Bioptic Study of Left and Right Atrial Interstitium in Cardiac Patients with and without Atrial Fibrillation: Interatrial but Not Rhythm-Based Differences.

One of the generally recognized factors contributing to the initiation and maintenance of atrial fibrillation (AF) is structural remodeling of the myocardium that affects both atrial cardiomyocytes as well as interstitium. The goal of this study was to characterize morphologically and functionally interstitium of atria in patients with AF or in sinus rhythm (SR) who were indicated to heart surgery. Patient population consisted of 46 subjects (19 with long-term persistent AF, and 27 in SR) undergoing coronary bypass or valve surgery. Peroperative bioptic samples of the left and the right atria were examined using immunohistochemistry to visualize and quantify collagen I, collagen III, elastin, desmin, smooth muscle actin, endothelium and Vascular Endothelial Growth Factor (VEGF). The content of interstitial elastin, collagen I, and collagen III in atrial tissue was similar in AF and SR groups. However, the right atrium was more than twofold more abundant in elastin as compared with the left atrium and similar difference was found for collagen I and III. The right atrium showed also higher VEGF expression and lower microvascular density as compared to the left atrium. No significant changes in atrial extracellular matrix fiber content, microvascular density and angiogenic signaling, attributable to AF, were found in this cohort of patients with structural heart disease. This finding suggests that interstitial fibrosis and other morphological changes in atrial tissue are rather linked to structural heart disease than to AF per se. Significant regional differences in interstitial structure between right and left atrium is a novel observation that deserves further investigation.

Mosquito and sand fly gregarines of the genus Ascogregarina and Psychodiella (Apicomplexa: Eugregarinorida, Aseptatorina)--overview of their taxonomy, life cycle, host specificity and pathogenicity.

Mosquitoes and sand flies are important blood-sucking vectors of human diseases such as malaria or leishmaniasis. Nevertheless, these insects also carry their own parasites, such as gregarines; these monoxenous pathogens are found exclusively in invertebrates, and some of them have been considered useful in biological control. Mosquito and sand fly gregarines originally belonging to a single genus Ascogregarina were recently divided into two genera, Ascogregarina comprising parasites of mosquitoes, bat flies, hump-backed flies and fleas and Psychodiella parasitizing sand flies. Currently, nine mosquito Ascogregarina and five Psychodiella species are described. These gregarines go through an extraordinarily interesting life cycle; the mosquito and sand fly larvae become infected by oocysts, the development continues transtadially through the larval and pupal stages to adults and is followed by transmission to the offspring by genus specific mechanisms. In adult mosquitoes, ascogregarines develop in the Malpighian tubules, and oocysts are defecated, while in the sand flies, the gregarines are located in the body cavity, their oocysts are injected into the accessory glands of females and released during oviposition. These life history differences are strongly supported by phylogenetical study of SSU rDNA proving disparate position of Ascogregarina and Psychodiella gregarines. This work reviews the current knowledge about Ascogregarina and Psychodiella gregarines parasitizing mosquitoes and sand flies, respectively. It gives a comprehensive insight into their taxonomy, life cycle, host specificity and pathogenicity, showing a very close relationship of gregarines with their hosts, which suggests a long and strong parasite-host coevolution.

The development of Psychodiella sergenti (Apicomplexa: Eugregarinorida) in Phlebotomus sergenti (Diptera: Psychodidae).

Psychodiella sergenti is a recently described specific pathogen of the sand fly Phlebotomus sergenti, the main vector of Leishmania tropica. The aim of this study was to examine the life cycle of Ps. sergenti in various developmental stages of the sand fly host. The microscopical methods used include scanning electron microscopy, transmission electron microscopy and light microscopy of native preparations and histological sections stained with periodic acid-Schiff reaction. Psychodiella sergenti oocysts were observed on the chorion of sand fly eggs. In 1st instar larvae, sporozoites were located in the ectoperitrophic space of the intestine. No intracellular stages were found. In 4th instar larvae, Ps. sergenti was mostly located in the ectoperitrophic space of the intestine of the larvae before defecation and in the intestinal lumen of the larvae after defecation. In adults, the parasite was recorded in the body cavity, where the sexual development was triggered by a bloodmeal intake. Psychodiella sergenti has several unique features. It develops sexually exclusively in sand fly females that took a bloodmeal, and its sporozoites bear a distinctive conoid (about 700 nm long), which is more than 4 times longer than conoids of the mosquito gregarines.

