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Chronic small intestinal helminth infection perturbs bile acid homeostasis and disrupts bile acid signaling in the murine small intestine. 慢性小肠蠕虫感染扰乱小鼠小肠胆汁酸稳态并破坏胆汁酸信号传导
Pub Date : 2023-07-06 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1214136
Jenna M Lane, Tara P Brosschot, Dominique M Gatti, Courtney M Gauthier, Katherine M Lawrence, Victoria Pluzhnikova, Lisa A Reynolds

Intestinal helminths have evolved an abundance of immunomodulatory mechanisms to ensure long-lived infections in mammalian hosts. To manipulate mammalian immune responses helminths can directly produce immunomodulatory molecules, but helminth infection can also elicit functional changes in the intestinal microbiome which can impact immune functioning. Here we examined how bile acids (BA)s, a group of host-produced, microbiota-modified immunomodulatory metabolites, were altered in abundance and composition during a murine small intestinal helminth infection. We found that murine helminth infection resulted in consistently reduced concentrations of specific taurine-conjugated primary BAs (T-α-MCA and T-CDCA) in the small intestinal luminal contents of mice. BA transporters facilitate the uptake of BAs from the small intestinal lumen, allowing BAs to engage with nuclear BA receptors, and helminth infected mice showed reduced expression of genes encoding basal BA transporters in the small intestine. Finally, we report that there is reduced signaling through the nuclear BA receptor FXR in both the proximal small intestine and ileum of mice during small intestinal helminth infection. Together, our data reveal disruptions to BA homeostasis and signaling in the small intestine during helminth infection. As BAs are known to impact many aspects of mucosal physiology and immunity, examining the functional consequences of BA disruptions during helminth infection will be an important avenue for future research.

肠道蠕虫进化出了丰富的免疫调节机制,以确保哺乳动物宿主的长期感染。为了操纵哺乳动物的免疫反应,蠕虫可以直接产生免疫调节分子,但蠕虫感染也会引发肠道微生物组的功能变化,从而影响免疫功能。在这里,我们研究了胆汁酸(BA),一组宿主产生的、微生物群修饰的免疫调节代谢产物,在小鼠小肠蠕虫感染期间是如何改变其丰度和组成的。我们发现,小鼠蠕虫感染导致小鼠小肠腔内特异性牛磺酸结合的初级BA(T-α-MCA和T-CDCA)浓度持续降低。BA转运蛋白促进了BA从小肠腔的摄取,使BA与核BA受体结合,蠕虫感染的小鼠在小肠中显示出编码基础BA转运蛋白的基因表达减少。最后,我们报道了在小肠蠕虫感染期间,通过核BA受体FXR在小鼠近端小肠和回肠中的信号传导减少。总之,我们的数据揭示了蠕虫感染期间BA稳态和小肠信号传导的破坏。众所周知,BA会影响粘膜生理和免疫的许多方面,因此研究蠕虫感染期间BA破坏的功能后果将是未来研究的重要途径。
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引用次数: 0
Optimizing the xWORM assay for monitoring hookworm larvae motility. xWORM检测钩虫幼虫运动能力的优化
Pub Date : 2023-06-19 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1189872
Danica Lennox-Bulow, Luke Becker, Alex Loukas, Jamie Seymour, Michael Smout

Parasitic worms (helminths) infect almost all taxa across the animal kingdom, and pose significant challenges to public health and economies, particularly in developing countries. To address this problem, researchers have developed various tools to measure the motility and viability of helminths. However, the conditions used in anthelmintic screening assays are often not optimized, and can vary considerably between research teams. These unoptimized conditions may impact novel drug screens, as little is known about the effects of different conditions on the health of the target parasites. To improve future research, this study determined the effects of key assay parameters including, media type, media concentration, in-well parasite density, and assay duration on the infective third-stage larva (L3) of two types of hookworms, namely Nippostrongylus brasiliensis in rodents, and Necator americanus in humans. Conditions were screened over several days using the xCELLigence worm real-time motility assay (xWORM); a real-time impedance-based helminth motility assay using the xCELLigence system with 96-well microplates. While results varied depending on the species and media used, the study found that 500-1,000 L3/200-µL and a media concentration of 3.13-25% generally produced good to excellent assay conditions. The findings of this study can guide the future selection of xWORM assay parameters for novel drug trials involving these parasite species and serve as a suggested model for optimizing trial conditions for alternative parasite targets and assays.

