Skip to main content
Erschienen in: Journal of Parasitic Diseases 4/2019

01.07.2019 | Original Article

Giardia lamblia assemblages A and B isolated from symptomatic and asymptomatic persons in Hamadan, west of Iran

verfasst von: Manizheh Kashinahanji, Ali Haghighi, Fares Bahrami, Mohammad Fallah, Masoud Saidijam, Mohammad Matini, Amir Hossein Maghsood

Erschienen in: Journal of Parasitic Diseases | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Abstract

Giardia is a very abundant organism bringing about diarrhoea in human beings. The focus of this analysis was the detection of Giardia lamblia assemblages in human stool specimens in Hamadan, west of Iran, as well as the association between obtained assemblages and clinical symptoms. Faecal samples of 4066 individuals admitted to the medical and health care facilities in Hamadan were inspected microscopically for the existence of Giardia cysts/trophozoites, and the clinical symptoms of the patients were recorded. The DNA of positive samples was isolated from and the nucleotide sequences of both glutamate dehydrogenase (gdh) (n = 15) and triose phosphate isomerase (tpi) (n = 8) genes were analyzed. In direct microscopy, a total of sixty-four samples (1.6%), were considered as positive for G. lamblia cysts or trophozoites. The sequence analysis showed that 18 out of 23 sequenced isolates (78.2%) were assemblage A and 5 (21.7%) were assemblage B. Clinical symptoms were observed in 44.4% and 40% of patients with assemblages A and B, respectively. Overall, the predominant assemblage A detected in the tested samples along with bioinformatics analysis suggest a potential zoonotic transmission in the region of the study. Although advanced analyses are necessary to understand the foundation and path of the infection, it seems that more sanitary regulations regarding contact with livestock and pet animals are essential.
Literatur
Zurück zum Zitat Abbas BM, AL-Saqur IM, Majeed HA (2016) Detection and genotyping of Giardia lamblia in clinical and environmental samples in some regions of Baghdad city. Int J Curr Microbiol Appl Sci 5:459–468CrossRef Abbas BM, AL-Saqur IM, Majeed HA (2016) Detection and genotyping of Giardia lamblia in clinical and environmental samples in some regions of Baghdad city. Int J Curr Microbiol Appl Sci 5:459–468CrossRef
Zurück zum Zitat Al-Mohammed HI (2011) Genotypes of Giardia intestinalis clinical isolates of gastrointestinal symptomatic and asymptomatic Saudi children. Parasitol Res 108(6):1375–1381PubMedCrossRef Al-Mohammed HI (2011) Genotypes of Giardia intestinalis clinical isolates of gastrointestinal symptomatic and asymptomatic Saudi children. Parasitol Res 108(6):1375–1381PubMedCrossRef
Zurück zum Zitat Ankarklev J, Jerlström-Hultqvist J, Ringqvist E, Troell K, Svärd SG (2010) Behind the smile: cell biology and disease mechanisms of Giardia species. Nat Rev Microbiol 8(6):413PubMedCrossRef Ankarklev J, Jerlström-Hultqvist J, Ringqvist E, Troell K, Svärd SG (2010) Behind the smile: cell biology and disease mechanisms of Giardia species. Nat Rev Microbiol 8(6):413PubMedCrossRef
Zurück zum Zitat Arani AS, Alaghehbandan R, Akhlaghi L, Shahi M, Lari AR (2008) Prevalence of intestinal parasites in a population in south of Tehran, Iran. Rev Inst Med Trop Sao Paulo 50(3):145–149PubMedCrossRef Arani AS, Alaghehbandan R, Akhlaghi L, Shahi M, Lari AR (2008) Prevalence of intestinal parasites in a population in south of Tehran, Iran. Rev Inst Med Trop Sao Paulo 50(3):145–149PubMedCrossRef
