Enteric Parasites Research Articles

Infectious etiology of intussusception in Indian children less than 2 years old: a matched case-control analysis

BackgroundEnteric infections are hypothesized to be associated with intussusception in children. A small increase in intussusception following rotavirus vaccination has been seen in some settings. We conducted post-marketing surveillance for intussusception following rotavirus vaccine, Rotavac introduction in India and evaluated association of intussusception with enteric pathogens.MethodsIn a case-control study nested within a large sentinel hospital-based surveillance program in India, stool samples from 272 children aged less than 2 years admitted for intussusception and 272 age-, gender- and location-matched controls were evaluated with Taqman array card based molecular assays to detect enteric viruses, bacterial enteropathogens and parasites. Matched case-control analysis with conditional logistic regression evaluated association of enteropathogens with intussusception. Population attributable fractions (PAF) were calculated for enteropathogens significantly associated with intussusception.ResultsThe most prevalent enteropathogens in cases and controls were enteroaggregative Escherichia coli, adenovirus 40/41, adenovirus C serotypes and enteroviruses. Children with intussusception were more likely to harbor adenovirus C serotypes (adjusted odds-ratio (aOR) = 1.74; 95% confidence interval (CI) 1.06–2.87) and enteroviruses (aOR = 1.77; 95% CI 1.05–2.97) than controls. Rotavirus was not associated with increased intussusception risk. Adenovirus C (PAF = 16.9%; 95% CI 4.7% − 27.6%) and enteroviruses (PAF = 14.7%; 95% CI 4.2% − 24.1%) had the highest population attributable fraction for intussusception.ConclusionAdenovirus C serotypes and enteroviruses were significantly associated with intussusception in Indian children. Rotavirus was not associated with risk of intussusception.

A Pumpless and Tubeless Microfluidic Device Enables Extended In Vitro Development of Cryptosporidium parvum

Abstract Background The enteric parasite Cryptosporidium remains a treatment challenge for drinking water utilities globally due to its resistance to chlorine disinfection. However, the lack of an in vitro culture system for Cryptosporidium that is both cost-effective and reliable remains a key bottleneck in Cryptosporidium research. Methods Here we report that the microfluidic culture of human ileocecal colorectal adenocarcinoma (HCT-8) cells under fluid shear stress enables the extended development of Cryptosporidium parvum. Specifically, the growth of C. parvum in a user-friendly pumpless microfluidic device was assessed using immunofluorescence assays, scanning electron microscopy, and quantitative polymerase chain reaction, which revealed that development continued for 10 days in total. Results Oocysts produced within the microfluidic device were infective to fresh HCT-8 monolayers; however, these oocysts were only present at low levels. Conclusions We anticipate that such microfluidic approaches will facilitate a wide range of in vitro studies on Cryptosporidium and may have the potential to be further developed as a routine infectivity assessment tool for the water industry.

Molecular Screening and Characterization of Enteric Protozoan Parasites and Microsporidia in Wild Ducks from Portugal.

Enteric parasites pose significant threats to both human and veterinary health, ranking among the top causes of mortality worldwide. Wild migratory waterfowl, such as ducks, may serve as hosts and vectors for these parasites, facilitating their transmission across ecosystems. This study conducted a molecular screening of enteric parasites in three species of wild ducks of the genus Anas (A. acuta, A. platyrhynchos and A. crecca) from Portugal, targeting Blastocystis sp., Balantioides coli, Cryptosporidium spp., Encephalitozoon spp., and Enterocytozoon bieneusi. Fecal samples from 71 ducks were analyzed using PCR and sequencing techniques. The results revealed a 2.82% occurrence of Blastocystis sp. subtype 7 and Cryptosporidium baileyi, marking the first molecular detection of these pathogens in wild ducks in Portugal. While previous studies have documented these parasites in Anas spp. in other regions, this study contributes novel data specific to the Portuguese context. No evidence of Balantioides coli, Encephalitozoon spp. or Enterocytozoon bieneusi was found. These findings highlight the potential role of migratory ducks as vectors for zoonotic protozoa, emphasizing the need for enhanced surveillance of avian populations to mitigate cross-species transmission risks. Further research is warranted to understand the global public health implications associated with migratory waterfowl.

Evaluation of Oxidative Stress In Patients With Giardia Lamblia In Duhok City, Iraq

Giardia lamblia (Giardia intestinalis) is a widespread enteric parasite known as giardiasis, which infects the small intestine of human at different ages, particularly children. This parasite has direct and indirect effects on the host’s body. This study aimed to evaluate the role of oxidative stress is expressed by estimating the malondialdehyde concentration (As oxidative indicator), and estimating the non-enzymatic antioxidants concentration in the serum of 39 patients ( males and females), whose ages ranged between (3-38) years patients infected with the G.lamblia or suspected of being infected with this parasite who were referred to Public Health Prevention Center, Center, Heevi Pediatric Hospital, Shariya and Kaberto Camp inside or outside Dohuk city. The diagnosis of parasitic infection was confirmed on the clinical symptoms of patients, the macroscopic examination of stool infected patients, which cotained trophozoites and / or cysts of G. lamblia, by confirming the infection microscopically in the laboratory by two method the direct wet smear examination and the antigen detection test. in addition to 30 serum samples healthy controls who did not have this disease, of both genders and the same age as a healthy control.The results of current study showed a significant increase in the malondialdehyde (MDA) concentration by 158% in the serum of patients with giardiasis compared to healthy controls of both genders, and by 183% in males, 134% in females. compared to healthy controls according to gender. And the results also showed a significant decrease in the concentration of both glutathione (GSH) and albumin in the serum of infected patients by 70% and 15%, respectively, compared to healthy controls of both genders. The significant percentage of decrease was in males by 71%, 16% respectively, and in females by 70% and 14% respectively compared with healthy controls according to gender. We conclude that infection with G. lamblia caused oxidative stress and dysfunction in physiological and metabolic processes.

