对加拉帕戈斯陆鸟的病原体评估揭示了新型疱疹病毒和腺病毒。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-20 DOI: 10.1016/j.actatropica.2025.107955
Ainoa Nieto-Claudin , Courtney L. Pike , Gislayne Mendoza-Alcívar , Birgit Fessl , David J. Anchundia , Sharon L. Deem , Paula A. Castaño , Kathleen Apakupakul , Roland Digby , Carlos Sacristán
Galapagos landbirds are currently threatened due to the negative effects of human encroachment. At least one species has become extinct, and several have been extirpated or suffered severe population declines in the past decades. Although some avian pathogens have been described over the years, the presence and prevalence of several infectious agents that may severely impact on the health and conservation of wild and domestic birds in the archipelago remain understudied. To fill this gap, we conducted a comprehensive health assessment of Galapagos landbirds covering five islands (including protected and anthropized areas), testing for three pathogens of avian conservation concern: adenoviruses (AdV), herpesviruses (HV), and Mycoplasma spp. Oral and cloacal swabs of 421 landbirds from 14 species were tested by PCR, and positive samples were subjected to Sanger sequencing. None of the samples were positive for Mycoplasma spp. A total of 35 birds (8.31 %) tested positive for AdV, while 13 (3.09 %) were positive for HV, with higher prevalences found within the inhabited islands of Floreana and Santa Cruz, respectively. Seven main AdV nucleotide sequence types (STs) were obtained, with AdV-1, AdV-3 and AdV-5 clustering within the genus Barthadenovirus, and AdV-2, AdV-4, AdV-6 and AdV-7 grouping within the genus Aviadenovirus. Three HV STs were obtained, with HV-1 and HV-3 clustering within the genus Mardivirus, and HV-2 grouping within the genus Iltovirus. To our knowledge, this is the first molecular description of novel adenoviruses and herpesviruses in Galapagos landbirds, which will inform current and future conservation efforts in the archipelago.
由于人类入侵的负面影响,加拉帕戈斯群岛的陆鸟目前受到威胁。在过去的几十年里,至少有一个物种已经灭绝,有几个物种已经灭绝或遭受了严重的数量下降。尽管多年来已经描述了一些禽类病原体,但对可能严重影响该群岛野生鸟类和家禽健康和保护的几种传染性病原体的存在和流行情况仍未进行充分研究。为了填补这一空白,我们对加拉帕戈斯群岛5个岛屿(包括保护区和人类活动区域)的陆鸟进行了全面的健康评估,检测了鸟类保护关注的3种病原体:腺病毒(AdV)、疱疹病毒(HV)和支原体,并对14种421只陆鸟的口腔和直肠拭子进行了PCR检测,阳性样本进行了Sanger测序。共有35只(8.31%)鸡AdV检测呈阳性,13只(3.09%)HV检测呈阳性,其中在圣克鲁斯岛和弗洛里安那岛的流行率较高。获得了7种主要的AdV核苷酸序列类型(STs),其中AdV-1、AdV-3和AdV-5属于巴塞腺病毒属,AdV-2、AdV-4、AdV-6和AdV-7属于鸟腺病毒属。获得3个HV STs, HV-1和HV-3聚集在Mardivirus属中,HV-2聚集在Iltovirus属中。据我们所知,这是加拉帕戈斯群岛陆鸟中新型腺病毒和疱疹病毒的首次分子描述,将为该群岛当前和未来的保护工作提供信息。
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引用次数: 0
“Proteome-wide immunoinformatics analysis of Leishmania major: discovery of eight novel vaccine candidates and systematic evaluation of historical targets” 利什曼原虫主要的蛋白质组免疫信息学分析:发现八种新的候选疫苗和对历史靶点的系统评估。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.actatropica.2025.107949
Ali Abdulqader, Farah M. Abdulsada, Mariam Qassim Al-Dulemey, Mohd Shahir Shamsir
Leishmania major remains a significant public health threat, yet vaccine development has been hampered by fragmented antigen selection approaches and limited systematic proteome-wide analysis. In this study, we developed a comprehensive immunoinformatics pipeline to systematically evaluate the entire L. major proteome (8038 proteins) using standardized selection criteria: subcellular localization (extracellular/membrane), antigenicity (VaxiJen ≥ 0.5), allergenicity assessment (AllerTOP/AlgPred consensus), signal peptide presence (SignalP ≥ 0.7), transmembrane topology (TMHs < 2), optimal sequence length (100–500 aa), host homology exclusion (≤ 30% identity), and cross-species conservation analysis. This rigorous screening identified nine potential vaccine targets, including eight novel candidates and the well-known established antigen GP46 (Q4Q6B6) that passed all filtering criteria. Remarkably, four candidates (E9AFZ7, Q4Q0L6, Q4Q0X3, Q4QC59) remain annotated as "uncharacterized proteins" in UniProt, representing completely unexplored therapeutic targets. All nine candidates exhibited optimal vaccine properties: membrane/extracellular localization, high antigenicity (VaxiJen 0.52–0.89), non-allergenicity, signal peptide presence, and absence of human homologs. To validate our pipeline's stringency, we retrospectively analyzed twelve historically proposed L. major vaccine candidates using identical criteria. Strikingly, 67% (8/12) failed our selection standards: eight due to concerning host homology (> 30% human identity) and four due to predicted allergenicity, with only GP46 meeting all requirements. Cross-species conservation analysis demonstrated broad Leishmania species coverage for our novel candidates, supporting their potential as universal vaccine targets. This study represents a paradigm shift from focusing on individual known antigens to employing systematic proteome-wide discovery, delivering a standardized framework for Leishmania vaccine candidate selection. The identification of nine candidates including GP46 antigen, including four uncharacterized proteins, significantly expands the therapeutic pipeline while our validation approach establishes quality-control standards essential for advancing neglected tropical disease vaccine development.
