ABSTRACT
Ochoterenatrema Caballero, 1943 is a genus of lecithodendriid digeneans that prior to this study included 8 species parasitic in bats in the Western Hemisphere. Species of Ochoterenatrema possess a unique morphological feature in form of the pseudogonotyl on the sinistral side of the ventral sucker. In this study, we describe 2 new species of Ochoterenatrema from bats in Ecuador. The new species are readily differentiated from their congeners by a combination of morphological characters, including the distribution of vitelline follicles, length of oesophagus, sucker ratio and the body shape, among other features. We have generated partial nuclear 28S rDNA and mitochondrial cox1 gene DNA sequences from both new species. The newly obtained sequences were used to differentiate among species and study the phylogenetic interrelationships among Ochoterenatrema spp. The internal topology of the clade was weakly supported, although the cox1 tree was much better resolved than the 28S tree. Comparison of sequences revealed 0-1.2% interspecific divergence in 28S and 3.3-20.5% interspecific divergence in cox1 among Ochoterenatrema spp. The new findings demonstrate that bats in South America likely harbor multiple additional undescribed species of Ochoterenatrema. More extensive sampling from broader geographic and host ranges, especially in North America, should allow for a better understanding of the evolution of host associations and morphological traits of this lineage of lecithodendriid digeneans.
Subject(s)
Chiroptera , Phylogeny , RNA, Ribosomal, 28S , Species Specificity , Trematoda , Animals , Chiroptera/parasitology , Trematoda/classification , Trematoda/genetics , Trematoda/anatomy & histology , RNA, Ribosomal, 28S/genetics , EcuadorABSTRACT
Per- and polyfluoroalkyl substances (PFAS) in the environment pose persistent and complex threats to human and wildlife health. Around the world, PFAS point sources such as military bases expose thousands of populations of wildlife and game species, with potentially far-reaching implications for population and ecosystem health. But few studies shed light on the extent to which PFAS permeate food webs, particularly ecologically and taxonomically diverse communities of primary and secondary consumers. Here we conducted >2000 assays to measure tissue-concentrations of 17 PFAS in 23 species of mammals and migratory birds at Holloman Air Force Base (AFB), New Mexico, USA, where wastewater catchment lakes form biodiverse oases. PFAS concentrations were among the highest reported in animal tissues, and high levels have persisted for at least three decades. Twenty of 23 species sampled at Holloman AFB were heavily contaminated, representing middle trophic levels and wetland to desert microhabitats, implicating pathways for PFAS uptake: ingestion of surface water, sediments, and soil; foraging on aquatic invertebrates and plants; and preying upon birds or mammals. The hazardous long carbon-chain form, perfluorooctanosulfonic acid (PFOS), was most abundant, with liver concentrations averaging >10,000 ng/g wet weight (ww) in birds and mammals, respectively, and reaching as high 97,000 ng/g ww in a 1994 specimen. Perfluorohexanesulfonic acid (PFHxS) averaged thousands of ng/g ww in the livers of aquatic birds and littoral-zone house mice, but one order of magnitude lower in the livers of upland desert rodent species. Piscivores and upland desert songbirds were relatively uncontaminated. At control sites, PFAS levels were strikingly lower on average and different in composition. In sum, legacy PFAS at this desert oasis have permeated local aquatic and terrestrial food webs across decades, severely contaminating populations of resident and migrant animals, and exposing people via game meat consumption and outdoor recreation.
Subject(s)
Birds , Environmental Monitoring , Fluorocarbons , Animals , New Mexico , Fluorocarbons/analysis , Humans , Birds/metabolism , Mammals , Environmental Pollutants/analysis , Food Chain , Desert Climate , Environmental ExposureABSTRACT
The Costa Rican pygmy rice rat (Oligoryzomys costaricensis) is the primary reservoir of Choclo orthohantavirus (CHOV), the causal agent of hantavirus disease, pulmonary syndrome, and fever in humans in Panama. Since the emergence of CHOV in early 2000, we have systematically sampled and archived rodents from >150 sites across Panama to establish a baseline understanding of the host and virus, producing a permanent archive of holistic specimens that we are now probing in greater detail. We summarize these collections and explore preliminary habitat/virus associations to guide future wildlife surveillance and public health efforts related to CHOV and other zoonotic pathogens. Host sequences of the mitochondrial cytochrome b gene form a single monophyletic clade in Panama, despite wide distribution across Panama. Seropositive samples were concentrated in the central region of western Panama, consistent with the ecology of this agricultural commensal and the higher incidence of CHOV in humans in that region. Hantavirus seroprevalence in the pygmy rice rat was >15% overall, with the highest prevalence in agricultural areas (21%) and the lowest prevalence in shrublands (11%). Host-pathogen distribution, transmission dynamics, genomic evolution, and habitat affinities can be derived from the preserved samples, which include frozen tissues, and now provide a foundation for expanded investigations of orthohantaviruses in Panama.
