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PubMed2006

Mycoplasma hominis and Trichomonas vaginalis: a unique case of symbiotic relationship between two obligate human parasites.

Mollicutes are the smallest and simplest self-replicating microorganisms. Despite the minimal genome and apparent lack of complexity, mycoplasmas show a high degree of adaptation to the most diverse environments. Mycoplasma hominis is a human sexually transmitted mycoplasma which is able to establish a biological association with Trichomonas vaginalis, a pathogenic flagellated protist. M. hominis and T. vaginalis share the same specific natural niche, the human genitourinary tract. Symbiotic relationships between unicellular eukaryotes and bacteria are well known and have been extensively studied, providing interesting insights into the biology of one or both the symbionts. The relationship between T. vaginalis and M. hominis is unique in that it was the first described association of two obligated human parasites. Several aspects of this relationship have been investigated, showing how the trichomonad may be viewed not only as a new niche for M. hominis, but also as a "Trojan horse" for the transmission of the bacterial infection to the human host.

Animals↗
PubMed1992

[Comparative antigen analysis of Trichomonas vaginalis by enzyme-linked immunoelectrotransfer blot technique].

Analysis of six isolates of Trichomonas vaginalis was carried out with sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and enzyme-linked immunoelectrotransfer blot (EITB). Trichloroacetic acid-treated antigens of the 6 isolates revealed 25 protein profiles ranging 12-170 kDa of molecular weight in SDS-PAGE. In EITB, the specific immunogenic bands were visualized at 51 kDa and 96 kDa when HY-1 antigen was probed with different mice sera immunized with 6 isolates of T. vaginalis. The banding patterns with different sera showed isolate-to-isolate variability. In EITB, homologous antigen (HY-1) did not show any enhanced response in reacting to homologous antiserum (HY-1) when 6 isolates of T. vaginalis were probed with a single serum (HY-1). It is assumed that the different banding patterns of six isolates show isolate-to-isolate variability and immunogenic common bands in 41, 47, 74 and 94 kDa on EITB may connote the important significance on immune response in T. vaginalis infection.

Animals↗
PubMed1998

Genetic variance of Trichomonas vaginalis isolates by Southern hybridization.

In the present study, genomic DNAs were purified from Korean isolates (KT8, KT6, KT-Kim and KT-Lee) and foreign strains (CDC85, IR78 and NYH 286) of Trichomonas vaginalis, and hybridized with a probe based on the repetitive sequence cloned from T. vaginalis to observe the genetic differences. By Southern hybridization, all isolates of T. vaginalis except the NYH286 strain had 11 bands. Therefore all isolates examined were distinguishable into 3 groups according to their banding patterns; i) KT8, KT6 and KT-Kim isolates had 11 identical bands such as 1 kb, 1.2 kb, 1.6 kb, 1.9 kb, 2.3 kb, 2.7 kb, 3.2 kb, 3.4 kb, 3.8 kb, 4.9 kb and 6.0 kb. ii) The metronidazole-resistant IR78 strain had the same bands as KT-Lee isolate at bands of 1 kb, 1.2 kb, 1.6 kb, 1.8 kb, 2.1 kb, 2.5 kb, 2.7 kb, 2.9 kb, 3.4 kb, 5.0 kb and 6.0 kb. Bands of CDC85, metronidazole-resistant strain, were similar to those of IR78 and KT-Lee, except that 3.2 kb replaced 2.9 kb. iii) NYH286 particularly had 12 bands and band patterns were similar to IR78 with a few exceptions as follows: i) 6.2 kb in place of 6.0 kb, ii) 2.0 kb and 2.2 kb instead of 2.1 kb. Through the results obtained, genetic variance of T. vaginalis isolates was demonstrated by Southern hybridization.

Animals↗
PubMed2006

Trichomonas vaginalis and trichomoniasis in the Republic of Korea.