大利什曼原虫仍然是一个重大的公共卫生威胁,但疫苗的开发受到碎片化抗原选择方法和有限的系统全蛋白质组分析的阻碍。在这项研究中,我们开发了一个全面的免疫信息学管道,使用标准化的选择标准系统地评估整个L. major蛋白质组(8,038个蛋白质):亚细胞定位(细胞外/膜)、抗原性(VaxiJen≥0.5)、致敏性评估(AllerTOP/AlgPred共识)、信号肽存在(SignalP≥0.7)、跨膜拓扑(TMHs < 2)、最佳序列长度(100-500 aa)、宿主同源性排除(≤30%同一性)和跨物种保守性分析。这项严格的筛选确定了9个潜在的疫苗靶点,包括8个新的候选靶点和通过所有过滤标准的已知抗原GP46 (Q4Q6B6)。值得注意的是,四个候选蛋白(E9AFZ7, Q4Q0L6, Q4Q0 × 3,Q4QC59)在UniProt中仍然被标注为“未表征蛋白”,代表了完全未探索的治疗靶点。所有9种候选疫苗均表现出最佳的疫苗特性:膜/细胞外定位、高抗原性(VaxiJen 0.52-0.89)、非致敏性、存在信号肽和不存在人类同源物。为了验证我们的管道的严密性,我们使用相同的标准回顾性分析了12种历史上提出的主要乳杆菌候选疫苗。引人注目的是,67%(8/12)不符合我们的选择标准:8个是因为担心宿主同源性(> 30%的人类同源性),4个是因为预测的过敏原性,只有GP46符合所有要求。跨物种保护分析表明,我们的新候选利什曼原虫物种覆盖范围广泛,支持它们作为通用疫苗靶点的潜力。这项研究代表了从关注单个已知抗原到采用系统的蛋白质组发现的范式转变,为利什曼原虫候选疫苗的选择提供了一个标准化的框架。包括GP46抗原在内的9个候选抗原的鉴定,包括4个未鉴定的蛋白,大大扩展了治疗管道,而我们的验证方法为推进被忽视的热带病疫苗开发建立了必不可少的质量控制标准。
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引用次数: 0
Evidence of eurythermal behavior and microbiota differentiation in Aedes aegypti and Aedes albopictus from the Colombian Amazon biome 哥伦比亚亚马逊地区埃及伊蚊和白纹伊蚊的低温行为和微生物群分化证据。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.actatropica.2025.107951
Alejandro Castañeda Espinosa, Rafael J. Vivero Gómez, Daniela Duque-Granda, Gloria E. Cadavid-Restrepo, Howard Junca, Claudia Ximena Moreno-Herrera
Temperature is one of the most important factors influencing mosquito development, vector competence, and microbiome composition, affecting the disease transmission cycle by either facilitating or inhibiting pathogen establishment. This study aimed to estimate temperature preference and its correlation with bacterial communities in populations of Ae. aegypti and Ae. albopictus from the urban area of Leticia, Amazonas. Temperature preference profiles were obtained by introducing 50 individuals of each species and sex in six replicates for one hour into a device with a temperature gradient of 19–36 °C. Subsequently, a metataxonomic analysis of bacterial communities was performed using DNA extracted from whole mosquito body groups associated with temperature ranges defined by their statistical significance. First, it was determined that females of both species preferred temperatures between 23 and 28 °C. Meanwhile, Ae. aegypti males showed a larger temperature preference range (21–28 °C) than Ae. albopictus males (25–28 °C). Regarding bacterial communities, an increase in diversity was observed in males of both species with rising temperatures, whereas the opposite occurred in females. The Amplicon Sequence Variants (ASVs) associated with Asaia (2.88%), Cedecea (45.80%), Elizabethkingia (77.78%), and Klebsiella (8.90%) were the most abundant genera in Ae. aegypti. In comparison, Ae. albopictus exhibited a high abundance of Elizabethkingia (36.34%), Pseudomonas (95.08%), and Wolbachia (12.73%). Interestingly, Elizabethkingia varied in abundance according to sex and temperature in both species. It was determined that the structure of Aedes bacterial communities in the Amazon was influenced by sex, species, and temperature, indicating high plasticity and ubiquity according to temperature profiles.
