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1.
Front Immunol ; 12: 672700, 2021.
Article in English | MEDLINE | ID: mdl-34135900

ABSTRACT

Marine farmed Atlantic salmon (Salmo salar) are susceptible to recurrent amoebic gill disease (AGD) caused by the ectoparasite Neoparamoeba perurans over the growout production cycle. The parasite elicits a highly localized response within the gill epithelium resulting in multifocal mucoid patches at the site of parasite attachment. This host-parasite response drives a complex immune reaction, which remains poorly understood. To generate a model for host-parasite interaction during pathogenesis of AGD in Atlantic salmon the local (gill) and systemic transcriptomic response in the host, and the parasite during AGD pathogenesis was explored. A dual RNA-seq approach together with differential gene expression and system-wide statistical analyses of gene and transcription factor networks was employed. A multi-tissue transcriptomic data set was generated from the gill (including both lesioned and non-lesioned tissue), head kidney and spleen tissues naïve and AGD-affected Atlantic salmon sourced from an in vivo AGD challenge trial. Differential gene expression of the salmon host indicates local and systemic upregulation of defense and immune responses. Two transcription factors, znfOZF-like and znf70-like, and their associated gene networks significantly altered with disease state. The majority of genes in these networks are candidates for mediators of the immune response, cellular proliferation and invasion. These include Aurora kinase B-like, rho guanine nucleotide exchange factor 25-like and protein NDNF-like inhibited. Analysis of the N. perurans transcriptome during AGD pathology compared to in vitro cultured N. perurans trophozoites, as a proxy for wild type trophozoites, identified multiple gene candidates for virulence and indicates a potential master regulatory gene system analogous to the two-component PhoP/Q system. Candidate genes identified are associated with invasion of host tissue, evasion of host defense mechanisms and formation of the mucoid lesion. We generated a novel model for host-parasite interaction during AGD pathogenesis through integration of host and parasite functional profiles. Collectively, this dual transcriptomic study provides novel molecular insights into the pathology of AGD and provides alternative theories for future research in a step towards improved management of AGD.


Subject(s)
Amebiasis/immunology , Fish Diseases/immunology , Host-Parasite Interactions/physiology , Salmo salar/parasitology , Amebiasis/genetics , Animals , Fish Diseases/genetics , RNA-Seq , Salmo salar/immunology , Transcriptome
2.
Front Immunol ; 12: 768065, 2021.
Article in English | MEDLINE | ID: mdl-35069540

ABSTRACT

Balamuthia mandrillaris is one cause of a rare and severe brain infection called granulomatous amoebic encephalitis (GAE), which has a mortality rate of >90%. Diagnosis of Balamuthia GAE is difficult because symptoms are non-specific. Here, we report a case of Balamuthia amoebic encephalomyelitis (encephalitis and myelitis) in a woman with breast cancer. She sustained trauma near a garbage dump 2 years ago and subsequently developed a skin lesion with a Mycobacterium abscessus infection. She experienced dizziness, lethargy, nausea and vomiting, inability to walk, and deterioration of consciousness. Next-generation sequencing of cerebrospinal fluid (CSF) samples revealed B. mandrillaris, and MRI of both brain and spinal cord showed abnormal signals. T-cell receptor (TCR) sequencing of the CSF identified the Top1 TCR. A combination of amphotericin B, flucytosine, fluconazole, sulfamethoxazole, trimethoprim, clarithromycin, pentamidine, and miltefosine was administrated, but she deteriorated gradually and died on day 27 post-admission.


Subject(s)
Amebiasis , Breast Neoplasms , Encephalomyelitis , Adult , Amebiasis/drug therapy , Amebiasis/genetics , Amebiasis/immunology , Balamuthia mandrillaris/genetics , Balamuthia mandrillaris/immunology , Breast Neoplasms/drug therapy , Breast Neoplasms/genetics , Breast Neoplasms/immunology , Breast Neoplasms/parasitology , Encephalomyelitis/drug therapy , Encephalomyelitis/genetics , Encephalomyelitis/immunology , Encephalomyelitis/parasitology , Fatal Outcome , Female , High-Throughput Nucleotide Sequencing , Humans , Magnetic Resonance Imaging
3.
Parasit Vectors ; 13(1): 480, 2020 Sep 21.
Article in English | MEDLINE | ID: mdl-32958053