Vaginal trichomoniasis, caused by Trichomonas vaginalis, is the most common sexually transmitted disease. More than 170 million people worldwide are annually infected by this protozoan. In the Republic of Korea, 10.4% of women complaining of vaginal symptoms and signs were found to be infected with T. vaginalis. However, despite its high prevalence, the pathogenesis of T. vaginalis infection has not been clearly characterized although neutrophil infiltration is considered to be primarily responsible for the cytologic changes associated with this infection. We hypothesized that trichomonads in the vagina sometime after an acute infection secrete proteins like excretory-secretory product that have a chemotactic effect on neutrophils, and that these neutrophils are further stimulated by T. vaginalis to produce chemokines like IL-8 and GRO-alpha, which further promote neutrophil recruitment and chemotaxis. Thus, neutrophil accumulation is believed to maintain or aggravate inflammation. However, enhanced neutrophil apoptosis induced by live T. vaginalis could contribute to resolution of inflammation. Macrophages may constitute an important component of host defense against T. vaginalis infection. For example, mouse macrophages alone and those activated by lymphokines or nitric oxide are known to be involved in the extracellular killing of T. vaginalis. In the host, T. vaginalis uses a capping phenomenon to cleave host immunoglobulins with proteinases and thus escape from host immune responses. Recently, we developed a highly sensitive and specific diagnostic polymerase chain reaction (PCR) technique using primers based on a repetitive sequence cloned from T. vaginalis (TV-E650), and found that the method enables the detection of T. vaginalis at concentrations as low as 1 cell per PCR mixture.

Animals↗
PubMed2004

Involvement of MAP kinases in apoptosis of macrophage treated with Trichomonas vaginalis.

A primitive protozoan parasite Trichomonas vaginalis selectively activates the signal transduction pathways in macrophages (RAW264.7). This study evaluated the correlation of these signaling pathways and T. vaginalis-induced cell apoptosis. In macrophages infected with T. vaginalis, apoptosis was assessed on the basis of DNA fragmentation on agarose gel electrophoresis. Infection of macrophages with T. vaginalis induced tyrosine phosphorylation of several proteins. Infected cells with T. vaginalis were shown to associate with phosphorylation of the extracellular signal-regulated (ERK)1/2 kinase, p38, c-Jun N-terminal kinase (JNK) mitogen-activated protein (MAP) kinases on Western blot analysis. The present finding also demonstrated a link between the ERK1/2, JNK and p38 apoptotic pathways that was modulated by T. vaginalis infection.

Animals↗
PubMed1979

Trichomonas vaginalis infections in Sydney: laboratory diagnosis and prevalence.

The prevalence of trichomoniasis in Sydney was determined by examining 1070 sexually active females in three different practices. Infection rates ranged from 17.8% in a sympatomatic venereal-disease clinic group to 0.5% in non-promiscuous family-planning clinic patients. In each of these categories, the infestation rate, when compared with overseas reports, was lower but no explanation for this difference is apparent. Of the various laboratory methods used to detect Trichomonas vaginalis, the most sensitive was a culture method. The most convenient and reliable microscopy technique was phase-contrast microscopy which detected 80% of those with positive culture results. Stuart's Transport Medium will maintain trichomonad's viability for at least 24 hours and allow vaginal specimens to be reliably transported for examination.

Australia↗
PubMed1985

Experimental transfer of Trichomonas gallinae (Rivolta, 1878) from white-winged doves to mourning doves.

Isolates of Trichomonas gallinae (Rivolta, 1878) from white-winged doves, Zenaida asiatica (L.), were transferred experimentally to young mourning doves, Zenaida macroura (L.). Twenty-three of 25 mourning doves developed infections with isolates of T. gallinae from 25 white-winged doves. In addition, eight of eight rock doves (Columba livia Gmelin) were infected with duplicate isolates. All infected recipient birds harbored avirulent isolates except for one mourning dove which died from extensive oral lesions. However, repeated attempts using this isolate of T. gallinae to produce lesions in additional recipients were unsuccessful. Despite the findings of this study, it was suggested that future dove management strategies consider the possibility of disease outbreaks involving white-winged doves and susceptible populations of mourning doves.

Animals↗
PubMed2000

Survival of Trichomonas gallinae in white-winged dove carcasses.