寄生虫(蠕虫)几乎感染了动物界的所有分类群,对公共卫生和经济构成了重大挑战,尤其是在发展中国家。为了解决这个问题,研究人员开发了各种工具来测量蠕虫的活动性和生存能力。然而,驱虫筛选试验中使用的条件往往没有得到优化,研究团队之间的差异可能很大。这些未优化的条件可能会影响新的药物筛选,因为人们对不同条件对目标寄生虫健康的影响知之甚少。为了改进未来的研究,本研究确定了包括培养基类型、培养基浓度、井内寄生虫密度和检测持续时间在内的关键检测参数对两种钩虫感染第三期幼虫(L3)的影响,这两种钩体分别是啮齿类钩虫的巴西乳头虫和人类的美洲钩虫。使用xCELLigence蠕虫实时运动测定法(xWORM)在几天内筛选条件;使用具有96孔微孔板的xCELLigence系统的基于阻抗的蠕虫运动性实时测定。虽然结果因所用的物种和培养基而异,但研究发现,500–1000 L3/200-µL和3.13–25%的培养基浓度通常能产生良好至良好的测定条件。这项研究的发现可以指导未来针对这些寄生虫物种的新药试验选择xWORM测定参数,并作为优化替代寄生虫靶标和测定试验条件的建议模型。
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引用次数: 0
Proteome-wide comparison of tertiary protein structures reveals molecular mimicry in Plasmodium-human interactions. 三级蛋白结构的蛋白质组比较揭示了疟原虫与人类相互作用中的分子模仿
Pub Date : 2023-06-15 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1162697
Viraj Muthye, James D Wasmuth

Introduction: Molecular mimicry is a strategy used by parasites to evade the host's immune system and facilitate transmission to a new host. To date, high-throughput examples of molecular mimicry have been limited to comparing protein sequences. However, recent advances in the prediction of tertiary structural models, led by Deepmind's AlphaFold, enable the comparison of thousands of proteins from parasites and their hosts at the structural level, allowing for the identification of more mimics. Here, we present the first proteome-level search for tertiary structure similarity between proteins from Plasmodium falciparum, a malaria-causing parasite, and humans.

Methods: We assembled a database of experimentally-characterized protein tertiary structures (from the Protein Data Bank) and AlphaFold-generated protein tertiary structures from P. falciparum, human, and 15 negative control species, i.e., species not infected by P. falciparum. We aligned human and control structures to the parasite structures using Foldseek.

Results: We identified molecular mimicry in three proteins that have been previously proposed as mediators of Plasmodium-human interactions. By extending this approach to all P. falciparum proteins, we identified an additional 41 potential mimics that are supported by additional experimental data.

Discussion: Our findings demonstrate a valuable application of AlphaFold-derived tertiary structural models, and we discuss key considerations for its effective use in other host-parasite systems.

分子模仿是寄生虫逃避宿主免疫系统并传播给新宿主的一种策略。到目前为止,高通量分子模拟的例子仅限于比较蛋白质序列。然而,最近在预测三级结构模型方面的进展,由Deepmind的AlphaFold领导,可以在结构水平上比较来自寄生虫和宿主的数千种蛋白质,从而识别更多的模仿物。在这里,我们提出了第一个蛋白质组水平的搜索,从恶性疟原虫,一种引起疟疾的寄生虫,和人类之间的蛋白质三级结构的相似性。方法收集了恶性疟原虫、人类和15种阴性对照物种(即未感染恶性疟原虫的物种)经实验表征的蛋白三级结构数据库(来自protein Data Bank)和alphafold生成的蛋白三级结构数据库。我们使用Foldseek将人类和控制结构与寄生虫结构对齐。结果我们鉴定了三种蛋白质的分子拟态,这些蛋白质先前被认为是疟原虫与人相互作用的介质。通过将这种方法扩展到所有恶性疟原虫蛋白,我们确定了另外41种潜在的模拟物,这些模拟物得到了额外实验数据的支持。我们的发现证明了alphafold衍生的三级结构模型的有价值的应用,我们讨论了其在其他宿主-寄生虫系统中有效使用的关键考虑因素。
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引用次数: 0
Use of perennial plants in the fight against gastrointestinal nematodes of sheep. 多年生植物在绵羊胃肠道线虫防治中的应用
Pub Date : 2023-06-02 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1186149
Antonio Bosco, Antonello Prigioniero, Alessandra Falzarano, Maria Paola Maurelli, Laura Rinaldi, Giuseppe Cringoli, Giovanni Quaranta, Salvatore Claps, Rosaria Sciarrillo, Carmine Guarino, Pierpaolo Scarano

Background: Gastrointestinal nematodes (GINs) are a serious problem in ruminant pastures worldwide. They generate production losses, from the point of view of both the food chain and animal mortality. This study provides preliminary results concerning the use of pasture plants in the Campania region (of southern Italy) to control GINs in sheep.

