toxoplasma

弓形虫
  • 文章类型: Journal Article
    Toxoplasma gondii (T. gondii) is an obligate intracellular, zoonotic protozoan parasite of interest to physicians and veterinarians with its highly complex structure. It is known to infect about one-third of the world\'s population. Since it is a zoonotic disease, it is necessary to keep the animal population under control in order to prevent human exposure. Many studies have been conducted on the detection of T. gondii and it has been determined that there are three clonal groups consisting of types 1, 2, 3. Developments in molecular studies have led to changes in the taxonomy and new developments in parasitic diseases. It has helped in diagnosis, treatment, development of antiparasitic drugs and research on resistance. They also provided research on vaccine studies, genetic typing and phylogenetics of parasitic diseases. Conventional polymerase chain reaction (PCR), real-time PCR and genotyping studies conducted today increase our knowledge about T. gondii. Methods such as B1, SAG1, SAG2, GRA1, 529-bp repeat element, OWP genes and 18S rRNAs are mostly used in PCR, and methods such as MS, MLST, PCR-RFLP, RAPD-PCR and HRM are used in genotyping. Toxoplasmosis is a disease that is within the framework of the concept of one health and must attract attention, has not yet been eradicated in the world and needs joint studies for humans, animals and ecosystems to be eradicated. This can only be possible by establishing interdisciplinary groups, conducting surveys and training.
    Toxoplasma gondii (T. gondii) oldukça karışık olan yapısı ile hekimleri ve veteriner hekimleri ilgilendiren, zorunlu hücre içinde bulunan, zoonotik protozoan bir parazittir. Dünya nüfusunun yaklaşık üçte birini enfekte ettiği bilinmektedir. Zoonoz bir hastalık olması nedeniyle insan maruziyetini önlemek için, hayvan popülasyonunu da kontrol altında tutmak gerekir. T. gondii tespiti ile ilgili birçok çalışma yapılmış ve tip 1, 2, 3’ten oluşan üç klonal grubu olduğu tespit edilmiştir. Moleküler çalışmalarda oluşan gelişmeler paraziter hastalıklarda da taksonominin değişmesini ve yeni gelişmelerin oluşumunu sağlamıştır. Tanı, tedavi, antiparaziter ilaçların geliştirilmesi ve direncinin araştırılmasına yardımcı olmuştur. Ayrıca paraziter hastalıkların aşı çalışmalarının, genetik tiplendirmesinin ve filogenetiğin araştırılmasını da sağlamıştır. Bugün yapılan konvasiyonel polimeraz zincir reaksiyonu (PZR), gerçek zamanlı PZR ve genotiplendirme çalışmaları T. gondii hakkındaki bilgimizi artırmaktadır. PZR’de en fazla B1, SAG1, SAG2, GRA1, 529-bp repeat element, OWP genleri ve 18S rRNA’lar ve genotiplendirmede ise MS, MLST, PZR-RFLP, RAPD-PZR ve HRM gibi yöntemler kullanılmaktadır. Toxoplasmosis tek sağlık kavramı çerçevesinde yer alan ve ilgi çekmesi zorunlu, Dünya’da halen eradike edilememiş ve edilmesi için insan, hayvan ve ekosistem için ortak çalışmalara ihtiyaç duyan bir hastalıktır. Bu ancak disiplinlerarası gruplar kurup, sürveyans ve eğitim çalışmaları yaparak mümkün olabilir.
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  • 文章类型: Journal Article
    背景:弓形虫感染影响了全球很大一部分人口,导致严重的弓形虫病,在免疫功能低下的患者中,甚至死亡。在弓形虫感染期间,肠道微生物群的破坏进一步加剧了对肠道和大脑屏障的损害。因此,在感染过程中识别不平衡的益生菌并恢复其平衡可以调节肠道微生物群代谢产物的平衡,从而减轻组织损伤。
    方法:采用波形蛋白基因敲除(vim-/-)小鼠作为免疫受损模型,评估弓形虫感染期间宿主免疫反应对肠道菌群平衡的影响。进行行为实验以评估慢性感染的vim-/-和野生型(WT)小鼠之间的认知水平和抑郁倾向的变化。对粪便样品进行16S核糖体RNA(rRNA)测序,和血清代谢产物进行分析,以确定潜在的肠道益生菌及其代谢产物用于治疗弓形虫感染。
    结果:与具有免疫能力的WTsv129小鼠相比,在慢性感染期间,免疫功能低下的小鼠表现出较低水平的神经元凋亡和较少的神经行为异常。16SrRNA测序显示益生菌的丰度显着下降,包括几种乳酸菌,在WT小鼠中。通过施用鼠乳杆菌和加氏乳杆菌来恢复这种平衡显着抑制了肠道中的弓形虫负担,肝脏,和大脑。此外,这两种乳酸菌的移植。显著改善肠屏障损伤,减轻中枢神经系统炎症反应和神经元凋亡。代谢物检测研究表明,各种乳酸菌相关代谢物的水平,包括血清中的吲哚-3-乳酸(ILA),弓形虫感染后显著下降。我们证实gasseri乳杆菌比murinus乳杆菌分泌更多的ILA。值得注意的是,ILA可激活肠上皮细胞芳香烃受体信号通路,促进CD8+T细胞的激活和干扰素-γ的分泌。
    结论:我们的研究表明,宿主针对弓形虫感染的免疫反应严重破坏了肠道菌群的平衡,导致肠道和脑损伤。乳杆菌属。在免疫调节中起着至关重要的作用,和代谢物ILA是有效和安全治疗弓形虫感染的有前途的治疗化合物。
    BACKGROUND: Toxoplasma gondii infection affects a significant portion of the global population, leading to severe toxoplasmosis and, in immunocompromised patients, even death. During T. gondii infection, disruption of gut microbiota further exacerbates the damage to intestinal and brain barriers. Therefore, identifying imbalanced probiotics during infection and restoring their equilibrium can regulate the balance of gut microbiota metabolites, thereby alleviating tissue damage.
