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The role of protists, nematodes and mites as natural control agents of sandfly populations 原生动物、线虫和螨虫作为沙蝇种群自然控制剂的作用
Pub Date : 2024-03-28 DOI: 10.3389/fitd.2024.1369007
Slavica Vaselek
The Phlebotomine sandflies (Diptera, Psychodidae) are hematophagous insects of immense medical and veterinary importance. Since World War II, the intensive use of chemicals to suppress and control sandfly populations resulted in development of insecticide resistance and resurgence among the sandfly populations worldwide. The use of chemicals also negatively impacted diverse non-target organisms, overall agroecosystem, crop productivity, human health etc. Due to the multiple adverse effects of the chemical compounds, more eco-friendly approaches have been evaluated. The application of entomopathogenic organisms such as nematodes, protists or mites as biocontrol agents has been vastly explored and applied in the field of forestry and agriculture. In comparison, only a little attention was given to blood-sucking insects such as sandflies. This review summarizes the findings related to the detection and use of entomopathogenic protists, nematodes, and mites in the field of biological control of sandflies. It highlights the potential of these organisms to be further explored and used for biocontrol of immature and adult stages of sandflies.
沙蝇(双翅目,Psychodidae)是一种食血昆虫,在医学和兽医学方面具有重要意义。自第二次世界大战以来,大量使用化学品来抑制和控制沙蝇种群,导致世界各地的沙蝇对杀虫剂产生抗药性并死灰复燃。化学品的使用还对各种非目标生物、整个农业生态系统、作物生产力和人类健康等产生了负面影响。鉴于化学物质的多种不利影响,人们开始评估更环保的方法。在林业和农业领域,线虫、原生动物或螨虫等昆虫病原生物作为生物控制剂的应用得到了广泛的探索和应用。相比之下,人们对沙蝇等吸血昆虫的关注却很少。本综述总结了在沙蝇生物防治领域检测和使用昆虫病原菌、线虫和螨虫的相关发现。它强调了这些生物在沙蝇未成熟期和成虫期生物防治方面有待进一步探索和利用的潜力。
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引用次数: 0
Eliminating invisible deaths: the woeful state of global rabies data and its impact on progress towards 2030 sustainable development goals for neglected tropical diseases 消除无形死亡:全球狂犬病数据的糟糕状况及其对实现 2030 年被忽视热带疾病可持续发展目标的影响
Pub Date : 2024-03-26 DOI: 10.3389/fitd.2024.1303359
Catherine Swedberg, Katrin Bote, Luke Gamble, N. Fénélon, A. King, Ryan M. Wallace
Like other neglected diseases, surveillance data for rabies is insufficient and incompatible with the need to accurately describe the burden of disease. Multiple modeling studies central to estimating global human rabies deaths have been conducted in the last two decades, with results ranging from 14,000 to 74,000 deaths annually. Yet, uncertainty in model parameters, inconsistency in modeling approaches, and discrepancies in data quality per country included in global burden studies have led to recent skepticism about the magnitude of rabies mortality. Lack of data not only limits the efficiency and monitoring of rabies elimination strategies but also severely diminishes abilities to advocate for support from international funding agencies. Meanwhile, the most vulnerable communities continue to suffer from deaths that could have been prevented through more robust reporting. The Zero by 30 global strategy to eliminate dog-mediated human rabies by 2030 recommends endemic countries adopt the intersectoral approach, Integrated Bite Case Management (IBCM), as a cost-effective method to enhance surveillance. However, effective implementation of IBCM is impeded by challenges such as limited capacity, resources, knowledge, skills, and attitudes toward compliance. To address this, the World Health Organization and United Against Rabies Forum have developed several open-access tools to guide national control programs in strong data collection practices, and online data repositories to pragmatically streamline reporting and encourage data sharing. Here, we discuss how current and future initiatives can be best employed to improve the implementation of existing surveillance tools and prioritization of effective data reporting/sharing to optimize progress toward 2030 elimination.
