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从土耳其埃斯基谢希尔儿童中分离出的芽囊原虫属亚型分布情况。

Subtype distribution of Blastocystis spp. isolated from children in Eskisehir, Turkey.

作者信息

Dogan Nihal, Aydin Merve, Tuzemen Nazmiye Ulku, Dinleyici Ener Cagri, Oguz Ilkiz, Dogruman-Al Funda

机构信息

Department of Medical Microbiology, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.

Department of Medical Microbiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey.

出版信息

Parasitol Int. 2017 Feb;66(1):948-951. doi: 10.1016/j.parint.2016.10.008. Epub 2016 Oct 28.

Abstract

Blastocystis spp. is the most common enteric protist found in human feces. The pathogenic role of Blastocystis remains controversial and it has been suggested that the symptomatology of Blastocystis is associated with its subtypes (ST). However, only few studies have investigated the relationship between the symptomatology and subtypes of Blastocystis in children. This study aimed to investigate the prevalence of Blastocystis in children aged 3 to 13years with or without gastrointestinal complaints and determine the distribution of the subtypes of Blastocystis. A total of 303 stool samples obtained from symptomatic (n=84) and asymptomatic (n=219) children were included in the study. The presence of Blastocystis was investigated using native-lugol examination, trichrome staining and real-time PCR method. Using the real-time PCR method, 115 samples were found positive for Blastocystis. Subtyping was successfully performed on 46 samples using sequenced-tagged site (STS) primers and PCR. The remaining 69 samples could not be subtyped. The most frequently detected subtype was ST3 (43.4%) followed by ST1 (26.1%), ST4 (10.9%) and ST2 (8.7%). The mixed subtypes were identified in five samples (10.9%) as; ST1+ST3 (n=3), ST1+ST2 (n=1) and ST2+ST3 (n=1). None of the samples had ST5, ST6 or ST7. No statistically significant difference was found between the symptomatic and asymptomatic groups in terms of the Blastocystis positivity and the distribution of subtypes (p>0.05). To our knowledge, this is the first study to investigate the subtype distribution of Blastocystis in children in Turkey and the results are in agreement with the related data available in Turkey.

摘要

芽囊原虫属是人类粪便中最常见的肠道原生生物。芽囊原虫的致病作用仍存在争议,有人认为芽囊原虫的症状与其亚型(ST)有关。然而,仅有少数研究调查了儿童芽囊原虫症状与亚型之间的关系。本研究旨在调查3至13岁有或无胃肠道不适症状儿童中芽囊原虫的患病率,并确定芽囊原虫亚型的分布情况。本研究共纳入了303份来自有症状(n = 84)和无症状(n = 219)儿童的粪便样本。采用生理盐水-卢戈氏碘液检查、三色染色和实时荧光定量PCR方法检测芽囊原虫。采用实时荧光定量PCR方法,发现115份样本芽囊原虫呈阳性。使用序列标签位点(STS)引物和PCR技术对46份样本成功进行了亚型分型。其余69份样本无法进行亚型分型。最常检测到的亚型是ST3(43.4%),其次是ST1(26.1%)、ST4(10.9%)和ST2(8.7%)。在5份样本(10.9%)中鉴定出混合亚型,分别为:ST1 + ST3(n = 3)、ST1 + ST2(n = 1)和ST2 + ST3(n = 1)。没有样本检测到ST5、ST6或ST7。在芽囊原虫阳性率和亚型分布方面,有症状组和无症状组之间未发现统计学显著差异(p>0.05)。据我们所知,这是第一项在土耳其调查儿童芽囊原虫亚型分布的研究,结果与土耳其现有的相关数据一致。

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