    METHODS: Vimentin gene knockout (vim-/-) mice were employed as an immunocompromised model to evaluate the influence of host immune responses on gut microbiota balance during T. gondii infection. Behavioral experiments were performed to assess changes in cognitive levels and depressive tendencies between chronically infected vim-/- and wild-type (WT) mice. Fecal samples were subjected to 16S ribosomal RNA (rRNA) sequencing, and serum metabolites were analyzed to identify potential gut probiotics and their metabolites for the treatment of T. gondii infection.
    RESULTS: Compared to the immunocompetent WT sv129 mice, the immunocompromised mice exhibited lower levels of neuronal apoptosis and fewer neurobehavioral abnormalities during chronic infection. 16S rRNA sequencing revealed a significant decrease in the abundance of probiotics, including several species of Lactobacillus, in WT mice. Restoring this balance through the administration of Lactobacillus murinus and Lactobacillus gasseri significantly suppressed the T. gondii burden in the intestine, liver, and brain. Moreover, transplantation of these two Lactobacillus spp. significantly improved intestinal barrier damage and alleviated inflammation and neuronal apoptosis in the central nervous system. Metabolite detection studies revealed that the levels of various Lactobacillus-related metabolites, including indole-3-lactic acid (ILA) in serum, decreased significantly after T. gondii infection. We confirmed that L. gasseri secreted much more ILA than L. murinus. Notably, ILA can activate the aromatic hydrocarbon receptor signaling pathway in intestinal epithelial cells, promoting the activation of CD8+ T cells and the secretion of interferon-gamma.
    CONCLUSIONS: Our study revealed that host immune responses against T. gondii infection severely disrupted the balance of gut microbiota, resulting in intestinal and brain damage. Lactobacillus spp. play a crucial role in immune regulation, and the metabolite ILA is a promising therapeutic compound for efficient and safe treatment of T. gondii infection.
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  • 文章类型: Journal Article
    OBJECTIVE: To investigate the development and dynamic changes of cysts in the brain of mice following infection with different forms of Toxoplasma gondii, so as to provide insights into for toxoplasmosis prevention and control.
    METHODS: ICR mice at ages of 6 to 8 weeks, each weighing 20 to 25 g, were intraperitoneally injected with tachyzoites of the T. gondii PRU strain at a dose of 1 × 105 tachyzoites per mouse, orally administered with cysts at a dose of 20 oocysts per mouse or oocysts at a dose of 200 oocysts per mouse for modeling chronic T. gondii infection in mice, and the clinical symptoms and survival of mice were observed post-infection. Mice were orally infected with T. gondii cysts at doses of 10 (low-dose group), 20 (medium-dose group), 40 cysts per mouse (high-dose group), and the effect of different doses of T. gondii infections on the number of cysts was examined in the mouse brain. Mice were orally administered with T. gondii cysts at a dose of 20 cysts per mouse, and grouped according to gender (female and male) and time points of infections (20, 30, 60, 90, 120, 150, 180 days post-infection), and the effects of gender and time points of infections on the number of cysts was examined in the mouse brain. In addition, mice were divided into the tachyzoite group (Group T), the first-generation cyst group (Group C1), the second-generation cyst group (Group C2), the third-generation cyst (Group C3) and the fourth-generation cyst group (Group C4). Mice in the Group T were intraperitoneally injected with T. gondii tachyzoites at a dose of 1 × 105 tachyzoites per mouse, and the cysts were collected from the mouse brain tissues 30 days post-infection, while mice in the Group C1 were orally infected with the collected cysts at a dose of 30 cysts per mouse. Continuous passage was performed by oral administration with cysts produced by the previous generation in mice, and the effect of continuous passage on the number of cysts was examined in the mouse brain.