与其他被忽视的疾病一样,狂犬病的监测数据不足,无法满足准确描述疾病负担的需要。在过去二十年中,已经开展了多项模型研究,这些研究的核心是估算全球人类狂犬病死亡人数,研究结果从每年 14,000 例死亡到 74,000 例死亡不等。然而,模型参数的不确定性、建模方法的不一致性以及全球负担研究中每个国家数据质量的差异,导致人们最近对狂犬病死亡率的规模持怀疑态度。数据的缺乏不仅限制了消除狂犬病战略的效率和监测工作,也严重削弱了向国际资助机构争取支持的能力。与此同时,最脆弱的社区继续因死亡而受苦,而这些死亡本可以通过更有力的报告来避免。到 2030 年消灭由犬介导的人类狂犬病的 "零到 30 "全球战略建议狂犬病流行国家采用跨部门方法--咬伤病例综合管理 (IBCM),作为加强监测的一种具有成本效益的方法。然而,能力、资源、知识、技能和遵守态度有限等挑战阻碍了综合咬伤病例管理的有效实施。为解决这一问题,世界卫生组织和联合反狂犬病论坛开发了几种开放存取工具,以指导国家控制项目采取有力的数据收集措施,并开发了在线数据存储库,以切实简化报告程序并鼓励数据共享。在此,我们将讨论如何更好地利用当前和未来的倡议,改进现有监测工具的实施,并优先考虑有效的数据报告/共享,以优化实现 2030 年消灭狂犬病的进展。
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引用次数: 0
Case report: Imported asymptomatic schistosomiasis among Belgian school travelers to Rwanda 病例报告:前往卢旺达的比利时学校旅行者感染了无症状血吸虫病
Pub Date : 2024-03-20 DOI: 10.3389/fitd.2024.1354031
Silvio Wallemacq, Ahalieyah Anantharajah, Pamela Baldin, J. Yombi, J. de Greef, L. Belkhir
Schistosomiasis is common in many tropical regions and poses a risk for the local population and travelers. In travelers, most of schistosomiasis are described as acute. We report the epidemiological, clinical, and laboratory characteristics associated with an outbreak of asymptomatic schistosomiasis among nonimmune Belgian school travelers in Rwanda. Schistosomiasis was diagnosed by serology in 12 out of the 15 (80%) travelers who swam in the lake nearly 2 years after a single exposure to freshwater at Kivu Lake, Rwanda. None showed signs of acute or chronic schistosomiasis. Eosinophilia was present in only 1 of them. Schistosoma mansoni eggs were not found in any infected patient. This report of an outbreak of asymptomatic schistosomiasis imported from Lake Kivu highlights the risk for travelers of acquiring the infection with only a short and single exposure, and provides strong arguments for routine serological screening for schistosomiasis in all individuals who have had any freshwater contact in endemic areas, irrespective of symptoms or laboratory findings.
血吸虫病在许多热带地区都很常见,对当地居民和旅行者都构成威胁。在旅行者中,大多数血吸虫病被描述为急性血吸虫病。我们报告了在卢旺达非免疫比利时学校旅行者中爆发的无症状血吸虫病的相关流行病学、临床和实验室特征。在卢旺达基伍湖的淡水中游泳的 15 名游客中,有 12 人(80%)在一次接触淡水近 2 年后通过血清学诊断出血吸虫病。没有人出现急性或慢性血吸虫病症状。其中只有 1 人出现嗜酸性粒细胞增多。在所有感染者体内均未发现曼氏血吸虫虫卵。这起从基伍湖传入的无症状血吸虫病疫情报告凸显了旅行者仅通过短时间和单一接触就感染血吸虫病的风险,并为在血吸虫病流行地区接触过淡水的所有人,无论是否出现症状或实验室检查结果如何,都要进行血吸虫病血清学常规筛查提供了有力论据。
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引用次数: 0
Overview of microbial studies in sandflies and their progress toward development of paratransgenic approach for the control of Leishmania sp. 沙蝇微生物研究概述及其在开发用于控制利什曼原虫的准转基因方法方面取得的进展
Pub Date : 2024-03-19 DOI: 10.3389/fitd.2024.1369077
Slavica Vaselek
During their whole life insects are exposed to the impact of different microbes from various sources. The role of microbes in the life of insects is of immense importance, and there is an ample of evidence showing that microbes can affect different aspects of insect physiology, behaviors as well as their potential and capacity to transmit pathogens. Sandflies are main vectors of Leishmania parasites – causative agent of leishmaniasis. Leishmaniasis is a difficult, disfiguring and if not treated deadly disease ranked among the top 10 neglected tropical diseases. In comparison to other medically and veterinary important insect vectors where microbial investigations already progressed toward field studies and practical application of paratransgenic approach, in the field of sandflies and leishmaniasis control microbial investigations are at their beginning. This mini review provides a summary of the key moments in the overall microbial studies in sandflies and highlights the urgency of detailed microbial investigations to progress toward the development of paratransgenic approach.
