Bayoumy Ahmed Mohamed Sayed, Hamza Hanan Taher, Alotabi Mashael Alhumaidi
Department of Medical Parasitology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Department of Biology, College of Science, Jouf University, P.O.Box: 2014, Sakaka, Saudi Arabia.
J Parasit Dis. 2020 Dec;44(4):837-849. doi: 10.1007/s12639-020-01263-z. Epub 2020 Aug 27.
Hymenolepiasis is a common parasitic infection of children and considered an opportunistic disease with a life-threatening effect among immunocompromised patients through cysticercoid dissemination. Mirazid () is new phytotherapy for hymenolepiasis. So, the present study aimed to evaluate the effects of Mirazid treatment comparing to Praziquantel (PZQ) (standard treatment) among immunocompetent and immunocompromised infected albino mice through biochemical and histopathological parameters. A total of 60 clean male albino mice (immunocompetent group) were divided into equal five groups which were infected and treated with Mirazid beside PZQ. Another 72 infected immunocompromised animals were divided into equal six groups and were also treated with Mirazid and PZQ. Liver and kidney functions were estimated as well as histopathological examination of intestine and liver. Levels of AST in the serum of infected mice treated with Mirazid or PZQ recorded a highly significant increase compared to the normal control group. The percentage of increase was 83.30% and 36.60% respectively. While the infected group recorded a non-significant decrease in AST level and the percentage of decrease was - 7.4%. Immunocompetent groups showed a positive significant correlation with the control Mirazid or control PZQ groups recorded an increase in liver function enzymes (AST, Bilirubin, and GGT) ( < 0.001) comparing to the normal control group. In conclusion, Mirazid showed higher cure rates than PZQ, 95.45%, and 74.54% on the 15th and the 21st days, it reached 100% respectively associated with good improvement of histopathological changes in intestine and liver.
微小膜壳绦虫病是儿童常见的寄生虫感染,在免疫功能低下的患者中被认为是一种具有危及生命影响的机会性疾病,可通过似囊尾蚴播散。米拉齐德(Mirazid)是治疗微小膜壳绦虫病的新型植物疗法。因此,本研究旨在通过生化和组织病理学参数,评估在免疫功能正常和免疫功能低下的感染白化小鼠中,米拉齐德治疗与吡喹酮(PZQ)(标准治疗)相比的效果。总共60只健康雄性白化小鼠(免疫功能正常组)被平均分为五组,除PZQ外,还感染并接受米拉齐德治疗。另外72只感染的免疫功能低下动物被平均分为六组,也接受米拉齐德和PZQ治疗。评估了肝肾功能以及肠道和肝脏的组织病理学检查。与正常对照组相比,用米拉齐德或PZQ治疗的感染小鼠血清中的AST水平显著升高。升高百分比分别为83.30%和36.60%。而感染组的AST水平无显著下降,下降百分比为-7.4%。免疫功能正常组与对照米拉齐德或对照PZQ组呈正显著相关,与正常对照组相比,肝功能酶(AST、胆红素和GGT)升高(<0.001)。总之,米拉齐德的治愈率高于PZQ,在第15天和第21天分别为95.45%和74.54%,在第21天达到100%,同时肠道和肝脏的组织病理学变化有良好改善。