Zurück zum Zitat Babaei Z, Oormazdi H, Akhlaghi L, Rezaie S, Razmjou E, Soltani-Arabshahi S, Meamar A, Hadighi R (2008) Molecular characterization of the Iranian isolates of Giardia lamblia: application of the glutamate dehydrogenase gene. Iran J Public Health 37(2):75–82 Babaei Z, Oormazdi H, Akhlaghi L, Rezaie S, Razmjou E, Soltani-Arabshahi S, Meamar A, Hadighi R (2008) Molecular characterization of the Iranian isolates of Giardia lamblia: application of the glutamate dehydrogenase gene. Iran J Public Health 37(2):75–82
Zurück zum Zitat Badparva E, Kheirandish F, Ebrahimzade F (2014) Prevalence of intestinal parasites in Lorestan Province, west of Iran. Asian Pac J Trop Dis 4:S728–S732CrossRef Badparva E, Kheirandish F, Ebrahimzade F (2014) Prevalence of intestinal parasites in Lorestan Province, west of Iran. Asian Pac J Trop Dis 4:S728–S732CrossRef
Zurück zum Zitat Bahrami F, Zamini G, Haghighi A, Khademerfan M (2017) Detection and molecular identification of human Giardia isolates in the west of Iran. Biomed Res 28(13):5687–5692 Bahrami F, Zamini G, Haghighi A, Khademerfan M (2017) Detection and molecular identification of human Giardia isolates in the west of Iran. Biomed Res 28(13):5687–5692
Zurück zum Zitat Bertrand I, Albertini L, Schwartzbrod J (2005) Comparison of two target genes for detection and genotyping of Giardia lamblia in human feces by PCR and PCR-restriction fragment length polymorphism. J Clin Microbiol 43(12):5940–5944PubMedPubMedCentralCrossRef Bertrand I, Albertini L, Schwartzbrod J (2005) Comparison of two target genes for detection and genotyping of Giardia lamblia in human feces by PCR and PCR-restriction fragment length polymorphism. J Clin Microbiol 43(12):5940–5944PubMedPubMedCentralCrossRef
Zurück zum Zitat Cacciò SM, Ryan U (2008) Molecular epidemiology of giardiasis. Mol Biochem Parasitol 160(2):75–80PubMedCrossRef Cacciò SM, Ryan U (2008) Molecular epidemiology of giardiasis. Mol Biochem Parasitol 160(2):75–80PubMedCrossRef
Zurück zum Zitat Cacciò SM, Lalle M, Svärd SG (2017) Host specificity in the Giardia duodenalis species complex. Infect Genet Evol 66:335–345PubMedCrossRef Cacciò SM, Lalle M, Svärd SG (2017) Host specificity in the Giardia duodenalis species complex. Infect Genet Evol 66:335–345PubMedCrossRef
Zurück zum Zitat Coradi S, David E, Oliveira-Sequeira T, Ribolla P, Carvalho T, Guimarães S (2011) Genotyping of Brazilian Giardia duodenalis human axenic isolates. J Venom Anim Toxins Incl Trop Dis 17(3):353–357CrossRef Coradi S, David E, Oliveira-Sequeira T, Ribolla P, Carvalho T, Guimarães S (2011) Genotyping of Brazilian Giardia duodenalis human axenic isolates. J Venom Anim Toxins Incl Trop Dis 17(3):353–357CrossRef
Zurück zum Zitat Fallah E, Nahavandi KH, Jamali R, Poor BM, Asgharzadeh M (2008) Molecular identification of Giardia duodenalis isolates from human and animal reservoirs by PCR-RFLP. J Biol Sci 8(5):1–6 Fallah E, Nahavandi KH, Jamali R, Poor BM, Asgharzadeh M (2008) Molecular identification of Giardia duodenalis isolates from human and animal reservoirs by PCR-RFLP. J Biol Sci 8(5):1–6
Zurück zum Zitat Fantinatti M, Bello AR, Fernandes O, Da-Cruz AM (2016) Identification of Giardia lamblia assemblage E in humans points to a new anthropozoonotic cycle. J Infect Dis 214(8):1256–1259PubMedCrossRef Fantinatti M, Bello AR, Fernandes O, Da-Cruz AM (2016) Identification of Giardia lamblia assemblage E in humans points to a new anthropozoonotic cycle. J Infect Dis 214(8):1256–1259PubMedCrossRef
Zurück zum Zitat Foronda P, Bargues M, Abreu-Acosta N, Periago M, Valero M, Valladares B, Mas-Coma S (2008) Identification of genotypes of Giardia intestinalis of human isolates in Egypt. Parasitol Res 103(5):1177–1181PubMedCrossRef Foronda P, Bargues M, Abreu-Acosta N, Periago M, Valero M, Valladares B, Mas-Coma S (2008) Identification of genotypes of Giardia intestinalis of human isolates in Egypt. Parasitol Res 103(5):1177–1181PubMedCrossRef
