Blastocystis sp.'nin İnsanlara Bulaşında İnsanlarla Yakın İlişkili Hayvanların Rolü

Fatih Çakır, M. Çiçek, Hasan Içen, İ. Yildirim, Akın Koçhan
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Abstract

Blastocystis sp. is a common intestinal parasite worldwide that can cause infection in humans and animals. Blastocystis sp. has a high genetic diversity with 17 different subtypes (ST) identified to date. Since nine of these subtypes are common in both humans and animals, it has been proposed that animals may have a role in the transmission of Blastocystis sp. to human. The aim of this study is to investigate the epidemiological effect of animals on the human transmission of Blastocystis species by molecular methods for in our country. A total of 420 faecal samples were collected from the cattle, sheep, dogs, horses and chickens. Samples were stained with trichrome staining and cultivated by Jones's medium culture method. Blastocystis was detected in 53(12.6%) of 420. The samples were examined by Polymerase Chain Reaction (PCR) to identify nine common human subtypes. Subtypes were not detected in 33(62.3) of the 53 Blastocystis positive samples. Subtypes were detected in 20(37.7%) samples. The detected subtypes were as follows: ST5 in 4(7.5%) sheep, ST6 in 6(11.3%) chickens, ST7 in 11(20.7%) chickens, both ST6-ST7 were detected in one chicken). ST1, ST2, ST3 and ST4 - common subtypes in our country- were not detected in any animal. Sheep and chickens may be the source of human transmission of ST5, ST6 and ST7, the rare subtypes in our country. As a result, humans rather than animals, seem to be the source of the human transmission of Blastocystis sp. in our country.
囊虫是世界范围内常见的肠道寄生虫,可引起人类和动物感染。囊虫具有高度的遗传多样性,迄今已鉴定出17种不同的亚型(ST)。由于这些亚型中的九种在人类和动物中都很常见,因此有人提出动物可能在囊胚孢子虫传播给人类的过程中起作用。本研究的目的是用分子方法探讨动物对我国囊虫种在人中的传播的流行病学影响。收集牛、羊、狗、马和鸡共420份粪便样本。样品用三色染色法染色,用琼斯培养基培养法培养。420例中检出囊虫53例(12.6%)。采用聚合酶链反应(PCR)对样本进行检测,鉴定出9种常见的人类亚型。53例囊虫阳性标本中33例(62.3例)未检出亚型。20份(37.7%)样本中检测到亚型。检测到ST5亚型4只(7.5%),ST6亚型6只(11.3%),ST7亚型11只(20.7%)(1只鸡同时检测到ST6-ST7亚型)。我国常见的ST1、ST2、ST3和ST4亚型未在动物中检测到。绵羊和鸡可能是ST5、ST6和ST7这三种我国罕见亚型的人间传播源。因此,人类而不是动物,似乎是囊虫在我国人类传播的来源。
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