    RESULTS: Following infection with T. gondii tachyzoites, cysts and oocysts in mice, obvious clinical symptoms were observed on days 6 to 13 and mice frequently died on days 7 to 12. The survival rates of mice were 67.0%, 87.0% and 53.0%, and the mean numbers of cysts were (516.0 ± 257.2), (1 203.0 ± 502.0) and (581.0 ± 183.1) in the mouse brain (F = 11.94, P < 0.01) on day 30 post-infection with T. gondii tachyzoites, cysts and oocysts, respectively, and the numbers of cysts in the brain tissues were significantly lower in mice infected with T. gondii tachyzoites and oocysts than in those infected with cysts (all P values < 0.01). The survival rates of mice were 87.0%, 87.0% and 60.0%, and the mean numbers of cysts were (953.0 ± 355.5), (1 084.0 ± 474.3) and (1 113.0 ± 546.0) in the mouse brain in the low-, medium- and high-dose groups on day 30 post-infection, respectively (F = 0.42, P > 0.05). The survival rates of male and female mice were 73.0% and 80.0%, and the mean numbers of cysts were (946.4 ± 411.4) and (932.1 ± 322.4) in the brain tissues of male and female mice, respectively (F = 1.63, P > 0.05). Following continuous passage, the mean numbers of cysts were (516.0 ± 257.2), (1 203.0 ± 502.0), (896.8 ± 332.3), (782.5 ± 423.9) and (829.2 ± 306.0) in the brain tissues of mice in the T, C1, C2, C3 and C4 groups, respectively (F = 4.82, P < 0.01), and the number of cysts was higher in the mouse brain in Group 1 than in Group T (P < 0.01). Following oral administration of 20 T. gondii cysts in mice, cysts were found in the moues brain for the first time on day 20 post-infection, and the number of cysts gradually increased over time, peaked on days 30 and 90 post-infection and then gradually decreased; however, the cysts were still found in the mouse brain on day 180 post-infection.
    CONCLUSIONS: There is a higher possibility of developing chronic T. gondii infection in mice following infection with cysts than with oocysts or tachyzoites and the most severe chronic infection is seen following infection with cysts. The number of cysts does not correlate with the severity of chronic T. gondii infection, and the number of cysts peaks in the mouse brain on days 30 and 90 post-infection.
    [摘要] 目的 观察不同形态刚地弓形虫感染后小鼠脑内包囊形成及其动态变化, 为弓形虫病防控提供依据。方法 取 6~8周龄ICR小鼠 (20~25 g) 建立慢性弓形虫感染模型, 其中弓形虫PRU株速殖子按1 × 105个/只剂量腹腔注射感染小鼠, 包囊和卵囊分别按20、200个/只剂量通过灌胃针口服感染小鼠, 观察感染后小鼠临床症状和存活情况。分别以10 (低剂 量组) 、20 (中剂量组) 、40个包囊/只 (高剂量组) 剂量感染小鼠, 观察弓形虫不同感染剂量对小鼠脑内包囊数量的影响。 将小鼠按性别 (雌、雄性) 、感染时间 (感染后20、30、60、90、120、150、180 d) 分组, 按20个/只剂量口服弓形虫包囊后, 分别 观察性别和感染时间对小鼠脑内包囊数量的影响。将小鼠分成速殖子组 (T组) 、包囊1代组 (C1组) 、包囊2代组 (C2 组) 、包囊3代组 (C3组) 、包囊4代组 (C4组); T组小鼠按1 × 105个/只剂量腹腔注射弓形虫速殖子, 感染后第30天处死小 鼠并收集其脑组织内包囊, 再按20个/只感染C1组小鼠。此后每一代小鼠均采用上一代所产生包囊进行口服连续传代, 观察连续传代对小鼠脑内弓形虫包囊数量的影响。结果 以弓形虫速殖子、包囊、卵囊分别感染小鼠, 感染第6~13天 小鼠出现明显临床症状、感染第 7~12 天小鼠出现集中死亡。感染第 30 天时, 感染速殖子、包囊、卵囊的小鼠存活率分 别为67.0%、87.0%、53.0%, 平均脑内包囊数量分别为 (516.0 ± 257.2) 、 (1 203.0 ± 502.0) 、 (581.0 ± 183.1) 个, 差异有统计 学意义 (F = 11.94, P < 0.01), 感染速殖子、卵囊的小鼠脑内包囊数低于感染包囊的小鼠 (P 均< 0.01) 。感染后第30天, 低、中、高剂量组小鼠存活率分别为87.0%、87.0%、60.0%, 平均脑内包囊数量分别为 (953.0 ± 355.5) 、 (1 084.0 ± 474.3) 、 (1 113.0 ± 546.0) 个, 差异无统计学意义 (F = 0.42, P > 0.05); 雄、雌性组小鼠存活率分别为73.0%和80.0%, 平均脑内包 囊数量分别为 (946.4 ± 411.4) 、 (932.1 ± 322.4) 个, 差异无统计学意义 (F = 1.63, P > 0.05) 。通过连续传代感染后, T、C1、 C2、C3、C4组小鼠平均脑内包囊数量分别为 (516.0 ± 257.2) 、 (1 203.0 ± 502.0) 、 (896.8 ± 332.3) 、 (782.5 ± 423.9) 、 (829.2 ± 306.0) 个, 差异有统计学意义 (F = 4.82, P < 0.01); C1组小鼠脑内包囊数高于速殖子组, 差异有统计学意义 (P < 0.01) 。 小鼠口服20个包囊后, 感染第20天首次查见脑内弓形虫包囊, 随感染时间延长脑内包囊数量逐渐增加; 至感染第30、90 天时, 脑内包囊数量分别达峰值, 此后逐步下降, 至感染第180天时仍能查见脑内包囊。结论 刚地弓形虫包囊较速殖 子、卵囊感染后形成慢性感染的可能性更高, 且慢性感染程度亦最严重; 感染弓形虫包囊数量与慢性感染严重程度无关; 脑内包囊形成数量于感染第30天和90天时达高峰。.