Subject(s)
Hantavirus Infections , Orthohantavirus , Animals , Rats , Humans , Animals, Wild , Seroepidemiologic Studies , Hantavirus Infections/epidemiology , Hantavirus Infections/veterinary , Sigmodontinae , Rodentia , Orthohantavirus/genetics , Disease ReservoirsABSTRACT
Twenty years have passed since the emergence of hantavirus zoonosis in Panama at the beginning of this millennium. We provide an overview of epidemiological surveillance of hantavirus disease (hantavirus pulmonary syndrome and hantavirus fever) during the period 1999-2019 by including all reported and confirmed cases according to the case definition established by the health authority. Our findings reveal that hantavirus disease is a low-frequency disease, affecting primarily young people, with a relatively low case-fatality rate compared to other hantaviruses in the Americas (e.g., ANDV and SNV). It presents an annual variation with peaks every 4-5 years and an interannual variation influenced by agricultural activities. Hantavirus disease is endemic in about 27% of Panama, which corresponds to agroecological conditions that favor the population dynamics of the rodent host, Oligoryzomys costaricensis and the virus (Choclo orthohantavirus) responsible for hantavirus disease. However, this does not rule out the existence of other endemic areas to be characterized. Undoubtedly, decentralization of the laboratory test and dissemination of evidence-based surveillance guidelines and regulations have standardized and improved diagnosis, notification at the level of the primary care system, and management in intensive care units nationwide.
Subject(s)
Communicable Diseases , Hantavirus Infections , Hantavirus Pulmonary Syndrome , Hemorrhagic Fever with Renal Syndrome , Orthohantavirus , Animals , Hantavirus Infections/epidemiology , Hantavirus Pulmonary Syndrome/epidemiology , Panama/epidemiology , Rodentia , SigmodontinaeSubject(s)
Communicable Disease Control/history , Communicable Disease Control/methods , Disease Transmission, Infectious/prevention & control , Endemic Diseases , Schistosomiasis mansoni/epidemiology , Schistosomiasis mansoni/prevention & control , Disease Eradication , History, 20th Century , History, 21st Century , Humans , International Cooperation , Saint Lucia/epidemiologyABSTRACT
The effects of late Quaternary climate on distributions and evolutionary dynamics of insular species are poorly understood in most tropical archipelagoes. We used ecological niche models under past and current climate to derive hypotheses regarding how stable climatic conditions shaped genetic diversity in two ecologically distinctive frogs in Puerto Rico. Whereas the Mountain Coquí, Eleutherodactylus portoricensis, is restricted to montane forest in the Cayey and Luquillo Mountains, the Red-eyed Coquí, E. antillensis, is a habitat generalist distributed across the entire Puerto Rican Bank (Puerto Rico and the Virgin Islands, excluding St. Croix). To test our hypotheses, we conducted phylogeographic and population genetic analyses based on mitochondrial and nuclear loci of each species across their range in Puerto Rico. Patterns of population differentiation in E. portoricensis, but not in E. antillensis, supported our hypotheses. For E. portoricensis, these patterns include: individuals isolated by long-term unsuitable climate in the Río Grande de Loíza Basin in eastern Puerto Rico belong to different genetic clusters; past and current climate strongly predicted genetic differentiation; and Cayey and Luquillo Mountains populations split prior to the last interglacial. For E. antillensis, these patterns include: genetic clusters did not fully correspond to predicted long-term unsuitable climate; and past and current climate weakly predicted patterns of genetic differentiation. Genetic signatures in E. antillensis are consistent with a recent range expansion into western Puerto Rico, possibly resulting from climate change and anthropogenic influences. As predicted, regions with a large area of long-term suitable climate were associated with higher genetic diversity in both species, suggesting larger and more stable populations. Finally, we discussed the implications of our findings for developing evidence-based management decisions for E. portoricensis, a taxon of special concern. Our findings illustrate the role of persistent suitable climatic conditions in promoting the persistence and diversification of tropical island organisms.
