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PubMed1990

Association of serum antibodies to adherence lectin with invasive amebiasis and asymptomatic infection with pathogenic Entamoeba histolytica.

The recognition of the Entamoeba histolytica galactose-inhibitable adherence lectin by antibodies was studied using sera obtained from subjects in South Africa with an amebic liver abscess or asymptomatically pathogenic or nonpathogenic E. histolytica infection and from uninfected regional controls. In addition, sera from healthy American controls or Americans known to be infected with other parasites were studied. Of the 95 sera containing antibodies to total parasite protein, 95% demonstrated antibodies to the 170-kDa heavy subunit but not to the 35-kDa light lectin subunit. All sera (n = 253) were tested by ELISA for antibodies to lectin: 99% from liver abscess patients and all 4 from individuals asymptomatically infected with pathogenic E. histolytica were positive; all from the 40 healthy American controls and the 29 infected with other parasites were negative (P less than .01). The prevalence of serum anti-lectin antibodies was identical (25%) in asymptomatic South Africans with either a nonpathogenic infection or a negative stool culture for E. histolytica. Thus, the presence of serum antibodies to lectin seems to indicate current or prior invasive amebiasis or asymptomatic intestinal infection with pathogenic E. histolytica.

Amebiasis↗
PubMed2000

Immunodulation of rat serum and mucosal antibody responses to Entamoeba histolytica trophozoites by beta-1,3-glucan and cholera toxin.

Systemic and mucosal and immune responses can be manipulated with immunomodulators. Here we show the modulatory effects of cholera toxin (CT) and beta-1,3-glucan (GLU) on the rat antiamebic serum and fecal antibody responses to one or four intraperitoneal (IP) or intragastric (IG) doses of glutaraldehyde-fixed Entamoeba histolytica trophozoites (GFT). One IP dose of GFT maximized serum IgM and IgG antiamebic antibodies on days 4 and 9, respectively; CT coadministration increased IgM antibodies, whereas IgG titers increased with CT or GLU; coproantibodies were undetectable after GFT alone or coadministered with GLU, whereas CT coadministration maximized fecal IgA antibodies on day 6. One IG dose of GFT alone increased serum IgM and IgG antibodies 2.5 times and no further increases were detected using GLU, whereas CT doubled serum IgG antibodies; GFT did not affect the coproantibody responses, whereas GLU coadministration maximized IgG coproantibody levels on day 6 and CT increased IgG and IgA coproantibody levels on the same day. On the other hand, four IG doses of GFT alone or with GLU induced tolerance, whereas GFT alone via the IP route increased serum antibodies slightly and GLU coadministration increased serum IgG antibody titers 300-fold. CT coadministration by both routes increased IgA coproantibodies, and simultaneous CT+GLU coadministration induced lower responses than either CT or GLU. Different antiamebic immune responses might therefore be attained through the use of different immunization routes and immunomodulators to induce protective immunity against intestinal or extraintestinal amebiasis.

Adjuvants, Immunologic↗
PubMed1990

[Axenic and polyxenic antigens of Entamoeba histolytica in the diagnosis of human amebiasis].

A comparison of the antigenic activity of soluble extracts of Entamoeba histolytica kept in axenic and polyxenic cultures is undertaken. Special care was kept so as to keep the protein native structure unharmed. Chromatographic separation at G-200 was performed, and three fractions were obtained and submitted to reactions with the sera of 10 patients with a proven diagnosis of amebic hepatic abscess, 5 patients with amebic dysentery from whom the protozoon was isolated and cultured from feces, and finally from 10 control subjects. The ELISA technique was employed to detect the levels of antibodies, using the raw, soluble, antigens and the chromatographic ones which were obtained. The specificity of the antibodies was analyzed with I.E.E., and a spectrophotometric reading of the raw, soluble, antigens adsorbed was performed by chromatographic affinity, with sepharose columns joined with purified immunoglobulins extracted from the seric combinations of each one of the studied individuals. Our results prove that the values of D.O. of the ELISA, when a soluble SAX I fraction is used, are statistically significant when compared with the raw, soluble, antigen, and this fraction allows discrimination between patients with intestinal and extraintestinal amebiasis. Specific reactivity was demonstrated by antigenic, proteic, bands opposed to the sera from patients with hepatic abscesses, with the use of axenic, soluble antigen, as well as at least one proteic band which reacts with the sera of patients with amebic dysentery. Proteic bands that react indistinctly with immunoglobulins from the three studied groups were demonstrated. The polyxenic, soluble extract demonstrated a proteic band recognized by the sera from patients with amebic dysentery.

Animals↗
PubMed2003

[Therapy of tropical diseases after returning from travel].

Most tropical diseases imported by travelers can be treated quite effectively. Human endoparasites belong to the protozoa and worms. Protozoa can be seen as microparasites, characterized by short generation periods and high rates of reproduction within a host--consequently the diseases mainly are of short duration. Effective drugs are available for malaria, amebiasis and other intestinal protozoa as well as for leishmaniasis. Resistance, however, sometimes is a problem. Worms are macroparasites that generally do not reproduce within a host--teleologically speaking because otherwise they would rapidly damage their own basis of living. Accordingly, severe worm disease is rarely found in travelers. Levels of anthelminthic resistances so far are low. The most important worm disease in travelers is schistosomiasis, a disease that also can be treated effectively if diagnosed early.

Anti-Infective Agents↗
PubMedDate not supplied

Physico-chemical and solid-state characterization of secnidazole.

Secnidazole (hydroxy-2-propyl)-l-methyl-2-nitro-5-imidazole) is an antimicrobic agent. This drug has pharmacological activity against intestinal and hepatic amebiasis, giardiasis and vaginal trichomoniasis. This paper shows the physicochemical parameters of secnidazole determined during a preformulation study. The determination of the apparent partition coefficient and the profile of solubility in dependence of pH demonstrate the basic characteristic of the drug. The dissolution assay was performed to evaluate its behavior in water. For this purpose, a new spectrophotometric method, which was linear from 5 to 15 microg/ml, sensitive, precise, accurate and selective, was validated to assay the bulk drug. The evaluation of higroscopicity revealed that the drug is unstable above 54% of relative humidity. Rheological properties, such as porosity, tapped and bulk densities and percentage of compressibility were calculated. Results show a bad rheological characteristic for this drug. DSC curves do not show any physical interaction between the drug and the excipients in the compatibility studies.

Antiprotozoal Agents↗