在昆虫的一生中,它们会受到来自不同来源的不同微生物的影响。微生物在昆虫生活中的作用极为重要,大量证据表明,微生物会影响昆虫生理、行为以及传播病原体的潜力和能力等不同方面。沙蝇是利什曼病病原体利什曼寄生虫的主要传播媒介。利什曼病是一种难治、毁容的致命疾病,如果不加以治疗,将被列为十大被忽视的热带疾病之一。与其他重要的医学和兽医学昆虫媒介相比,沙蝇和利什曼病控制领域的微生物研究还处于起步阶段。这篇微型综述总结了整个沙蝇微生物研究的关键时刻,并强调了进行详细微生物研究以推动准转基因方法发展的紧迫性。
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引用次数: 0
Bacteria associated with Parthenium hysterophorus root exudate influence olfactory oviposition responses of Anopheles gambiae 与金鸡菊根渗出物有关的细菌影响冈比亚按蚊的嗅觉产卵反应
Pub Date : 2024-03-18 DOI: 10.3389/fitd.2024.1359774
T. Milugo, B. Torto, D. Tchouassi
Previously, we documented that the malaria vector Anopheles gambiae responds to volatile emissions from the root exudate water of the invasive plant, Parthenium hysterophorus. However, the origin of the volatiles remains to be investigated. Here, we isolated bacteria from the root exudate water of the plant, test the influence of their volatiles in gravid An. gambiae oviposition, and examined relationships between volatile profiles and oviposition.Bacteria from root exudate water of P. hysterophorus were isolated using culture on Luria Bertani medium and identified by sequencing the 16S rRNA gene. Cultures of individual isolates were evaluated for egg laying response by gravid An. gambiae and number of eggs laid compared using generalized linear models relative to those in crude bacteria-mixture. Headspace volatile emissions of the bacterial isolates were analyzed by gas chromatography coupled to mass spectrometry (GC-MS) and relationships between volatile organic compound (VOC) profiles and gravid mosquito oviposition examined using Random Forest Analysis. Proximate analysis was performed to assess the difference in volatile chemistry among the different isolates.Three isolates were identified as Gram-negative bacteria belonging to two families: Enterobacteriaceae (Enterobacter sp. and Enterobacter mori) and Alcaligenaceae (Alcaligens aquatilis). An. gambiae laid 3-fold more eggs in cultures of A. aquatilis than in those of Enterobacter sp. In turn, approx. 4-fold more eggs were laid in cultures of E. mori than A. aquatilis. Overall, 16 VOCs were identified in the headspace of the isolates belonging to the chemical classes benzenoids, pyrazines, aldehydes, terpenes, alcohols, alkanes, and indoles. Random Forest Analysis identified 10 compounds contributing the most to the attraction of odors of the bacteria isolates to oviposition. Specifically, dodecane and indole were emitted in higher amounts in odors of Enterobacter sp than the other two species. Proximate analysis revealed differential attraction of the isolates on the gravid mosquito to be associated with their volatile profiles.Our results provide first report of E. mori or A. aquatilis mediating attractive oviposition responses in An. gambiae in support of the important role microbes play in insect oviposition. The potential use of the microbes and associated volatiles in malaria vector management needs further investigation.