Effects of Psychodiella sergenti (Apicomplexa, Eugregarinorida) on its natural host Phlebotomus sergenti (Diptera, Psychodidae).

Phlebotomine sand flies (Diptera, Psychodidae) are important vectors of human pathogens. Moreover, they possess monoxenous parasites, including gregarines of the genus Psychodiella Votypka, Lantova, and Volf, which can negatively affect laboratory-reared colonies, and have been considered as potential candidates in biological control. In this study, effects of the gregarine Psychodiella sergenti Lantova, Volf, and Votypka on its natural host Phlebotomus sergenti Parrot were evaluated. The gregarines increased the mortality of immature sand fly stages, and this effect was even more apparent when the infected larvae were reared in more dense conditions. Similarly, the gregarines negatively affected the survival of adult males and females. However, no impact was observed on the mortality of blood-fed females, the proportion of females that laid eggs, and the number of eggs oviposited. The 10-times higher infection dose (50 versus five gregarine oocysts per one sand fly egg) led to -10 times more gamonts in fourth-instar larvae and two or three times more gamonts in females and males, respectively. Our study clearly shows that Ps. sergenti is harmful to its natural host under laboratory conditions. However, its potential for use in biological control is questionable as a result of several factors, including this parasite's strict host specificity.

The life cycle and host specificity of Psychodiella sergenti n. sp. and Ps. tobbi n. sp. (Protozoa: Apicomplexa) in sand flies Phlebotomus sergenti and Ph. tobbi (Diptera: Psychodidae).

Two new gregarines in the recently erected genus Psychodiella (formerly Ascogregarina), Psychodiella sergenti n. sp. and Psychodiella tobbi n. sp., are described based on morphology and life cycle observations conducted on larvae and adults of their natural hosts, the sand flies Phlebotomus sergenti and Phlebotomus tobbi, respectively. The phylogenetic analyses inferred from small subunit ribosomal DNA (SSU rDNA) sequences indicate the monophyly of newly described species with Psychodiella chagasi. Ps. sergenti n. sp. and Ps. tobbi n. sp. significantly differ from each other in the life cycle and in the size of life stages. The sexual development of Ps. sergenti n. sp. (syzygy, formation of gametocysts and oocysts) takes place exclusively in blood-fed Ph. sergenti females, while the sexual development of Ps. tobbi n. sp. takes place also in males and unfed females of Ph. tobbi. The susceptibility of Phlebotomus perniciosus, Phlebotomus papatasi, Ph. sergenti, Ph. tobbi, and Phlebotomus arabicus to both gregarines was examined by exposing 1st instar larvae to parasite oocysts. High host specificity was observed, as both gregarines were able to fully develop and complete regularly the life cycle only in their natural hosts. Both gregarines are considered as serious pathogens in laboratory-reared colonies of Old World sand flies.

Molecular characterization of gregarines from sand flies (Diptera: Psychodidae) and description of Psychodiella n. g. (Apicomplexa: Gregarinida).

Sand fly and mosquito gregarines have been lumped for a long time in the single genus Ascogregarina and on the basis of their morphological characters and the lack of merogony been placed into the eugregarine family Lecudinidae. Phylogenetic analyses performed in this study clearly demonstrated paraphyly of the current genus Ascogregarina and revealed disparate phylogenetic positions of gregarines parasitizing mosquitoes and gregarines retrieved from sand flies. Therefore, we reclassified the genus Ascogregarina and created a new genus Psychodiella to accommodate gregarines from sand flies. The genus Psychodiella is distinguished from all other related gregarine genera by the characteristic localization of oocysts in accessory glands of female hosts, distinctive nucleotide sequences of the small subunit rDNA, and host specificity to flies belonging to the subfamily Phlebotominae. The genus comprises three described species: the type species for the new genus--Psychodiella chagasi (Adler and Mayrink 1961) n. comb., Psychodiella mackiei (Shortt and Swaminath 1927) n. comb., and Psychodiella saraviae (Ostrovska, Warburg, and Montoya-Lerma 1990) n. comb. Its creation is additionally supported by sequencing data from other gregarine species originating from the sand fly Phlebotomus sergenti. In the evolutionary context, both genera of gregarines from mosquitoes (Ascogregarina) and sand flies (Psychodiella) have a close relationship to neogregarines; the genera represent clades distinct from the other previously sequenced gregarines.