Cryptosporidium

隐孢子虫
  • 文章类型: Journal Article
    Wild rodents serve as reservoirs for Cryptosporidium and are overpopulated globally. However, genetic data regarding Cryptosporidium in these animals from China are limited. Here, we have determined the prevalence and genetic characteristics of Cryptosporidium among 370 wild rodents captured from three distinct locations in the southern region of Zhejiang Province, China. Fresh feces were collected from the rectum of each rodent, and DNA was extracted from them. The rodent species was identified by PCR amplifying the vertebrate cytochrome b gene. Cryptosporidium was detected by PCR amplification and amplicon sequencing the small subunit of ribosomal RNA gene. Positive samples of C. viatorum and C. parvum were further subtyped by analyzing the 60-kDa glycoprotein gene. A positive Cryptosporidium result was found in 7% (26/370) of samples, involving five rodent species: Apodemus agrarius (36), Niviventer niviventer (75), Rattus losea (18), R. norvegicus (155), and R. tanezumi (86). Their respective Cryptosporidium positive rates were 8.3%, 5.3%, 11.1%, 7.1%, and 7.0%. Sequence analysis confirmed the presence of three Cryptosporidium species: C. parvum (4), C. viatorum (1), and C. muris (1), and two genotypes: Cryptosporidium rat genotype IV (16) and C. mortiferum-like (4). Additionally, two subtypes of C. parvum (IIdA15G1 and IIpA19) and one subtype of C. viatorum (XVdA3) were detected. These results demonstrate that various wild rodent species in Zhejiang were concurrently infected with rodent-adapted and zoonotic species/genotypes of Cryptosporidium, indicating that these rodents can play a role in maintaining and dispersing this parasite into the environment and other hosts, including humans.
    UNASSIGNED: Transmission interspécifique de Cryptosporidium chez les rongeurs sauvages de la région sud de la province chinoise du Zhejiang et son impact possible sur la santé publique.
    UNASSIGNED: Les rongeurs sauvages servent de réservoirs à Cryptosporidium et ont des grandes populations à l’échelle mondiale. Cependant, les données génétiques concernant Cryptosporidium chez ces animaux en Chine sont limitées. Ici, nous avons déterminé la prévalence et les caractéristiques génétiques de Cryptosporidium parmi 370 rongeurs sauvages capturés dans trois endroits distincts de la région sud de la province du Zhejiang, en Chine. Des excréments frais ont été collectés dans le rectum de chaque rongeur et l’ADN en a été extrait. L’espèce de rongeur a été identifiée par amplification par PCR du gène du cytochrome b des vertébrés. Cryptosporidium a été détecté par amplification PCR et séquençage d’amplicons de la petite sous-unité du gène de l’ARN ribosomal. Les échantillons positifs de C. viatorum et C. parvum ont ensuite été sous-typés en analysant le gène de la glycoprotéine de 60 kDa. Un résultat positif pour Cryptosporidium a été trouvé dans 7 % (26/370) des échantillons, impliquant cinq espèces de rongeurs : Apodemus agrarius (36), Niviventer niviventer (75), Rattus losea (18), R. norvegicus (155) et R. tanezumi (86). Leurs taux respectifs de positivité pour Cryptosporidium étaient de 8,3 %, 5,3 %, 11,1 %, 7,1 % et 7,0 %. L’analyse des séquences a confirmé la présence de trois espèces de Cryptosporidium : C. parvum (4), C. viatorum (1) et C. muris (1), et de deux génotypes : Cryptosporidium génotype IV de rat (16) et C. mortiferum-like (4). De plus, deux sous-types de C. parvum (IIdA15G1 et IIpA19) et un sous-type de C. viatorum (XVdA3) ont été détectés. Ces résultats démontrent que diverses espèces de rongeurs sauvages du Zhejiang sont simultanément infectées par des espèces/génotypes de Cryptosporidium zoonotiques et adaptés aux rongeurs, ce qui indique que ces rongeurs peuvent jouer un rôle dans le maintien et la dispersion de ce parasite dans l’environnement et d’autres hôtes, y compris les humains.