Zurück zum Zitat Gasparinho C, Ferreira FS, Mayer AC, Mirante MC, Vaz Nery S, Santos-Reis A, Portugal-Calisto D, Brito M (2017) Molecular characterization of Giardia lamblia in children < 5 years of age with diarrhoea attending the Bengo General Hospital, Angola. Trans R Soc Trop Med Hyg 111(11):497–503PubMedCrossRef Gasparinho C, Ferreira FS, Mayer AC, Mirante MC, Vaz Nery S, Santos-Reis A, Portugal-Calisto D, Brito M (2017) Molecular characterization of Giardia lamblia in children < 5 years of age with diarrhoea attending the Bengo General Hospital, Angola. Trans R Soc Trop Med Hyg 111(11):497–503PubMedCrossRef
Zurück zum Zitat Haque R, Roy S, Kabir M, Stroup SE, Mondal D, Houpt ER (2005) Giardia assemblage A infection and diarrhea in Bangladesh. J Infect Dis 192(12):2171–2173PubMedCrossRef Haque R, Roy S, Kabir M, Stroup SE, Mondal D, Houpt ER (2005) Giardia assemblage A infection and diarrhea in Bangladesh. J Infect Dis 192(12):2171–2173PubMedCrossRef
Zurück zum Zitat Helmy MM, Abdel-Fattah HS, Rashed L (2009) Real-time PCR/RFLP assay to detect Giardia intestinalis genotypes in human isolates with diarrhea in Egypt. J Parasitol 95(4):1000–1004PubMedCrossRef Helmy MM, Abdel-Fattah HS, Rashed L (2009) Real-time PCR/RFLP assay to detect Giardia intestinalis genotypes in human isolates with diarrhea in Egypt. J Parasitol 95(4):1000–1004PubMedCrossRef
Zurück zum Zitat Ijaz MK, Rubino JR (2012) Impact of infectious diseases on cognitive development in childhood and beyond: potential mitigational role of hygiene. Open Infect Dis J 6(1):65–70CrossRef Ijaz MK, Rubino JR (2012) Impact of infectious diseases on cognitive development in childhood and beyond: potential mitigational role of hygiene. Open Infect Dis J 6(1):65–70CrossRef
Zurück zum Zitat Itagaki T, Kinoshita S, Aoki M, Itoh N, Saeki H, Sato N, Uetsuki J, Izumiyama S, Yagita K, Endo T (2005) Genotyping of Giardia intestinalis from domestic and wild animals in Japan using glutamete dehydrogenase gene sequencing. Vet Parasitol 133(4):283–287PubMedCrossRef Itagaki T, Kinoshita S, Aoki M, Itoh N, Saeki H, Sato N, Uetsuki J, Izumiyama S, Yagita K, Endo T (2005) Genotyping of Giardia intestinalis from domestic and wild animals in Japan using glutamete dehydrogenase gene sequencing. Vet Parasitol 133(4):283–287PubMedCrossRef
Zurück zum Zitat Lalle M (2010) Giardiasis in the post genomic era: treatment, drug resistance and novel therapeutic perspectives. Infect Disord Drug (Formerly Current Drug Targets-Infectious Disorders) 10(4):283–294CrossRef Lalle M (2010) Giardiasis in the post genomic era: treatment, drug resistance and novel therapeutic perspectives. Infect Disord Drug (Formerly Current Drug Targets-Infectious Disorders) 10(4):283–294CrossRef
Zurück zum Zitat Liu A, Zhang X, Zhang L, Wang R, Li X, Shu J, Zhang X, Shen Y, Zhang W, Ling H (2012) Occurrence of bovine giardiasis and endemic genetic characterization of Giardia duodenalis isolates in Heilongjiang Province, in the Northeast of China. Parasitol Res 111(2):655–661PubMedCrossRef Liu A, Zhang X, Zhang L, Wang R, Li X, Shu J, Zhang X, Shen Y, Zhang W, Ling H (2012) Occurrence of bovine giardiasis and endemic genetic characterization of Giardia duodenalis isolates in Heilongjiang Province, in the Northeast of China. Parasitol Res 111(2):655–661PubMedCrossRef
Zurück zum Zitat Lopez-Romero G, Quintero J, Astiazarán-García H, Velazquez C (2015) Host defences against Giardia lamblia. Parasite Immunol 37(8):394–406PubMedCrossRef Lopez-Romero G, Quintero J, Astiazarán-García H, Velazquez C (2015) Host defences against Giardia lamblia. Parasite Immunol 37(8):394–406PubMedCrossRef
