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[棘球蚴的生理特性及其与棘球蚴病干预措施的关联]

[Physiological characteristics of Echinococcus and their association with interventions against echinococcosis].

作者信息

Li J, Guo G, Zhang Z Z, Zhang W B

机构信息

State Key Laboratory Incubation Base of Xinjiang Major Diseases Research, Clinical Medical Research Institute, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2018 Feb 6;52(2):210-214. doi: 10.3760/cma.j.issn.0253-9624.2018.02.019.

Abstract

Alveolar and cystic echinococcosis are important zoonotic diseases caused by the dog/fox tapeworms of Echinococcus granulosus and E. multilocularis, which are distributed in almost whole the world. The diseases remarkably impact on the people's health and economic development of communities. Echinococcus tapeworms need two mammalian animals to complete their lifecycle. The worms undergo different developmental stages (adult, egg/oncosphere, cyst, and protoscolex). Each stage has its own distinct physiological characteristics. We summarize the characteristics and emphasize that some features that strongly impact on design of control program. Based on the lifecycle of these worms, two stages are infectious, one is egg the only stage for primarily infecting humans and intermediate host, and another stage is protoscolex, the only stage for infecting the definite hosts of the worms. Eggs are produced by the adult worms parasitized in the intestine of definite hosts. It takes 45 days for eggs becoming mature in dogs. With this feature of the tapeworm, New Zealand and Tasmania in Australia designed control program for deworming 8 times annually with an interval between deworms at 45 days. E. multilocularis takes 28-30 days in dog/fox producing mature eggs. Given that co-existence of E. granulosus and E. multilocularis in western China, a control measure so called "prepatent deworming control measure" has been used in these endemic areas with dosing worms in dogs every month. It normally takes 12-15 months for producing protosocleces in E. granulosus cysts in sheep. If meat markets attract most lambs, that is an effective measure for controlling cystic echinococcosis given that there are no protoscoleces produced from those lambs. In addition, Echinococcus has its own unique biological characteristics, such as sexual reproduction and asexual reproduction, single-cell layer structure of cyst, bidirectional development of protoscoleces induced by bile salts, and long term of infection causing host asymptomatic reaction make the parasites a models for addressing some biological and biomedical issues. And more, hydatid cyst fluid is the antigen resource for identifying diagnostic reagents; the specific gene expressed in oncospheres has been developed as an effective vaccine used for control program. With the development and application of high-throughput omics, including genomics, transcriptomics and proteomics, we can use the physiological characteristics of Echinococcus for searching diagnostic reagents, developing preventive vaccines and identify new drug targets.

摘要

肺泡型和囊型棘球蚴病是由细粒棘球绦虫和多房棘球绦虫的犬/狐绦虫引起的重要人畜共患病,分布于几乎整个世界。这些疾病对人类健康和社区经济发展产生显著影响。棘球绦虫需要两种哺乳动物来完成其生命周期。该蠕虫经历不同的发育阶段(成虫、虫卵/六钩蚴、囊肿和原头蚴)。每个阶段都有其独特的生理特征。我们总结了这些特征,并强调了一些对控制方案设计有重大影响的特征。基于这些蠕虫的生命周期,有两个阶段具有传染性,一个是虫卵,这是主要感染人类和中间宿主的唯一阶段,另一个阶段是原头蚴,这是感染该蠕虫终末宿主的唯一阶段。虫卵由寄生于终末宿主肠道内的成虫产生。虫卵在犬体内成熟需要45天。基于绦虫的这一特性,新西兰和澳大利亚的塔斯马尼亚设计了每年驱虫8次、每次驱虫间隔45天的控制方案。多房棘球绦虫在犬/狐体内产生成熟虫卵需要28 - 30天。鉴于中国西部细粒棘球绦虫和多房棘球绦虫共存,这些流行地区采用了一种所谓的“孕卵期驱虫控制措施”,每月给犬投药驱虫。细粒棘球绦虫囊肿在绵羊体内产生原头蚴通常需要12 - 15个月。如果肉类市场吸引了大多数羔羊,鉴于这些羔羊不会产生原头蚴,这是控制囊型棘球蚴病的一项有效措施。此外,棘球绦虫有其独特的生物学特性,如有性生殖和无性生殖、囊肿的单细胞层结构、胆盐诱导原头蚴的双向发育以及长期感染导致宿主无症状反应,这些特性使该寄生虫成为解决一些生物学和生物医学问题的模型。而且,棘球蚴囊液是鉴定诊断试剂的抗原来源;六钩蚴中表达的特定基因已被开发为用于控制方案的有效疫苗。随着高通量组学(包括基因组学、转录组学和蛋白质组学)的发展和应用,我们可以利用棘球绦虫的生理特性来寻找诊断试剂、开发预防性疫苗并确定新的药物靶点。

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