Ultrastructural intestinal pathology induced by human Blasocystis in experimentally infected mice

ABSTRACT

Blastocystis spp. is a single-celled anaerobic enteric parasite that inhabits the lower gastrointestinal tract of humans and many animals. This emerging parasite with a worldwide distribution is often identified as the most common eukaryotic organism reported in human fecal samples that showed a dramatic increase in recent years; however its pathogenicity still shows many contradictions. To evaluate the histological and ultrastructural pathological changes induced by human Blastocystis isolates in the intestine of experimental infected mice. Fecal samples positive for Blastocystis were collected from patients, and processed for culture using Jones' medium. Cultured samples were subjected to examination by light and transmission electron microscopy. Blastocystis cyst stages were isolated and orally fed to immunocompetent BALB/c mice. Mice were sacrificed 2 weeks post infection. Semi-thin and ultra-thin sections prepared from their intestine were examined by both light and transmission electron microscopy [TEM], respectively. Blastocystis showed different forms vacuolar, granular, amoeboid and cysts within 24 hours in culture. Histological examination of infected intestine showed vacuolar, granular and amoeboid forms in the caecum, but only cyst forms were observed in the colon. Intense inflammatory cell infiltration, edematous lamina propria, and villous atrophy were noticed. Ultrastructure of Blastocystis hominis by TEM revealed the surface coat with outer fibrillar layer, nuclei with multiple chromatin masses, and mitochondria with some pathological tubular changes. Atrophy and sloughing of microvilli of infected intestine was noticed in comparison to the mucosa of control non-infected mice that showed normal brush border and microvilli. Infection with Blastocystis may be self limited in some hosts however it may cause considerable pathological changes such as enterocytes invasion and intestinal mucosal atrophy of infected mice. Blastocystis mitochondrial vacuolations were detected within intestine of infected mice compared to culture forms. Thus, apparently B. hominis is capable of causing pathogenicity