ABSTRACT

BACKGROUND: Acanthamoeba spp. are cosmopolitan protozoans that cause infections in the brain, as well as extracerebral infections in the cornea, lungs and skin. Little is known about the mechanisms of the immunological response to these parasites in organs which are not their main biotope. Therefore, the purpose of this study was to determine the expression of TLR2 and TLR4 in the kidneys and heart of Acanthamoeba spp.-infected mice, with respect to the host's immunological status. METHODS: The mice were grouped into four groups: immunocompetent control mice; immunosuppressed control mice; immunocompetent Acanthamoeba spp.-infected mice; and immunosuppressed Acanthamoeba spp. infected mice. In the study, we used the amoebae T16 genotype which was isolated from a patient. The TLRs expressions in the kidneys and heart of mice were assessed by quantitative real-time polymerase chain reaction. Moreover, we visualized TLR2 and TLR4 proteins in the organs by immunohistochemical staining. RESULTS: In the kidneys, we observed a higher TLR2 expression in immunosuppressed mice at 24 days post-Acanthamoeba spp. infection (dpi) compared to the uninfected mice. There were no statistically significant differences in TLR4 expression in the kidneys between the immunocompetent and immunosuppressed mice, both of infected and uninfected mice. In the heart, we observed a difference in TLR2 expression in immunocompetent mice at 24 dpi compared to immunocompetent mice at 8 dpi. The immunocompetent Acanthamoeba spp.-infected mice had higher TLR4 expression at 8 dpi compared to the immunocompetent uninfected mice. CONCLUSIONS: Our results indicate that TLR2 is involved in response to Acanthamoeba spp. infection in the kidneys, whereas in the heart, both studied TLRs are involved.


Subject(s)
Acanthamoeba/physiology , Amebiasis/parasitology , Kidney/parasitology , Toll-Like Receptor 2/genetics , Toll-Like Receptor 4/genetics , Amebiasis/genetics , Amebiasis/immunology , Animals , Humans , Immunocompromised Host , Kidney/immunology , Male , Mice , Mice, Inbred BALB C , Toll-Like Receptor 2/immunology , Toll-Like Receptor 4/immunology
4.
Parasite Immunol ; 42(8): e12766, 2020 08.
Article in English | MEDLINE | ID: mdl-32564378

ABSTRACT

Gill health is one of the main health challenges for Atlantic salmon (Salmo salar L.) mariculture worldwide, and amoebic gill disease (AGD), caused by the marine ectoprotozoan Neoparamoeba perurans, is currently one of the most significant diseases in terms of prevalence and economic impact. This review describes the host response of Atlantic salmon to the disease, focusing on the pathological changes, immune response and mechanisms underlying the prominent epithelial proliferation and mucus hypersecretion occurring in affected fish. Health management strategies and risk factors are also discussed.


Subject(s)
Amebiasis/immunology , Amoebozoa/immunology , Fish Diseases/pathology , Gills/parasitology , Salmo salar/parasitology , Amebiasis/pathology , Animals , Fish Diseases/immunology , Fish Diseases/parasitology , Gills/immunology , Gills/pathology , Mucus/metabolism , Salmo salar/immunology
5.
Sci Rep ; 10(1): 6435, 2020 04 15.
Article in English | MEDLINE | ID: mdl-32296114

ABSTRACT

Amoebic gill disease (AGD) is a parasitic disease caused by the amoeba Paramoeba perurans, which colonizes the gill tissues and causes distress for the host. AGD can cause high morbidity and mortalities in salmonid and non-salmonid fish species. To understand the genetic basis of AGD and improve health status of farmed A. salmon, a population of ~ 6,100 individuals belonging to 150 full-sib families was monitored for development of AGD in the sea of Ireland. The population was followed for two rounds of AGD infections, and fish were gill scored to identify severity of disease in first (N = 3,663) and the second (N = 3,511) infection with freshwater treatment after the first gill-scoring. A subset of this gill-scored population (N = 1,141) from 119 full-sib families were genotyped with 57,184 SNPs using custom-made Affymetrix SNP-chip. GWAS analyses were performed which resulted in five significantly associated SNP variants distributed over chromosome 1, 2 and 5. Three candidate genes; c4, tnxb and slc44a4 were found within QTL region of chromosome 2. The tnxb and c4 genes are known to be a part of innate immune system, and may play a role in resistance to AGD. The gain in prediction accuracy obtained by involving genomic information was 9-17% higher than using traditional pedigree information.