ABSTRACT
Roughly 40% of amphibian species are in decline with habitat loss, disease, and climate change being the most cited threats. Heterogeneity of extrinsic (e.g. climate) and intrinsic (e.g. local adaptations) factors across a species' range should influence population response to climate change and other threats. Here we examine relative detectability changes for five direct-developing leaf litter frogs between 42-year sampling periods at one Lowland Tropical Forest site (51 m.a.s.l.) and one Premontane Wet Forest site (1100 m.a.s.l.) in southwest Costa Rica. We identify individualistic changes in relative detectability among populations between sampling periods at different elevations. Both common and rare species showed site-specific declines, and no species exhibited significant declines at both sites. Detection changes are correlated with changes in temperature, dry season rainfall, and leaf litter depth since 1969. Our study species share Least Concern conservation status, life history traits, and close phylogenetic relationship, yet their populations changed individualistically both within and among species. These results counter current views of the uniformity or predictability of amphibian decline response and suggest additional complexity for conservation decisions.
Subject(s)
Anura/physiology , Animals , Climate Change , Costa Rica , Ecosystem , Phylogeny , Plant Leaves , Population , Seasons , Temperature , Tropical ClimateABSTRACT
Powassan virus is endemic to the United States, Canada, and the Russian Far East. We report serologic evidence of circulation of this virus in Alaska, New Mexico, and Siberia. These data support further studies of viral ecology in rapidly changing Arctic environments.
Subject(s)
Encephalitis Viruses, Tick-Borne/classification , Encephalitis, Tick-Borne/epidemiology , Alaska/epidemiology , Animals , Encephalitis Viruses, Tick-Borne/genetics , Encephalitis Viruses, Tick-Borne/immunology , Geography, Medical , Host Specificity , Humans , Mammals , New Mexico/epidemiology , Prevalence , Serotyping , Siberia/epidemiologyABSTRACT
Quaternary climatic oscillations caused changes in sea level that altered the size, number and degree of isolation of islands, particularly in land-bridge archipelagoes. Elucidating the demographic effects of these oscillations increases our understanding of the role of climate change in shaping evolutionary processes in archipelagoes. The Puerto Rican Bank (PRB) (Puerto Rico and the Eastern Islands, which comprise Vieques, Culebra, the Virgin Islands and associated islets) in the eastern Caribbean Sea periodically coalesced during glaciations and fragmented during interglacial periods of the quaternary. To explore population-level consequences of sea level changes, we studied the phylogeography of the frog Eleutherodactylus antillensis across the archipelago. We tested hypotheses encompassing vicariance and dispersal narratives by sequencing mtDNA (c. 552 bp) of 285 individuals from 58 localities, and four nuDNA introns (totalling c. 1633 bp) from 173 of these individuals. We found low support for a hypothesis of divergence of the Eastern Islands populations prior to the start of the penultimate interglacial c. 250 kya, and higher support for a hypothesis of colonization of the Eastern Islands from sources in eastern Puerto Rico during the penultimate and last glacial period, when a land bridge united the PRB. The Río Grande de Loíza Basin in eastern Puerto Rico delineates a phylogeographic break. Haplotypes shared between the PRB and St. Croix (an island c. 105 km south-east of this archipelago) likely represent human-mediated introductions. Our findings illustrate how varying degrees of connectivity and isolation influence the evolution of tropical island organisms.