Survival of Trichomonas gallinae was examined in white-winged dove (Zenaida asiatica) carcasses to assess whether birds that have been dead up to 8 hr can be sampled reliably for this protozoan. Carcasses of 100 T. gallinae-positive white-winged doves were separated into four groups of 25 birds, representing 2, 4, 6, and 8 hr post mortem sampling intervals and placed into an environmental chamber maintained at 27 C and 75% relative humidity. Live T. gallinae were isolated in 96, 100, 100, and 92% of the carcasses at each of the respective post mortem intervals. The experiment was repeated with another 100 carcasses of T. gallinae-positive white-winged doves placed in the environmental chamber, this time maintained at 27 C and 40% relative humidity. Live T. gallinae occurred in 96, 100, 96, and 100% of the carcasses at each of the respective post mortem intervals. Across both trials, the overall ability to detect positive birds from sampling carcasses up to 8 hrs post mortem was 97%. An a posteriori experiment was conducted in which 23 and 18 carcasses from the second trial were maintained in the environmental chamber at 27 C and 40% relative humidity and resampled at 24 and 48 hr post mortem, respectively. Live trichomonads were isolated from 91 and 44% of the carcasses at 24 and 48 hr, respectively. Results suggest live T. gallinae can be obtained from dove carcasses reliably up to 8 hr and possibly up to 24 hr after host death. The ability for T. gallinae to survive within this time interval can aid wildlife personnel in monitoring this protozoan at hunter check stations or obtaining samples from recently killed birds.

Animals↗
PubMed2005

Prevalence of Trichomonas gallinae in northern goshawks from the Berlin area of northeastern Germany.

In recent years, the northern goshawk (Accipiter gentilis) has colonized suburban and urban areas in Berlin, Germany, and elsewhere in Europe. Because of the high proportion of feral pigeons (Columba livia f. domestica) in their diet, urban goshawks are suspected to have a high infection rate with Trichomonas gallinae. Therefore, from 1998 to 2001, we examined 269 nestlings from 90 nests for infection with T. gallinae by culture of swabs taken from the oropharynx and checked their oropharynx for the presence of caseous lesions indicative of trichomonosis. In 80% of the nest sites (n=90), at least one nestling was infected. The nestling infection rate with T. gallinae was 69.7% (n=33) in 1998, 73.0% (n=89) in 1999, 55.8% (n=77) in 2000, and 62.9% (n=70) in 2001. In total, 65.1% of the northern goshawk nestlings were culture positive for T. gallinae. Prevalence increased with the age of nestlings (chi2=12.4, n=269, df=5, P=0.03) and tended to increase with brood size (chi2=9.345, n=269, df=4, P=0.053). Caseous lesions were present in 12 nestlings (4.5%), but only 10 of these were culture positive for T. gallinae. Two nestlings (0.7%) had large caseous lesions (diameter>1 cm) characteristic of late-stage trichomonosis and died shortly after examination. It is suggested that the combination of a high prevalence of T. gallinae with a low rate of pathologicic changes is the result of an evolutionary-adapted parasite-host relationship.

Age Factors↗
PubMed1970

Challenge infection as a means of determining the rate of disease resistant Trichomonas gallinae-free birds in a population.

Trichomonas gallinae-free pigeons and mourning doves were infected with the Jones' Barn strain of T. gallinae to determine the rate of disease resistant T. gallinae-free birds in each population. Although all birds became infected 88% of the pigeons were resistant to trichomoniasis while 82% of the mourning doves were resistant. It was concluded that these birds had been previously infected and spontaneously lost their trichomonad fauna while retaining their resistance to fatal infection.

Animals↗
PubMed1970

Serum protein changes in immune and nonimmune pigeons infected with various strains of Trichomonas gallinae.

Serum protein changes were studied in immune and nonimmune pigeons infected with three different strains of Trichomonas gallinae. Strain I (nonvirulent) produced no change in the relative concentration of serum components. Strains II (oral canker) and III (Jones' Barn) produced decreases in albumin and alpha globulins, and increases in beta and gamma globulins between the 7th and 20th days post infection. Birds infected with strain II began to return to normal by the 20th day, while all those infected with strain III were dead between 10 and 14 days post infection. Two serum protein patterns resulted from infection of immune birds with the Jones' Barn strain. One showed no change in relative protein concentrations and no tissue invasion by the parasite while the other was similar to that seen in nonimmune birds infected with a strain producing oral canker. These also showed evidence of tissue invasion by the parasite. It was concluded that tissue invasion was necessary to evoke a quantitative change in serum protein concentrations.

Animals↗
PubMed1999

A study on the potential role of Trichomonas vaginalis in transmission of Herpes simplex virus type II.

