尼日利亚索科托州人类隐孢子虫的血清学和分子特征

M. Saulawa, A. Magaji, AI Musawa, K. Ibrahim, H. Saulawa, ZM Ahmad, M. Mohammed
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摘要

隐孢子虫是世界上人类胃肠道感染最常见的原因之一。本研究旨在利用18S rRNA基因对人类隐孢子虫进行鉴定。使用隐孢子虫抗原copro elisa试剂盒筛选的368份人粪便标本中,61份(16.6%)呈阳性。阳性粪便标本采用巢式PCR扩增830 bp的小亚单位(SSU) rRNA基因片段并进行核苷酸测序。61份coproelisa阳性样本中,5份(8.2%)隐孢子虫PCR阳性,其中3份(4.9%)为小隐孢子虫,2份(3.3%)为人源隐孢子虫。在2例HIV患者中发现了细小梭菌和人型梭菌,在高血压和腹泻患者中也分别发现了细小梭菌和人型梭菌。根据对每个受试者使用的封闭式问卷收集的数据,隐孢子虫在幼儿(11.1%)、男性(8.7%)、松散粪便(42.9%)中的患病率高于年长年龄组(8.7%)、女性(7.9%)和成形良好的粪便(3.1%)或粘液/糊状粪便(0%)。本研究首次报道了尼日利亚西北部索科托州的细小C.和人原C.感染人类的情况。建议对发展中国家隐孢子虫物种进行多位点研究,以确定隐孢子虫在人群中的传播程度。
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Serological and molecular characterization of Cryptosporidium species from humans in Sokoto State, Nigeria
Cryptosporidium species are one of the most common causes of gastrointestinal infection in humans around the world. This study aimed at the characterization of Cryptosporidium species in humans using the 18S rRNA gene. Among the 368 human faecal samples screened using Cryptosporidium antigen Copro-ELISA kit, 61 (16.6%) were positive. The positive faecal samples were subjected to Nested PCR for the amplification of 830 bp fragments of small subunit (SSU) rRNA gene and followed by nucleotide sequencing. Out of the 61 copro-ELISA positive samples, 5 (8.2%) were PCR positive for Cryptosporidium species (3 (4.9%) of C. parvum and 2 (3.3%) of C. hominis). Two HIV patients were found to be harbouring C. parvum and C. hominis, so also as hypertensive and diarrheic patients harbouring C. parvum and C. hominis, respectively. Higher prevalence rates of Cryptosporidium was found in young children (11.1%), males (8.7%), loose faeces (42.9%) than older age groups (8.7%), females (7.9%) and well-formed (3.1%) or mucoid/pasty faeces (0%) based on the data gathered from the close-ended questionnaire also used on each human subject. This study was the first to report C. parvum and C. hominis infecting humans in Sokoto state, Northwestern Nigeria. It is suggested that a multi-locus study of Cryptosporidium species in developing countries would be necessary to determine the extent of transmission of Cryptosporidium in the populations.
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