Subject(s)
Anura/genetics , Genetics, Population , Models, Genetic , Phylogeny , Animals , DNA, Mitochondrial/genetics , Gene Flow , Genetic Variation , Haplotypes , Islands , Molecular Sequence Data , Phylogeography , Puerto Rico , Sequence Analysis, DNAABSTRACT
Co-divergence between host and parasites suggests that evolutionary processes act across similar spatial and temporal scales. Although there has been considerable work on the extent and correlates of co-divergence of RNA viruses and their mammalian hosts, relatively little is known about the extent to which virus evolution is determined by the phylogeographic history of host species. To test hypotheses related to co-divergence across a variety of spatial and temporal scales, we explored phylogenetic signatures in Andes virus (ANDV) sampled from Chile and its host rodent, Oligoryzomys longicaudatus. ANDV showed strong spatial subdivision, a phylogeographic pattern also recovered in the host using both spatial and genealogical approaches, and despite incomplete lineage sorting. Lineage structure in the virus seemed to be a response to current population dynamics in the host at the spatial scale of ecoregions. However, finer scale analyses revealed contrasting patterns of genetic structure across a latitudinal gradient. As predicted by their higher substitution rates, ANDV showed greater genealogical resolution than the rodent, with topological congruence influenced by the degree of lineage sorting within the host. However, despite these major differences in evolutionary dynamics, the geographic structure of host and virus converged across large spatial scales.
Subject(s)
Arvicolinae/virology , Orthohantavirus/genetics , Phylogeny , Animals , Arvicolinae/genetics , Population Dynamics , Selection, GeneticABSTRACT
Chagas disease is one of the most important vector-borne diseases in Latin America. The disease, caused by the flagellate protozoan Trypanosoma cruzi, is commonly transmitted to humans by Triatoma infestans in South America. Using mitochondrial DNA sequences, we assessed alternative biogeographic scenarios of dispersal of T. infestans using coalescence simulations. We also assessed phylogeographic structure and spatial genetics of T. infestans in Chile. Two major routes of dispersal in southern South America were supported including a dual-origin of T. infestans in Chile. Phylogeographic analyses identified two primary clades with Chilean haplotypes partitioned into either a northern cluster with Peruvian and Bolivian haplotypes or a north-central cluster with Argentinean and Uruguayan haplotypes. The north-central clade is further divided into two subgroups. Domestic and sylvatic T. infestans in central Chile were not segregated in the phylogeographic reconstruction. Spatial genetic analyses show higher distances in northern Chile, congruent with the presence of two divergent lineages of T. infestans. Phylogenetic evidence does not unequivocally support the hypothesized Bolivian origin of T. infestans, so we discuss alternative scenarios.
Subject(s)
DNA, Mitochondrial/genetics , Insect Vectors , Phylogeny , Triatoma/parasitology , Trypanosoma cruzi/isolation & purification , Animals , Chile , Cluster Analysis , Geography , Triatoma/classificationABSTRACT
Hantavirus cardiopulmonary syndrome (HCPS) is an emerging infectious disease first reported in Chile in 1995. Andes hantavirus (ANDV) is responsible for the more than 500 cases of HCPS reported in Chile. Previous work showed that ANDV is genetically differentiated in Chile across contrasting landscapes. To determine whether the reservoir rodent (Oligoryzomys longicaudatus) populations are also geographically segregated, we conducted range-wide spatial genetic analyses of O. longicaudatus in Chile using the mitochondrial DNA cytochrome b gene. Given that landscape structure influences the incidence of hantavirus infections, we also tested 772 O. longicaudatus specimens for antibodies to ANDV captured during the period 2000-2006. Population genetic analyses of O. longicaudatus are largely congruent with those reported for ANDV, with the host primarily differentiated according to three defined ecoregions, Mediterranean, Valdivian rain forest and North Patagonian rain forest. Significant differences in the relative prevalence of anti-ANDV antibodies in rodent samples also were found across the three ecoregions. We relate these results to the number of reported human HCPS cases in Chile, and discuss the importance of landscape differences in light of ANDV transmission to humans and among rodent populations.