Zurück zum Zitat Mahdy AM, Surin J, Wan KL, Mohd-Adnan A, Al-Mekhlafi MH, Lim Y (2009) Giardia intestinalis genotypes: risk factors and correlation with clinical symptoms. Acta Trop 112(1):67–70CrossRef Mahdy AM, Surin J, Wan KL, Mohd-Adnan A, Al-Mekhlafi MH, Lim Y (2009) Giardia intestinalis genotypes: risk factors and correlation with clinical symptoms. Acta Trop 112(1):67–70CrossRef
Zurück zum Zitat Nahavandi KH, Fallah E, Asgharzadeh M, Mirsamadi N, Mahdavipour B (2011) Glutamate dehydrogenase and triose-phosphate-isomerase coding genes for detection and genetic characterization of Giardia lamblia in human feces by PCR and PCR-RFLP. Turk J Med Sci 41(2):283–289 Nahavandi KH, Fallah E, Asgharzadeh M, Mirsamadi N, Mahdavipour B (2011) Glutamate dehydrogenase and triose-phosphate-isomerase coding genes for detection and genetic characterization of Giardia lamblia in human feces by PCR and PCR-RFLP. Turk J Med Sci 41(2):283–289
Zurück zum Zitat Nasiri V, Esmailnia K, Karim G, Nasir M, Akhavan O (2009) Intestinal parasitic infections among inhabitants of Karaj City, Tehran province, Iran in 2006–2008. Korean J Parasitol 47(3):265PubMedPubMedCentralCrossRef Nasiri V, Esmailnia K, Karim G, Nasir M, Akhavan O (2009) Intestinal parasitic infections among inhabitants of Karaj City, Tehran province, Iran in 2006–2008. Korean J Parasitol 47(3):265PubMedPubMedCentralCrossRef
Zurück zum Zitat Palmer CS, Traub RJ, Robertson ID, Devlin G, Rees R, Thompson RA (2008) Determining the zoonotic significance of Giardia and Cryptosporidium in Australian dogs and cats. Vet Parasitol 154(1–2):142–147PubMedCrossRef Palmer CS, Traub RJ, Robertson ID, Devlin G, Rees R, Thompson RA (2008) Determining the zoonotic significance of Giardia and Cryptosporidium in Australian dogs and cats. Vet Parasitol 154(1–2):142–147PubMedCrossRef
Zurück zum Zitat Pestehchian N, Rasekh H, Babaei Z, Yousefi HA, Eskandarian AA, Kazemi M, Akbari M (2012) Identification of genotypes of Giardia duodenalis human isolates in Isfahan, Iran, using polymerase chain reaction–restriction fragment length polymorphism. Adv Biomed Res 1:84PubMedPubMedCentralCrossRef Pestehchian N, Rasekh H, Babaei Z, Yousefi HA, Eskandarian AA, Kazemi M, Akbari M (2012) Identification of genotypes of Giardia duodenalis human isolates in Isfahan, Iran, using polymerase chain reaction–restriction fragment length polymorphism. Adv Biomed Res 1:84PubMedPubMedCentralCrossRef
Zurück zum Zitat Rafiei A, Sadat Roointan E, Samarbaf-Zadeh AR, Shayesteh AA (2013) Genotype analysis of giardia lamblia isolated from children in ahvaz, southwest of iran. Jundishapur J Microbiol 6(3):279–283 Rafiei A, Sadat Roointan E, Samarbaf-Zadeh AR, Shayesteh AA (2013) Genotype analysis of giardia lamblia isolated from children in ahvaz, southwest of iran. Jundishapur J Microbiol 6(3):279–283
Zurück zum Zitat Rayani M, Unyah NZ, Hatam G (2014) Molecular identification of Giardia duodenalis isolates from Fars province, Iran. Iran J Parasitol 9(1):70PubMedPubMedCentral Rayani M, Unyah NZ, Hatam G (2014) Molecular identification of Giardia duodenalis isolates from Fars province, Iran. Iran J Parasitol 9(1):70PubMedPubMedCentral
Zurück zum Zitat Rayani M, Hatam G, Unyah NZ, Ashrafmansori A, Abdullah WO, Hamat RA (2017) Phylogenetic analysis of Giardia lamblia human genotypes in Fars Province, Southern Iran. Iran J Parasitol 12(4):522PubMedPubMedCentral Rayani M, Hatam G, Unyah NZ, Ashrafmansori A, Abdullah WO, Hamat RA (2017) Phylogenetic analysis of Giardia lamblia human genotypes in Fars Province, Southern Iran. Iran J Parasitol 12(4):522PubMedPubMedCentral
