变形虫:全能的生物体与无声的杀手。
Amoebas: the omnipotent organism and silent assassin.
作者信息
Salazar-Ardiles Camila, Paredes Valencia Kristell, Andrade David C
机构信息
Laboratory of Molecular Biology and Applied Microbiology, Biomedical Department, Research Center in High Altitude Medicine and Physiology, Faculty of Health Science, Universidad de Antofagasta, 1240000, Antofagasta, Chile.
Exercise Applied Physiology Laboratory, Biomedical Department, Research Center in High Altitude Medicine and Physiology, Faculty of Health Sciences, University of Antofagasta, Antofagasta, Chile.
出版信息
Mol Biol Rep. 2025 Jan 24;52(1):160. doi: 10.1007/s11033-025-10256-1.
Amoebas are characterized by their unique ability to exist both as free-living organisms and, occasionally, as parasites within host tissues, earning them the designation 'amphizoic amoebae'. While amoebic infections are less prevalent, their health impact can be tremendous, leading to several diseases. In low-income countries, poor sanitation and socioeconomic conditions significantly increase the risk of amoebic infections, particularly E. histolytica, which affects up to 50 million people and causes over 100,000 deaths each year. Diagnostic methods, including microscopy, serological tests, polymerase chain reaction, and the loop-mediated isothermal amplification assay, have improved the accuracy and timeliness of amoeba diagnosis. However, these methodologies are often cost-prohibitive for developing countries. Conversely, current treatments involve aggressive protocols using antibiotics, antifungals, and anticancer agents. However, the prognosis for severe infections such as Primary Amoebic Meningoencephalitis and Granulomatous Amebic Encephalitis remains poor. Despite advancements, effective treatments, and new low-cost therapeutic options are still being researched. Thus, the current review sought to provide a description of molecular aspects such as amoeba virulence factors and invasion processes, focusing on recent advances in the detection, identification, and treatment of associated diseases.
变形虫的特点是具有独特的能力,既能作为自由生活的生物体存在,偶尔也能作为宿主组织内的寄生虫存在,因此被称为“兼性变形虫”。虽然阿米巴感染不太常见,但其对健康的影响可能很大,会导致多种疾病。在低收入国家,卫生条件差和社会经济状况不佳会显著增加阿米巴感染的风险,尤其是溶组织内阿米巴,每年影响多达5000万人并导致超过10万人死亡。诊断方法,包括显微镜检查、血清学检测、聚合酶链反应和环介导等温扩增检测,提高了阿米巴诊断的准确性和及时性。然而,这些方法对发展中国家来说往往成本过高。相反,目前的治疗方法包括使用抗生素、抗真菌药和抗癌药的积极方案。然而,原发性阿米巴脑膜脑炎和肉芽肿性阿米巴脑炎等严重感染的预后仍然很差。尽管取得了进展,但仍在研究有效的治疗方法和新的低成本治疗选择。因此,本综述旨在描述诸如变形虫毒力因子和侵袭过程等分子方面,重点关注相关疾病检测、鉴定和治疗的最新进展。