Some strains of Trichomonas vaginalis have been reported to contain virus-like particles (VLP). Whether they were natural inhabitants or acquired from the host, the emerging question will be about the potential role of this protozoan in viral transmission. The present model have been established for studying the ability of T. vaginalis to acquire Herpes simplex virus type II (HSV). Green monkey kidney cells (Vero cells) were infected with HCV and T. vaginalis was inoculated 3 days later. The progress of virus transmission was monitored by transmission electron microscopy (TEM). Fragments of virus containing Vero cells were engulfed by the trichomonads and internalised in vacuoles followed by resolution of the vacuole boundary and viral particles aggregates were retained. Viable HSV was recovered from the trichomonads for 5 days. A conducting study was done through cytopathological examination of 170 cervicovaginal smears revealed 25.8% having trichomoniasis, 2.9% HSV infection and 1.17% with combined infection, while HSV infections represent 4.5% in those having trichomoniasis. These results suggest the potential role of T. vaginalis in viral transmission to reduce this risk, further studies are recommended.

Animals↗
PubMed2000

Trichomonas vaginalis and bacterial vaginosis. Coexistence in vaginal wet mount preparations from pregnant women.

OBJECTIVE: To identify how frequently trichomoniasis and characteristics of bacterial vaginosis (BV) occur concomitantly in wet mount preparations from pregnant women. STUDY DESIGN: Diagnosis of trichomoniasis was predicted on visualization of the organism. Diagnosis of BV required a positive volatile (whiff) test, presence of "clue cells" and one of two minor criteria: (1) absence of lactobacilli, or (2) a pH > 4.5. Pregnant women from January 1995 to July 1997 at our clinic had wet mount/KOH preparations performed as standard prenatal care. Corresponding medical charts were analyzed for symptoms, race, BV, sexually transmitted diseases, urinary tract infections and other infections. RESULTS: Of 191 pregnant women identified, 69 had trichomoniasis. Seventy-nine percent of the 69 were African American. Fifteen percent of pregnant women (17) had concomitant trichomoniasis and BV. Irrespective of race, 35-38% of pregnant women with trichomoniasis had another sexually transmitted disease or a urinary tract infection diagnosed in that pregnancy. CONCLUSION: BV, or bacteria excess syndrome, is a frequent coinfection in pregnant women harboring Trichomonas vaginalis.

Adolescent↗
PubMed2000

A novel chemotherapeutic combination for Trichomonas vaginalis targeting purine salvage pathways of the parasite.

A novel combination of chemotherapy (Dipyridamole/Allopurinol) targeting the possible purine salvage mechanisms of Trichomonas vaginalis was used in this study. The possible effect of these drugs either individually or in combination, on the multiplication of T. vaginalis in modified TYM axenic culture, was assessed on 24 hours intervals. The combination of both drugs at concentrations of 5 microM and 10 microM each showed a potent lethal effect on the parasite and an almost complete inhibition of parasite multiplication in culture. Each drug, individually, has a significant but partial inhibitory effect on parasite multiplication. Surprisingly, allopurinol, a competitive inhibitor of hypoxanthine, a nucleobase that is not salvaged by the parasite, showed a more potent inhibitory effect on parasite multiplication than dipyridamole, a specific inhibitor of the transport of adenosine, a favored nucleoside to T. vaginalis. However, the inhibitory effect of either drugs declines with time in contrast with that of the combination of both drugs which continues throughout all time points of the experiment. These results prove that a combination of dipyridamole and allopurinol could be useful, not only in the treatment of trichomoniasis, but also in other parasites that are unable of de novo purine synthesis.

Allopurinol↗
PubMed2001

Etiology of urethral discharge in West Africa: the role of Mycoplasma genitalium and Trichomonas vaginalis.

OBJECTIVE: To determine the etiological role of pathogens other than Neisseria gonorrhoeae and Chlamydia trachomatis in urethral discharge in West African men. METHODS: Urethral swabs were obtained from 659 male patients presenting with urethral discharge in 72 primary health care facilities in seven West African countries, and in 339 controls presenting for complaints unrelated to the genitourinary tract. Polymerase chain reaction analysis was used to detect the presence of N. gonorrhoeae, C. trachomatis, Trichomonas vaginalis, Mycoplasma genitalium, and Ureaplasma urealyticum. FINDINGS: N. gonorrhoeae, T. vaginalis, C. trachomatis, and M. genitalium--but not U. urealyticum--were found more frequently in men with urethral discharge than in asymptomatic controls, being present in 61.9%, 13.8%, 13.4% and 10.0%, respectively, of cases of urethral discharge. Multiple infections were common. Among patients with gonococcal infection, T. vaginalis was as frequent a coinfection as C. trachomatis. M. genitalium, T. vaginalis, and C. trachomatis caused a similar clinical syndrome to that associated with gonococcal infection, but with a less severe urethral discharge. CONCLUSIONS: M. genitalium and T. vaginalis are important etiological agents of urethral discharge in West Africa. The frequent occurrence of multiple infections with any combination of four pathogens strongly supports the syndromic approach. The optimal use of metronidazole in flowcharts for the syndromic management of urethral discharge needs to be explored in therapeutic trials.