Zurück zum Zitat Read C, Walters J, Robertson I, Thompson R (2002) Correlation between genotype of Giardia duodenalis and diarrhoea. Int J Parasitol 32(2):229–231PubMedCrossRef Read C, Walters J, Robertson I, Thompson R (2002) Correlation between genotype of Giardia duodenalis and diarrhoea. Int J Parasitol 32(2):229–231PubMedCrossRef
Zurück zum Zitat Read CM, Monis PT, Thompson RA (2004) Discrimination of all genotypes of Giardia duodenalis at the glutamate dehydrogenase locus using PCR-RFLP. Infect Genet Evol 4(2):125–130PubMedCrossRef Read CM, Monis PT, Thompson RA (2004) Discrimination of all genotypes of Giardia duodenalis at the glutamate dehydrogenase locus using PCR-RFLP. Infect Genet Evol 4(2):125–130PubMedCrossRef
Zurück zum Zitat Sadeghi H, Borji H (2015) A survey of intestinal parasites in a population in Qazvin, north of Iran. Asian Pac J Trop Dis 5(3):231–233CrossRef Sadeghi H, Borji H (2015) A survey of intestinal parasites in a population in Qazvin, north of Iran. Asian Pac J Trop Dis 5(3):231–233CrossRef
Zurück zum Zitat Salman YJ, Al-Taee A-RA, Abid AM (2016) Prevalence of Giardia lamblia among iraqi displaced peoples in Kirkuk province. Int J Curr Microbiol Appl Sci 5:753–760CrossRef Salman YJ, Al-Taee A-RA, Abid AM (2016) Prevalence of Giardia lamblia among iraqi displaced peoples in Kirkuk province. Int J Curr Microbiol Appl Sci 5:753–760CrossRef
Zurück zum Zitat Sarkari B, Ashrafmansori A, Hatam G, Motazedian M, Asgari Q, Mohammadpour I (2012) Genotyping of Giardia lamblia isolates from human in southern Iran. Trop Biomed 29(3):366–371PubMed Sarkari B, Ashrafmansori A, Hatam G, Motazedian M, Asgari Q, Mohammadpour I (2012) Genotyping of Giardia lamblia isolates from human in southern Iran. Trop Biomed 29(3):366–371PubMed
Zurück zum Zitat Sulaiman IM, Fayer R, Bern C, Gilman RH, Trout JM, Schantz PM, Das P, Lal AA, Xiao L (2003) Triosephosphate isomerase gene characterization and potential zoonotic transmission of Giardia duodenalis. Emerg Infect Dis 9(11):1444PubMedPubMedCentralCrossRef Sulaiman IM, Fayer R, Bern C, Gilman RH, Trout JM, Schantz PM, Das P, Lal AA, Xiao L (2003) Triosephosphate isomerase gene characterization and potential zoonotic transmission of Giardia duodenalis. Emerg Infect Dis 9(11):1444PubMedPubMedCentralCrossRef
Zurück zum Zitat Traub R, Monis P, Robertson I, Irwin P, Mencke N, Thompson R (2004) Epidemiological and molecular evidence supports the zoonotic transmission of Giardia among humans and dogs living in the same community. Parasitology 128(3):253–262PubMedCrossRef Traub R, Monis P, Robertson I, Irwin P, Mencke N, Thompson R (2004) Epidemiological and molecular evidence supports the zoonotic transmission of Giardia among humans and dogs living in the same community. Parasitology 128(3):253–262PubMedCrossRef
Zurück zum Zitat World Health Organization (1979) Parasitic zoonoses. Report of a WHO Expert Committee with participation of FAO. Tech Rep Ser No. 637, Geneva, WHO World Health Organization (1979) Parasitic zoonoses. Report of a WHO Expert Committee with participation of FAO. Tech Rep Ser No. 637, Geneva, WHO
Metadaten
Titel
Giardia lamblia assemblages A and B isolated from symptomatic and asymptomatic persons in Hamadan, west of Iran
verfasst von
Manizheh Kashinahanji
Ali Haghighi
Fares Bahrami
Mohammad Fallah
Masoud Saidijam
Mohammad Matini
Amir Hossein Maghsood
Publikationsdatum
01.07.2019
Verlag
Springer India
Erschienen in
Journal of Parasitic Diseases / Ausgabe 4/2019
Print ISSN: 0971-7196
Elektronische ISSN: 0975-0703
DOI
https://doi.org/10.1007/s12639-019-01139-x

Weitere Artikel der Ausgabe 4/2019

Journal of Parasitic Diseases 4/2019 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.