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  • 文章类型: Journal Article
    隐孢子虫物种,在全世界的人类和动物中引起腹泻疾病,正在日本接受分子流行病学调查。这项研究的重点是检测人类中的隐孢子虫物种,动物,水,和环境,揭示了人类的三个物种:C.parvum,C.meleagridis,还有C.hominis.C.parvumgp60基因的IIa亚型很普遍,表明潜在的人畜共患传播。动物研究确定了16个物种,主要是牛和宠物,C.parvum(亚型IIa)常见于牛,C.canis和C.felis在宠物中普遍存在。此外,在牛和梅花鹿中发现了C.bovis和C.ryanae。存在知识差距,特别是在水和环境来源类型中,有限的研究揭示了五种物种和五种基因型,表明水在传播中的重要作用。需要进一步的研究来了解整个人类的分子多样性和传播动力学,动物,水,以及日本的环境。
    Cryptosporidium species, causing diarrheal illnesses in humans and animals worldwide, are under investigation for their molecular epidemiology in Japan. The study focuses on detecting Cryptosporidium species in humans, animals, water, and the environment, revealing three species in people: C. parvum, C. meleagridis, and C. hominis. Subtype IIa of the C. parvum gp60 gene is prevalent, indicating potential zoonotic transmission. Animal studies identified sixteen species, mainly cattle and pets, with C. parvum (subtype IIa) common in cattle and C. canis and C. felis prevalent in pets. Additionally, C. bovis and C. ryanae were found in cattle and sika deer. Knowledge gaps exist, particularly in water and environmental source typing, with limited research revealing five species and five genotypes, suggesting a significant role of water in transmission. Further research is needed to understand the molecular diversity and transmission dynamics across humans, animals, water, and the environment in Japan.
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  • 文章类型: Journal Article
    原生动物蛋白激酶钙依赖性蛋白激酶1(CDPK1)已成为治疗隐孢子虫病的潜在治疗靶标。对已知激酶抑制剂的集中筛选鉴定了吡啶并嘧啶酮作为小隐孢子虫(Cp)CDPK1抑制剂的新化学型。CpCDPK1与两种代表性人激酶的结构比较,RIPK2和Src,揭示了用于设计有效的基于吡啶并嘧啶酮的CpCDPK1抑制剂7(又名UH15-16,IC50=10nM)的αC-螺旋的定位差异,其在HCT-8宿主细胞中阻断了三种C.parvum菌株(EC50=12-40nM)以及C.hominis(EC50=85nM)的生长。药代动力学和组织分布分析表明,口服给药后7例全身暴露量较低,但是胃肠道浓度很高,以及良好的Caco-2细胞渗透性。最后,图7显示了在急性隐孢子虫病的IL-12敲除小鼠模型中的部分功效。
    The protozoan protein kinase calcium-dependent protein kinase 1 (CDPK1) has emerged as a potential therapeutic target for the treatment of cryptosporidiosis. A focused screen of known kinase inhibitors identified a pyridopyrimidinone as a new chemotype of Cryptosporidium parvum (Cp) CDPK1 inhibitors. Structural comparison of CpCDPK1 to two representative human kinases, RIPK2 and Src, revealed differences in the positioning of the αC-helix that was used in the design of a potent pyridopyrimidinone-based CpCDPK1 inhibitor 7 (a.k.a. UH15-16, IC50 = 10 nM), which blocked the growth of three C. parvum strains (EC50 = 12-40 nM) as well as C. hominis (EC50 = 85 nM) in HCT-8 host cells. Pharmacokinetic and tissue distribution analyses indicated that 7 had low systemic exposure after oral administration, but high gastrointestinal concentration, as well as good Caco-2 cell permeability. Finally, 7 demonstrated partial efficacy in an IL-12 knock-out mouse model of acute cryptosporidiosis.
