ABSTRACT
Currently, the definition, classification and Chinese nomenclature of intra-hepatic cholangiocarcinoma (ICC) are controversial. Whether ICC belongs to liver cancer or carcinoma of bile duct is debatable, and the two terms"intrahepatic cholangiocarcinoma"and"cholangiocellular carcinoma"are simultaneously used without distinction, bringing great confusions to clinical practice. Based on authoritative literatures at home and abroad, the authors give suggestions on the definition, classification and Chinese nomenclature of ICC, as well as the classification of carcinoma of bile duct, which recommend that the Chinese translation of "cholangiocarcinoma" should be "epithelial carcinoma of bile duct (cholangiocellular carcinoma)", the mass-forming type ICC should be classified as primary liver cancer, naming as"intrahepatic cholangiocarcinoma"and the periductal-infiltrating type and intraductal-growing type ICCs still be classified as carcinoma of bile duct, naming as"perihilar cholangiocarcinoma". The authors recommend to classify carcinoma of bile duct into: perihilar cholangiocarcinoma, hilar cholangiocarcinoma, and distal cholangiocarcinoma.
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Objective To understand the prevalence of major human parasitic diseases and related factors in Henan province.Methods This stratified sampling survey was carried out according to the requirement of national survey protocol of major human parasitic diseases,2014-2015.The prevalence of soil-transmitted helminths infection,taeniasis and intestinal protozoiasis were surveyed in 104 sites selected from 35 counties (districts) and the prevalence of clonorchiasis was surveyed in 62 sites selected from 37 townships.In each survey spot,250 persons were surveyed.A total of 26 866 persons and 15 893 persons were surveyed.Modified Kato-Katz thick smear was used to detect the eggs of intestinal helminthes.Tube fecal culture was used to identify the species of hookworm.The Enterobius eggs were detected in children aged 3 to 6 years by using adhesive tape.The cyst and trophozoite of intestinal protozoa were examined with physiological saline direct smear method and iodine stain method.Results The overall infestation rate of intestinal parasites was 2.02％ in Henan,and the worm infection rate was higher than protozoa infection rate.Fourteen kinds of intestinal parasites were found,including nematode (5 species),trematode (2 species),and protozoan (7 species).The infection rate of Enterobius vermicularis was highest,and Qinba Mountain ecological area had the highest infestation rate of intestinal parasites in 4 ecological areas of Henan.There was no significant difference in intestinal parasite infection rote between males and females (x2=3.630,P=0.057),and the differences in intestinal parasite infection rate among different age groups had significance (x2=124.783,P=0.000 1).The infection rate reached the peak in age group ≤9 years and the major parasite was Enterobius vermicularis.Furthermore the overall human infection rate of parasite showed a downward trend with the increase of educational level of the people (x2=70.969,P=0.000 1),the differences had significance (x2=120.118,P=0.000 1).For different populations,the infection rate of intestinal parasites was highest among preschool children.The infection of intestinal helminth was mainly mild,only 2 severe cases were detected.The infection rate of Clonorchis sinensis in urban residents was only 0.006％.Logistic regression analysis showed that being preschool children (x2=15.765,P=0.000 1) and drinking well water (X2=45.589,P=0.000 1) were the risk factors for intestinal parasite infection,and annual income per capita of farmers was the protective factor against intestinal parasite infection.The infection rates of protozoa and intestinal parasites decreased sharply compared with the results of previous two surveys,and the rate of intestinal helminth infection also dropped sharply compared with the second survey.The numbers of protozoa,helminth and intestinal parasites detected in this survey were all less than the numbers found in the previous two surveys.Conclusions Compared the results of three surveys in Henan,the infection rate of protozoa and intestinal parasites showed a downward trend.The prevention and treatment of Enterobius vermicularis infection in children should be the key point of parasitic disease control in the future.
ABSTRACT
Objective To understand the prevalence of major human parasitic diseases and related factors in Henan province.Methods This stratified sampling survey was carried out according to the requirement of national survey protocol of major human parasitic diseases,2014-2015.The prevalence of soil-transmitted helminths infection,taeniasis and intestinal protozoiasis were surveyed in 104 sites selected from 35 counties (districts) and the prevalence of clonorchiasis was surveyed in 62 sites selected from 37 townships.In each survey spot,250 persons were surveyed.A total of 26 866 persons and 15 893 persons were surveyed.Modified Kato-Katz thick smear was used to detect the eggs of intestinal helminthes.Tube fecal culture was used to identify the species of hookworm.The Enterobius eggs were detected in children aged 3 to 6 years by using adhesive tape.The cyst and trophozoite of intestinal protozoa were examined with physiological saline direct smear method and iodine stain method.Results The overall infestation rate of intestinal parasites was 2.02％ in Henan,and the worm infection rate was higher than protozoa infection rate.Fourteen kinds of intestinal parasites were found,including nematode (5 species),trematode (2 species),and protozoan (7 species).The infection rate of Enterobius vermicularis was highest,and Qinba Mountain ecological area had the highest infestation rate of intestinal parasites in 4 ecological areas of Henan.There was no significant difference in intestinal parasite infection rote between males and females (x2=3.630,P=0.057),and the differences in intestinal parasite infection rate among different age groups had significance (x2=124.783,P=0.000 1).The infection rate reached the peak in age group ≤9 years and the major parasite was Enterobius vermicularis.Furthermore the overall human infection rate of parasite showed a downward trend with the increase of educational level of the people (x2=70.969,P=0.000 1),the differences had significance (x2=120.118,P=0.000 1).For different populations,the infection rate of intestinal parasites was highest among preschool children.The infection of intestinal helminth was mainly mild,only 2 severe cases were detected.The infection rate of Clonorchis sinensis in urban residents was only 0.006％.Logistic regression analysis showed that being preschool children (x2=15.765,P=0.000 1) and drinking well water (X2=45.589,P=0.000 1) were the risk factors for intestinal parasite infection,and annual income per capita of farmers was the protective factor against intestinal parasite infection.The infection rates of protozoa and intestinal parasites decreased sharply compared with the results of previous two surveys,and the rate of intestinal helminth infection also dropped sharply compared with the second survey.The numbers of protozoa,helminth and intestinal parasites detected in this survey were all less than the numbers found in the previous two surveys.Conclusions Compared the results of three surveys in Henan,the infection rate of protozoa and intestinal parasites showed a downward trend.The prevention and treatment of Enterobius vermicularis infection in children should be the key point of parasitic disease control in the future.