Subject(s)
Amebiasis/veterinary , Disease Resistance/genetics , Fish Diseases/genetics , Quantitative Trait Loci , Salmo salar/parasitology , Amebiasis/diagnosis , Amebiasis/genetics , Amebiasis/immunology , Amoeba/isolation & purification , Animals , Chromosome Mapping , Feasibility Studies , Female , Fish Diseases/diagnosis , Fish Diseases/immunology , Fish Diseases/parasitology , Fish Proteins/genetics , Genetic Predisposition to Disease , Genome-Wide Association Study , Gills/parasitology , Male , Oceans and Seas , Pedigree , Polymorphism, Single Nucleotide , Risk Assessment/methods , Severity of Illness Index
6.
Cell Microbiol ; 22(8): e13203, 2020 08.
Article in English | MEDLINE | ID: mdl-32175652

ABSTRACT

Entamoeba histolytica is the causative agent of amebiasis, an infectious disease targeting the intestine and the liver in humans. Two types of intestinal infection are caused by this parasite: silent infection, which occurs in the majority of cases, and invasive disease, which affects 10% of infected persons. To understand the intestinal pathogenic process, several in vitro models, such as cell cultures, human tissue explants or human intestine xenografts in mice, have been employed. Nevertheless, our knowledge on the early steps of amebic intestinal infection and the molecules involved during human-parasite interaction is scarce, in part due to limitations in the experimental settings. In the present work, we took advantage of tissue engineering approaches to build a three-dimensional (3D)-intestinal model that is able to replicate the general characteristics of the human colon. This system consists of an epithelial layer that develops tight and adherens junctions, a mucus layer and a lamina propria-like compartment made up of collagen containing macrophages and fibroblast. By means of microscopy imaging, omics assays and the evaluation of immune responses, we show a very dynamic interaction between E. histolytica and the 3D-intestinal model. Our data highlight the importance of several virulence markers occurring in patients or in experimental models, but they also demonstrate the involvement of under described molecules and regulatory factors in the amoebic invasive process.


Subject(s)
Amebiasis/parasitology , Entamoeba histolytica/pathogenicity , Intestines/microbiology , Intestines/pathology , Models, Anatomic , Amebiasis/immunology , Dysentery, Amebic/pathology , Entamoeba histolytica/immunology , Host-Parasite Interactions , Humans , Inflammation , Microscopy, Confocal , Virulence
7.
Infect Immun ; 87(11)2019 11.
Article in English | MEDLINE | ID: mdl-31427448

ABSTRACT

Entamoeba histolytica is an anaerobic parasitic protozoan and the causative agent of amoebiasis. E. histolytica expresses proteins that are structurally homologous to human proteins and uses them as virulence factors. We have previously shown that E. histolytica binds exogenous interferon gamma (IFN-γ) on its surface, and in this study, we explored whether exogenous IFN-γ could modulate parasite virulence. We identified an IFN-γ receptor-like protein on the surface of E. histolytica trophozoites by using anti-IFN-γ receptor 1 (IFN-γR1) antibody and performing immunofluorescence, Western blot, protein sequencing, and in silico analyses. Coupling of human IFN-γ to the IFN-γ receptor-like protein on live E. histolytica trophozoites significantly upregulated the expression of E. histolytica cysteine protease A1 (EhCP-A1), EhCP-A2, EhCP-A4, EhCP-A5, amebapore A (APA), cyclooxygenase 1 (Cox-1), Gal-lectin (Hgl), and peroxiredoxin (Prx) in a time-dependent fashion. IFN-γ signaling via the IFN-γ receptor-like protein enhanced E. histolytica's erythrophagocytosis of human red blood cells, which was abrogated by the STAT1 inhibitor fludarabine. Exogenous IFN-γ enhanced chemotaxis of E. histolytica, its killing of Caco-2 colonic and Hep G2 liver cells, and amebic liver abscess formation in hamsters. These results demonstrate that E. histolytica expresses a surface IFN-γ receptor-like protein that is functional and may play a role in disease pathogenesis and/or immune evasion.


Subject(s)
Entamoeba histolytica/metabolism , Protozoan Proteins/metabolism , Receptors, Interferon/chemistry , Amebiasis/immunology , Amebiasis/parasitology , Animals , Caco-2 Cells , Cell Survival , Cricetinae , Hep G2 Cells , Humans , Interferon-gamma/pharmacology , Male , Phagocytosis , Protozoan Proteins/chemistry , Protozoan Proteins/genetics , Interferon gamma Receptor
8.
Biomed Res Int ; 2019: 1401894, 2019.
Article in English | MEDLINE | ID: mdl-31309100

ABSTRACT

Toll-like receptors (TLRs) play a key role in the innate immune response to numerous pathogens, including Acanthamoeba spp. The aim of this study was to determine the expression of TLR2 and TLR4 in the eyes of mice following intranasal infection with Acanthamoeba spp. in relation to the host's immunological status. Amoebae used in this study were isolated from the bronchial aspirate of a patient with acute myeloid leukemia (AML) and atypical symptoms of pneumonia. We found statistically significant differences in the expression of TLR2 and TLR4 in the eye of immunocompetent mice at 8, 16, and 24 days after Acanthamoeba spp. infection (dpi) compared to control group. Immunosuppressed mice showed significant differences in the expression of TLR2 at 16 and 24 dpi compared to uninfected animals. Our results indicate that TLR2 and TLR4 are upregulated in the eyes of mice in response to Acanthamoeba spp. We suggest that it is possible for trophozoites to migrate through the optic nerve from the brain to the eyes. The course of disseminated acanthamoebiasis may be influenced by the host's immunological status, and the observed changes in expression of TLR2 and TLR4 in the host's organs may indicate the role of these receptors in the pathomechanism of acanthamoebiasis.