Subject(s)
Disease Reservoirs/statistics & numerical data , Hantavirus Infections/epidemiology , Orthohantavirus/isolation & purification , Rodent Diseases/epidemiology , Animals , Chile/epidemiology , Disease Reservoirs/virology , Geography , Hantavirus Infections/virology , Humans , Phylogeny , Rodent Diseases/virology , Rodentia/virologyABSTRACT
Andes virus (ANDV) is the predominant etiologic agent of hantavirus cardiopulmonary syndrome (HCPS) in southern South America. In Chile, serologically confirmed human hantavirus infections have occurred throughout a wide latitudinal distribution extending from the regions of Valparaíso (32 to 33 degrees S) to Aysén (46 degrees S) in southern Patagonia. In this study, we found seropositive rodents further north in the Coquimbo region (30 degrees S) in Chile. Rodent seroprevalence was 1.4%, with Oligoryzomys longicaudatus displaying the highest seroprevalence (5.9%), followed by Abrothrix longipilis (1.9%) and other species exhibiting =0.6% seropositivity. We sequenced partial ANDV small (S) segment RNA from 6 HCPS patients and 32 rodents of four different species collected throughout the known range of hantavirus infection in Chile. Phylogenetic analyses showed two major ANDV South (ANDV Sout) clades, congruent with two major Chilean ecoregions, Mediterranean (Chilean matorral [shrubland]) and Valdivian temperate forest. Human and rodent samples grouped according to geographic location. Phylogenetic comparative analyses of portions of S and medium segments (encoding glycoproteins Gn and Gc) from a subset of rodent specimens exhibited similar topologies, corroborating two major ANDV Sout clades in Chile and suggesting that yet unknown factors influence viral gene flow and persistence throughout the two Chilean ecoregions. Genetic algorithms for recombination detection identified recombination events within the S segment. Molecular demographic analyses showed that the virus is undergoing purifying selection and demonstrated a recent exponential growth in the effective number of ANDV Sout infections in Chile that correlates with the increased number of human cases reported. Although we determined virus sequences from four rodent species, our results confirmed O. longicaudatus as the primary ANDV Sout reservoir in Chile. While evidence of geographic differentiation exists, a single cosmopolitan lineage of ANDV Sout remains the sole etiologic agent for HCPS in Chile.
Subject(s)
Genetic Variation , Hantavirus Infections/veterinary , Hantavirus Infections/virology , Orthohantavirus/classification , Orthohantavirus/isolation & purification , Phylogeny , Animals , Chile/epidemiology , Female , Geography , Orthohantavirus/genetics , Hantavirus Infections/epidemiology , Humans , Male , Molecular Epidemiology , Molecular Sequence Data , RNA, Viral/genetics , Recombination, Genetic , Rodentia , Sequence Analysis, DNA , Seroepidemiologic StudiesABSTRACT
The biotic consequences of climate change have attracted considerable attention. In particular, the "refugial debate" centers on the possible retraction of habitats to limited areas that may have served as refuges for many associated species, especially during glaciations of the Quaternary. One prediction of such scenarios is that populations must have experienced substantial growth accompanying climatic amelioration and the occupation of newly expanded habitats. We used coalescence theory to examine the genetic evidence, or lack thereof, for late Pleistocene refugia of boreal North American and tropical Amazonian mammals. We found substantial and concordant evidence of demographic expansion in North American mammals, particularly at higher latitudes. In contrast, small mammals from western Amazonia appear to have experienced limited or no demographic expansion after the Late Pleistocene. Thus, demographic responses to climate change can be tracked genetically and appear to vary substantially across the latitudinal gradient of biotic diversity.