此前,我们记录了疟疾病媒冈比亚按蚊对入侵植物 Parthenium hysterophorus 根部渗出水中的挥发性物质的反应。然而,这些挥发性物质的来源仍有待研究。在此,我们从该植物的根部渗出水中分离了细菌,测试了其挥发性物质对雌性冈比亚虫产卵的影响,并研究了挥发性物质与产卵之间的关系。利用广义线性模型对单个分离菌的培养物进行评估,以确定其对雌性冈比亚鳗的产卵反应和产卵数,并与粗菌混合物中的产卵数进行比较。利用气相色谱-质谱联用技术(GC-MS)分析了细菌分离物的顶空挥发性排放物,并利用随机森林分析法研究了挥发性有机化合物(VOC)特征与雌蚊产卵之间的关系。为评估不同分离物之间挥发性化学成分的差异,进行了近似分析:三个分离物被鉴定为革兰氏阴性菌,属于两个科:肠杆菌科(Enterobacter sp.和Enterobacter mori)和Alcaligenaceae(Alcaligens aquatilis)。冈比亚蚂蚁在水生弧菌培养物中产卵量是在肠杆菌培养物中产卵量的 3 倍,而在森氏弧菌培养物中产卵量是在水生弧菌培养物中产卵量的约 4 倍。总体而言,在分离物的顶空气中发现了 16 种挥发性有机化合物,分别属于苯类、吡嗪类、醛类、萜类、醇类、烷类和吲哚类。随机森林分析确定了 10 种化合物对细菌分离物气味对产卵的吸引力贡献最大。具体来说,十二烷和吲哚在肠杆菌气味中的释放量高于其他两个物种。我们的研究结果首次报道了肠杆菌和水蚤介导了冈比亚疟蚊诱人的产卵反应,证明了微生物在昆虫产卵中的重要作用。这些微生物和相关挥发物在疟疾病媒管理中的潜在用途还需要进一步研究。
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引用次数: 0
Assessing the performance of five adult mosquito sampling methods for malaria vector surveillance in various ecosystems in Cameroon 评估喀麦隆不同生态系统中用于疟疾病媒监测的五种成蚊采样方法的性能
Pub Date : 2024-03-13 DOI: 10.3389/fitd.2024.1235146
P. Nwane, Michael Piameu, Yannick Niamsi Emalio, W. Ekoko, S. Mandeng, L. R. Mbakop, Salomon Patchoké, J. Toto, L. D. Alenou, Elisabeth Ngo Bikoi, Hugues Onguina, Narcisse Nvondo, R. Mimpfoundi, R. Tabue, J. Bigoga, E. Fondjo, P. Awono-ambene, J. Etang
Many sampling methods are used for entomological surveillance of vector borne diseases. This paper, evaluated the performance of five methods with regard to various ecosystems encountered in Cameroon. Two entomological databases generated during two study periods were examined: 2011-2014 in the North Region, and 2018-2019 in the Centre Region. Mosquitoes were collected using the (Human Landing Catches) (HLC) and four alternative methods including Clay Pots (CPs), Pyrethroid Spray Catches (PSCs), Window Exit Traps (WETs) and Centers for Disease Control-Light Traps (CDC-LTs) for which the performance was assessed in this study.A total of 29 anopheline species were identified from samples collected during the two study periods. All these anopheline species were found in North Region, with 5 species being the most abundant and prévalent, i.e. An. gambiae s.l, An. funestus, An. rufipes, An. paludis and An. pharoensis. In the Centre Region, only five species including An. gambiae s.l, An. funestus, An. coustani, An. ziemanni and An. paludis were recorded. Among these, An. gambiae s.l was the most abundant and prevalent species. Data confirmed HLC as the best in sampling outdoor and indoor mosquitoes in the surveyed HDs. The alternative methods showed variable records regarding the species richness. Based on the number of mosquitoes collected, CP was an alternative to HLC for outdoor collections in Garoua and Pitoa HDs, while WET was an alternative in Mayo Oulo HD. In the Centre Region, CDC-LT was an alternative to HLC for indoor collections in Ekié and Nkolbisson HDs, while PSC proved to be the best alternative in Nkolondom HD. Regarding the species richness WET appeared as an alternative to HLC in sampling outdoor mosquitoes in Garoua and Mayo Oulo HDs, while CP was the best alternative in Pitoa HD. In the Centre Region, CDC-LT was an alternative for outdoor and indoor collections in Nkolbisson HD, and the best alternative for outdoor collections in Ekie HD. The current study revealed variable performance of the five tested adult mosquito collection methods across the prospected HDs in North and Centre Regions of Cameroon. Further investigations will be conducted on other collection methods, e.g., aspiration, mosquito electrocuting grid trap, ovitraps and human-baited double net trap.