Subject(s)
Amebiasis/immunology , Eye Proteins/immunology , Eye/immunology , Gene Expression Regulation/immunology , Toll-Like Receptor 2/immunology , Toll-Like Receptor 7/immunology , Acanthamoeba/immunology , Amebiasis/pathology , Animals , Eye/parasitology , Humans , Male , Mice , Mice, Inbred BALB C
9.
Drug Resist Updat ; 44: 1-14, 2019 05.
Article in English | MEDLINE | ID: mdl-31112766

ABSTRACT

Entamoeba histolytica is the etiological agent of amebiasis, which is an endemic parasitic disease in developing countries and is the cause of approximately 70,000 deaths annually. E. histolytica trophozoites usually reside in the colon as a non-pathogenic commensal in most infected individuals (90% of infected individuals are asymptomatic). For unknown reasons, these trophozoites can become virulent and invasive, cause amebic dysentery, and migrate to the liver where they cause hepatocellular damage. Amebiasis is usually treated either by amebicides which are classified as (a) luminal and are active against the luminal forms of the parasite, (b) tissue and are effective against those parasites that have invaded tissues, and (c) mixed and are effective against the luminal forms of the parasite and those forms which invaded the host's tissues. Of the amebicides, the luminal amebicide, metronidazole (MTZ), is the most widely used drug to treat amebiasis. Although well tolerated, concerns about its adverse effects and the possible emergence of MTZ-resistant strains of E. histolytica have led to the development of new therapeutic strategies against amebiasis. These strategies include improving the potency of existing amebicides, discovering new uses for approved drugs (repurposing of existing drugs), drug rediscovery, vaccination, drug targeting of essential E. histolytica components, and the use of probiotics and bioactive natural products. This review examines each of these strategies in the light of the current knowledge on the gut microbiota of patients with amebiasis.


Subject(s)
Amebiasis/drug therapy , Amebiasis/prevention & control , Amebicides/therapeutic use , Entamoeba histolytica/drug effects , Molecular Targeted Therapy/methods , Protozoan Vaccines/administration & dosage , Amebiasis/immunology , Amebiasis/parasitology , Animals , Biological Products/therapeutic use , Colon/drug effects , Colon/parasitology , Colon/pathology , Drug Repositioning/methods , Entamoeba histolytica/pathogenicity , Entamoeba histolytica/physiology , Gastrointestinal Microbiome/immunology , Host-Parasite Interactions/immunology , Humans , Liver/drug effects , Liver/parasitology , Liver/pathology , Metronidazole/therapeutic use , Microbial Interactions , Probiotics/therapeutic use , Protozoan Vaccines/biosynthesis , Severity of Illness Index
10.
Parasite Immunol ; 41(2): e12612, 2019 02.
Article in English | MEDLINE | ID: mdl-30578557

ABSTRACT

AIM: Acanthamoeba infections are characterized by an intense localized innate immune response associated with an influx of macrophages. Acanthamoeba protease production is known to affect virulence. Herein, the ability of Acanthamoeba trophozoite proteases, of either the laboratory Neff strain or a recently isolated clinical strain, to stimulate IL-12 and IL-6 and to activate protease-activated receptors, PAR1 and PAR2 expressed on murine macrophages, was investigated. METHOD AND RESULTS: Using selected protease inhibitors, leupeptin and E64, we showed that Acanthamoeba proteases can stimulate IL-12 and IL-6 by murine macrophages. Subsequently, using specific antagonists to inhibit PAR1 , and bone marrow-derived macrophages from PAR2 gene-deficient mice, we demonstrate that PAR1 , but not PAR2 contributes to macrophage IL-12 production in response to Acanthamoeba. In contrast, Acanthamoeba-induced IL-6 production is PAR1 and PAR2 independent. CONCLUSION: This study shows for the first time the involvement of PARs, expressed on macrophages, in the response to Acanthamoeba trophozoites and might provide useful insight into Acanthamoeba infections and their future treatments.