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  • 文章类型: Case Reports
    非人灵长类动物(NHP)是与人类共享感染因子最多的群体,因为它们具有密切的分类关系。南部棕色咆哮猴(Alouattaguaribaclamitans)是来自巴西和阿根廷大西洋森林的特有灵长类动物。这项研究旨在调查自由生活(FL)和圈养(CA)南部棕色咆哮猴中肠道寄生虫的存在。在巴西南部的两个地区收集了39份粪便样本,15FL和24CA。通过离心沉降技术获得的粪便沉积物用于显微镜分析和直接免疫荧光测定,并通过分子分析对TPI片段进行扩增和测序进行评估。肠寄生虫十二指肠贾第虫,隐孢子虫。,在共原寄生虫学分析中检测到小锥虫和小锥虫。这是隐孢子虫存在的第一份报告。自由生活的咆哮者。十二指肠G.daudenalis分离株的分子特征表明,在自由生活的A.guaribaclamitans中首次发现了组合B。可以通过与人的直接接触和频繁的土壤接触来解释CAhow猴中十二指肠G的高流行率。这些动物中潜在的人畜共患组合的存在表明,与人和牲畜的分裂和同居过程会影响野生动物,因此表明需要采取生态健康措施。
    Non-human primates (NHPs) are the group that most share infectious agents with humans due to their close taxonomic relationship. The southern brown howler monkeys (Alouatta guariba clamitans) are endemic primates from Brazil and Argentina\'s Atlantic Forest. This study aimed to investigate the presence of intestinal parasites in free-living (FL) and captive (CA) southern brown howler monkeys. Thirty-nine stool samples were collected in two areas in southern Brazil, 15 FL and 24 CA. Stool sediments obtained by centrifugal sedimentation technique were used for microscopic analysis and direct immunofluorescence assay and evaluated by molecular analysis through amplification and sequencing of TPI fragments. Intestinal parasites Giardia duodenalis, Cryptosporidium spp., and Trypanoxyuris minutus were detected at coproparasitological analysis. This is the first report of the presence of Cryptosporidium spp. in free-living howlers. The molecular characterization of G. duodenalis isolates indicated assemblage B for the first time found in free-living A. guariba clamitans. The high prevalence of G. duodenalis transmission in CA howler monkeys can be explained by direct contact with humans and frequent soil contact. The presence of a potentially zoonotic assemblage in these animals indicates that the process of fragmentation and cohabitation with humans and livestock affects the wildlife, thus indicating a need for eco-health measures.
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  • 文章类型: Journal Article
    隐孢子虫病,影响牲畜和人类的人畜共患感染,对孟加拉国水牛的流行率和传播动态了解不足。这项研究,在Sylhet部门进行的,目的探讨隐孢子虫的患病率和影响隐孢子虫的潜在危险因素。在392只水牛的粪便样本中.使用改良的Ziehl-Neelsen染色检测寄生虫,通过巢式PCR(nPCR)实现分子鉴定。综合分析显示,个体动物水平的患病率为9.18%(36/392),畜群水平的患病率为40.48%(17/42)。基于年龄的分析显示隐孢子虫的感染率波动。在不同年龄段的水牛中,在0-6个月的人群中,发病率为22.61%,年龄在6-12个月的人中占5.00%,在12-18个月的人群中,为1.03%。腹泻水牛的感染率(26.67%;28/105)明显高于非腹泻水牛(2.79%;8/287)(p<0.001)。在风险因素分析中,二元逻辑回归显示,与年龄较大的水牛相比,0-6个月的水牛受到隐孢子虫影响的可能性高14.84倍(OR=14.85;p=0.02)。此外,与健康水牛相比,腹泻水牛更容易感染隐孢子虫(OR=17.50;p<0.001)。较高的放养密度与水牛感染的可能性增加有关(OR=11.20;p=0.01)。这项研究的结果强调了有针对性的干预措施的必要性,考虑到腹泻状况和放养密度等因素,有效管理和控制孟加拉国的隐孢子虫病。
    Cryptosporidiosis, a zoonotic infection impacting both livestock and humans, is inadequately understood in terms of its prevalence and transmission dynamics involving buffaloes in Bangladesh. This research, conducted in the Sylhet division, aimed to explore the prevalence and potential risk factors influencing Cryptosporidium spp. in the faecal samples of 392 buffaloes. Detection of the parasite utilized modified Ziehl-Neelsen staining, with molecular identification achieved through nested PCR (nPCR). The comprehensive analysis revealed 9.18% (36/392) prevalence at the individual animal level and 40.48% (17/42) at the herd level. Age-based analysis revealed fluctuating infection rates of Cryptosporidium