Deyab Fetouh A, El-Nouby Kholoud A, Shoheib Zeinab S, El-Fadl Arwa A Abo
Department of Parasitology, Faculty of Medicine, Tanta University, Tanta, Egypt.
J Egypt Soc Parasitol. 2008 Apr;38(1):225-41.
This work studied the effect of sub-chronic DDT exposure on the course of experimental giardiasis and efficacy of its treatment. A total of 160 mice were divided into six groups: G1: 30 mice received DDT and infected with Giardia lamblia. G2: 30 mice received DDT, infected and treated with tinidazole (TNZ). G3: 30 mice infected with Giardia. G4: 30 mice infected and treated with TNZ. G5: 30 mice received DDT only. G6: 10 mice served as normal control. Mice were sacrificed at 7, 14, 21 & 28 days P.I. All groups were subjected to cyst count/2 hours collected stool, trophozoite count in intestine, histopathological examination of small intestinal section and avidin biotin peroxidase technique for local IgA staining. Also, IFN-gamma was measured in sera. DDT caused early shedding of many cysts and increase in trophozoite counts for a long time, decreased intra epithelial lymphocytes, low levels of IgA & IFN-gamma and severe histopathological changes in intestinal sections in G1 as compared to G3. Also, DDT reduced the efficacy of TNZ treatment in G2 as compared to G4. The results strongly support the immunomodulating effect of DDT on experimental giardiasis that might be responsible for persistence of infection, resistance to treatment and re-infection in DDT exposed persons.
本研究探讨了亚慢性滴滴涕暴露对实验性贾第虫病病程及其治疗效果的影响。总共160只小鼠被分为六组:G1组:30只小鼠接受滴滴涕并感染蓝氏贾第鞭毛虫。G2组:30只小鼠接受滴滴涕,感染后用替硝唑(TNZ)治疗。G3组:30只小鼠感染贾第虫。G4组:30只小鼠感染后用TNZ治疗。G5组:30只小鼠仅接受滴滴涕。G6组:10只小鼠作为正常对照。在感染后第7、14、21和28天处死小鼠。所有组均进行每2小时收集粪便的囊肿计数、肠道内滋养体计数、小肠切片的组织病理学检查以及用于局部IgA染色的抗生物素蛋白生物素过氧化物酶技术。此外,还检测了血清中的干扰素-γ。与G3组相比,G1组中滴滴涕导致许多囊肿早期排出,滋养体计数长时间增加,上皮内淋巴细胞减少,IgA和干扰素-γ水平降低,肠道切片出现严重的组织病理学变化。此外,与G4组相比,G2组中滴滴涕降低了TNZ的治疗效果。结果有力地支持了滴滴涕对实验性贾第虫病的免疫调节作用,这可能是导致接触滴滴涕的人感染持续、对治疗产生抗性和再次感染的原因。