Subject(s)
Acanthamoeba/enzymology , Acanthamoeba/immunology , Amebiasis/immunology , Cell Cycle Proteins/metabolism , Macrophage Activation , Macrophages/immunology , Protein Serine-Threonine Kinases/metabolism , Receptor, PAR-2/metabolism , Animals , Immunity, Innate , Interleukin-12/metabolism , Male , Mice , Mice, Inbred BALB C , Peptide Hydrolases/metabolism , Signal Transduction
11.
PLoS Negl Trop Dis ; 12(12): e0006979, 2018 12.
Article in English | MEDLINE | ID: mdl-30557322

ABSTRACT

BACKGROUND: In previous studies, we suggested that Acanthamoeba is a new aero-allergen and that patients who showed positive results for the skin-prick test response to Acanthamoeba cross-reacted with several pollen allergens. Additionally, patients with common antibodies reacted to the 13-15 kDa Acanthamoeba unknown allergen. OBJECTIVE: We examined whether profilin of Acanthamoeba is a human airway allergic agent because of its molecular weight. METHODS: We expressed recombinant Ac-PF (rAc-PF) protein using an Escherichia coli expression system and evaluated whether Ac-PF is an airway allergic agent using an allergic airway inflammation animal model. RESULTS: Airway hyperresponsiveness was increased in rAc-PF-inoculated mice. The number of eosinophils and levels of Th2 cytokines, interleukin (IL)-4, IL-5, and IL-13 were increased in the bronchial alveolar lavage fluid of rAc-PF-treated mice. The lungs of the rAc-PF-treated mice group showed enhanced mucin production and metaplasia of lung epithelial cells and goblet cells. CONCLUSION: In this study, we demonstrated that rAc-PF may be an allergen in Acanthamoeba, but further studies needed to identify the mechanisms of allergenic reactions induced by Ac-PF.


Subject(s)
Acanthamoeba/immunology , Amebiasis/immunology , Profilins/immunology , Respiratory Hypersensitivity/immunology , Acanthamoeba/genetics , Amebiasis/genetics , Amebiasis/parasitology , Animals , Disease Models, Animal , Female , Humans , Interleukin-13/genetics , Interleukin-13/immunology , Interleukin-4/genetics , Interleukin-4/immunology , Lung/immunology , Lung/parasitology , Mice , Mice, Inbred C57BL , Profilins/genetics , Rats , Rats, Wistar , Respiratory Hypersensitivity/genetics , Respiratory Hypersensitivity/parasitology
12.
Exp Parasitol ; 193: 58-65, 2018 Oct.
Article in English | MEDLINE | ID: mdl-30201450

ABSTRACT

The role of oxidative stress in the pathogenicity of acanthamoebiasis is an important aspect of the intricate and complex host-parasite relationship. The aim of this experimental study was to determine oxidative stress through the assessment of lipid peroxidation product (LPO) levels and antioxidant defense mechanism in Acanthamoeba spp. lung infections in immunocompetent and immunosuppressed hosts. In Acanthamoeba spp. infected immunocompetent mice we noted a significant increase in lung lipid peroxidation products (LPO) at 8 days and 16 days post infection (dpi). There was a significant upregulation in lung LPO in immunocompetent and immunosuppressed mice infected by Acanthamoeba spp. at 16 dpi. The superoxide dismutase activity decreased significantly in lungs in immunosuppressed mice at 8 dpi. The catalase activity was significantly upregulated in lungs in immunocompetent vs. immunosuppressed group and in immunocompetent vs. control mice at 16 dpi. The glutathione reductase activity was significantly lower in immunosuppressed group vs. immunosuppressed control at 24 dpi. We found significant glutathione peroxidase downregulation in immunocompetent and immunosuppressed groups vs. controls at 8 dpi, and in immunosuppressed vs. immunosuppressed control at 16 dpi. The consequence of the inflammatory response in immunocompetent and immunosuppressed hosts in the course of experimental Acanthamoeba spp. infection was the reduction of the antioxidant capacity of the lungs resulting from changes in the activity of antioxidant enzymes. Therefore, the imbalance between oxidant and antioxidant processes may play a major role in pathology associated with Acanthamoeba pneumonia.


Subject(s)
Acanthamoeba , Amebiasis/immunology , Immunocompetence , Immunocompromised Host , Lung Diseases, Parasitic/immunology , Acanthamoeba/immunology , Acanthamoeba/pathogenicity , Amebiasis/metabolism , Animals , Catalase/analysis , Glutathione Peroxidase/analysis , Glutathione Reductase/analysis , Humans , Lipid Peroxidation , Lung Diseases, Parasitic/metabolism , Male , Mice , Mice, Inbred BALB C , Oxidative Stress , Proteins/analysis , Reactive Oxygen Species/metabolism , Superoxide Dismutase/analysis
13.
Parasit Vectors ; 11(1): 517, 2018 Sep 20.
Article in English | MEDLINE | ID: mdl-30236160