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  • 文章类型: English Abstract
    OBJECTIVE: To prepare and characterize the mouse polyclonal antibody against the dense granule protein 24 (GRA24) of Toxoplasma gondii, and explore its preliminary applications.
    METHODS: The GRA24 coding sequences of different T. gondii strains were aligned using the MEGA-X software, and the dominant peptide of the GRA24 protein was analyzed with the Protean software. The base sequence encoding this peptide was amplified using PCR assay and ligated into the pET-28a vector, and the generated GRA24 truncated protein was transformed into Escherichia coli BL21. After induction by isopropyl-beta-D-thiogalactopyranoside (IPTG), the expression and purification of the recombinant GRA24 protein was analyzed using sodium dodecyl sulfate - polyacrylamide gel electrophoresis (SDS-PAGE). BALB/c mice were immunized by subcutaneous injection with the purified recombinant GRA24 truncated protein to generate the polyclonal antibody, and the titer of the polyclonal antibody was measured using enzyme linked immunosorbent assay (ELISA). The specificity of the polyclonal antibody was tested using Western blotting, and the intracellular localization of the polyclonal antibody was investigated using immunofluorescence assay (IFA).
    RESULTS: SDS-PAGE showed successful construction of the recombinant expression plasmid, and Coomassie brilliant blue staining showed the generation of the high-purity recombinant GRA24 truncated protein. ELISA measured that the titer of the polyclonal antibody against the GRA24 truncated protein was higher than 1:208 400, and Western blotting showed that the polyclonal antibody was effective to recognize the endogenous GRA24 proteins of different T. gondii strains and specifically recognize the recombinant GRA24 truncated protein. Indirect IFA showed that the GRA24 protein secreted 16 hour following T. gondii invasion in host cells.
    CONCLUSIONS: The polyclonal antibody against the T. gondii GRA24 protein has been successfully prepared, which has a widespread applicability, high titers and a high specificity. This polyclonal antibody is available for Western blotting and IFA, which provides the basis for investigating the function of the GRA24 protein.
    [摘要] 目的 制备并鉴定鼠抗刚地弓形虫致密颗粒蛋白24 (dense granule protein 24, GRA24) 多克隆抗体, 并探索其初 步应用。方法 利用MEGA-X软件比对弓形虫不同虫株GRA24编码区序列, 使用Protean软件分析GRA24蛋白优势肽 段, 通过PCR反应扩增编码该肽段的碱基序列, 并连接至pET-28a载体中。将获得的GRA24截短蛋白原核表达质粒转化 于大肠埃希菌BL21感受态细胞中, 异丙基-β-D-硫代半乳糖苷 (isopropyl-beta-D-thiogalactopyranoside, IPTG) 诱导后采用 十二烷基硫酸钠聚丙烯酰胺凝胶电泳 (sodium dodecyl sulfate-polyacrylamide gel electrophoresis, SDS-PAGE) 检测蛋白表达 与纯化。使用纯化的GRA24截短蛋白皮下注射免疫BALB/c小鼠获得GRA24截短蛋白多克隆抗体, 采用酶联免疫吸附 试验 (enzyme-linked immunosorbent assay, ELISA) 检测抗体效价, 采用Western blotting检测抗体特异性, 并将该抗体应用 于免疫荧光试验 (immunofluorescence assay, IFA) 。结果 SDS-PAGE结果表明成功构建重组质粒, 考马斯亮蓝染色结果 显示获得高纯度重组GRA24截短蛋白。ELISA结果显示, GRA24 截短蛋白多克隆抗体效价在 1:208 400 以上; Western blotting检测发现, 该抗体可识别弓形虫不同虫株内源性 GRA24 蛋白, 特异性识别重组 GRA24 截短蛋白; 间接IFA检测发 现, 弓形虫入侵宿主细胞 16 h 后分泌的GRA24蛋白定位于宿主细胞核中。结论 成功制备广适性、高效价、强特异性的 抗弓形虫 GRA24 多克隆抗体, 可应用于 Western blotting 与 IFA, 为进一步研究 GRA24 功能奠定了基础。.