Subject(s)
Climate , Demography , Animals , Genetic Variation , Genetics, Population , Humans , North America , Population GrowthABSTRACT
After an intensive area-wide mollusciciding campaign, over four and a half years, transmission of Schistosoma mansoni was reduced. A cheaper scheme suitable for the follow-up or consolidation stage of control was evaluated and two selective population chemotherapy campaigns using hycanthone (2 mg/kg b.w.) and oxamniquine (15mg/kg b.w.) were mounted. Prevalence dropped to 6 percent and 3 percent in areas with previously high and low levels of transmission respectively. Calculations suggested that these figures were falsely low and that perhaps 20 percent of the population were still excreting S. mansoni ova in small numbers. The unco-operative groups in the population are probably more important in maintaining a reservoir of infection in the community than persons with light infections undetected by the sedimentation concentration stool examination technique used. The benefit of more sensitive but more costly examination techniques is not clear since the importance of very light infections in transmission is uncertain. Case detection absorbs an increasing proportion of the total cost of chemotherapy programmes with fewer cases being found amongst the same number screened. Using hycanthone (649 treated) the cost per person protected was $0.74 and using oxamniquine (264 treated) $0.94. The need to develop low cost consolidation or follow-up procedures for preventing a resurgence of transmission after successful control, when the infection is no longer of public health importance, is stressed. (AU)
Subject(s)
Humans , Pest Control/economics , Pest Control/methods , Schistosomiasis/prevention & control , Schistosomiasis/transmission , Feces/parasitology , Hycanthone , Molluscacides , Oxamniquine/therapeutic use , Schistosoma mansoni , Saint LuciaABSTRACT
Plasma samples from St. Lucians were tested for the presence of antibodies which cooperate in vitro with normal human luekocytes in causing cytotoxic damage to schistosomula of Schistosoma mansoni. The in vitro antibody activity, which has been previosly shown to depend on eosinophil effector cells was detected in 56 percent of the individuals with known, current S. mansoni infections and in 14 percent of control subjects from the same endemic area. Quantitatively, eosinophil dependent cytoxic antibody (EDCA) activity, when expressed as the maximum amount of damage to schistosomula induced at high plasma concentration, correlated significantly with the intensity of S.mansoni infection as detemined by fecal egg count, the highest levels of activity occuring in patients with stool counts of 60 eggs/ml or greater. In addition, plasma ECDA activity was found to correlate with the in vitro blastogenic responsiveness of patients' lympjocytes to three different parasite antigen preparations. In contrast, titrations of ECDA activity failed to reveal a relationship between ECDA titer and the most recent egg count performned on each subjects. However, a significant correlation was observed when titers were compared to egg counts averaged over a 3-year period. Neither maximal ECDA activity nor titer was found to correlate with the duration of known schistosome infection (AU)
Subject(s)
Humans , Antibodies/analysis , Cytotoxicity Tests, Immunologic , Eosinophils/immunology , Lymphocyte Activation , Schistosoma mansoni , Time Factors , Saint LuciaABSTRACT
Control of Schistosoma mansoni transmission solely by treatment of all infected persons was attempted in Marquis Valley (population about 3,100), St. Lucia. Two-year results are reported. Excluding 26 pregnant patients, 709 of 729 persons who were found to be infected received treatment the first year. Most of these, 677, were given a single injection of hyacanthone (2.5 mg/kg of body weight), and the same treatment was administered to 159 patients the second year. Side effects were not severe; the major side effect, vomiting, occurred in about 22 percent on both occassions. In villages with initially high transmission rates, the incidence of new infections in children 0 to 14 years fell from 20.8 percent before chemotherapy to 7.4 percent after 1 year and to 3.7 percent after 2 years. This pattern was significantly different from that in the comparison area where no control scheme exists. Chemotherapy alone appears to ba a rapid, effective, and comparatively inexpensive method of controlling S. mansoni transmission in St. Lucia (AU)
Subject(s)
Humans , Infant , Child, Preschool , Child , Adolescent , Adult , Male , Female , Schistosomiasis/drug therapy , Schistosomiasis/epidemiology , Schistosomiasis/prevention & control , Hycanthone/therapeutic use , Niridazole/therapeutic use , Nitroquinolines/therapeutic use , Oxamniquine/therapeutic use , Thioxanthenes/therapeutic use , Schistosoma mansoni , Costs and Cost Analysis , Saint LuciaABSTRACT