ABSTRACT

BACKGROUND: Acanthamoebiasis is most often found in patients with immune deficiency, with infections facilitated by the intake of immunosuppressive drugs. The host immune response to Acanthamoeba spp. infection is poorly understood. Thus, in this study, we aimed to examine the course of Acanthamoeba spp. infection taking into account the host's immunological status, including assessment of the hematological parameters, cytokine analysis, immunophenotypic changes in spleen populations, and histological spleen changes, which could help clarify some aspects of the immune response to acanthamoebiasis. In our experimental study, we used Acanthamoeba strain AM 22 isolated from the bronchoaspirate of a patient with acute myeloid leukaemia (AML) and atypical pneumonia symptoms. RESULTS: Acanthamoeba spp. affected the hematological parameters in immunocompetent and immunosuppressed mice and induced a change in spleen weight during infection. Moreover, analysis of anti-inflammatory (IL-4 and IL-10) and pro-inflammatory (IL-17A and IFN-γ) cytokines produced by splenocytes stimulated with concanavalin A demonstrated that Acanthamoeba spp. induced a selective Th1, Th2 and Th17 response at later stages of the infection in immunocompetent hosts. In the case of hosts with low immunity, Acanthamoeba elicited robust Th1 cell-mediated immunity without the participation of Th17. We observed suppression of CD8+ and CD4+ T lymphocytes and CD3+CD4-CD8- double-negative (DN) T lymphocyte populations in the beginning, and in the case of CD3+/CD4+/CD8+ double-positive (DP) T cells in the final phase of Acanthamoeba spp. infection in hosts with low immunity. Also, CD4+T lymphocytes and CD3+/CD4+ and CD3+/CD8+ lymphocyte counts during each stage of acanthamoebiasis were shown to be upregulated. CONCLUSIONS: We demonstrated that analysis of the immune response and pathogenesis mechanisms of clinical isolates of Acanthamoeba spp. in an animal model not only has purely cognitive significance but above all, may help in the development of effective methods of pharmacological therapy especially in patients with low immunity.


Subject(s)
Acanthamoeba/immunology , Amebiasis/parasitology , Immunity, Cellular , Amebiasis/immunology , Amebiasis/pathology , Animals , CD4-Positive T-Lymphocytes/immunology , CD8-Positive T-Lymphocytes/immunology , Cytokines/metabolism , Disease Models, Animal , Humans , Immunocompetence , Immunocompromised Host , Immunophenotyping , Male , Mice , Mice, Inbred BALB C , Middle Aged , Spleen/parasitology , Spleen/pathology , Th17 Cells/immunology
14.
Diagn Pathol ; 13(1): 27, 2018 May 10.
Article in English | MEDLINE | ID: mdl-29747695

ABSTRACT

BACKGROUND: The diagnosis of granulomatous amoebic encephalitis is challenging for clinicians because it is a rare and lethal disease. Previous reports have indicated that Acanthamoeba with some specific genotypes tend to cause the majority of human infections. We report a case of granulomatous amoebic encephalitis caused by Acanthamoeba spp. with genotype T18 in an immunodeficient patient in Japan after allogenic bone marrow transplantation, along with the morphological characteristics and genetic analysis. CASE PRESENTATION: A 52-year old man, who had undergone allogenic bone marrow transplantation, suffered from rapid-growing brain masses in addition to pneumonia and died within 1 month from the onset of the symptoms including fever, headache and disorientation. Infection with Acanthamoeba in the brain and lung was confirmed by histological evaluation; immunohistochemical staining and polymerase chain reaction analysis using autopsy samples also indicated the growth of Acanthamoeba in the brain. Gene sequence analysis indicated that this is the second documented case of infection with Acanthamoeba spp. with genotype T18 in a human host. Postmortem retrospective evaluation of cerebrospinal fluid sample in our case, as well as literature review, indicated that some cases of granulomatous amoebic encephalitis caused by Acanthamoeba may be diagnosable by cerebrospinal fluid examination. CONCLUSION: This case indicates that Acanthamoeba spp. with genotype T18 can also be an important opportunistic pathogen. For pathologists as well as physicians, increased awareness of granulomatous amoebic encephalitis is important for improving the poor prognosis along with the attempt to early diagnosis with cerebrospinal fluid.