spp. in buffaloes across distinct age brackets, with rates of 22.61% in those aged 0-6 months, 5.00% in those aged 6-12 months, and 1.03% in those aged 12-18 months. Diarrheic buffaloes showed a significantly (p < 0.001) higher infection rate (26.67%; 28/105) compared to non-diarrheic buffaloes (2.79%; 8/287). In risk factor analysis, binary logistic regression revealed that buffaloes aged 0-6 months were experiencing a likelihood that is 14.84 times higher to be affected by Cryptosporidium in contrast to their older counterparts (OR = 14.85; p = 0.02). Additionally, diarrhoeic buffaloes were found to be more susceptible to Cryptosporidium compared to healthy buffaloes (OR = 17.50; p < 0.001). A higher stocking density was associated with an increased likelihood of infection in buffaloes (OR = 11.20; p = 0.01). The results of this study emphasize the necessity for targeted interventions, considering factors like diarrheic condition and stocking density, to effectively manage and control cryptosporidiosis in Bangladesh.
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  • 文章类型: Journal Article
    隐孢子虫是世界范围内感染人类和动物的最重要的肠道腹泻寄生虫之一。本研究调查了蒙泽地区≤6月龄反刍动物隐孢子虫感染的发生和危险因素。Mumbwa,和赞比亚的卢萨卡地区。收集了328头小牛的粪便样本,190只羔羊,和245只山羊,并使用改良的ZiehlNeelsen染色分析了隐孢子虫卵囊。采用封闭式结构化问卷获取隐孢子虫感染的流行病学特征和潜在危险因素。隐孢子虫的总体发生率为7.9%(60/763),而在小牛中,羔羊和山羊的孩子是14.5%(47/328),5.3%(10/190),和1.2%(3/245)。水样/糊状粪便和雨季采样与感染风险增加独立相关。在小牛中,雨季感染的几率增加了,而每日kraal清洁降低了感染风险。羔羊感染糊状/水样粪便和男性的几率增加,而操作者穿防护服大大降低了风险。感染发生率存在地区差异,Mumbwa地区的患病率较高。这项研究的结果表明,赞比亚的牲畜继续经常感染隐孢子虫。应实施保护措施和适当的农场清洁,以控制这种感染。区域和宿主物种特定的差异强调需要有针对性的干预措施。这些发现,因此,有助于控制隐孢子虫的有效策略,促进良好的牲畜健康和管理。
    Cryptosporidium is one of the most important enteric diarrhoeal parasites that infect humans and animals worldwide. The current study investigated the occurrence and risk factors associated with Cryptosporidium infection in ruminants aged ≤6 months in Monze, Mumbwa, and Lusaka districts of Zambia. Faecal samples were collected from 328 calves, 190 lambs, and 245 goat kids and analysed for Cryptosporidium oocysts using modified Ziehl Neelsen staining. A closed structured questionnaire was used to obtain epidemiological characteristics and potential risk factors for Cryptosporidium infection. The overall occurrence of Cryptosporidium was 7.9% (60/763), while that in calves, lambs and goat kids was 14.5% (47/328), 5.3% (10/190), and 1.2% (3/245) respectively. Watery/pasty stool and sampling during the rainy season were independently associated with increased risk of infection. In calves, the odds of infection increased during the rainy season, while daily kraal cleaning reduced the infection risk. Lambs showed increased odds of infection with pasty/watery stool and male sex, whereas the wearing of protective clothing by handlers significantly reduced the risk. There were district variations in infection occurrence with Mumbwa district having higher prevalence. The findings of this study show that livestock in Zambia continue to be frequently infected with Cryptosporidium. Protective measures and appropriate farm cleanliness should be implemented in control of this infection. Regional and host-species-specific variations emphasize the need for targeted interventions. These findings, therefore, contribute to effective strategies for Cryptosporidium control, promoting good livestock health and management.