温度是影响蚊虫发育、媒介能力和微生物组成的重要因素之一,通过促进或抑制病原体的建立来影响疾病的传播周期。本研究旨在估计伊蚊种群的温度偏好及其与细菌群落的关系。埃及伊蚊和伊蚊。来自亚马逊州莱蒂西亚市区的白纹伊蚊。在温度梯度为19-36°C的装置中,将每个物种和性别各50个个体分为6个重复,放置1小时,获得温度偏好谱。随后,利用从整个蚊子体群中提取的DNA对细菌群落进行元分类学分析,这些DNA与温度范围的统计显著性相关。首先,确定了这两个物种的雌性偏好23-28°C之间的温度。与此同时,Ae。埃及伊蚊雄蚊对温度的偏好范围大于伊蚊(21 ~ 28℃)。雄性白纹伊蚊(25-28°C)。在细菌群落方面,随着温度的升高,两种雄鱼的多样性都有所增加,而雌鱼的多样性则相反。与Asaia(2.88%)、Cedecea(45.80%)、Elizabethkingia(77.78%)和Klebsiella(8.90%)相关的扩增子序列变异(Amplicon Sequence Variants, asv)是伊蚊中数量最多的属。蚊。相比之下,Ae。白纹伊蚊中伊丽莎白氏菌(36.34%)、假单胞菌(95.08%)和沃尔巴克氏菌(12.73%)丰度较高。有趣的是,在这两个物种中,elizabeth ethkingia的丰度根据性别和温度的不同而变化。结果表明,亚马逊地区伊蚊细菌群落结构受性别、物种和温度的影响,具有高度的可塑性和普遍性。
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引用次数: 0
Finding the hidden genes in Leishmania guyanensis genome: Application of proteogenomics approach to improve the genome annotation in the kinetoplastid parasite 寻找古颜利什曼原虫基因组中的隐藏基因:应用蛋白质基因组学方法改进着丝体寄生虫基因组注释。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.actatropica.2025.107952
Shubhankar A Pawar , Aditi Shenoy , Karthick Vasudevan , Nalini Mishra , Mahendra Jamdhade , Harsh Pawar
The kinetoplastid protozoan parasite Leishmania guyanensis a member of the Leishmania (Viannia) species complex is the causative agent of American tegumentary leishmaniasis (ATL). L. guyanensis infections typically result in cutaneous lesions, but in some cases can progress to mucocutaneous leishmaniasis, particularly when co-infected with Leishmania RNA virus 1 (LRV1), thus leading to exacerbated inflammation, treatment failure, and relapse. Despite the availability of its reference genome, limitations in gene annotation persist due to the presence of hypothetical proteins, pseudogenes, and unrecognised coding regions. In this study, we employed a proteogenomic approach integrating publicly available high-resolution mass spectrometry data with a custom six-frame translated genome database to refine the genome annotation of L. guyanensis strain MHOM/BR/75/M4147. Utilising stringent database-dependent searches with a 1% false discovery rate, we identified numerous unique peptides, of which 653 were genome search-specific peptides (GSSPs) mapping exclusively to unannotated genomic regions. These GSSPs facilitated the discovery of 65 novel protein-coding genes and the correction of 62 existing gene models, including N- and C-terminal extensions. Our findings demonstrate the power of proteogenomics to uncover cryptic protein-coding regions and improve genome annotations beyond conventional predictions. This refined annotation enhances our understanding of L. guyanensis biology, providing a more accurate proteomic landscape that can inform studies on parasite virulence, host interaction, and potential therapeutic targets. The study underscores the importance of integrating proteomic evidence with genomic data to capture the full coding potential of kinetoplastid parasites, paving the way for improved diagnostics and interventions against leishmaniasis.
古延利什曼原虫(Leishmania guyanensis)是利什曼原虫(Leishmania Viannia)种复合体的一种动质体原生动物寄生虫,是美洲发育性利什曼病(ATL)的病原体。古yanl .感染通常导致皮肤病变,但在某些情况下可发展为皮肤粘膜利什曼病,特别是当利什曼RNA病毒1 (LRV1)合并感染时,从而导致炎症加重、治疗失败和复发。尽管有参考基因组的可用性,但由于存在假设的蛋白质、假基因和未识别的编码区,基因注释的局限性仍然存在。在这项研究中,我们采用蛋白质基因组学方法,将公开的高分辨率质谱数据与定制的六帧翻译基因组数据库相结合,完善了古yanensis菌株MHOM/BR/75/M4147的基因组注释。利用严格的数据库依赖搜索和1%的错误发现率,我们确定了许多独特的肽,其中653是基因组搜索特异性肽(gssp),专门映射到未注释的基因组区域。这些gssp促进了65个新的蛋白质编码基因的发现,并纠正了62个现有的基因模型,包括N端和c端延伸。我们的研究结果证明了蛋白质基因组学在揭示隐蛋白编码区和改进基因组注释方面的能力,超出了传统的预测。这一精细化的注释增强了我们对古yanensis生物学的理解,提供了更准确的蛋白质组学景观,可以为寄生虫毒力、宿主相互作用和潜在治疗靶点的研究提供信息。这项研究强调了将蛋白质组学证据与基因组数据结合起来的重要性,以捕获着丝质体寄生虫的全部编码潜力,为改进利什曼病的诊断和干预措施铺平道路。
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引用次数: 0
Surface ultrastructure and lodging of Entamoeba histolytica and Giardia lamblia cysts on fruits and vegetables 水果和蔬菜上溶组织内阿米巴和贾第鞭毛虫囊的表面超微结构和倒伏。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-16 DOI: 10.1016/j.actatropica.2025.107950
Ernesto Ramírez-Moreno , Keity J. Farfán-Pira , Nancy Rivas , Ricardo Alejandre-Aguilar , Alberto Antonio-Campos
Intestinal protozoan infections remain a global public health concern, particularly when transmitted through contaminated fruits and vegetables. This study investigated whether surface ultrastructures of selected produce create favorable microenvironments for cyst lodging of Entamoeba histolytica and Giardia lamblia. Scanning electron microscopy (SEM) was used to examine Fragaria × ananassa, Coriandrum sativum, Solanum lycopersicum, and Lactuca sativa. Plant surfaces exhibit distinct irregularities, including cavities, crevices, and vein-associated folds, which provide protective sites for cyst retention. Cysts were frequently observed within seed-associated cavities of F. × ananassa, along vein-associated and stomatal depressions in C. sativum, and within surface pits of S. lycopersicum. In L. sativa, the number of cavities did not differ significantly between outer and intermediate leaves (10–12 cavities/100 μm²), whereas inner leaves displayed significantly higher cavity densities (14–18 cavities/100 μm²; p < 0.008), and cysts were commonly found lodged within cavities of the inner leaf, as well as within folds and surface irregularities of the outer leaves. These findings demonstrate that microscopic features of plant surfaces facilitate protozoan persistence, thereby contributing to foodborne transmission. Understanding these interactions underscores the need for improved agricultural handling, food processing strategies, and consumer level education to mitigate the risk of parasitic infections linked to fresh produce.