Methods: Sixteen species of wild and cultivated perennial plants present in seminatural pastures were sampled. All species were extracted with the conventional maceration technique, using three different solvents (i.e., H2O, EtOH, and an EtOH:H2O (8:2) mixture) in order to extract different bioactive compounds. The total phenolic content (TPC; assessed via the Folin-Ciocȃlteu assay) of all extract samples was preliminarily characterized. Each sample was aliquoted across six different concentrations and an in vitro egg hatching test (EHT) was conducted to evaluate the ovicidal effect on sheep GINs.

Results: The results indicated that Cichorium intybus L. and Foeniculum vulgare Mill. extracts greatly inhibited egg hatching within 48 hours of exposure, showing efficacy (≥ 62.6%) at the three higher concentrations when compared with the other plants.

Conclusion: The use of extracts of wild and cultivated perennial plant species in pastures can be a valid alternative to the use of synthetic anthelmintic drugs, which can generate problems, such as anthelmintic resistance, in the long term. Looking forward, further in vitro studies that evaluate the in vitro effect of these extracts on ruminant cell cultures, and field application through in vivo studies, would likely confirm the results obtained from preliminary in vitro EHTs. All these studies should be aimed at evaluating the therapeutic potential and future applicability of specific plant cultures in pastures to achieve sustainable pest control.

背景胃肠道线虫(GINs)是世界范围内反刍动物牧场的一个严重问题。从食物链和动物死亡率的角度来看,它们造成了生产损失。本研究提供了关于在坎帕尼亚地区(意大利南部)使用牧场植物控制绵羊GINs的初步结果。方法对半天然牧场的16种多年生野生和栽培植物进行取样。所有物种都用传统的浸渍技术提取,使用三种不同的溶剂(即H2O、EtOH和EtOH:H2O(8:2)混合物),以提取不同的生物活性化合物。初步表征了所有提取物样品的总酚含量(TPC;通过Folin–Ciocȃlteu测定法评估)。每个样本在六种不同浓度下等分,并进行体外卵孵化试验(EHT)以评估对绵羊GINs的杀卵作用。结果表明菊苣和小茴香具有较好的药用价值。提取物在暴露48小时内显著抑制卵孵化,与其他植物相比,在三个较高浓度下显示出有效性(≥62.6%)。结论在牧场使用野生和栽培多年生植物的提取物可以有效地替代使用合成驱虫药,从长远来看,合成驱虫药会产生抗药性等问题。展望未来,进一步的体外研究,评估这些提取物对反刍动物细胞培养的体外作用,并通过体内研究进行现场应用,可能会证实初步体外EHT的结果。所有这些研究都应旨在评估牧场中特定植物培养物的治疗潜力和未来适用性,以实现可持续的害虫控制。
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引用次数: 0
Infection with soil-transmitted helminths and their impact on coinfections. 土壤传播蠕虫的感染及其对共感染的影响
Pub Date : 2023-05-24 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1197956
Josephine Schlosser-Brandenburg, Ankur Midha, Robert M Mugo, Eric M Ndombi, George Gachara, Doris Njomo, Sebastian Rausch, Susanne Hartmann