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  • 文章类型: Journal Article
    背景:骨缺损,由于大量的骨质流失超过了自然的自我修复能力,由于各种限制,对当前的治疗方法构成重大挑战。在寻求替代治疗策略的过程中,骨组织工程已成为一个有希望的途径。值得注意的是,弓形虫排泄蛋白(TgEP),承认其免疫原性和广谱的生物活性分泌或排泄在寄生虫的生命周期,已被确定为人骨髓间充质干细胞(hBMSCs)成骨分化的潜在促进剂。基于我们之前的发现,TgEP可以增强成骨分化,这项研究调查了这种作用的分子机制,并评估了其体内治疗潜力。
    方法:我们通过细胞毒性和细胞增殖试验确定了TgEP的最佳浓度。随后,用适当浓度的TgEP处理hBMSCs。我们评估了成骨蛋白标志物,包括碱性磷酸酶(ALP),Runx2和Osx,以及使用定量实时PCR(qRT-PCR)的BMP/Smad信号通路的成分,siRNA干扰hBMSCs,蛋白质印迹分析,和其他方法。此外,我们在Sprague-Dawley(SD)雄性大鼠中创建了骨缺损模型,并用GelMa水凝胶填充缺损区域,有或没有TgEP。采用显微计算机断层扫描(micro-CT)分析缺损部位的骨参数。H&E,Masson和免疫组织化学染色用于评估缺损区域的修复状况。
    结果:我们的结果表明TgEP促进关键成骨标志物的表达,包括ALP,Runx2和Osx,以及BMP/Smad信号通路的Smad1,BMP2和磷酸化Smad1/5关键元件的激活。此外,使用大鼠骨缺损模型的体内实验表明,TgEP显着促进骨缺损的修复。
    结论:我们的结果提供了令人信服的证据,证明TgEP通过BMP/Smad信号通路促进hBMSC成骨分化,强调其作为骨组织工程骨缺损愈合的治疗方法的潜力。
    BACKGROUND: Bone defects, resulting from substantial bone loss that exceeds the natural self-healing capacity, pose significant challenges to current therapeutic approaches due to various limitations. In the quest for alternative therapeutic strategies, bone tissue engineering has emerged as a promising avenue. Notably, excretory proteins from Toxoplasma gondii (TgEP), recognized for their immunogenicity and broad spectrum of biological activities secreted or excreted during the parasite\'s lifecycle, have been identified as potential facilitators of osteogenic differentiation in human bone marrow mesenchymal stem cells (hBMSCs). Building on our previous findings that TgEP can enhance osteogenic differentiation, this study investigated the molecular mechanisms underlying this effect and assessed its therapeutic potential in vivo.
    METHODS: We determined the optimum concentration of TgEP through cell cytotoxicity and cell proliferation assays. Subsequently, hBMSCs were treated with the appropriate concentration of TgEP. We assessed osteogenic protein markers, including alkaline phosphatase (ALP), Runx2, and Osx, as well as components of the BMP/Smad signaling pathway using quantitative real-time PCR (qRT-PCR), siRNA interference of hBMSCs, Western blot analysis, and other methods. Furthermore, we created a bone defect model in Sprague-Dawley (SD) male rats and filled the defect areas with the GelMa hydrogel, with or without TgEP. Microcomputed tomography (micro-CT) was employed to analyze the bone parameters of defect sites. H&E, Masson and immunohistochemical staining were used to assess the repair conditions of the defect area.
    RESULTS: Our results indicate that TgEP promotes the expression of key osteogenic markers, including ALP, Runx2, and Osx, as well as the activation of Smad1, BMP2, and phosphorylated Smad1/5-crucial elements of the BMP/Smad signaling pathway. Furthermore, in vivo experiments using a bone defect model in rats demonstrated that TgEP markedly promoted bone defect repair.
    CONCLUSIONS: Our results provide compelling evidence that TgEP facilitates hBMSC osteogenic differentiation through the BMP/Smad signaling pathway, highlighting its potential as a therapeutic approach for bone tissue engineering for bone defect healing.
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  • 文章类型: Journal Article
    背景:弓形虫病是由弓形虫引起的人畜共患寄生虫病(T。gondii)。它具有广泛的宿主范围,能够在孕妇中垂直传播,这可能导致不良的妊娠结局,如先天性畸形,流产,早产和死产。这项研究调查了在赞比亚南部Namwala区医院的产前诊所就诊的孕妇中弓形虫感染的血清阳性率。
    方法:这是一项横断面研究,并检测血清弓形虫IgG和IgM。对参与者进行了人口统计学特征和危险因素调查问卷。在MicrosoftExcel中输入数据并导出到STATA版本14用于分析。
    结果:从2021年3月3日至8月5日,共有401名女性参加了这项研究。弓形虫IgG的血清阳性率为4.2%(n=17),而弓形虫IgM的血清阳性率为0.7%(n=3)。中位年龄为27(IQR:24-30)岁,初等教育比例较大(n=223,55.6%)。大多数妇女(81.6%)已婚。在这项研究中调查的危险因素对弓形虫感染没有意义。
    结论:南部省Namwala区的孕妇中弓形虫感染的血清阳性率较低,赞比亚,并且在该人群中可能不需要定期筛查。建议继续对弓形虫病进行研究,以了解其在赞比亚的流行病学。
    BACKGROUND: Toxoplasmosis is a zoonotic parasitic disease caused by Toxoplasma gondii (T. gondii). It has a wide host range and is capable of vertical transmission in pregnant women, which may lead to undesirable pregnancy outcomes such as congenital malformations, miscarriage, premature birth and stillbirth. This study investigated the seroprevalence of T. gondii infection among pregnant women attending the antenatal clinic at Namwala District Hospital in Southern Zambia.
