ABSTRACT
To assess the prevalence of gastric giardiasis in gastric biopsies of patients with carcinoma stomach and in patients taking treatment for duodenal ulcer. Gastric biopsy specimens from 54 patients of carcinoma stomach and 100 antral biopsies from patients taking treatment for duodenal ulcer were included in the study. Sections were stained with haematoxylin and eosin, methylene blue and May Grunwald-Giemsa stains and examined for presence of Giardia lamblia trophozoites. Eight out of 54 (14.9%) biopsies of gastric carcinoma patients harboured trophozoites of Giardia lamblia. Associated H. pylori infection was present in all biopsies (8/8; 100%). Atrophy and intestinal metaplasia was present in 62.5% (5/8) and 25% (2/8) cases respectively. Sections from seven out of 35 patients (20%) taking treatment for duodenal ulcer showed presence of G. lamblia. H. pylori infection, gastritis and atrophy were found in 85.7% (6/7), 71.4% (5/7) and 28.6% (2/7) cases respectively. First gastric biopsy in these patients was negative for G. lamblia but 2nd and 3rd biopsies were positive. A careful search for G. lamblia trophozoites should be made while examining the gastric biopsies, especially in patients with carcinoma stomach, intestinal metaplasia, atrophic gastritis and those taking treatment for duodenal ulcer. This may help in indirect diagnosis of clinically unsuspected cases of intestinal giardiasis and may explain persistence of vague upper gastrointestinal tract (UGIT) symptoms despite clearance of H. pylori in patients on anti-ulcer therapy.
Subject(s)
Animals , Anti-Ulcer Agents/therapeutic use , Biopsy , Carcinoma/parasitology , Duodenal Ulcer/drug therapy , Gastric Mucosa/parasitology , Gastritis, Atrophic/parasitology , Giardia lamblia/growth & development , Giardiasis/epidemiology , Helicobacter Infections/epidemiology , Helicobacter pylori/isolation & purification , Humans , Intestines/pathology , Precancerous Conditions/parasitology , Prevalence , Stomach Neoplasms/parasitology , Trophozoites/growth & developmentABSTRACT
The Mongolian gerbil (Meriones unguiculatus) is susceptible to infection with Giardia duodenalis trophozoites. Each animal was orally infected with 0.5 ml Diamond's TYIS-33 culture medium containing 10(6) trophozoites. Cysts were then collected and concentrated by sucrose gradient centrifugation. G. duodenalis cysts were first observed in feces on day 5 post-infection. The characteristic of G. duodenalis infection in gerbils was intermittent cyst release. The range in the number of cysts released per gerbil for a 4-hour collection period was 0-1.5 x 10(3).
Subject(s)
Animals , Centrifugation, Density Gradient , Feces/parasitology , Gerbillinae/parasitology , Giardia lamblia/growth & development , Male , TrophozoitesABSTRACT
Giardia lamblia is one of the most common intestinal protozoan parasites infecting human in the world. The goal of this study was searching for in-vitro effect of folic acid and cobalamin on adhesion and growth of G. lamblia as two important mechanisms in the pathogenesis in TYI-S-33 medium. G. lamblia trophozoites were obtained by in- vitro excystation procedure. Three groups of Giardia trophozoites were analyzed: control group, G.lamblia was cultured in TYI-S-33 without any vitamin, 2nd group with 0.1 micro g/ml vitamin B12 or folic acid, and 3rd group with 0.5 micro g/ml of vitamin B12 or folic acid. All culture media tubes incubated at 37 °C. After 2 h of incubation, the adherence into borosilicate culture tubes, and after 24 h the growth of trophozoites were measured .The results showed that in vitamin B12 groups, the growth was increased significantly [P? 0.05] but the adherence decreased significantly [P = 0.05]. Folic acid inhibited the growth rate significantly [P = 0.05], but it increased adherence in axenic culture significantly [P = 0.05]. The results showed that vitamin B12 and folic acid altogether might reduce pathogenesis of G. lamblia by reducing adherence and growth, respectively
Subject(s)
Humans , Giardia lamblia/growth & development , Folic Acid/pharmacology , Vitamin B 12/pharmacology , Tissue AdhesionsABSTRACT
Mediante separación isoeléctrica y reisoelectroenfoque se obtuvieron las proteínas de citoesqueleto de Giardia intestinalis con características de giardinas y tubulinas, constituyentes principales del disco ventral. El peso molecular fue 30 a 45 kDa así como las de sus variantes determinadas por la diferencia de pH. Además de las mismas se obtuvieron predominantemente polipéptidos de peso molecular de 97 y 115 kDa. Por inmunocitoquímica se demostró que estas proteínas de peso molecular elevado se localizaron sobre la membrana del trofozoíto, y en menor proporción se observaron proteínas con pesos moleculares semejantes a los de giardinas y tubulinas
Subject(s)
Animals , Fluorescent Antibody Technique , Giardia lamblia/chemistry , Giardia lamblia/growth & development , Giardia lamblia/ultrastructure , Hydrogen-Ion Concentration , Immunoenzyme Techniques , Isoelectric Focusing , Molecular Weight , Cytoskeletal Proteins/isolation & purification , Membrane Proteins/isolation & purification , Protozoan Proteins/isolation & purification , Tubulina/isolation & purificationABSTRACT
Axenic cultures of Giardia intestinalis trophozoites were successfully established from human fecal specimens and rectal swabs from dogs using sucrose gradient centrifugation to separate the cysts from fecal material, the excystation method of Robert-Thompson et al. and culture of the preparation in TYI-S-33 medium supplemented with human serum, vitamin mixture and piper acillin and amikacin antibiotics, respectively. Fungal contamination could be controlled by amphotericin B at 10 micrograms per ml of medium. Clones of the parasites were obtained using a combination of dilution method and micromanipulation technique.