Division of Parasitology, Indian Veterinary Research Institute, Izatnagar, Uttar Pradesh, India.
Parasitol Res. 2010 Mar;106(4):947-56. doi: 10.1007/s00436-010-1741-1. Epub 2010 Feb 5.
Sixteen male, yearling Murrah buffaloes were randomly assigned to four groups of four buffaloes each. Each animal in Gr-I and II were immunized, respectively, with 4.8 mg of excretory secretory antigen and 1,300 microg Infection Specific Antigen, in three divided doses. Subsequently, each animal in Gr-I, II, and III was per os infected with 800 viable Fasciola gigantica metacercariae (bubaline origin) on week-6 after the start of the experiment, while animals in Gr-IV served as healthy controls. The aspartate aminotransferase (AST) and alanine aminotransferase (ALT) concentrations progressively increased during the prepatency and respectively attained the highest levels during week-6 and 8 post-infection (PI). The alkaline phosphatase (AP) exhibited elevated trends from eighth week PI onward and continued to be higher until the end (p < 0.05-0.01). With the cessation of traumatic activities of the diastomes, the AST and ALT levels declined yet were throughout significantly higher than the healthy controls (p < 0.05-0.01). In the immunized animals (Gr-I and II), the fluctuation patterns were similar but the values were significantly lower than the non-immunized (Gr-III) animals (p < 0.05-0.01). The elevated levels of the enzymes had positive correlation with depressed erythrocytic indices, leucocytosis, eosinophilia, necropsy worm recovery, and hepatic lesion score in the respective groups. The increased concentrations of the enzymes revealed two clearly demarcated stages: (a) remarkably elevated AST (40.8%) and ALT (140.0%) levels during the prepatency, signifying traumatic lesions inflicted by the F. gigantica adolescercariae and (b) the significant increase in AP (107.9%), suggestive of bile duct hyperplasia, cholangitis, periportal fibrosis, and biliary obstruction etc. from sixth week PI onward. None of healthy controls developed clinical signs and had normal hematological and serum enzyme profiles. Diagnostic significance of these marker enzymes in the disease forecasting and in time application of control strategies to combat tropical fasciolosis in buffaloes in the endemic areas has been discussed.
十六头雄性、一岁龄的摩拉水牛被随机分为四组,每组四头。Gr-I 和 Gr-II 组的动物分别接受 4.8 毫克排泄分泌抗原和 1300 微克感染特异性抗原,分三次给药。随后,在实验开始后的第 6 周,Gr-I、Gr-II 和 Gr-III 组的每头动物口服感染 800 个具有活力的双腔吸虫囊蚴(牛源),而 Gr-IV 组的动物作为健康对照。天门冬氨酸氨基转移酶(AST)和丙氨酸氨基转移酶(ALT)浓度在潜伏期内逐渐升高,分别在感染后第 6 周和第 8 周达到最高水平。碱性磷酸酶(AP)从第 8 周 PI 开始呈升高趋势,并持续升高至结束(p<0.05-0.01)。随着双腔吸虫的生活史活动停止,AST 和 ALT 水平下降,但仍显著高于健康对照组(p<0.05-0.01)。在免疫组(Gr-I 和 Gr-II)中,波动模式相似,但值显著低于未免疫组(Gr-III)(p<0.05-0.01)。酶的升高水平与各自组中红细胞指数降低、白细胞增多、嗜酸性粒细胞增多、尸检蠕虫回收和肝损伤评分呈正相关。酶浓度的增加显示出两个明显区分的阶段:(a)在潜伏期内 AST(40.8%)和 ALT(140.0%)水平显著升高,表明 F. gigantica 幼虫造成的创伤性病变;(b)从第 6 周 PI 开始,AP(107.9%)显著增加,提示胆管增生、胆管炎、门脉周围纤维化和胆管阻塞等。健康对照组均未出现临床症状,血液学和血清酶谱正常。讨论了这些标记酶在疾病预测和在流行地区及时应用控制策略来对抗水牛热带双腔吸虫病方面的诊断意义。