    METHODS: This was a cross-sectional study where blood was collected, and the serum was tested for Toxoplasma IgG and IgM. A questionnaire was administered to participants on demographic characteristics and risk factors. Data were entered in Microsoft Excel and exported to STATA version 14 for analysis.
    RESULTS: A total of 401 women were enrolled in the study from 3 March to 5 August 2021. The seroprevalence of Toxoplasma IgG was 4.2% (n=17), while the seroprevalence of Toxoplasma IgM was 0.7% (n=3). The median age was 27 (IQR: 24-30) years, and a larger proportion had primary-level education (n=223, 55.6%). The majority (81.6%) of the women were married. None of the risk factors investigated in this study were significant for T. gondii infection.
    CONCLUSIONS: There was a low seroprevalence of T. gondii infection among pregnant women in the Namwala district of Southern Province, Zambia, and regular screening may not be warranted in this population. Continued research on toxoplasmosis is recommended to understand its epidemiology across Zambia.
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  • 文章类型: Journal Article
    背景:弓形虫可在免疫缺陷宿主中引起症状性弓形虫病,包括患有人类免疫缺陷病毒(PLWH)的人,主要是因为潜伏感染的重新激活。我们使用国际流行病学数据库(IEDEA)亚太地区的TREATAsia人类免疫缺陷病毒(HIV)观察数据库(TAHOD)的数据评估了亚太地区PLWH中弓形虫病的患病率及其相关危险因素。
    方法:本研究包括1997年至2020年报告的回顾性和前瞻性弓形虫病病例。采用匹配的病例对照方法,其中诊断为弓形虫病的PLWH(病例)分别与来自同一部位的两个无弓形虫病诊断的PLWH(对照)相匹配。没有弓形虫病的部位被排除。使用条件逻辑回归分析弓形虫病的危险因素。
    结果:共有269/9576(2.8%)PLWH在19个TAHOD部位被诊断为弓形虫病。其中,227例(84%)回顾性报道,42例(16%)是队列登记后的前瞻性诊断。在弓形虫病诊断时,中位年龄为33岁(四分位距28-38),80%的参与者是男性,75%的患者没有接受抗逆转录病毒治疗(ART)。在269个没有CD4值的人中,包括63个,192例(93.2%)CD4≤200细胞/μL,162例(78.6%)CD4≤100细胞/μL。通过使用538个匹配的控件,我们发现与弓形虫病相关的因素包括戒除ART(比值比[OR]3.62,95%CI1.81-7.24),与接受核苷逆转录酶抑制剂加非核苷逆转录酶抑制剂相比,通过注射药物接触HIV(OR2.27,95%CI1.15-4.47),而不是进行异性性交和乙型肝炎病毒表面抗原检测呈阳性(OR3.19,95%CI1.41-7.21)。随着CD4计数的增加,弓形虫病的可能性较小(51-100细胞/μL:OR0.41,95%CI0.18-0.96;101-200细胞/μL:OR0.14,95%CI0.06-0.34;>200细胞/μL:OR0.02,95%CI0.01-0.06),当与CD4≤50细胞/μL相比时。此外,预防性使用复方新诺明与弓形虫病无关.
    结论:症状性弓形虫病很少见,但在亚太地区的PLWH中仍然存在,特别是在延迟诊断的情况下,导致晚期HIV疾病。通过早期诊断和ART管理的免疫重建仍然是亚洲PLWH的优先事项。
    BACKGROUND: Toxoplasma gondii can cause symptomatic toxoplasmosis in immunodeficient hosts, including in people living with human immunodeficiency virus (PLWH), mainly because of the reactivation of latent infection. We assessed the prevalence of toxoplasmosis and its associated risk factors in PLWH in the Asia-Pacific region using data from the TREAT Asia Human Immunodeficiency Virus (HIV) Observational Database (TAHOD) of the International Epidemiology Databases to Evaluate AIDS (IeDEA) Asia-Pacific.
    METHODS: This study included both retrospective and prospective cases of toxoplasmosis reported between 1997 and 2020. A matched case-control method was employed, where PLWH diagnosed with toxoplasmosis (cases) were each matched to two PLWH without a toxoplasmosis diagnosis (controls) from the same site. Sites without toxoplasmosis were excluded. Risk factors for toxoplasmosis were analyzed using conditional logistic regression.