The most important soil-transmitted helminths (STHs) affecting humans are roundworms, whipworms, and hookworms, with a large proportion of the world's population infected with one or more of these intestinal parasites. On top of that, concurrent infections with several viruses, bacteria, protozoa, and other helminths such as trematodes are common in STH-endemic areas. STHs are potent immunomodulators, but knowledge about the effects of STH infection on the direction and extent of coinfections with other pathogens and vice versa is incomplete. By focusing on Kenya, a country where STH infections in humans are widespread, we provide an exemplary overview of the current prevalence of STH and co-occurring infections (e.g. with Human Immunodeficiency Virus, Plasmodium falciparum, Giardia duodenalis and Schistosoma mansoni). Using human data and complemented by experimental studies, we outline the immunomechanistic interactions of coinfections in both acutely STH transmigrated and chronically infected tissues, also highlighting their systemic nature. Depending on the coinfecting pathogen and immunological readout, STH infection may restrain, support, or even override the immune response to another pathogen. Furthermore, the timing of the particular infection and host susceptibility are decisive for the immunopathological consequences. Some examples demonstrated positive outcomes of STH coinfections, where the systemic effects of these helminths mitigate the damage caused by other pathogens. Nevertheless, the data available to date are rather unbalanced, as only a few studies have considered the effects of coinfection on the worm's life cycle and associated host immunity. These interactions are complex and depend largely on the context and biology of the coinfection, which can act in either direction, both to the benefit and detriment of the infected host.

影响人类的最重要的土壤传播蠕虫是蛔虫、鞭虫和钩虫,世界上很大一部分人口感染了一种或多种肠道寄生虫。除此之外,同时感染几种病毒、细菌、原生动物和其他蠕虫(如吸虫)在STH流行地区很常见。STH是有效的免疫调节剂,但关于STH感染对与其他病原体共同感染的方向和程度的影响以及反之亦然的知识尚不完整。通过关注肯尼亚,一个人类STH感染广泛的国家,我们提供了STH和并发感染(例如人类免疫缺陷病毒、恶性疟原虫、十二指肠贾第虫和曼氏血吸虫)的当前流行率的示例性概述。利用人类数据并辅以实验研究,我们概述了急性STH转移和慢性感染组织中合并感染的免疫机制相互作用,同时强调了其系统性。根据共同感染的病原体和免疫读数,STH感染可能抑制、支持甚至超越对另一种病原体的免疫反应。此外,特定感染的时间和宿主易感性对免疫病理学结果是决定性的。一些例子证明了STH合并感染的积极结果,这些蠕虫的系统作用减轻了其他病原体造成的损害。然而,迄今为止可用的数据相当不平衡,因为只有少数研究考虑了共同感染对蠕虫生命周期和相关宿主免疫的影响。这些相互作用是复杂的,在很大程度上取决于共感染的背景和生物学,共感染可以向任何一个方向起作用,既有利于也有损于受感染的宿主。
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引用次数: 0
Laboratory diagnosis of Trypanosoma cruzi infection: a narrative review. 克氏锥虫感染的实验室诊断:述评
Pub Date : 2023-05-24 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1138375
Constanza Lopez-Albizu, Rocío Rivero, Griselda Ballering, Hector Freilij, María Soledad Santini, Margarita María Catalina Bisio

Trypanosoma cruzi infection, currently endemic in 21 countries, is a public health problem not only in the Americas but also in countries with Latin American migrants. However, it is estimated that two-thirds of people with Chagas disease currently live in urban areas and that only 10% of them are aware of it. This review summarizes the most important aspects of the diagnosis of human T. cruzi infection by describing the following aspects of clinical laboratory diagnosis: the most widely used tests available in Latin America and those expected to improve access to diagnosis of the affected population with their implementation; the advantages, disadvantages, and sensitivity of the tests in the different phases of infection; and their usefulness in the acute or chronic phases of infection and in the context of immunosuppression. In this way, we hope to contribute to broadening the knowledge about this prevalent infection in the Americas.

克氏锥虫感染目前在21个国家流行,不仅在美洲而且在有拉丁美洲移民的国家都是一个公共卫生问题。然而,据估计,目前三分之二的恰加斯病患者生活在城市地区,其中只有10%的人意识到这一点。本综述通过描述临床实验室诊断的以下方面,总结了人类克氏t型病毒感染诊断的最重要方面:拉丁美洲可用的最广泛使用的检测方法,以及那些有望通过实施改善受影响人群获得诊断的检测方法;在感染的不同阶段检测的优点、缺点和敏感性;以及它们在感染的急性或慢性阶段以及免疫抑制的情况下的作用。通过这种方式,我们希望有助于扩大对美洲这种流行感染的认识。图形抽象
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引用次数: 0
Identification of an in vitro artemisinin-resistant Plasmodium falciparum kelch13 R515K mutant parasite in Senegal. 塞内加尔一株体外抗青蒿素恶性疟原虫kelch13 R515K突变寄生虫的鉴定
Pub Date : 2023-04-28 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1076759
Seynabou D Sene, Mariama N Pouye, Rafael Miyazawa Martins, Fatoumata Diallo, Khadidiatou Mangou, Amy K Bei, Alioune Barry, Oumar Faye, Oumar Ndiaye, Ousmane Faye, Amadou A Sall, Jose-Juan Lopez-Rubio, Alassane Mbengue

