Moustafa Manal A
Department of Parasitology, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.
J Egypt Soc Parasitol. 2003 Aug;33(2):443-56.
The therapeutic effect of wheat germ agglutinin (WGA) as a lectin molecule either alone or with Nitazoxanide (NTZ) was evaluated experimentally on cryptosporidial infection using immunosuppressed mice. A total of 100 suckling albino mice were immunosuppressed and infected with 106 purified Cryptosporidium oocysts. The oocyst count in stool using modified Ziehl Neelsen technique on the days post infection (p.i), the histopathological examination of ileum sections and the IFN-Y serum level were assessed for the drug evaluation. The use of WGA alone or with NTZ showed significant reduction of excreted oocyst count started on day 7 (p.i) (p < 0.05) & (p < 0.01) respectively while the use of NTZ showed significant reduction (p < 0.05) started on day 10 (p.i) in comparison to control group. The combined therapy showed significant reduction (p < 0.01) in comparison to NTZ received group on days 7 and 10. The histopathological examination of mice received WGA alone or with NTZ showed increased inflammatory reaction and infiltrating inflammatory cells with multiple foci of enterocyte exfoliation along the villi. The IF N-Y serum level was significantly higher (p < 0.05) than control and NTZ received groups. In conclusior the combined therapy of NTZ and WGA showed earlier and better therapeutic effect against cryptosporidial infection. The results were critically discussed.
使用免疫抑制小鼠,通过实验评估了凝集素分子麦胚凝集素(WGA)单独使用或与硝唑尼特(NTZ)联合使用对隐孢子虫感染的治疗效果。总共100只乳用白化小鼠被免疫抑制,并感染106个纯化的隐孢子虫卵囊。在感染后(p.i)的几天,使用改良齐-尼氏技术评估粪便中的卵囊计数,对回肠切片进行组织病理学检查,并评估血清IFN-Y水平以进行药物评估。单独使用WGA或与NTZ联合使用分别在感染后第7天(p.i)(p < 0.05)和第7天(p.i)(p < 0.01)显示排出的卵囊计数显著减少,而与对照组相比,使用NTZ在感染后第10天(p.i)显示出显著减少(p < 0.05)。在第7天和第10天,联合治疗与接受NTZ的组相比显示出显著减少(p < 0.01)。对单独接受WGA或与NTZ联合使用的小鼠进行组织病理学检查,结果显示炎症反应增加,炎症细胞浸润,沿绒毛有多个肠上皮细胞脱落灶。IFN-Y血清水平显著高于对照组和接受NTZ的组(p < 0.05)。总之,NTZ和WGA的联合治疗对隐孢子虫感染显示出更早且更好的治疗效果。对结果进行了批判性讨论。