Subject(s)
Amebiasis/diagnosis , Infectious Encephalitis/diagnosis , Opportunistic Infections/diagnosis , Acanthamoeba/genetics , Amebiasis/genetics , Amebiasis/immunology , Anemia, Aplastic/surgery , Genotype , Hematopoietic Stem Cell Transplantation/adverse effects , Humans , Immunocompromised Host , Infectious Encephalitis/immunology , Infectious Encephalitis/microbiology , Male , Middle Aged , Opportunistic Infections/genetics , Opportunistic Infections/immunology
15.
Exp Parasitol ; 189: 28-33, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29673623

ABSTRACT

The presence of free-living amoebae of the genera Naegleria, Acanthamoeba and Balamuthia, which contain pathogenic species for humans and animals, has been demonstrated several times and in different natural aquatic environments in the northwest of Mexico. With the aim of continuing the addition of knowledge about immunology of pathogenic free-living amoebae, 118 sera from children and adolescents, living in three villages, were studied. Humoral IgG response against B. mandrillaris, N. fowleri and Acanthamoeba sp. genotype T4, was analyzed in duplicate to titers 1: 100 and 1: 500 by enzyme-linked immunosorbent assay (ELISA). Children and adolescents ages ranged between 5 and 16 years old, with a mean of 9 years old, 55% males. All tested sera were positive for the 1: 100 dilution, and in the results obtained with the 1: 500 dilution, 116 of 118 (98.3%) were seropositive for N. fowleri, 101 of 118 (85.6%) were seropositive for Acanthamoeba sp. genotype T4, and 43 of 118 (36.4%) were seropositive for B. mandrillaris. The statistical analysis showed different distributions among the three communities and for the three species of pathogenic free-living amoebae, including age. Lysed and complete cells used as Balamuthia antigens gave differences in seropositivity.


Subject(s)
Acanthamoeba/immunology , Antibodies, Protozoan/blood , Balamuthia mandrillaris/immunology , Central Nervous System Protozoal Infections/epidemiology , Naegleria fowleri/immunology , Adolescent , Amebiasis/epidemiology , Amebiasis/immunology , Central Nervous System Protozoal Infections/immunology , Central Nervous System Protozoal Infections/parasitology , Child , Child, Preschool , Ecosystem , Encephalitis/epidemiology , Encephalitis/immunology , Enzyme-Linked Immunosorbent Assay , Female , Humans , Immunoglobulin G/blood , Male , Mexico/epidemiology , Rural Population
16.
J Pediatric Infect Dis Soc ; 7(3): e163-e168, 2018 Aug 17.
Article in English | MEDLINE | ID: mdl-29096002

ABSTRACT

Balamuthia mandrillaris is a recently described ameba known to cause a subacute to chronic central nervous system infection called granulomatous amebic encephalitis. Evidence suggests that apparently immunocompetent persons are at risk for disease and show a similar nonspecific presentation to that of immunodeficient persons. However, evidence of hematogenous dissemination, which has been found in immunodeficient patients, has been lacking in immunocompetent patients. Here, we describe a previously healthy patient with B mandrillaris-associated granulomatous amebic encephalitis in whom both central nervous system and renal disease were found during autopsy, which suggests hematogenous dissemination. We also provide a comprehensive review of the pediatric literature on this disease and its clinical presentation in children.


Subject(s)
Amebiasis/parasitology , Balamuthia mandrillaris , Granuloma/parasitology , Infectious Encephalitis/parasitology , Kidney Diseases/parasitology , Adolescent , Amebiasis/immunology , Amebiasis/pathology , Brain/parasitology , Brain/pathology , Fatal Outcome , Female , Granuloma/immunology , Granuloma/pathology , Humans , Immunocompetence , Infectious Encephalitis/immunology , Infectious Encephalitis/pathology , Kidney Diseases/immunology , Kidney Diseases/pathology , Magnetic Resonance Imaging , Risk Factors
17.
Dev Comp Immunol ; 80: 2-14, 2018 03.
Article in English | MEDLINE | ID: mdl-27889532

ABSTRACT

ZBTB46 and DC-SCRIPT/ZNF366 are two zinc finger transcription factors that play important roles in regulating differentiation of dendritic cells in mammals. In this study, the ZBTB46 and DC-SCRIPT/ZNF366 homologues were identified in rainbow trout Oncorhynchus mykiss and their expression analysed in vivo and in vitro. As transcription factors, they are well conserved in sequence, genomic organisation and gene synteny. Their expression was differentially modulated by bacterial and viral PAMPs in the monocyte/macrophage-like cell line RTS-11, in primary head kidney (HK) macrophages, and in HK macrophages cultured with IL-4/13A. In the RTS-11 cells and primary HK macrophages, all the ZBTB46 and DC-SCRIPT/ZNF366 homologues were down-regulated by interferon gamma (type II IFN) but unaffected by IFN2 (type I IFN), administered as recombinant proteins to cell cultures. In fish gills, infection with amoebae (Paramoebae perurans) resulted in reduction of ZBTB46 and DC-SCRIPT/ZNF366 expression in Atlantic salmon Salmo salar, whilst infection with Yersinia ruckeri induced gene expression in rainbow trout.