肠道原生动物感染仍然是一个全球公共卫生问题,特别是通过受污染的水果和蔬菜传播时。本研究考察了所选农产品的表面超微结构是否为溶组织内阿米巴和贾第鞭毛虫的囊落创造了有利的微环境。采用扫描电镜(SEM)对Fragaria × ananassa、Coriandrum sativum、Solanum lycopersicum和Lactuca sativa进行了观察。植物表面表现出明显的不规则性,包括空洞、裂缝和静脉相关的褶皱,这些褶皱为囊肿保留提供了保护。△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△△外叶和中间叶的空腔数差异不显著(10-12个/100 μm²),而内叶的空腔密度显著高于内叶(14-18个/100 μm²,p < 0.008),囊泡常见于内叶的空腔内,以及外叶的褶皱和表面凹凸不平处。这些发现表明,植物表面的微观特征促进了原生动物的持久性,从而促进了食源性传播。了解这些相互作用强调需要改进农业处理、食品加工策略和消费者教育,以减轻与新鲜农产品有关的寄生虫感染风险。
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引用次数: 0
Chloroquine-resistant Plasmodium vivax malaria in Ethiopia: A systematic review and meta-analysis 埃塞俄比亚的氯喹耐药间日疟原虫疟疾:系统回顾和荟萃分析。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-15 DOI: 10.1016/j.actatropica.2025.107947
Yenesew Mihret Wondmagegn , Abebaw Setegn , Getu Girmay , Muluneh Assefa , Banchayehu Getnet , Tena Cherkos , Wagaw Abebe , Nega Dessie , Adane Derso , Zufan Yiheyis , Adane Adugna , Tadesse Misganaw , Aberham Abere , Mebratu Tamir , Mekuriaw Belayneh , Azanaw Amare , Agenagnew Ashagre , Birhanu Malede , Gashaw Azanaw Amare
Plasmodium vivax accounts for about 40% of malaria cases in Ethiopia, where chloroquine remains the first-line treatment. However, the emergence of chloroquine resistance threatens the effectiveness of treatment. This systematic review synthesizes current evidence on chloroquine-resistant Plasmodium vivax in Ethiopia. This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42024564745) and conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Comprehensive searches were performed in PubMed, Medline, EMBASE, Google Scholar, Web of Science, ScienceDirect, and African Journals Online. Data were extracted using Microsoft Excel and analyzed with STATA version 11. Random-effects models were used to estimate pooled prevalence with 95% confidence intervals. Heterogeneity was assessed using the I-squared statistic, and publication bias was evaluated using Egger’s test and a funnel plot. Thirteen studies with 2,190 participants reported a pooled prevalence of chloroquine-resistant Plasmodium vivax of 7.32% (95% CI: 2.55–12.08; I² = 95.1%, p < 0.001). Resistance prevalence was higher in studies using both microscopy and PCR 7.32% (95% CI: 2.55–12.08), during the 2003–2009 study period 10.70% (95% CI: −1.24–22.65), and in the Oromia region 9.58% (95% CI: −0.41–19.58), while a 42-day follow-up reported a pooled prevalence of 17.91% (95% CI: −9.34–45.15). Chloroquine-resistant Plasmodium vivax is present in Ethiopia, with an overall prevalence of about 7%. Although resistance remains moderate, it is clinically significant and underscores the importance of ongoing surveillance, regular treatment monitoring, and consideration of alternative therapeutic approaches.