The emergence of artemisinin partial resistance (ART-r) in Plasmodium falciparum malaria parasites has substantially compromised the efficacy of antimalarial treatments across southeast Asia (SE Asia). The spread of ART-r within the African continent could jeopardize past progress made in reducing worldwide malaria burden. A clinical index malaria case was identified in Kaolack, Senegal with persistent fever after complete artesunate-amodiaquine (ASAQ) treatment. Fifteen malaria-infected blood samples were collected by Institut Pasteur Dakar's Senegalese sentinel surveillance system, from different healthcare centers surrounding the index case. We have identified one Plasmodium falciparum clinical isolate carrying R515K mutation in the artemisinin resistance gene PfKelch13. CRISPR-Cas9 genome editing was carried out and transgenic Pf3D7Pfkelch13R515K was tested for in vitro standard Ring-stage Survival Assay (RSA 0-3hpi). Gene editing has confirmed that PfKelch13R515K drove increased in vitro RSA0-3hpi value. In this article, we report the functional significance of PfKelch13R515K mutation in an African context.

恶性疟原虫中青蒿素部分耐药性(ART-r)的出现大大损害了东南亚(东南亚)抗疟治疗的疗效。ART-r在非洲大陆的传播可能会危及过去在减轻全球疟疾负担方面取得的进展。塞内加尔考拉克发现一例临床指标疟疾病例,在接受青蒿琥酯-阿莫地喹(ASAQ)完全治疗后持续发热。达喀尔巴斯德研究所的塞内加尔哨兵监测系统从该指数病例周围的不同医疗中心采集了15份疟疾感染者的血液样本。我们已经鉴定出一种恶性疟原虫临床分离株,该分离株在青蒿素耐药性基因PfKelch13中携带R515K突变。进行CRISPR-Cas9基因组编辑,并对转基因Pf3D7Pfkelch13R515K进行体外标准环期生存测定(RSA 0-3hpi)测试。基因编辑已经证实PfKelch13R515K在体外驱动增加的RSA0-3hpi值。在这篇文章中,我们报道了PfKelch13R515K突变在非洲的功能意义。
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引用次数: 0
TUSK: a ubiquitin hydrolase complex modulating surface protein abundance in trypanosomes. TUSK:调节锥虫表面蛋白丰度的泛素水解酶复合物
Pub Date : 2023-04-27 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1118284
Kayo Yamada, Ning Zhang, Farzana K Yaqub, Martin Zoltner, Mark C Field

Control of protein levels is vital to cellular homeostasis, for maintaining a steady state, to coordinate changes during differentiation and other roles. In African trypanosomes surface proteins contribute to immune evasion, drug sensitivity and environmental sensing. The trypanosome surface is dominated by the GPI-anchored variant surface glycoprotein, but additional GPI-anchored and trans-membrane domain proteins are present with known roles as nutrient receptors and signal transducers. The evolutionarily conserved deubiquitinase orthologs of Usp7 and Vdu1 in trypanosomes modulate abundance of many surface proteins, including the invariant surface glycoproteins, which have roles in immune evasion and drug sensitivity. Here we identify multiple trypanosome Skp1 paralogs and specifically a divergent paralog SkpZ. Affinity isolation and LCMSMS indicates that SkpZ forms a heterotrimeric complex with TbUsp7 and TbTpr86, a tetratricopeptide-repeat protein. Silencing SkpZ decreases TbUsp7 and TbTpr86 abundance, confirming a direct association. Further, SkpZ knockdown decreases the abundance of multiple trans-membrane domain (TMD) proteins but increases GPI-anchored surface protein levels. Hence, a heterotrimeric complex of TbTpr86, TbUsp7 and SkpZ (TUSK) regulates expression levels of a significant cohort of trypanosome surface proteins mediating coordination between TMD and GPI-anchored protein expression levels.