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Objective To observethe efficacy of mice infected with Sparganum mansoni by using different dosages of praziquantel.Methods A total of 156 Kunming mice were divided into 2 batches.each of them wag orally infted with 5 spargana.Thirty-six mice in the first batch were equally divided into 6 groups.the mice in group 1-5 were inoculated with spargana cultured in different concentrations of praziquantel for 3 days,the group 6 served as a control.One hundred and twenty mice in the second batch were equally divided into 12 groups,each mouse was inoculated with spargana obtained from frogs or tadpoles,group 1-9 were treated by different desages of praziquantel 1 or5 weeks post infection.group 10-12 served as controls.All of the mice wore sacriftced and dissectedl or 2 weeks after the treatment.the mean number of worms recovered was cmculated and worm reduction rates were determined.Results The number of worm recovered from mice infected with spargana cultured in 10-40 μg/ml of praziquantel had no significant difference with that of the control(P>0.05).The worm reduction rate wag 16.60%while the spargana beins cultured in 50 μg/ml of praziquantel.The worm reduction rates of the mice that sacrificed 1 week or 2 weeks after being treated by the same dosage of praziquantel had no significant difference(P>0.05).When being treated with 200.400 or 800 mg/kg of praziquantel 1 week post infection,the number of worm recovered from mice infected with spargana from frogs had no significant difference with those of the control 1 and 2 weeks after the treatment(P>0.05).The worm reduction rates between the groups with the same dosage 1 week and 2 weeks post treatment had no significant difference(P>0.05).When being treated with 200 or 400 mg/kg of praziquantel 1 week post infection,the number of worm recovered from mice infected with spargana from tadpoles had no statistically difference with that of the control 1 week after treatment (P>0. 05). The worm reduction rate of mice was only 17.02% while being treated with 800 mg/kg of praziquantel. The worm reduction rates among groups with different dosages had no significant difference (P>0.05). Compared with the mice infected with spargana from frogs treated with 1 200 or 1 800 mg/kg of praziquantel 5 weeks post infection, the difference between the numbers of worm recovered from mice 1 week and 2 weeks after treatment had no statistically significance (P > 0.05), but they were significantly higher than those of the controls (P0.05). ConclusionsPraziquantel (10-50 μg/ml) has no evident killing effect on spargnna in vitro, but when the dosage is higher(1 800 mg/kg), it has certain efficacy for treating the mice infected with spargana by oral inoculation.
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A highly sensitive immuno-PCR assay based on sandwich ELISA and PCR was developed to detect the circulating antigen in trichinellosis. Antigens were purified from the muscle larvae of Trichinella spiralis, and the myeloma cells were fused with spenocytes immunized with T. spiralis antigens to product the specific monoclonal antibodies. Indirect ELISA was used to select the antibody-secreting hybrodoma cells. By this method of procedure, monoclonal antibody F4C6 against the T. spiralis ES antigen was obtained, which was used as the indicator antibody, while the rabbit polyclonal antibodies against T. spiralis were to be used as capturing antibodies. The plasmid Bluecript Ⅱ KS was amplified by PCR with biotin-labeled primer M13-20, and thus the biotin-labeled DNA was obtained. Both the second antibody and DNA labeled with biotin were to be linked with 100 ng/ml avidin. The whole procedures of assay consisted of two steps, in which the circulating antigens were captured by monoclonal antibody through sandwich ELISA in the first step, and the DNA linked by monoclonal antibody was amplified by PCR in the second step. The sensitivity of this method was compared with that of the ELISA assay. It was found that the measuring ranges to detect the circulating antigens in trichinellosis were 50 pg/L to 0.005 pg/L for the immuno-PCR assay, and 5 μg/L to 0.05 μg/L for ELISA assay, the former was quite higher than that of the latter. It is evident that this method is highly sensitive for the detection of circulating antigens in trichinellosis.