间日疟原虫占埃塞俄比亚疟疾病例的40%左右,在埃塞俄比亚氯喹仍然是一线治疗手段。然而,氯喹耐药性的出现威胁到治疗的有效性。本系统综述综合了目前在埃塞俄比亚发生的氯喹耐药间日疟原虫的证据。本研究已在国际前瞻性系统评价注册(PROSPERO; CRD42024564745)中注册,并按照系统评价和荟萃分析首选报告项目(PRISMA)指南进行。在PubMed、Medline、EMBASE、b谷歌Scholar、Web of Science、ScienceDirect和African Journals Online中进行了全面的搜索。使用Microsoft Excel提取数据,并使用STATA version 11进行分析。随机效应模型用于估计合并患病率,置信区间为95%。异质性采用i平方统计量评估,发表偏倚采用Egger检验和漏斗图评估。13项研究2190名参与者报告了氯喹耐药间日疟原虫的总患病率为7.32% (95% CI: 2.55-12.08; I² = 95.1%,p < 0.001)。使用显微镜和PCR的研究中,耐药率较高,为7.32% (95% CI: 2.55-12.08), 2003-2009年研究期间为10.70% (95% CI: -1.24-22.65),奥罗米亚地区为9.58% (95% CI: -0.41-19.58), 42天随访报告的总患病率为17.91% (95% CI: -9.34-45.15)。埃塞俄比亚存在氯喹耐药间日疟原虫,总体流行率约为7%。尽管耐药性仍然是中度的,但它具有临床意义,并强调了持续监测、定期治疗监测和考虑替代治疗方法的重要性。
{"title":"Chloroquine-resistant Plasmodium vivax malaria in Ethiopia: A systematic review and meta-analysis","authors":"Yenesew Mihret Wondmagegn ,&nbsp;Abebaw Setegn ,&nbsp;Getu Girmay ,&nbsp;Muluneh Assefa ,&nbsp;Banchayehu Getnet ,&nbsp;Tena Cherkos ,&nbsp;Wagaw Abebe ,&nbsp;Nega Dessie ,&nbsp;Adane Derso ,&nbsp;Zufan Yiheyis ,&nbsp;Adane Adugna ,&nbsp;Tadesse Misganaw ,&nbsp;Aberham Abere ,&nbsp;Mebratu Tamir ,&nbsp;Mekuriaw Belayneh ,&nbsp;Azanaw Amare ,&nbsp;Agenagnew Ashagre ,&nbsp;Birhanu Malede ,&nbsp;Gashaw Azanaw Amare","doi":"10.1016/j.actatropica.2025.107947","DOIUrl":"10.1016/j.actatropica.2025.107947","url":null,"abstract":"<div><div><em>Plasmodium vivax</em> accounts for about 40% of malaria cases in Ethiopia, where chloroquine remains the first-line treatment. However, the emergence of chloroquine resistance threatens the effectiveness of treatment. This systematic review synthesizes current evidence on chloroquine-resistant <em>Plasmodium vivax</em> in Ethiopia. This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42024564745) and conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Comprehensive searches were performed in PubMed, Medline, EMBASE, Google Scholar, Web of Science, ScienceDirect, and African Journals Online. Data were extracted using Microsoft Excel and analyzed with STATA version 11. Random-effects models were used to estimate pooled prevalence with 95% confidence intervals. Heterogeneity was assessed using the I-squared statistic, and publication bias was evaluated using Egger’s test and a funnel plot. Thirteen studies with 2,190 participants reported a pooled prevalence of chloroquine-resistant <em>Plasmodium vivax</em> of 7.32% (95% CI: 2.55–12.08; I² = 95.1%, p &lt; 0.001). Resistance prevalence was higher in studies using both microscopy and PCR 7.32% (95% CI: 2.55–12.08), during the 2003–2009 study period 10.70% (95% CI: −1.24–22.65), and in the Oromia region 9.58% (95% CI: −0.41–19.58), while a 42-day follow-up reported a pooled prevalence of 17.91% (95% CI: −9.34–45.15). Chloroquine-resistant <em>Plasmodium vivax</em> is present in Ethiopia, with an overall prevalence of about 7%. Although resistance remains moderate, it is clinically significant and underscores the importance of ongoing surveillance, regular treatment monitoring, and consideration of alternative therapeutic approaches.</div></div>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":"273 ","pages":"Article 107947"},"PeriodicalIF":2.5,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145773077","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}
引用次数: 0
The dynamic of Trypanosoma cruzi transmissibility in field-caught Mepraia spinolai (Hemiptera: Reduviidae) of contrasting seasons: A developmental stage-dependent study 不同季节野捕棘足鼠(半翅目:棘足鼠科)克氏锥虫传播动态的发育阶段依赖性研究。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-14 DOI: 10.1016/j.actatropica.2025.107948
Nicol Quiroga , Francisca Farías , Angélica López , Carezza Botto-Mahan , Aldo Solari
A competent vector can harbor a pathogen and infect a high number of hosts. Scarce information is available on how triatomine vectors accomplish this task in nature, particularly without knowing the number of parasites they excrete. We study the dynamics of Trypanosoma cruzi transmissibility in the triatomine Mepraia spinolai collected in summer (December 2018) and winter (July 2019) of an austral endemic area. The insects received two feedings in the laboratory, the day after arrival and 45 days after the first feeding. Excreta samples were collected, DNA was extracted, and parasite loads were quantified by qPCR. After feeding, the parasite loads of the first and second excreta samples revealed differences between summer and winter insects. Overall, parasite load reductions and increases were detected in summer (51.2% and 32.5%) and in winter (9.1% and 15.2%) infected insects. The number of times the parasite load was reduced in summer insects revealed that early stage nymphs accomplished it at the highest ratio (× 740), middle stage nymphs (× 14), and late developmental stages with the lowest ratio (× 6.7). Therefore, fifth instar nymphs and adults have the maximal capacity to harbor T. cruzi, and those with the highest competence to transmit it, and early nymphs are the ones with minimal vectorial capacity. About 7% of the winter insects and 58.5% of the summer excreted quantifiable parasite loads right after collection. The amount of T. cruzi excreted in summer by M. spinolai reached medians between 950 and 2597 parasite equivalents/excreta, considering all developmental stages. Finally, molting during processes of T. cruzi load reduction and increase suggests that the exoskeleton shedding does not affect the excretion of T. cruzi.