病媒传播疾病的昆虫学监测使用了许多取样方法。本文评估了五种方法在喀麦隆各种生态系统中的表现。本文研究了在两个研究期间生成的两个昆虫学数据库:2011-2014 年在北部大区,2018-2019 年在中部大区。本研究使用人类着陆捕捉器(HLC)和四种替代方法收集蚊子,包括粘土罐(CPs)、拟除虫菊酯喷雾捕捉器(PSCs)、窗口出口诱捕器(WETs)和疾病控制中心-灯光诱捕器(CDC-LTs),并对这些方法的性能进行了评估。所有这些疟原虫种类都出现在北部地区,其中 5 种疟原虫种类最多且最普遍,即冈比亚疟原虫(An. gambiae s.l)、疟原虫(An. funestus)、疟原虫(An. rufipes)、疟原虫(An. paludis)和疟原虫(An. pharoensis)。在中部地区,只记录到五个物种,包括 An. gambiae s.l、An. funestus、An. coustani、An. ziemanni 和 An. paludis。其中,An. gambiae s.l.是数量最多和最普遍的物种。数据证实,在调查的房屋署中,以高频荧光法采集室外和室内蚊子样本效果最佳。其他方法在物种丰富度方面的记录各不相同。根据采集到的蚊子数量,在加鲁阿和皮托阿人类发展区,CP 是室外采集 HLC 的替代方法,而在马约乌洛人类发展区,WET 是替代方法。在中部地区,在 Ekié 和 Nkolbisson HDs 的室内采集中,CDC-LT 是 HLC 的替代品,而在 Nkolondom HDs,PSC 被证明是最佳替代品。在物种丰富度方面,在加鲁阿和 Mayo Oulo 人类发展区,WET 可替代 HLC 进行室外蚊子采样,而在 Pitoa 人类发展区,CP 是最佳选择。在中部地区,CDC-LT 是 Nkolbisson HD 室外和室内采集的替代方法,是 Ekie HD 室外采集的最佳替代方法。目前的研究表明,在喀麦隆北部和中部地区的疑似人类发展区,五种经过测试的成蚊收集方法性能各异。还将对其他收集方法进行进一步调查,如抽吸法、蚊子电击网格诱捕器、椭圆形诱捕器和人诱双网诱捕器。
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引用次数: 0
Neglected infectious diseases in the Americas: current situation and perspectives for the control and elimination by 2030 美洲被忽视的传染病:现状及到 2030 年控制和消除这些疾病的前景
Pub Date : 2024-03-13 DOI: 10.3389/fitd.2024.1326512
M. Saboyá-Díaz, A. N. S. Maia-Elkhoury, A. Luciañez, Samantha Y. O. B. Valadas, Ronaldo Guilherme Carvaho-Scholte, R. Nicholls, Marco A Vigilato, Luis Gerardo Castellanos, Marcos A. Espinal
Neglected infectious diseases (NID) are a diverse group of conditions including more than 20 parasitic, bacterial, and fungal diseases, and envenoming by poisonous animals. Their risk factors include poverty, income inequality, lack of access to safe drinking water and proper sanitation, and barriers to education and health services, among other social determinants of health. They impose a large burden on marginalized populations globally and in the region of the Americas, including women and ethnic minorities. The region of the Americas has a track record of elimination of communicable diseases and countries have made significant progress in the elimination of NID in recent years. Between 2011 and 2020, one country eliminated trachoma, four eliminated onchocerciasis, one eliminated human rabies transmitted by dogs, and three were declared free of lymphatic filariasis. The COVID-19 pandemic impacted the continuity of actions to eliminate NID and there are challenges in controlling and eliminating NID, particularly in vulnerable and hard-to-reach populations with issues in accessing health services. There are still difficulties in the coordination between health and other sectors to work together on the socioeconomic and environmental determinants of NID. Forwarding the elimination of NID in the Americas involves continuous advocacy and resource mobilization at various levels (international, regional, national, and subnational), ensuring sufficient allocation of human and financial resources, access to essential health supplies, and implementing people-centered services. It also entails engaging and empowering civil society, communities, local governments, and public-private partnerships, while collaborating with stakeholders and donors for effective action.