蛋白质水平的控制对于维持细胞稳态、协调分化过程中的变化和其他作用至关重要。在非洲锥虫中,表面蛋白有助于免疫逃避、药物敏感性和环境感知。锥虫表面主要由gpi锚定的变体表面糖蛋白主导,但其他gpi锚定和跨膜结构域蛋白存在,已知其作为营养受体和信号转导器的作用。在锥虫中,进化上保守的Usp7和Vdu1的去泛素酶同源物调节许多表面蛋白的丰富度,包括在免疫逃避和药物敏感性中起作用的不变性表面糖蛋白。在这里,我们确定了多个锥虫Skp1平行体,特别是一个发散平行体SkpZ。亲和分离和LCMSMS表明,SkpZ与TbUsp7和TbTpr86形成异三聚体复合物,TbTpr86是一种四肽重复蛋白。SkpZ的沉默降低了TbUsp7和TbTpr86的丰度,证实了两者之间的直接关联。此外,SkpZ敲低降低了多个跨膜结构域(TMD)蛋白的丰度,但增加了gpi锚定的表面蛋白水平。因此,TbTpr86、TbUsp7和SkpZ的异源三聚体复合体(TUSK)调节了一系列重要的锥虫表面蛋白的表达水平,介导了TMD和gpi锚定蛋白表达水平之间的协调。
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引用次数: 0
Molecular detection and quantification of Plasmodium vivax DNA in blood pellet and plasma samples from patients in Senegal. 塞内加尔患者血颗粒和血浆样本中间日疟原虫DNA的分子检测和定量
Pub Date : 2023-04-24 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1149738
Babacar Souleymane Sambe, Aissatou Diagne, Hélène Ataume Mawounge Diatta, Folly Mawulolo Gaba, Ibrahima Sarr, Arona Sabène Diatta, Serigne Ousmane Mbacké Diaw, Rokhaya Sané, Babacar Diouf, Inès Vigan-Womas, Babacar Mbengue, Makhtar Niang

Background: The first discovery of Plasmodium vivax infections in Senegal used archived patients' sera in place of blood pellet, the preferred specimen for the molecular diagnosis of Plasmodium species. The present study assessed the reliability of detecting P. vivax DNA in plasma in comparison to blood pellet from the same patient's samples.

Methods: A total of 616 blood samples obtained from febrile patients living in Kolda (2015 and 2020), Tambacounda (2017 and 2020), and Kedougou (2020) regions in Senegal, were first screened for Plasmodium species composition by 18S ssrRNA-based nested PCR. Paired blood pellets and plasma samples were selected from a subset of 50 P. vivax-positive patients matched by age and sex with 50 P. vivax-negative patients, and subjected to a cytochrome b-based qPCR to compare the detection and quantification of P. vivax genomic DNA between the two specimen types.

Results and discussion: The study reports 1.8% and 14.77% of single and mixed P. vivax infections in the study population, and a high concordance (84%) between the qPCR detection of P. vivax genomic DNA from paired blood pellets and plasma samples. Importantly, all P. vivax negative samples from the blood pellets were also confirmed plasma-negative, and parasitaemia in blood pellets was higher compared to plasma samples. The results support investigations of P. vivax infections in archived sera or plasma collections with a high degree of confidence to generate additional data on the neglected P. vivax malaria, and ultimately guide strategies to control the disease.