有能力的病媒可以携带病原体并感染大量宿主。关于锥蝽病媒在自然界中如何完成这一任务的信息很少,特别是在不知道它们排泄的寄生虫数量的情况下。研究了夏季(2018年12月)和冬季(2019年7月)在南方某流行区采集的棘锥蝽(triatomine Mepraia spinolai)中克氏锥虫的传播动态。这些昆虫在实验室接受了两次喂食,一次是在到达后的第二天,另一次是在第一次喂食后的45天。收集排泄物样本,提取DNA,采用qPCR定量寄生虫载量。摄食后,第一次和第二次粪便样本的寄生虫负荷显示出夏季和冬季昆虫之间的差异。总体而言,夏季(51.2%和32.5%)和冬季(9.1%和15.2%)感染昆虫的寄生虫负荷分别减少和增加。夏虫寄生次数减少表明,早期若虫寄生次数最多(× 740),中期若虫寄生次数最少(× 14),晚期若虫寄生次数最少(× 6.7)。因此,5龄若虫和成虫携带克氏体的能力最大,传播能力最强,而早期若虫的媒介传播能力最小。约7%的冬季昆虫和58.5%的夏季昆虫在采集后立即排出可量化的寄生虫负荷。考虑到各个发育阶段,棘棘平蝽夏季排出的克氏锥虫量中值在950 ~ 2597个寄生当量/排泄物之间。最后,在克氏体负荷减少和增加过程中的蜕皮表明,外骨骼脱落不影响克氏体的排泄。
{"title":"The dynamic of Trypanosoma cruzi transmissibility in field-caught Mepraia spinolai (Hemiptera: Reduviidae) of contrasting seasons: A developmental stage-dependent study","authors":"Nicol Quiroga ,&nbsp;Francisca Farías ,&nbsp;Angélica López ,&nbsp;Carezza Botto-Mahan ,&nbsp;Aldo Solari","doi":"10.1016/j.actatropica.2025.107948","DOIUrl":"10.1016/j.actatropica.2025.107948","url":null,"abstract":"<div><div>A competent vector can harbor a pathogen and infect a high number of hosts. Scarce information is available on how triatomine vectors accomplish this task in nature, particularly without knowing the number of parasites they excrete. We study the dynamics of <em>Trypanosoma cruzi</em> transmissibility in the triatomine <em>Mepraia spinolai</em> collected in summer (December 2018) and winter (July 2019) of an austral endemic area. The insects received two feedings in the laboratory, the day after arrival and 45 days after the first feeding. Excreta samples were collected, DNA was extracted, and parasite loads were quantified by qPCR. After feeding, the parasite loads of the first and second excreta samples revealed differences between summer and winter insects. Overall, parasite load reductions and increases were detected in summer (51.2% and 32.5%) and in winter (9.1% and 15.2%) infected insects. The number of times the parasite load was reduced in summer insects revealed that early stage nymphs accomplished it at the highest ratio (× 740), middle stage nymphs (× 14), and late developmental stages with the lowest ratio (× 6.7). Therefore, fifth instar nymphs and adults have the maximal capacity to harbor <em>T. cruzi</em>, and those with the highest competence to transmit it, and early nymphs are the ones with minimal vectorial capacity. About 7% of the winter insects and 58.5% of the summer excreted quantifiable parasite loads right after collection. The amount of <em>T. cruzi</em> excreted in summer by <em>M. spinolai</em> reached medians between 950 and 2597 parasite equivalents/excreta, considering all developmental stages. Finally, molting during processes of <em>T. cruzi</em> load reduction and increase suggests that the exoskeleton shedding does not affect the excretion of <em>T. cruzi</em>.</div></div>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":"273 ","pages":"Article 107948"},"PeriodicalIF":2.5,"publicationDate":"2025-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145766738","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}
引用次数: 0
Susceptibility to the larvicide pyriproxyfen and genotyping of kdr mutations in two Aedes aegypti populations from Maranhão State, Brazil 巴西maranh<e:1>州两个埃及伊蚊种群对杀幼虫剂吡丙醚的易感性和kdr突变的基因分型
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-13 DOI: 10.1016/j.actatropica.2025.107946
Valéria Cristina Soares Pinheiro , Juliete Lima Viana , Joelma Soares da Silva , Márcia Verônica Pereira Gonçalves , Aylane Tamara dos Santos Andrade , Luiz Paulo Brito , Ademir Jesus Martins
Aedes aegypti is the main vector of arboviruses in the Americas, including dengue, Zika and chikungunya. In Brazil, initial control strategies relied on insecticides, but their continuous use has promoted resistance, mainly through metabolic changes and knockdown resistance (kdr) mutations, which are key molecular markers of pyrethroid resistance. This study evaluated the susceptibility of Ae. aegypti populations from Caxias and São Mateus (Maranhão State) to the larvicide pyriproxyfen and investigated the frequency of the kdr SNPs V410L, V1016I and F1534C. Eggs collected in the field were reared to the F1 generation, and L3 larvae were subjected to quantitative bioassays to determine emergence inhibition (EI) indexes. DNA extracted from adults was analyzed by qPCR to assess kdr allele frequencies. Bioassays showed 98 % mortality in Caxias and 100 % in São Mateus when exposed to 0.8 μg/mL of pyriproxyfen. EI50 values were 0.094 mg/L and 0.083 mg/L, while EI90 values reached 1.596 mg/L and 0.558 mg/L, respectively. Resistance ratios, relative to the Rockefeller strain, were 1.175 and 1.038, indicating susceptibility. Regarding kdr markers, we observed a predominance of the kdr R1 allele (VVC, mutated at site 1534) in Caxias (50 %) and of the kdr R2 allele (LIC, mutated at sites 410, 1016 and 1534) in São Mateus (53 %). The wild-type S allele (VVF, without mutations) showed frequencies of 47 % and 8 % in Caxias and São Mateus, respectively. Despite the presence of pyrethroid-resistant alleles, no phenotypic resistance to the IGR pyriproxyfen was observed. These results confirm the effectiveness of pyriproxyfen against Ae. aegypti in Maranhão, while the presence of kdr mutations underscores the need for ongoing surveillance and integrated management to prevent resistance.