Adult↗
PubMedDate not supplied

Use of intravaginal microbicides to prevent acquisition of Trichomonas vaginalis infection in Lactobacillus-pretreated, estrogenized young mice.

D2A21, a novel peptide antibiotic has in vitro activity against a wide spectrum of sexually transmitted diseases (STD). In this study we tested the hypothesis that intravaginal D2A21 would interfere with acquisition of Trichomonas vaginalis infection in a modified mouse model. T. vaginalis infections of estrogenized young mice pretreated with Lactobacillus vaginalis or Lactobacillus rhamnosus were more frequent and persistent than those in mice pre-treated with Lactobacillus gasseri or Lactobacillus acidophilus. One hundred percent T. vaginalis infection was achieved for 2-4 days post-challenge when intravaginal L. rhamnosus pre-treatments were given to estrogenized mice 48 hr prior to a single T. vaginalis challenge. Estrogenized mice pre-treated with L. rhamnosus were pre-medicated with intravaginal placebo gel, 0.5% or 2% D2A21 gel, or 500 microg/mL metronidazole gel prior to T. vaginalis challenge. Both 2% D2A21 and metronidazole gels were significantly more efficacious (10% or none infected) than placebo gel (53% infected) in preventing vaginal T. vaginalis infections in mice.

Administration, Intravaginal↗
PubMed2001

Prevalence of metronidazole-resistant Trichomonas vaginalis in a gynecology clinic.

OBJECTIVE: To determine the prevalence of in vitro resistance to metronidazole among unselected isolates of Trichomonas vaginalis and correlate in vitro findings with response to metronidazole therapy. STUDY DESIGN: Vaginal fluid from women attending a gynecology clinic at an urban hospital was cultured, isolates were tested for in vitro resistance to metronidazole, and these results were correlated with therapeutic outcome. RESULTS: Among 911 women, T vaginalis was detected by culture in 82 (9.0%). Of the 82 isolates, 2 (2.4%; 95% CI, 0.3-8.5%) had low-level in vitro resistance (minimum lethal concentration, 50 micrograms/mL). Women with positive wet mount examinations were treated with metronidazole, 2 g, once and asked to return in one week. Of the 42 infected women agreeing to return for a repeat examination and culture, 26 (61.9%) did, and all (including one woman with a resistant isolate) were cured. CONCLUSION: Isolates of T vaginalis resistant to metronidazole occur widely throughout the United States. Although the in vitro susceptibility of T vaginalis to metronidazole has been very poorly studied, our study is consistent with a decade-old prevalence estimate of in vitro resistance (5%), and suggests that high-level resistance is uncommon. This study confirmed, in the absence of reinfection, the continuing clinical effectiveness of single-dose metronidazole for the large majority of trichomoniasis cases.

Adult↗
PubMed1999

Preliminary studies on target antigens for the diagnosis of Trichomonas vaginalis infection.

Trichomonas vaginalis, a parasitic protozoa residing in the human urogenital tract, causes one of the most common sexually transmitted diseases, trichomoniasis. Clinical diagnosis of T. vaginalis infection mainly involves a wet-mount microscopic examination, and a culture method, and both of which are either laborious or time-consuming. An immunodiagnostic strategy is under development, which is based on the fact that T. vaginalis releases various protein factors, notably proteinases, into the culture medium, some of which can also be detected in vaginal washes. These factors are closely related to the clinical presentation of trichomonad vaginitis, and thusly may serve as potential earmarks for diagnosis. We have attempted to identify the most appropriate target antigen(s) by screening and analyzing the profile of T. vaginalis antigens existing in patient's vaginal secretion, using the antiserum raised against the total secretory antigens from T. vaginalis cultures. Two T. vaginalis antigens with molecular weights near 110 KDa have been demonstrated to be useful antigens as the diagnostic markers.

Animals↗