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[啮齿动物在土耳其皮肤利什曼病传播中起作用吗?]

[Do the rodents have a role in transmission of cutaneous leishmaniasis in Turkey?].

作者信息

Özbilgin Ahmet, Çavuş İbrahim, Yıldırım Ahmet, Gündüz Cumhur

机构信息

Celal Bayar University Faculty of Medicine, Department of Parasitology, Manisa, Turkey.

Ege University Faculty of Medicine, Department of Medical Biology, Izmir, Turkey.

出版信息

Mikrobiyol Bul. 2018 Jul;52(3):259-272. doi: 10.5578/mb.66828.

Abstract

Leishmaniasis is a zoonotic/anthroponotic vector borne parasitic infection which is caused by Leishmania species and transmitted by sand flies (Phlebotomus spp.) The reservoirs of Leishmania species in nature are various wild and domestic carnivores, rodents and human. The aim of this study was to investigate whether the rodents in genera Meriones, Mesocricetus, Rattus and Mus which inhabit in the natural habitat of our country could be natural reservoirs of Leishmania tropica, Leishmania infantum, Leishmania major and Leishmania donovani for cutaneous Leishmaniasis (CL)., The rodents Mus musculus (Balb/C mouse), Mesocricetus auratus (hamster), Meriones unguiculatus (gerbil) and Rattus norvegicus (rat) which are part of the natural habitat in Turkey were used in the study. L.tropica, L.infantum, L.major and L.donovani promastigote isolates obtained from CL patients and cultured in enriched media were injected in the footpads of the animals intradermally using the density of 10 promastigote/ml. The scale of the lesions on the footpads of the animals were measured for 12 weeks. At the end of the experiment, the animals were sacrificed and "touch preparations" were prepared using footpad, liver, spleen and testicles of the sacrified animals and were examined using Giemsa stained slides following culturing in enriched NNN medium. Leishmania amastigotes were seen in the slides prepared from the footpads of the all experimental animals and all cultures were positive for promastigotes prepared from the same clinical material. But not all the experiment groups were positive for the liver, spleen and testicle preparations. According to these results it was concluded that while all rodents in the experiment groups were positive for CL, only a part of the experiment groups were positive for internal organ involvement. Accordingly, (a) All Leishmania strains caused both CL and internal organ involvement in M.unguiculatus and M.musculus, (b) only L.tropica caused CL and internal organ involvement in R.norvegicus, while other Leishmania strains only caused CL in this group, (c) in M.auratus only L.donovani caused CL while other strains caused both CL and internal organ involvement. In our study, it was determined that the rodents Meriones, Mesocricetus, Rattus and Mus genera which are part of our country's natural habitat could serve as natural reservoirs of L.tropica, L.infantum, L.major and L.donovani, thus having the potential for the spreading of Leishmaniasis in our country and important information were gathered concerning the clinical aspects of the infection caused by Leishmania species in their potential reservoir hosts.

摘要

利什曼病是一种人畜共患/人源性媒介传播的寄生虫感染,由利什曼原虫属引起,通过白蛉(白蛉属)传播。自然界中利什曼原虫属的储存宿主包括各种野生和家养食肉动物、啮齿动物及人类。本研究的目的是调查在我国自然栖息地中栖息的子午沙鼠属、中仓鼠属、大鼠属和小鼠属啮齿动物是否可能成为热带利什曼原虫、婴儿利什曼原虫、硕大利什曼原虫和杜氏利什曼原虫引起皮肤利什曼病(CL)的自然储存宿主。本研究使用了土耳其自然栖息地中的小家鼠(Balb/C小鼠)、金黄仓鼠、长爪沙鼠和褐家鼠。从CL患者分离并在富集培养基中培养的热带利什曼原虫、婴儿利什曼原虫、硕大利什曼原虫和杜氏利什曼原虫前鞭毛体分离株,以每毫升10个前鞭毛体的密度皮内注射到动物的足垫中。对动物足垫上病变的大小进行了12周的测量。实验结束时,处死动物,使用处死动物的足垫、肝脏、脾脏和睾丸制作“触片”,在富集的NNN培养基中培养后,用吉姆萨染色玻片进行检查。在所有实验动物足垫制备的玻片上均可见利什曼无鞭毛体,且从相同临床材料制备的前鞭毛体所有培养物均为阳性。但并非所有实验组的肝脏、脾脏和睾丸制备物均为阳性。根据这些结果得出结论,虽然实验组中的所有啮齿动物CL均呈阳性,但只有部分实验组的内脏受累呈阳性。因此,(a)所有利什曼原虫菌株在长爪沙鼠和小家鼠中均引起CL和内脏受累,(b)只有热带利什曼原虫在褐家鼠中引起CL和内脏受累,而其他利什曼原虫菌株在该组中仅引起CL,(c)在金黄仓鼠中只有杜氏利什曼原虫引起CL,而其他菌株引起CL和内脏受累。在我们的研究中,确定我国自然栖息地中的子午沙鼠属、中仓鼠属、大鼠属和小鼠属啮齿动物可作为热带利什曼原虫、婴儿利什曼原虫、硕大利什曼原虫和杜氏利什曼原虫的自然储存宿主,因此有可能在我国传播利什曼病,并收集了关于利什曼原虫属在其潜在储存宿主中引起感染的临床方面的重要信息。

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