埃及伊蚊是美洲虫媒病毒的主要载体,包括登革热、寨卡病毒和基孔肯雅热。在巴西,最初的控制策略依赖于杀虫剂,但它们的持续使用主要通过代谢变化和敲低抗性(kdr)突变促进了抗性,这是拟除虫菊酯抗性的关键分子标记。本研究对伊蚊的敏感性进行了评价。对马兰赫州Caxias和s o Mateus (maranh State)的埃及伊蚊种群使用杀幼虫剂吡丙醚,并对kdr snp V410L、V1016I和F1534C的频率进行了调查。田间采集虫卵,饲养至F1代,对L3幼虫进行定量生物测定,测定羽化抑制(EI)指数。采用qPCR分析成人提取的DNA,评估kdr等位基因频率。在0.8 μg/mL的吡丙醚浓度下,黄颡鱼死亡率为98%,黄颡鱼死亡率为100%。EI50分别为0.094 mg/L和0.083 mg/L, EI90分别为1.596 mg/L和0.558 mg/L。相对于Rockefeller品系,抗性比分别为1.175和1.038,表现为敏感性。在kdr标记方面,我们观察到kdr R1等位基因(VVC,在1534位点突变)在Caxias中占50%,kdr R2等位基因(LIC,在410、1016和1534位点突变)在 o Mateus中占53%。野生型S等位基因(VVF,无突变)在Caxias和 o Mateus中的频率分别为47%和8%。尽管存在拟除虫菊酯抗性等位基因,但未观察到对IGR吡丙醚的表型抗性。这些结果证实了吡丙醚对伊蚊的防治效果。而kdr突变的存在强调需要持续监测和综合管理,以防止耐药性。
{"title":"Susceptibility to the larvicide pyriproxyfen and genotyping of kdr mutations in two Aedes aegypti populations from Maranhão State, Brazil","authors":"Valéria Cristina Soares Pinheiro ,&nbsp;Juliete Lima Viana ,&nbsp;Joelma Soares da Silva ,&nbsp;Márcia Verônica Pereira Gonçalves ,&nbsp;Aylane Tamara dos Santos Andrade ,&nbsp;Luiz Paulo Brito ,&nbsp;Ademir Jesus Martins","doi":"10.1016/j.actatropica.2025.107946","DOIUrl":"10.1016/j.actatropica.2025.107946","url":null,"abstract":"<div><div><em>Aedes aegypti</em> is the main vector of arboviruses in the Americas, including dengue, Zika and chikungunya. In Brazil, initial control strategies relied on insecticides, but their continuous use has promoted resistance, mainly through metabolic changes and knockdown resistance (<em>kdr</em>) mutations, which are key molecular markers of pyrethroid resistance. This study evaluated the susceptibility of <em>Ae. aegypti</em> populations from Caxias and São Mateus (Maranhão State) to the larvicide pyriproxyfen and investigated the frequency of the <em>kdr</em> SNPs V410L, V1016I and F1534C. Eggs collected in the field were reared to the F1 generation, and L3 larvae were subjected to quantitative bioassays to determine emergence inhibition (EI) indexes. DNA extracted from adults was analyzed by qPCR to assess <em>kdr</em> allele frequencies. Bioassays showed 98 % mortality in Caxias and 100 % in São Mateus when exposed to 0.8 μg/mL of pyriproxyfen. EI<sub>50</sub> values were 0.094 mg/L and 0.083 mg/L, while EI<sub>90</sub> values reached 1.596 mg/L and 0.558 mg/L, respectively. Resistance ratios, relative to the Rockefeller strain, were 1.175 and 1.038, indicating susceptibility. Regarding <em>kdr</em> markers, we observed a predominance of the <em>kdr</em> R1 allele (VVC, mutated at site 1534) in Caxias (50 %) and of the <em>kdr</em> R2 allele (LIC, mutated at sites 410, 1016 and 1534) in São Mateus (53 %). The wild-type S allele (VVF, without mutations) showed frequencies of 47 % and 8 % in Caxias and São Mateus, respectively. Despite the presence of pyrethroid-resistant alleles, no phenotypic resistance to the IGR pyriproxyfen was observed. These results confirm the effectiveness of pyriproxyfen against <em>Ae. aegypti</em> in Maranhão, while the presence of <em>kdr</em> mutations underscores the need for ongoing surveillance and integrated management to prevent resistance.</div></div>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":"274 ","pages":"Article 107946"},"PeriodicalIF":2.5,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145761872","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}
引用次数: 0
Loss of tegumental papillae and spines during maturation of Clonorchis sinensis: Evidence from colchicine disruption 华支睾吸虫成熟过程中被毛乳头和棘的丧失:来自秋水仙碱破坏的证据。
IF 2.5 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-12 DOI: 10.1016/j.actatropica.2025.107945
Eun-Min Kim