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  • 文章类型: Journal Article
    路易斯安那州松树蛇(Pituophisruffveni)是原产于路易斯安那州和德克萨斯州东部的昼夜混血儿,其自由放养的种群至少在过去30年中一直在下降。创建和维护可持续的P.rutveni圈养繁殖计划以恢复本地种群,也为研究该物种和P.rutveni提供了充足的机会,可以作为其他结瘤蛇的研究模型。然而,尚未对该物种圈养种群的发病率和死亡率的普遍原因进行调查。由于对血清隐孢子虫呈阳性后不适合繁殖,因此在路易斯安那州立大学(LSU)维持了4年以上的P.ruffveni研究种群。自从到达路易斯安那州立大学以来,这些蛇受到兽医的严密监视。对12条死亡或安乐死的蛇进行了完整的死后检查。这项研究的目的是进一步了解影响感染C.serpentis的圈养P.ruthveni发病率和死亡率的常见因素。通过回顾性审查LSU12名死者的验尸结果。跨个体的主要发现包括细菌感染,在37.5%的动物中造成重大疾病或死亡。50%的蛇对隐孢子虫sp。基于从死后样本进行的PCR;在83.3%的阳性病例中,它直接被认为是死亡或发病的原因。尽管传染病是最常见的病理性死后发现,确定了几种非传染性疾病过程,包括痛风,甲状腺肿,和瘤形成。这些发现反映了各种机构对爬行动物收藏品的其他回顾性调查的结果,并强调需要适当强调识别,治疗,和预防传染病作为常规兽医护理的一部分。
    The Louisiana pine snake (Pituophis ruthveni) is a diurnal colubrid species native to Louisiana and eastern Texas whose free-ranging populations have been declining over at least the past 30 yr. The creation and maintenance of sustainable captive breeding programs of P. ruthveni to restore native populations has also provided ample opportunity for research into this species and for P. ruthveni to serve as a research model for other colubrid snakes. However, no investigation into prevalent causes of morbidity and mortality in captive populations of this species has been described. A research population of P. ruthveni was maintained at Louisiana State University (LSU) for over 4 yr due to unsuitability for breeding after testing positive for Cryptosporidium serpentis. Since arrival at LSU, the snakes were under close veterinary surveillance. Complete postmortem examinations were performed on 12 snakes that died or were euthanized. The aim of this study was to further understanding of common factors influencing morbidity and mortality in captive P. ruthveni infected with C. serpentis, by retrospectively reviewing postmortem exam findings from the 12 deceased members of the population at LSU. A predominant finding across individuals included bacterial infections, which were responsible for major illness or death in 37.5% of the animals. Fifty percent of snakes tested positive for Cryptosporidium sp. based on PCR performed from postmortem samples; it was directly implicated as cause of death or morbidity in 83.3% of positive cases. Although infectious disease represented the most common pathologic postmortem finding, several noninfectious disease processes were identified, including gout, goiter, and neoplasia. These findings mirror those of other retrospective investigations of reptile collections at various institutions and highlight the need for appropriate emphasis on the identification, treatment, and prevention of infectious disease as part of routine veterinary care.