Subject(s)
Amebiasis/immunology , Amoeba/immunology , Carrier Proteins/genetics , Dendritic Cells/physiology , Fish Diseases/immunology , Fish Proteins/genetics , Head Kidney/pathology , Macrophages/immunology , Oncorhynchus mykiss/immunology , Salmo salar/immunology , Transcription Factors/genetics , Yersinia Infections/immunology , Yersinia ruckeri/immunology , Animals , Carrier Proteins/metabolism , Cell Differentiation , Cell Line , Cloning, Molecular , Fish Proteins/metabolism , Gene Expression Regulation/immunology , Immunity, Innate , Interferon Type I/metabolism , Interferon-gamma/metabolism , Pathogen-Associated Molecular Pattern Molecules/immunology , Transcription Factors/metabolism
18.
Ann Parasitol ; 64(4): 299-308, 2018.
Article in English | MEDLINE | ID: mdl-30720249

ABSTRACT

Amoebas from the genus Acanthamoeba are cosmopolitan organisms, which can exist as free-living organisms and as parasites within host tissue. Acanthamoeba infection present a serious risk to human health and are characterized by high mortality, especially in immunocompromised individuals. These protozoa are the etiological factors of granulomatous amoebic encephalitis (GAE) and Acanthamoeba keratitis (AK). They can also live in the lungs, adrenals glands, nose, throat, and bones of the host. Furthermore, the amoebas can be vectors of pathogenic bacteria. Acanthamoeba infection caused is a serious clinical problem mainly due to limited progress in diagnostics and treatment of this infection, which is associated with insufficient knowledge of pathogenesis, pathophysiology and the host immune response against Acanthamoeba antigens. This review study presents the biology of Acanthamoeba sp. as well as pathogenicity, diagnostics, and treatment of amoebas infections. It also presents data, including experimental results, concerning pathogenic properties and the host's immunology response against Acanthamoeba sp.


Subject(s)
Acanthamoeba , Amebiasis , Acanthamoeba/pathogenicity , Acanthamoeba/physiology , Amebiasis/immunology , Amebiasis/parasitology , Humans , Immunocompromised Host
19.
Pediatr Transplant ; 21(8)2017 Dec.
Article in English | MEDLINE | ID: mdl-28921764

ABSTRACT

Acanthamoeba encephalitis is a rare, often fatal condition, particularly after HSCT, with 9 reported cases to date in the world literature. Our case was originally diagnosed with ALL at age 3 years, and after several relapses underwent HSCT at age 9 years. At 17 years of age, he was diagnosed with secondary AML for which he underwent a second allogeneic HSCT. He presented with acute-onset worsening neurological deficits on day +226 after the second transplant and a post-mortem diagnosis of Acanthamoeba encephalitis was established, with the aid of the CDC.


Subject(s)
Acanthamoeba/isolation & purification , Amebiasis/diagnosis , Hematopoietic Stem Cell Transplantation , Immunocompromised Host , Infectious Encephalitis/diagnosis , Leukemia, Myeloid, Acute/therapy , Adolescent , Amebiasis/immunology , Fatal Outcome , Humans , Infectious Encephalitis/immunology , Leukemia, Myeloid, Acute/immunology , Male
20.
Parasitology ; 144(9): 1229-1242, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28492111

ABSTRACT

Few studies have focussed on the health and immunity of triploid Atlantic salmon and therefore much is still unknown about their response to commercially significant pathogens. This is important if triploid stocks are to be considered for full-scale commercial production. This study aimed to investigate and compare the response of triploid and diploid Atlantic salmon to an experimental challenge with Neoparamoeba perurans, causative agent of amoebic gill disease (AGD). This disease is economically significant for the aquaculture industry. The results indicated that ploidy had no significant effect on gross gill score or gill filaments affected, while infection and time had significant effects. Ploidy, infection and time did not affect complement or anti-protease activities. Ploidy had a significant effect on lysozyme activity at 21 days post-infection (while infection and time did not), although activity was within the ranges previously recorded for salmonids. Stock did not significantly affect any of the parameters measured. Based on the study results, it can be suggested that ploidy does not affect the manifestation or severity of AGD pathology or the serum innate immune response. Additionally, the serum immune response of diploid and triploid Atlantic salmon may not be significantly affected by amoebic gill disease.


Subject(s)
Amebiasis/veterinary , Amoeba/physiology , Fish Diseases/immunology , Immunity, Innate , Salmo salar/immunology , Amebiasis/immunology , Amebiasis/parasitology , Animals , Aquaculture , Diploidy , Disease Susceptibility/veterinary , Fish Diseases/parasitology , Gills/parasitology , Salmo salar/genetics , Salmo salar/parasitology , Triploidy
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