    RESULTS: A total of 269/9576 (2.8%) PLWH were diagnosed with toxoplasmosis in 19 TAHOD sites. Of these, 227 (84%) were reported retrospectively and 42 (16%) were prospective diagnoses after cohort enrollment. At the time of toxoplasmosis diagnosis, the median age was 33 years (interquartile range 28-38), and 80% participants were male, 75% were not on antiretroviral therapy (ART). Excluding 63 out of 269 people without CD4 values, 192 (93.2%) had CD4 ≤200 cells/μL and 162 (78.6%) had CD4 ≤100 cells/μL. By employing 538 matched controls, we found that factors associated with toxoplasmosis included abstaining from ART (odds ratio [OR] 3.62, 95% CI 1.81-7.24), in comparison to receiving nucleoside reverse transcriptase inhibitors plus non-nucleoside reverse transcriptase inhibitors, HIV exposure through injection drug use (OR 2.27, 95% CI 1.15-4.47) as opposed to engaging in heterosexual intercourse and testing positive for hepatitis B virus surface antigen (OR 3.19, 95% CI 1.41-7.21). Toxoplasmosis was less likely with increasing CD4 counts (51-100 cells/μL: OR 0.41, 95% CI 0.18-0.96; 101-200 cells/μL: OR 0.14, 95% CI 0.06-0.34; >200 cells/μL: OR 0.02, 95% CI 0.01-0.06), when compared to CD4 ≤50 cells/μL. Moreover, the use of prophylactic cotrimoxazole was not associated with toxoplasmosis.
    CONCLUSIONS: Symptomatic toxoplasmosis is rare but still occurs in PLWH in the Asia-Pacific region, especially in the context of delayed diagnosis, causing advanced HIV disease. Immune reconstitution through early diagnosis and ART administration remains a priority in Asian PLWH.
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  • 文章类型: Journal Article
    共感染是一个常见的现实,但了解免疫系统在这种情况下的反应是复杂的,并且可能是不可预测的。Heligmosomoidesbakeri(寄生虫,以前的多回螺旋体)和弓形虫(原生动物寄生虫)是经过充分研究的生物体,它们刺激特征性的Th2和Th1反应,分别。若干研究已经证明,在与这些生物体共感染的动物中,炎性细胞因子应答降低。然而,虽然已经检查了一般的细胞因子特征,不同细胞因子产生淋巴细胞对寄生虫控制/清除的影响尚不完全清楚.我们调查了五种不同的淋巴细胞群体(NK,NKT,γδT,CD4+T和CD8+T细胞),五个器官(小肠,Peyer的补丁,肠系膜淋巴结,脾脏和肝脏),和4种细胞因子(IFN©,IL-4,IL-10和IL-13)在两个不同的时间点(弓形虫感染后第5天和第10天)。我们发现共感染的动物的死亡率明显高于任一单一感染。这伴随着寄生虫负荷和细胞因子谱的瞬时和局部变化。尽管淋巴细胞和细胞因子谱的早期变化,共感染小鼠的严重肠道病理可能导致早期死亡,这是由于小肠中两种寄生虫的严重损伤。我们的工作证明了在感染研究期间采取广泛观点的重要性,研究多种细胞类型,器官/组织和时间点将免疫学与病理发现联系起来和/或分离。我们的结果提供了与刺激免疫系统不同臂的寄生虫共同感染如何导致感染动力学的急剧变化的见解。
    Co-infections are a common reality but understanding how the immune system responds in this context is complex and can be unpredictable. Heligmosomoides bakeri (parasitic roundworm, previously Heligmosomoides polygyrus) and Toxoplasma gondii (protozoan parasite) are well studied organisms that stimulate a characteristic Th2 and Th1 response, respectively. Several studies have demonstrated reduced inflammatory cytokine responses in animals co-infected with such organisms. However, while general cytokine signatures have been examined, the impact of the different cytokine producing lymphocytes on parasite control/clearance is not fully understood. We investigated five different lymphocyte populations (NK, NKT, γδ T, CD4+ T and CD8+ T cells), five organs (small intestine, Peyer\'s patches, mesenteric lymph nodes, spleen and liver), and 4 cytokines (IFN©, IL-4, IL-10 and IL-13) at two different time points (days 5 and 10 post T. gondii infection). We found that co-infected animals had significantly higher mortality than either single infection. This was accompanied by transient and local changes in parasite loads and cytokine profiles. Despite the early changes in lymphocyte and cytokine profiles, severe intestinal pathology in co-infected mice likely contributed to early mortality due to significant damage by both parasites in the small intestine. Our work demonstrates the importance of taking a broad view during infection research, studying multiple cell types, organs/tissues and time points to link and/or uncouple immunological from pathological findings. Our results provide insights into how co-infection with parasites stimulating different arms of the immune system can lead to drastic changes in infection dynamics.