塞内加尔首次发现间日疟原虫感染病例时,使用的是存档患者的血清,而不是用于疟原虫分子诊断的首选标本血颗粒。目前的研究评估了在血浆中检测间日疟原虫DNA的可靠性,并将其与来自同一患者样本的血液颗粒进行了比较。方法采集塞内加尔Kolda(2015年和2020年)、Tambacounda(2017年和2020年)和Kedougou(2020年)地区发热患者血样616份,采用基于18S ssrrna的巢式PCR方法筛选疟原虫种类组成。从年龄和性别匹配的50例间日疟原虫阳性患者和50例间日疟原虫阴性患者中选择配对的血粒和血浆样本,并进行基于细胞色素b的qPCR,比较两种标本类型间间日疟原虫基因组DNA的检测和定量。该研究报告了研究人群中1.8%和14.77%的单一间日疟原虫感染和混合间日疟原虫感染,配对血粒和血浆样本的间日疟原虫基因组DNA qPCR检测结果高度一致(84%)。重要的是,所有来自血球的间日疟原虫阴性样本也被证实为血浆阴性,血球中的寄生虫血症高于血浆样本。这些结果支持对存档的血清或血浆标本中的间日疟原虫感染进行调查,具有高度的可信度,从而产生关于被忽视的间日疟原虫疟疾的额外数据,并最终指导控制该疾病的战略。
{"title":"Molecular detection and quantification of <i>Plasmodium vivax</i> DNA in blood pellet and plasma samples from patients in Senegal.","authors":"Babacar Souleymane Sambe, Aissatou Diagne, Hélène Ataume Mawounge Diatta, Folly Mawulolo Gaba, Ibrahima Sarr, Arona Sabène Diatta, Serigne Ousmane Mbacké Diaw, Rokhaya Sané, Babacar Diouf, Inès Vigan-Womas, Babacar Mbengue, Makhtar Niang","doi":"10.3389/fpara.2023.1149738","DOIUrl":"10.3389/fpara.2023.1149738","url":null,"abstract":"<p><strong>Background: </strong>The first discovery of <i>Plasmodium vivax</i> infections in Senegal used archived patients' sera in place of blood pellet, the preferred specimen for the molecular diagnosis of <i>Plasmodium</i> species. The present study assessed the reliability of detecting <i>P. vivax</i> DNA in plasma in comparison to blood pellet from the same patient's samples.</p><p><strong>Methods: </strong>A total of 616 blood samples obtained from febrile patients living in Kolda (2015 and 2020), Tambacounda (2017 and 2020), and Kedougou (2020) regions in Senegal, were first screened for <i>Plasmodium</i> species composition by 18S ssrRNA-based nested PCR. Paired blood pellets and plasma samples were selected from a subset of 50 <i>P. vivax</i>-positive patients matched by age and sex with 50 <i>P. vivax</i>-negative patients, and subjected to a cytochrome b-based qPCR to compare the detection and quantification of <i>P. vivax</i> genomic DNA between the two specimen types.</p><p><strong>Results and discussion: </strong>The study reports 1.8% and 14.77% of single and mixed <i>P. vivax</i> infections in the study population, and a high concordance (84%) between the qPCR detection of <i>P. vivax</i> genomic DNA from paired blood pellets and plasma samples. Importantly, all <i>P. vivax</i> negative samples from the blood pellets were also confirmed plasma-negative, and parasitaemia in blood pellets was higher compared to plasma samples. The results support investigations of <i>P. vivax</i> infections in archived sera or plasma collections with a high degree of confidence to generate additional data on the neglected <i>P. vivax</i> malaria, and ultimately guide strategies to control the disease.</p>","PeriodicalId":73098,"journal":{"name":"Frontiers in parasitology","volume":" ","pages":"1149738"},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43470739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An integral approach to address Chagas disease. 解决恰加斯病的综合办法
Pub Date : 2023-04-05 eCollection Date: 2023-01-01 DOI: 10.3389/fpara.2023.1114563
Marina Gold, Maria Julia Hermida

Chagas is a zoonotic disease conditioned by the need to eliminate or control the vector in human settlements before targeting infected individuals. Simultaneously it is necessary to raise awareness of health problems generated by chronic Chagas disease (ChD), for people to participate actively in vector control programs that will then enable the implementation of screening, treatment and follow-up strategies. Therefore, it is essential to engage the participation of the community in holistically designed integral programs to address ChD in all its complexity. This Perspective presents the case of Chagas management programs in the Department of General Taboada, Province of Santiago del Estero, Argentina, to showcase a possible strategy in vector control, diagnosis and treatment programs that integrate ChD into the local public health system and engage community participation. Through this Perspective we argue for the importance of the contribution of social science methodologies and epistemologies in the process of integrating ChD into the public (and primary) health care system.

恰加斯病是一种人畜共患疾病,在针对受感染个体之前,需要消除或控制人类住区中的病媒。同时,有必要提高对慢性恰加斯病造成的健康问题的认识,使人们积极参与病媒控制规划,从而能够实施筛查、治疗和后续战略。因此,有必要让社区参与到整体设计的综合方案中,以解决所有复杂的冠心病问题。本展望报告介绍了阿根廷圣地亚哥德尔埃斯特罗省塔博阿达将军省恰加斯病管理规划的案例,以展示病媒控制、诊断和治疗规划中的可能战略,将冠心病纳入当地公共卫生系统并吸引社区参与。通过这一视角,我们论证了社会科学方法和认识论在将冠心病纳入公共(和初级)卫生保健系统过程中的重要性。
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引用次数: 0
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Frontiers in parasitology
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