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  • 文章类型: Journal Article
    野生啮齿动物是隐孢子虫传播的关键宿主,然而,在中国的内蒙古自治区和辽宁省,有关其感染状况的信息却很少。因此,本研究旨在确定这两个省的野生啮齿动物中隐孢子虫的患病率和遗传特征。
    共捕获了486只啮齿动物,并从每个啮齿动物的肠道中收集新鲜粪便进行DNA提取。通过脊椎动物细胞色素b(cytb)基因的PCR扩增进行啮齿动物的物种鉴定。为了检测所有粪便样本中隐孢子虫的存在,对核糖体RNA(rRNA)基因的部分小亚基进行PCR分析和测序。
    确定了四种啮齿动物:褐家鼠,小家鼠,阿德米斯,和青蟹。隐孢子虫阳性结果为9.2%(18/195),6.6%(7/106),5.6%(5/89),6.3%(6/96)的啮齿动物,分别,平均感染率为7.4%(36/486)。鉴定显示存在五种隐孢子虫,C.泛素(n=8),C.occultus(n=5),C.muris(n=2),C.viatorum(n=1),和C.ratti(n=1),以及两种隐孢子虫基因型:大鼠基因型III(n=10)和大鼠基因型IV(n=9)。
    根据所提供的分子证据,被调查的野生啮齿动物同时感染了人畜共患(C.Muris,C.occultus,C.泛素和C.viatorum)以及啮齿动物适应性(C.ratti和Rat基因型III和IV)物种/基因型,积极参与隐孢子虫病的传播。
    UNASSIGNED: Wild rodents are key hosts for Cryptosporidium transmission, yet there is a dearth of information regarding their infection status in the Inner Mongolian Autonomous Region and Liaoning Province of China. Therefore, the present study was conducted to determine the prevalence and genetic characteristics of Cryptosporidium among wild rodents residing in these two provinces.
    UNASSIGNED: A total of 486 rodents were captured, and fresh feces were collected from each rodent\'s intestine for DNA extraction. Species identification of rodents was performed through PCR amplification of the vertebrate cytochrome b (cytb) gene. To detect the presence of Cryptosporidium in all fecal samples, PCR analysis and sequencing of the partial small subunit of the ribosomal RNA (rRNA) gene were performed.
    UNASSIGNED: Four species of rodents were identified: Rattus norvegicus, Mus musculus, Apodemus agrarius, and Cricetulus barabensis. Positive results for Cryptosporidium were obtained for 9.2% (18/195), 6.6% (7/106), 5.6% (5/89), and 6.3% (6/96) of these rodents, respectively, with an average infection rate of 7.4% (36/486). The identification revealed the presence of five Cryptosporidium species, C. ubiquitum (n = 8), C. occultus (n = 5), C. muris (n = 2), C. viatorum (n = 1), and C. ratti (n = 1), along with two Cryptosporidium genotypes: Rat genotype III (n = 10) and Rat genotype IV (n = 9).
    UNASSIGNED: Based on the molecular evidence presented, the wild rodents investigated were concurrently infected with zoonotic (C. muris, C. occultus, C. ubiquitum and C. viatorum) as well as rodent-adapted (C. ratti and Rat genotype III and IV) species/genotypes, actively participating in the transmission of cryptosporidiosis.