Clonorchis sinensis is a foodborne liver fluke and Group 1 carcinogen endemic to East Asia. Its syncytial tegument mediates host–parasite interactions and serves as the primary target of praziquantel (PZQ), which exhibits reduced efficacy against juvenile stages. This study investigated whether tegumental papillae and spines are truly lost or internalized during the maturation of C. sinensis, and employed colchicine as a diagnostic perturbation to probe for subtegumental remnants. Excysted metacercariae, juvenile worms (10 days postinfection), and adult worms (4 weeks postinfection) were examined using scanning electron microscopy; a subset of adults was treated with colchicine (1 µM, 37°C, 6 h). Tegumental spines were quantified per 100 µm² on calibrated images. Spine density declined from 36 ± 2 / 100 µm² in metacercariae to 6 ± 1 / 100 µm² in juveniles (Welch’s t-test, P < 0.05) and was below quantifiable limits in adults (0–2 / 100 µm², qualitative). Colchicine-treated adults exhibited distal surface fragmentation without revealing hidden spines or papillae. These findings provide quantitative morphological evidence that papillae and spines are progressively lost, rather than internalized, during maturation of C. sinensis, thereby clarifying a key aspect of tegumental remodeling across developmental stages.
华支睾吸虫是一种食源性肝吸虫,是东亚特有的一类致癌物。它的合胞皮介导宿主与寄生虫的相互作用,是吡喹酮(PZQ)的主要靶点,吡喹酮对幼虫期的药效较低。本研究探讨了在中华香椿成熟过程中被毛乳头和棘是否真的丢失或内化,并采用秋水仙碱作为诊断扰动来探测被毛下残留。扫描电镜观察囊出的囊蚴、感染后10天的稚虫和感染后4周的成虫;一部分成人用秋水仙碱处理(1µM, 37°C, 6 h)。在校准图像上每100 μ m²定量被盖棘。棘密度从囊蚴的36±2 / 100µm²下降到幼虫的6±1 / 100µm²(Welch’st检验,P < 0.05),低于成虫的可量化极限(0-2 / 100µm²,定性)。秋水仙碱处理的成人表现出远端表面碎裂,没有显示隐藏的棘或乳头。这些发现提供了定量形态学证据,表明在中华月牙的成熟过程中,乳突和棘是逐渐消失的,而不是内化的,从而阐明了发育阶段被盖重塑的一个关键方面。
{"title":"Loss of tegumental papillae and spines during maturation of Clonorchis sinensis: Evidence from colchicine disruption","authors":"Eun-Min Kim","doi":"10.1016/j.actatropica.2025.107945","DOIUrl":"10.1016/j.actatropica.2025.107945","url":null,"abstract":"<div><div><em>Clonorchis sinensis</em> is a foodborne liver fluke and Group 1 carcinogen endemic to East Asia. Its syncytial tegument mediates host–parasite interactions and serves as the primary target of praziquantel (PZQ), which exhibits reduced efficacy against juvenile stages. This study investigated whether tegumental papillae and spines are truly lost or internalized during the maturation of <em>C. sinensis</em>, and employed colchicine as a diagnostic perturbation to probe for subtegumental remnants. Excysted metacercariae, juvenile worms (10 days postinfection), and adult worms (4 weeks postinfection) were examined using scanning electron microscopy; a subset of adults was treated with colchicine (1 µM, 37°C, 6 h). Tegumental spines were quantified per 100 µm² on calibrated images. Spine density declined from 36 ± 2 / 100 µm² in metacercariae to 6 ± 1 / 100 µm² in juveniles (Welch’s t-test, P &lt; 0.05) and was below quantifiable limits in adults (0–2 / 100 µm², qualitative). Colchicine-treated adults exhibited distal surface fragmentation without revealing hidden spines or papillae. These findings provide quantitative morphological evidence that papillae and spines are progressively lost, rather than internalized, during maturation of <em>C. sinensis</em>, thereby clarifying a key aspect of tegumental remodeling across developmental stages.</div></div>","PeriodicalId":7240,"journal":{"name":"Acta tropica","volume":"273 ","pages":"Article 107945"},"PeriodicalIF":2.5,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754985","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}
引用次数: 0
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Acta tropica
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