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Highland malaria in Uganda: prospective analysis of an epidemic associated with El Niño.

Malaria epidemics in African highlands cause serious morbidity and mortality and are being reported more frequently. Weather is likely to play an important role in initiating epidemics but limited analysis of the association between weather conditions and epidemic transmission parameters has been undertaken. We measured entomological variables before and during an epidemic of malaria (which began in February 1998) in a highland region of south-western Uganda and analysed temporal variation in weather data against malaria incidence (estimated from clinic records), mosquito density and entomological inoculation rates (EIR). Indoor resting density of Anopheles gambiae s.l. was positively correlated with malaria incidence (r = 0.68, P < 0.05) despite extremely low vector densities. EIR totalled only 0.41 infectious bites per person during the entire 8-month study period. Rainfall during and following the El Niño event in 1997 was much higher than normal, and rainfall anomaly (difference from the mean) was positively correlated with vector density 1 month later (r = 0.55, P < 0.05). Heavier than normal rainfall associated with El Niño may have initiated the epidemic; the relationship between temperature and transmission parameters remains to be defined. The results from this study indicate that, in this highland population, epidemic malaria may occur at extremely low inoculation rates.

Adolescent↗

Cryptosporidiosis of the human small intestine: a light and electron microscopic study.

Intestinal infection by the coccidian parasite Cryptosporidium is a well-recognized condition in immunocompromised hosts and in some normal persons. The authors studied a patient with acquired immunodeficiency syndrome and cryptosporidiosis of the small intestine. The parasite inhabits the microvillous brush border of the intestinal epithelium and must be carefully sought on light microscopic examination of intestinal biopsy specimens. Characteristic life cycle stages are observed on electron microscopy. The absence of significant light microscopic alterations of the villous architecture in this patient's biopsy specimen and in other cases suggests that other factors, such as toxin elaboration by cryptosporidia or other organisms, may be involved in the pathogenesis of diarrhea. Abnormal aggregation of lysosomes at the apices of intestinal epithelial cells may reflect ineffective host phagocytic mechanisms.

Acquired Immunodeficiency Syndrome↗

Characterization of species and strains of Theileria.

A variety of methods is now available for characterizing species and strains of Theileria. For many practical purposes involving field control of theileriosis, characterization on a broad basis may be sufficient, but in other areas much more precise characterization is required. Such precision can be usefully exploited only when cloned parasite populations are involved, and methods to improve parasite characterization and parasite cloning should be developed concurrently. The current methods of immunization against theileriosis involve the use of live parasite populations which are generally poorly defined and, in addition, have the capacity to undergo biological change (by selection, mutation or genetic recombination) within hosts and vectors. Such changes may be difficult to define and identify, but could have profound effects on immunization strategies. Improved methods of parasite characterization and selection, which are now becoming available, will enable parasite stocks for immunization to be identified and selected more precisely, and any biological changes that occur can be monitored. Improved methods of parasite characterization will also open the way to a better understanding of Theileria genetics and the mechanisms of heritability, which appear to differ in some fundamental ways from patterns of Mendelian inheritance. Controlled matings between selected and defined populations of parasites can be envisaged, with the aim of producing hybrid parasites for immunization. In addition, the prospects of modifying the theilerial genome by genetic manipulation become very real: transfection vectors tailored by restriction enzymes could be used to insert or modify gene sequences to develop parasites with appropriate sets of characters. It may also be possible to identify parasite genes which trigger the cytotoxic response which is so important in immunity (Eugui and Emery, 1981; Emery et al., 1981; Preston et al., 1983). Such genes might then be transfected into bovine host lymphocytes to generate immunity against the whole parasite (Iams, 1985). The gene products which are responsible for stimulating immune responses could also be synthesized artificially and used for vaccination. Methods of characterizing Theileria range from Giemsa's staining to DNA hybridization; all have a role to play, and by judicious selection of appropriate methods for particular circumstances, it is becoming possible to characterize theilerial parasites very precisely. Improved methods of characterization can, in turn, lead to a better understanding of parasite biology and to the development of improved methods of immunization and control.

Animals↗

The apicoplast: a plastid in Plasmodium falciparum and other Apicomplexan parasites.

Apicomplexan parasites cause severe diseases such as malaria, toxoplasmosis, and coccidiosis (caused by Plasmodium spp., Toxoplasma, and Eimeria, respectively). These parasites contain a relict plastid-termed "apicoplast"--that originated from the engulfment of an organism of the red algal lineage. The apicoplast is indispensable but its exact role in parasites is unknown. The apicoplast has its own genome and expresses a small number of genes, but the vast majority of the apicoplast proteome is encoded in the nuclear genome. The products of these nuclear genes are posttranslationally targeted to the organelle via the secretory pathway courtesy of a bipartite N-terminal leader sequence. Apicoplasts are nonphotosynthetic but retain other typical plastid functions such as fatty acid, isoprenoid and heme synthesis, and products of these pathways might be exported from the apicoplast for use by the parasite. Apicoplast pathways are essentially prokaryotic and therefore excellent drug targets. Some antibiotics inhibiting these molecular processes are already in chemotherapeutic use, whereas many new drugs will hopefully spring from our growing understanding of this intriguing organelle.

Animals↗

Cellular and molecular mechanics of gliding locomotion in eukaryotes.

Gliding is a form of substrate-dependent cell locomotion exploited by a variety of disparate cell types. Cells may glide at rates well in excess of 1 microm/sec and do so without the gross distortion of cellular form typical of amoeboid crawling. In the absence of a discrete locomotory organelle, gliding depends upon an assemblage of molecules that links cytoplasmic motor proteins to the cell membrane and thence to the appropriate substrate. Gliding has been most thoroughly studied in the apicomplexan parasites, including Plasmodium and Toxoplasma, which employ a unique assortment of proteins dubbed the glideosome, at the heart of which is a class XIV myosin motor. Actin and myosin also drive the gliding locomotion of raphid diatoms (Bacillariophyceae) as well as the intriguing form of gliding displayed by the spindle-shaped cells of the primitive colonial protist Labyrinthula. Chlamydomonas and other flagellated protists are also able to abandon their more familiar swimming locomotion for gliding, during which time they recruit a motility apparatus independent of that driving flagellar beating.

Actins↗