The in vitro lymphocyte blastogenesis capabilities of patients with schistosomiasis mansoni were tested against phytohemagglutinin (PHA), Candida albicans extract,and soluble preparations of schistosome eggs (SEA), adult worms (SWAP), or cercariae (CAP). When patients lymphocytes were cultured un medium which contained 5 percent human (homologous) normal (uninfected) serum, they responded well to PHA and Candida extract. The responses induced by SEA were maximal in patients with early Schistosma mansoni infections, while reactivity against SWAP and CAP increased during chronic infection. These responses, induced by the Schistosome-derived antigenic preparations,were suppressed if the homologous normal serum supplement of the culture medium was replaced with either the patient's own (autologous) serum, or that of another S. mansoni patient. All sera were heat-inactivated (56 degree C/ 30 min) prior to use. In contrast, responses against the non-specific mitogen (PHA) and the unrelated antigen (Candida extract), were not altered by these changes of the serum supplementation of the media. The degree of suppression by patient serum was not changedby increasing the serum percentage in the medium from 5 percent to 25 percent. The suppressive effects of patient sera on responses induced by SEA and SWAP were increased in relationship to the duration of the serum donor's S. mansoni infection. Preincubation of lymphocytes in suppressive patient sera for 30 min at 37 degree C did not reduce the expected level of responsiveness if the cells were subsequently cultured in homologous-normal serum supplemented medium. The data indicate that during S. mansoni infection patients develop serum component(s) which specifically interfere with the responsiveness of their lymphocytes in regard to certain schistosome-derived antigenic preparations. The immunoregulatory events described could participate in the modulation of immunopathology, the maintenance of chronic worm survival and the prevention of full expression of protective immune responses. (AU)
Subject(s)
Humans , Female , Blood , Lymphocyte Activation , Schistosoma mansoni/immunology , Schistosomiasis/immunology , Antigens , Candida albicans , Lectins , Ovum/immunologyABSTRACT
In a blind trial, 32 schistosomiasis mansoni patients (mean age, 12.03 years) in St. Lucia were given a single intramuscular dose (2.5 mg/kg of body weight) of either hycanthone or a vitamin placebo. The principal side effect, vomiting, was limited to four of the 16 patients given hycanthone; three patients in the hycanthone group and two of the 16 given placebo complained of abdominal pain. Daily enzyme determinations suggest that the mild elevations of serum glutamic oxaloacetic transaminase, lactic dehydrogenase and creatine phosphokinase observed in both groups were due to muscle injury at the injection site. Six months after treatment, only the hycanthone group had a marked reduction in egg excretion (99 percent), with 7/16 then excreting no eggs. The hycanthone group had a greater but statistically insignificant decrease in symptoms at six months. Of 30 patients with hepatomegaly, only the 16 in the hycanthone group showed a statistically significant decrease in liver size at six months; of seven patients with splenomegaly, the two in the hycanthone group and 1/5 in the placebo group showed a decrease in spleen size. All patients gained in weight during the study, with the mean increase for the hycanthone group being greater by 1.2 kg. At the conclusion of the study, the placebo group patients were treated with hycanthone (AU)
Subject(s)
Humans , Child , Adolescent , 21003 , Male , Female , Schistosomiasis/drug therapy , Thioxanthenes/therapeutic use , Hycanthone/adverse effects , Hycanthone/therapeutic use , Schistosoma mansoni , Parasite Egg Count , Enzymes/blood , Clinical Trials as Topic , West IndiesABSTRACT
Clinical trials of hycanthone (single intramuscular dose) were undertaken in Schistosomiasis mansoni patients in St. Lucia at five dose levels: 3.0, 2.5, 2.0, 1.5, and 1.0mg/kg body weight. The most common side effect, vomiting, decreased in frequency from 51 percent at the highest dose to 3 percent at the lowest; minor side effects showed a similar trend. Three fecal specimens were examined before and at 6 months after treatment by qualitative, quantitative, and hatching techniques. All dose levels caused reductions in egg excretion of 89 to 98 percent. Rates of cure (absence of eggs by all three methods) according to dose(descending), pretreatment egg output (0-19, 20-49, 50-399, 400+ eggs/ml feces), and age (0-7, 8-14, 15-29, 30+ years) were analyzed to estimate the effect of each variable if the others had been constant. For dose, the standardized percentage success rates were 53.9 percent, 62.0 percent, 51.2 percent, 54.0 percent, and 27.4 percent; for egg output, 67.0 percent, 51.8 percent, 43.2 percent, and 21.7 percent; and for age, 25.2 percent, 34.5 percent, 59.3 percent, and 57.4 percent. Logit regression analysis shows a significant difference in cure rate (a) between the lowest dose and all others, among which latter there was no difference, (b) between patients excreting 0 to 49 eggs/ml before treatment and those excreting 50+ eggs/ml, and (c) between the age groups 0 to 14 and 15+ years. All dose levels caused some regression in enlargement of liver and spleen. A dose of 1.5 to 2.0mg/kg body weight is considered to be as effective as one of 3.0mg/kg and more acceptable for a control program because of the marked reduction in side effects. (AU)