被忽视的传染病(NID)种类繁多,包括 20 多种寄生虫病、细菌病和真菌病,以及有毒动物致病。这些疾病的风险因素包括贫困、收入不平等、缺乏安全饮用水和适当的卫生设施、获得教育和医疗服务的障碍,以及其他影响健康的社会决定因素。它们给全球和美洲地区的边缘化人口,包括妇女和少数民族带来了沉重负担。美洲地区在消除传染病方面有着良好的记录,近年来各国在消除非传染性疾病方面取得了显著进展。2011 年至 2020 年期间,一个国家消灭了沙眼,四个国家消灭了盘尾丝虫病,一个国家消灭了由狗传播的人类狂犬病,三个国家宣布消灭了淋巴丝虫病。COVID-19 大流行影响了消除非传染性疾病行动的连续性,在控制和消除非传染性疾病方面存在挑战,特别是在难以获得医疗服务的弱势和难以接触到的人群中。卫生部门与其他部门在协调合作消除非传染性疾病的社会经济和环境决定因素方面仍然存在困难。要在美洲消除非传染性疾病,就必须在各级(国际、区域、国家和国家以下各级)持续开展宣传和资源调动工作,确保分配充足的人力和财政资源,提供基本保健用品,并实施以人为本的服务。这还需要让民间社会、社区、地方政府和公私伙伴关系参与进来并增强其能力,同时与利益攸关方和捐助方合作采取有效行动。
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引用次数: 0
Editorial: 2022 in review: vector biology 社论:2022 年回顾:载体生物学
Pub Date : 2024-03-12 DOI: 10.3389/fitd.2024.1387092
D. Tchouassi, Janet Midega, B. Torto
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引用次数: 0
Detection of the infective Plasmodium falciparum gametocytes by RT-qPCR assay from a malaria-endemic region of Northeastern India 通过 RT-qPCR 法检测印度东北部疟疾流行地区的感染性恶性疟原虫配子体细胞
Pub Date : 2024-03-08 DOI: 10.3389/fitd.2024.1366462
Ram Das, K. Vashisht, Lokesh Kori, Kuldeep Singh, Gaurav Kumar, Izazul Hasan, Jugal Gam, K. Pandey
The diagnosis of infectious reservoirs in malaria (gametocytes) is necessary, especially in low-density infections and asymptomatic malaria patients. The gametocyte stage is a surrogate marker for infection of P. falciparum malaria in healthy individuals. The early detection of infectious gametocytes and treatment will strengthen our efforts in curbing transmission. The nested PCR and real-time quantitative PCR (RT-qPCR) methods have been demonstrated for the diagnosis of infectious gametocyte reservoirs. In this study, RDT, blood smear microscopy, and nested-PCR were used for the detection of P. falciparum and P. vivax, and compared with RT-qPCR detection of Pfg27 gametocyte biomarker gene.In the present cross-sectional study, 356 human blood samples were collected from endemic areas of Kokrajhar Assam (asymptomatic and symptomatic malaria patients) for malaria diagnosis.A total of 8.42%(30/356) incidence of malaria was observed. Malaria patients were observed to be both symptomatic, 80%(24/30; 13Pf+11Pv), and asymptomatic, 20%(6 (4Pf +2Pv)). More than 64%(11/17) of Pf and 92.3%(12/13) of Pv infections were observed in children and the adolescent population (age <20 years) by RDT, microscopy, nested PCR, and RT-qPCR methods. The prevalence of Pf infection was 4.77%(17/356) by RT-qPCR method. Of 16 the Pf positive samples 81.25%(13/16) were symptomatic and 18.75%(3/16) were asymptomatic. One asymptomatic individual was found positive for Pf infection by the RT-qPCR method.The findings from this research study revealed that the routine microscopy and RDT methods are insufficient for detecting all asymptomatic malaria and gametocyte infectious reservoirs. The early detection of infectious P. falciparum gametocytes and the treatment of patients will be helpful in preventing the transmission of malaria.
