Duan Qiong, Xiong Lu, Liao Chaonan, Liu Zhenzhen, Xiao Yi, Huang Ruixue, Tan Ting, Ouyang Yanhao, Cai Jinxing, Xiao Meifang, Xu Huilan, Chen Zihua, Chen Lizhang, Yang Tianlun, Huang He
Department of Social Medicine and Health Administration, Xiangya School of Public Health, Central South University, 238 Shangmayuanling Road, Changsha, China; Cardiovascular Division, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, China.
Department of Histology and Embryology, Xiangya School of Medicine, Central South University, 172 Tongzipo Road, Changsha, China.
Acta Trop. 2018 Apr;180:33-41. doi: 10.1016/j.actatropica.2018.01.002. Epub 2018 Jan 6.
Although parasitic infection affects the glucose homeostasis of mice, only few studies have integrated epidemiological and animal data to determine the effect of Schistosoma japonicum infection on mice metabolism. The current study assessed the effects of S. japonicum infection on blood glucose and other metabolic parameters in both patients and animal models of chronic schistomiasis. A total of 2183 patients with chronic schistosomiasis and age- and gender-matched individuals without schistosomiasis (n = 1798) were enrolled in this study. Fasting blood glucose and other metabolic parameters, including body mass index (BMI) and serum triglyceride and total cholesterol, were compared between the two groups. Mice infected with S. japonicum were used to test the effects of the parasite on glucose tolerance. We found that chronic schistosomiasis patients had significantly lower BMI and fasting blood glucose, serum triglyceride, and total cholesterol levels than non-schistosomiasis individuals. In the animal studies, both bisexual and unisexual S. japonicum infection improved glucose tolerance in wild-type mice. Additionally, S. japonicum-infected ob/ob mice, a model that spontaneously develops obesity and diabetes, also had decreased body weight and improved glucose tolerance. We further observed that S. japonicum-infected mice had lower inflammatory gene expression in the visceral white adipose tissue than the control mice. Collectively, our results demonstrated that S. japonicum infection improved glucose tolerance and other metabolic parameters both in human and animals. Downregulated inflammatory gene expression due to S. japonicum infection might be among the mechanisms for the improved glucose tolerance.
尽管寄生虫感染会影响小鼠的葡萄糖稳态,但只有少数研究整合了流行病学和动物数据来确定日本血吸虫感染对小鼠代谢的影响。本研究评估了日本血吸虫感染对慢性血吸虫病患者和动物模型的血糖及其他代谢参数的影响。本研究共纳入了2183例慢性血吸虫病患者以及年龄和性别匹配的未感染血吸虫病的个体(n = 1798)。比较了两组之间的空腹血糖及其他代谢参数,包括体重指数(BMI)、血清甘油三酯和总胆固醇。用感染日本血吸虫的小鼠来测试该寄生虫对葡萄糖耐量的影响。我们发现,慢性血吸虫病患者的BMI、空腹血糖、血清甘油三酯和总胆固醇水平显著低于未感染血吸虫病的个体。在动物研究中,日本血吸虫的两性感染和单性感染均改善了野生型小鼠的葡萄糖耐量。此外,感染日本血吸虫的ob/ob小鼠(一种自发发生肥胖和糖尿病的模型)体重也有所下降,葡萄糖耐量得到改善。我们进一步观察到,感染日本血吸虫的小鼠内脏白色脂肪组织中的炎症基因表达低于对照小鼠。总体而言,我们的结果表明,日本血吸虫感染改善了人和动物的葡萄糖耐量及其他代谢参数。日本血吸虫感染导致的炎症基因表达下调可能是葡萄糖耐量改善的机制之一。
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