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  • 文章类型: Journal Article
    背景:弓形虫是人类和温血动物中广泛流行的人畜共患原生动物寄生虫。这种寄生虫感染人类会导致严重的临床症状,特别是在患有先天性弓形虫病或免疫功能低下的患者中。污染主要通过食源性途径发生,特别是食用动物的生肉或未煮熟的肉。
    目的:本研究的目的是使用PCR检测大不里士屠宰场屠宰的水牛和牛的组织和器官中的弓形虫,在伊朗。
    方法:50克心脏,大腿,选择在大不里士工业屠宰场屠宰的50只水牛和100头牛的隔膜和舌头进行采样,并结合方便采样。使用先前公开的PCR方法测试样品。
    结果:在150个动物样本中,在10人中检测到弓形虫(6.7%,95CI:3.2-11.9),包括一头水牛(2%,95CI:0.1-10.6)和9头牛(9%,95CI:4.2-16.4)。不同年龄和性别的牛弓形虫感染率差异无统计学意义(p>0.05)。
    结论:结果表明弓形虫通过食用受感染的肉类传播给人类的潜在风险。因此,应采取适当有效的预防措施,限制这种寄生虫向人类的传播,应劝阻食用生肉和未煮熟的肉。
    BACKGROUND: Toxoplasma gondii is a widely prevalent zoonotic protozoan parasite in humans and warm-blooded animals worldwide. Infection of humans by this parasite can result in severe clinical symptoms, particularly in individuals with congenital toxoplasmosis or immunocompromised patients. Contamination mainly occurs through foodborne routes, especially the consumption of raw or undercooked meat from animals.
    OBJECTIVE: The aim of this study was to use PCR to detect T. gondii in tissues and organs of buffaloes and cattle slaughtered at Tabriz slaughterhouse, in Iran.
    METHODS: Fifty grams of heart, thigh, diaphragm and tongue from 50 buffaloes and 100 cattle slaughtered at the Tabriz industrial slaughterhouse were selected for sampling using a combination of convenience sampling. The samples were tested using a previously published PCR method.
    RESULTS: Out of the 150 animal samples, T. gondii was detected in 10 (6.7%, 95%CI: 3.2-11.9), including one buffalo (2%, 95%CI: 0.1-10.6) and nine cattle (9%, 95%CI: 4.2-16.4). There was no statistically significant difference in the rate of T. gondii infection among cattle based on age and sex (p > 0.05).
    CONCLUSIONS: The results indicated a potential risk of T. gondii transmission to humans through the consumption of infected meat. Therefore, appropriate and effective preventive measures should be taken to limit the transmission of this parasite to humans, and the consumption of raw and undercooked meat should be discouraged.
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  • 文章类型: Journal Article
    弓形虫和犬新孢子虫是世界范围内主要的致病病原体。碰撞激酶抑制剂(BKIs)是一类化合物,已被优化为靶向顶复钙依赖性蛋白激酶1(CDPK1)-并且该类的几个成员已被证明在体外和体内是安全且具有高活性的。BKI-1708基于5-氨基吡唑-4-甲酰胺支架,并在体外表现出120nM的弓形虫和480nM的犬奈米β-半乳糖苷酶表达菌株的IC50值,并且在高达25μM的浓度下不影响人包皮成纤维细胞(HFF)活力。电子显微镜确定,速殖子感染的成纤维细胞在体外暴露于2.5μMBKI-1708可诱导多核裂殖样复合物(MNC)的形成,以持续的核分裂为特征,并带有新形成的缺乏外质膜的胞内动物。这些动物无法完成胞质分裂以形成感染性速殖子。BKI-1708在卵孵化后的第一个96小时内,浓度高达2μM,不会影响斑马鱼(Daniorerio)的胚胎发育。在连续五天期间用20mg/kg/天的BKI-1708处理小鼠导致药物血浆水平在0.14至4.95μM的范围内。BKI-1708的体内功效通过从怀孕的第9-13天口服施用20mg/kg/天在实验感染犬奈瑟氏菌(NcSpain-7)速殖子或弓形虫(TgShSp1)卵囊的小鼠中评价。在没有药物诱导的妊娠干扰的情况下,这两种模型的脑寄生虫负荷显着降低,垂直传播减少。
    Toxoplasma gondii and Neospora caninum are major worldwide morbidity-causing pathogens. Bumped kinase inhibitors (BKIs) are a compound class that has been optimized to target the apicomplexan calcium-dependent protein kinase 1 (CDPK1) - and several members of this class have proven to be safe and highly active in vitro and in vivo. BKI-1708 is based on a 5-aminopyrazole-4-carboxamide scaffold, and exhibited in vitro IC50 values of 120 nM for T. gondii and 480 nM for N. caninum β-galactosidase expressing strains, and did not affect human foreskin fibroblast (HFF) viability at concentrations up to 25 μM. Electron microscopy established that exposure of tachyzoite-infected fibroblasts to 2.5 μM BKI-1708 in vitro induced the formation of multinucleated schizont-like complexes (MNCs), characterized by continued nuclear division and harboring newly formed intracellular zoites that lack the outer plasma membrane. These zoites were unable to finalize cytokinesis to form infective tachyzoites. BKI-1708 did not affect zebrafish (Danio rerio) embryo development during the first 96 h following egg hatching at concentrations up to 2 μM. Treatments of mice with BKI-1708 at 20 mg/kg/day during five consecutive days resulted in drug plasma levels ranging from 0.14 to 4.95 μM. In vivo efficacy of BKI-1708 was evaluated by oral application of 20 mg/kg/day from day 9-13 of pregnancy in mice experimentally infected with N. caninum (NcSpain-7) tachyzoites or T. gondii (TgShSp1) oocysts. This resulted in significantly decreased cerebral parasite loads and reduced vertical transmission in both models without drug-induced pregnancy interference.
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