有必要对疟疾的传染源(配子体)进行诊断,尤其是在低密度感染和无症状疟疾患者中。配子体阶段是健康人感染恶性疟原虫疟疾的替代标志。及早检测出感染性配子体细胞并进行治疗将加强我们遏制传播的努力。巢式 PCR 和实时定量 PCR(RT-qPCR)方法已被证明可用于诊断传染性配子体库。在本横断面研究中,从科克拉哈尔-阿萨姆邦的疟疾流行区采集了 356 份人体血液样本(无症状和有症状的疟疾患者)进行疟疾诊断。疟疾患者中,有症状的占 80%(24/30;13Pf+11Pv),无症状的占 20%(6(4Pf +2Pv))。通过 RDT、显微镜、巢式 PCR 和 RT-qPCR 方法,在儿童和青少年人群(年龄小于 20 岁)中观察到超过 64%(11/17) 的 Pf 感染和 92.3%(12/13) 的 Pv 感染。通过 RT-qPCR 方法,Pf 感染率为 4.77%(17/356)。在 16 份 Pf 阳性样本中,81.25%(13/16)有症状,18.75%(3/16)无症状。这项研究的结果表明,常规的显微镜检查和 RDT 方法不足以检测所有无症状的疟疾和配子体感染库。早期检测出感染性恶性疟原虫配子体细胞并对患者进行治疗将有助于预防疟疾的传播。
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引用次数: 0
Plasma metabolite profiling for S. haematobium biomarkers of infection in pre-school aged children in Shamva District, Zimbabwe 对津巴布韦沙姆瓦地区学龄前儿童血浆代谢物进行分析,寻找血吸虫感染的生物标志物
Pub Date : 2024-03-06 DOI: 10.3389/fitd.2024.1358514
H. Midzi, T. Naicker, A. Vengesai, Emilia T. Choto, Petros Muchesa, Maritha Kasambala, T. Mduluza-Jokonya, Victor Muleya, Elliot Nyagumbo, Donald Tafirenyika Kapanga, Lucy Mabaya, F. Mutapi, T. Mduluza
Metabolomics approaches are indispensable tools in infection biomarker discovery efforts as they shed light on the underlying pathophysiological mechanisms of disease. In this study, we analysed plasma metabolites that can be used as biomarkers of urogenital schistosomiasis in pre-school aged children below the age of five.A case-control study was conducted involving 82 pre-school aged children that were age- and sex-matched. Urine samples were collected for three consecutive days to detect S. haematobium infection using urine filtration. Blood samples were also collected and processed to obtain plasma. Beckman Coulter AU480 chemistry analyser and commercial metabolite kits were used for profiling biomarkers in plasma samples. Descriptive statistics and MetaboAnalyst tool, were used for metabolite analysis. For the determination of diagnostic efficiency of plasma biomarkers, the area under the curve (AUC) was calculated from receiver operating characteristic curves at 95% CI.Succinic acid, glucose-6-phosphate, phosphatidylcholine, alanine and creatinine levels in plasma were significantly associated with urogenital schistosomiasis (p<0.005) at the population level. Significant increase in concentration at 1.5-fold change (FC) threshold was highest for glucose-6-phosphate with FC value of 2.02 followed by creatinine, albumin and phosphatidylcholine. Creatinine was significantly downregulated with a FC value of 1.98. Of the six dysregulated metabolic pathways, glucose and sucrose metabolism were predominantly affected. Glucose-6-phosphate had the highest AUC (0.81), sensitivity (88.85%) and specificity (90.37%). Phosphatidylcholine and succinic acid also had AUC values greater than 0.7.Urogenital schistosomiasis affects the energy-related metabolic pathways in pre-school aged children. Glucose-6-phosphate was identified as a potential indicator of infection at the population level. Furthermore, we recommend intensive validation of schistosome metabolite biomarkers.
代谢组学方法是发现感染生物标志物不可或缺的工具,因为它们能揭示疾病的潜在病理生理机制。在本研究中,我们分析了可用作五岁以下学龄前儿童尿路血吸虫病生物标志物的血浆代谢物。研究人员连续三天采集尿液样本,利用尿液过滤法检测血吸虫感染情况。此外,还采集并处理了血液样本以获得血浆。使用贝克曼库尔特 AU480 化学分析仪和商用代谢物试剂盒分析血浆样本中的生物标志物。代谢物分析使用了描述性统计和 MetaboAnalyst 工具。在人群水平上,血浆中的琥珀酸、6-磷酸葡萄糖、磷脂酰胆碱、丙氨酸和肌酐水平与尿路血吸虫病有显著相关性(p<0.005)。在 1.5 倍变化(FC)阈值下,葡萄糖-6-磷酸的浓度增幅最大,FC 值为 2.02,其次是肌酐、白蛋白和磷脂酰胆碱。肌酐明显下调,FC 值为 1.98。在六种失调的代谢途径中,葡萄糖和蔗糖代谢主要受到影响。6-磷酸葡萄糖的AUC(0.81)、灵敏度(88.85%)和特异性(90.37%)最高。尿路血吸虫病会影响学龄前儿童与能量有关的代谢途径。6-磷酸葡萄糖被确定为人群感染的潜在指标。此外,我们建议对血吸虫代谢物生物标志物进行深入验证。
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Frontiers in tropical diseases
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