Daugschies A, Rupp U, Rommel M
Institut für Parasitologie, Tierärztliche Hochschule Hannover, Germany.
Int J Parasitol. 1998 Aug;28(8):1187-94. doi: 10.1016/s0020-7519(98)00103-9.
The effects of experimental infection of calves with Sarcocystis cruzi on the blood coagulation cascade were investigated. Calves were inoculated orally with 1 x 10(5) sporocysts (group S1, n = 6) or with 5 x 10(5) sporocysts of S. cruzi (group S2, n = 3). A group of eight calves served as non-infected controls (group C). The animals were bled once during the first 4 weeks of infection and twice a week thereafter until day 40 p.i. The following parameters were measured: activated partial thromboplastin time, prothrombin time, thrombin time, reptilase time, thrombin coagulase time, factors XII, XI, X, IX, VIII:C, VII, V, prekallikrein, fibrinogen, alpha 2-antiplasmin, antithrombin III, alpha 1-antitrypsin, alpha 2-macroglobulin, haematocrit, haemoglobin, numbers of erythrocytes and thrombocytes. The infected calves developed acute sarcocystiosis from 25 (S1) or 29 (S2) days p.i. onwards. During the acute disease, antiproteases tended to elevated values and thrombocyte counts were generally reduced. In group S1 prolonged prothrombin time and reduced activities of factors VII or V were found. In group S2 accelerated prothrombin time and activated partial thromboplastin time, as well as elevated factor X activities, were recorded even before the onset of clinical disease at 19 days p.i. While prothrombin time returned to normal levels thereafter, activated partial thromboplastin time remained short. Activities of factor V, factor VII and factor X were significantly reduced in group S2 at the onset of acute sarcocystiosis, and one of the three calves died at 29 days p.i. The other parameters were not significantly affected by either dose of infection. No evidence for a classical disseminated intravascular coagulation syndrome could be found; however, it was demonstrated that S. cruzi alters plasma coagulation in a dose-dependent way.
研究了用克氏肉孢子虫实验性感染犊牛对血液凝固级联反应的影响。给犊牛口服接种1×10⁵个孢子囊(S1组,n = 6)或5×10⁵个克氏肉孢子虫孢子囊(S2组,n = 3)。一组八头犊牛作为未感染对照(C组)。在感染的前4周内对动物采血一次,此后每周采血两次,直至感染后40天。测量了以下参数:活化部分凝血活酶时间、凝血酶原时间、凝血酶时间、蛇毒凝血酶时间、凝血酶凝固酶时间、因子Ⅻ、Ⅺ、Ⅹ、Ⅸ、Ⅷ:C、Ⅶ、Ⅴ、前激肽释放酶、纤维蛋白原、α2 -抗纤溶酶、抗凝血酶Ⅲ、α1 -抗胰蛋白酶、α2 -巨球蛋白、血细胞比容、血红蛋白、红细胞和血小板数量。感染的犊牛从感染后25天(S1组)或29天(S2组)起出现急性肉孢子虫病。在急性疾病期间,抗蛋白酶往往升高,血小板计数普遍降低。在S1组发现凝血酶原时间延长,因子Ⅶ或Ⅴ的活性降低。在S2组,甚至在感染后19天临床疾病发作前就记录到凝血酶原时间加快、活化部分凝血活酶时间加快以及因子Ⅹ活性升高。此后凝血酶原时间恢复到正常水平,而活化部分凝血活酶时间仍然缩短。在急性肉孢子虫病发作时,S2组因子Ⅴ、因子Ⅶ和因子Ⅹ的活性显著降低,三头犊牛中有一头在感染后29天死亡。其他参数均未受到任何一种感染剂量的显著影响。未发现典型的弥散性血管内凝血综合征的证据;然而,已证明克氏肉孢子虫以剂量依赖的方式改变血浆凝血。