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  • 文章类型: Journal Article
    肠道寄生虫感染(IPI)可导致癌症患者的显著发病率和死亡率。虽然它们不太可能引起严重的疾病,并且在健康个体中具有自限性,癌症患者特别容易受到机会性寄生虫感染。肠道微生物群在健康的各个方面发挥着至关重要的作用。包括免疫调节和代谢过程。寄生虫与肠道中的细菌占据相同的环境。最近的研究表明,肠道寄生虫可以破坏肠道微生物群的正常平衡。然而,马来西亚癌症患者对这种合并感染动态的了解有限.进行了一项研究,以确定癌症患者肠道寄生虫和肠道菌群组成之间的患病率和关系。收集来自134名接受积极治疗或新诊断的癌症患者的粪便样品,并检查肠道寄生虫和肠道微生物群组成的存在。该研究还涉及17名健康个体进行比较和对照。在V3-V4区域用16SRNA测序用于确定感染和未感染癌症患者与健康对照受试者之间的肠道微生物组成。发现癌症患者中IPI的总体患病率为32.8%。微孢子虫。占比最高,为20.1%,其次是Entamoebaspp。(3.7%),隐孢子虫。(3.0%),环孢菌属。(2.2%),和蛔虫(0.8%)。没有一个健康对照受试者的肠道寄生虫检测呈阳性。测序数据分析显示,癌症患者的肠道微生物群多样性和组成与健康对照组有显著差异(p<0.001)。根据Bray-Curtis(p=0.041)和Jaccard(p=0.021)的测量,在寄生虫感染和未感染患者之间的细菌组成中观察到了显着差异。来自肠球菌属的细菌在寄生虫感染的群体中富集,与未感染组和对照组相比,普氏粪杆菌减少。不同IPI和未感染个体之间的进一步分析表明,Entamoeba感染的差异显着(未加权UniFrac:p=0.008),隐孢子虫感染(Bray-Curtis:p=0.034)和微孢子虫感染(未加权:p=0.026;加权:p=0.019;Jaccard:p=0.031)样品。在环孢菌感染组和未感染组之间没有观察到显著的差异。具体来说,感染隐孢子虫和内阿米巴的患者显示专性厌氧菌增多.梭菌富含内阿米巴感染,而来自科氏杆菌的则减少了。在隐孢子虫感染的肠道微生物群中发现了高丰度的拟杆菌和梭菌,而芽孢杆菌下降。此外,肠球菌属的细菌在微孢子虫感染的患者中富集。相比之下,梭菌属的细菌,粪杆菌,副杆菌属,Collinsella,Ruminococus,与未感染组相比,孢子虫下降。这些发现强调了理解和管理肠道寄生虫和肠道微生物群之间的相互作用对于改善癌症患者预后的重要性。
    Intestinal parasitic infections (IPIs) can lead to significant morbidity and mortality in cancer patients. While they are unlikely to cause severe disease and are self-limiting in healthy individuals, cancer patients are especially susceptible to opportunistic parasitic infections. The gut microbiota plays a crucial role in various aspects of health, including immune regulation and metabolic processes. Parasites occupy the same environment as bacteria in the gut. Recent research suggests intestinal parasites can disrupt the normal balance of the gut microbiota. However, there is limited understanding of this co-infection dynamic among cancer patients in Malaysia. A study was conducted to determine the prevalence and relationship between intestinal parasites and gut microbiota composition in cancer patients. Stool samples from 134 cancer patients undergoing active treatment or newly diagnosed were collected and examined for the presence of intestinal parasites and gut microbiota composition. The study also involved 17 healthy individuals for comparison and control. Sequencing with 16S RNA at the V3-V4 region was used to determine the gut microbial composition between infected and non-infected cancer patients and healthy control subjects. The overall prevalence of IPIs among cancer patients was found to be 32.8%. Microsporidia spp. Accounted for the highest percentage at 20.1%, followed by Entamoeba spp. (3.7%), Cryptosporidium spp. (3.0%), Cyclospora spp. (2.2%), and Ascaris lumbricoides (0.8%). None of the health control subjects tested positive for intestinal parasites. The sequencing data analysis revealed that the gut microbiota diversity and composition were significantly different in cancer patients than in healthy controls (p < 0.001). A significant dissimilarity was observed in the bacterial composition between parasite-infected and non-infected patients based on Bray-Curtis (p = 0.041) and Jaccard (p = 0.021) measurements. Bacteria from the genus Enterococcus were enriched in the parasite-infected groups, while Faecalibacterium prausnitzii reduced compared to non-infected and control groups. Further analysis between different IPIs and non-infected individuals demonstrated a noteworthy variation in Entamoeba-infected (unweighted UniFrac: p = 0.008), Cryptosporidium-infected (Bray-Curtis: p = 0.034) and microsporidia-infected (unweighted: p = 0.026; weighted: p = 0.019; Jaccard: p = 0.031) samples. No significant dissimilarity was observed between Cyclospora-infected groups and non-infected groups. Specifically, patients infected with Cryptosporidium and Entamoeba showed increased obligate anaerobic bacteria. Clostridiales were enriched with Entamoeba infections, whereas those from Coriobacteriales decreased. Bacteroidales and Clostridium were found in higher abundance in the gut microbiota with Cryptosporidium infection, while Bacillales decreased. Additionally, bacteria from the genus Enterococcus were enriched in microsporidia-infected patients. In contrast, bacteria from the Clostridiales order, Faecalibacterium, Parabacteroides, Collinsella, Ruminococcus, and Sporosarcina decreased compared to the non-infected groups. These findings underscore the importance of understanding and managing the interactions between intestinal parasites and gut microbiota for improved outcomes in cancer patients.
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  • 文章类型: Journal Article
    背景:。用于娱乐目的的防溅垫很普遍。如果缺乏安装法规和水质监督,使用这些垫可能会带来健康风险。我们的目的是描述由产气荚膜梭菌和隐孢子虫引起的水传播疾病爆发。在巴塞罗那地区以及为控制它而采取的措施。
    方法:。2018年8月发现急性胃肠炎71例,影响使用防溅垫或与用户接触的人。进行了微生物和环境调查。对样本和Poisson回归模型进行了年龄和性别调整后的描述性分析,获取频率,中值,和调整后的患病率比率及其95%置信区间。
    结果:病例的中位年龄为6.7岁,27(38%)需要医疗护理,3人(4.2%)住院.一个人进入该地区的次数越多,症状的数量和严重程度越大。从病例中收集的25个粪便样本中有19个(76%)显示存在一种或两种病原体。环境调查显示设施存在缺陷,并确定了飞溅垫中两种物种的存在。开展了健康教育和卫生措施,设施关闭14天后,没有记录更多与垫相关的病例.
    结论:。对于用于娱乐目的的防溅垫的使用需要具体的规定。在这些规定出台之前,这些类型的设施应符合适用于游泳池和水疗中心的规定,包括与坦克设计相关的,水循环系统,和适当的消毒系统。
    BACKGROUND: . Splash pads for recreational purposes are widespread. Using these pads can pose a health risk if they lack installation regulation and water quality supervision. Our aim was to describe a waterborne disease outbreak caused by Clostridium perfringens and Cryptosporidium spp. in a Barcelona district and the measures taken for its control.
    METHODS: . On August 2018, 71 cases of acute gastroenteritis were detected, affecting people who used a splash pad or were in contact with a user. Microbiological and environmental investigations were carried out. A descriptive analysis of the sample and Poisson regression models adjusted for age and sex were performed, obtaining frequencies, median values, and adjusted prevalence ratios with their 95% confidence intervals.
    RESULTS: The median age of the cases was 6.7 years, 27 (38%) required medical care, and three (4.2%) were hospitalized. The greater the number of times a person entered the area, the greater the number of symptoms and their severity. Nineteen (76%) of the 25 stool samples collected from cases showed the presence of one or both pathogens. Environmental investigations showed deficiencies in the facilities and identified the presence of both species in the splash pad. Health education and hygiene measures were carried out, and 14 days after the closure of the facilities, no more cases related to the pad were recorded.
    CONCLUSIONS: . Specific regulations are needed on the use of splash pads for recreational purposes. Until these regulations are in place, these types of facility should comply with the regulations that apply to swimming pools and spas, including those related to the design of the tanks, water recirculation systems, and adequate disinfection systems.
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