Assessment of Helicobacter pylori Antigen and Enteric Parasites Among Patients with Chronic Spontaneous Urticaria

Assessment of Helicobacter pylori Antigen and Enteric Parasites Among Patients with Chronic Spontaneous Urticaria

Enhancing diagnostic accuracy: Direct immunofluorescence assay as the gold standard for detecting Giardia duodenalis and Cryptosporidium spp. in canine and feline fecal samples

The enteric protozoan parasites Giardia duodenalis and Cryptosporidium spp. are common cause of diarrhea in pet dogs and cats, affecting primarily young animals. This comparative study evaluates the diagnostic performance of conventional and molecular methods for the detection of G. duodenalis and Cryptosporidium spp. infection in dogs and cats.The compared diagnostic assays included merthiolate-iodine-formalin (MIF) method, lateral flow immunochromatography rapid test (ICT) and real-time PCR; using direct immunofluorescence assay (DFA) as golden standard. The study included the analysis of 328 fecal samples from different dog (n = 225) and cat (n = 103) populations.According to DFA, the overall prevalence of G. duodenalis was 24.4% (80/328, 95% CI: 19.8–29.4), varying from 11.6% (12/103, 95% CI: 6.2–19.5) in cats to 30.2% (68/225, 95% CI: 24.3–36.7) in dogs. The overall prevalence of Cryptosporidium spp. was 4.0% (13/328, 95% CI: 2.1–6.7), varying from 2.9% (3/103, 95% CI: 0.6–8.3) in cats to 4.4% (10/225, 95% CI: 2.1–8.0) in dogs. MIF was only used for the detection of G. duodenalis, which was identified by this method in 22.7% of dogs and 7.8% of cats, respectively. DFA was the most sensitive technique for detecting G. duodenalis in samples from dogs and cats (p-value: < 0.001), followed by real-time PCR. Identification of Cryptosporidium infections was most effectively accomplished by the combination of DFA and PCR technique (p-value: < 0.001). In addition, epidemiological (sex, age, origin) and clinical (fecal consistency) variables were collected to assess their potential associations with an increased likelihood of infection by G. duodenalis and/or Cryptosporidium spp. Breeder dogs were more likely to harbor G. duodenalis infection (p-value: 0.004), whereas female cats were significantly more infected with Cryptosporidium (p-value: 0.003).In conclusion, DFA (alone or in combination with PCR) has been identified as the most accurate and cost-effective method for detecting G. duodenalis and Cryptosporidium spp. in fecal samples from pet dogs and cats. This highlights their importance in both veterinary and clinical settings for enabling prompt treatment and preventing potential transmission to humans.

Assessment of enteric helminth parasites in bushmeat in Ghana

Anthropogenic activities, such as hunting wild animals for food, increase the risk of zoonotic transmission of infective stages of parasites to humans. The handling, processing and consumption of wild animal meat, popularly known as ‘bushmeat’, as well as exposure to wildlife habitats, can pose a significant risk to human health through the transfer of parasitic infective stages. This study sought to assess the enteric helminth parasite burden and potentially zoonotic helminths in fresh, wild animal carcasses being processed for food. Parasitological analysis of samples of rectal and intestinal contents collected from a total of fifty (50) wild animal carcasses belonging to eight (8) different species at the Atwemonom Bushmeat Market in Kumasi showed nine (9) genera of enteric helminth parasites with an overall prevalence of 71.0%. Individual parasite species prevalence was assessed, with Ascaris sp. showing 25% and 87.5% by coprological and molecular assessment, respectively. Molecular analysis showed a higher parasite species prevalence in all samples analyzed. Species-specific analysis indicated the presence of two potentially zoonotic parasites, Strongyloides stercoralis and Trichuris trichiura, in wild animals, indicating the need to intensify one health approach in wild animal parasitic infections. Data from this study suggest that wild animals in addition to being natural hosts, may also serve as reservoirs for numerous parasites of medical and veterinary importance.

Prevalence of intestinal parasites in humans and domestic animals in Jirel community, Dolakha, Nepal.

Gastrointestinal (GI) parasites are major health concerns in both humans and domestic animals. Livestock farming is one of the common livelihood practices in rural Nepal. The proximity at human and domestic animal interface increases the chances of dissemination of enteric parasites, especially those of zoonotic importance. This study was aimed at finding the parasite prevalence and risk factors in both humans and their domestic animals in Jirel community. A field survey was conducted on the Jirel ethnic people and their domestic animals in Dolakha district, where a total of 152 fresh fecal samples from humans and domestic animals (cow, pigs, goats, chickens, ducks, and pigeons) were collected. The feces were examined by wet mounts and concentration techniques. A structured questionnaire survey was carried out among the local people and owners of the domestic animals to gather sociodemographic information, awareness, and hygienic practices in relation to parasite transmission. The enteric parasite prevalence was found to be highest in goats (80.0%;12/15), followed by pigs (55.55%;5/9), cows (45.45%;6/11), chickens (11.7%;4/34), and humans (1.41%;1/71), while the fecal samples of ducks and pigeons did not contain any parasites. The only parasite identified in humans was Ascaris lumbricoides. Similarly, three genera of GI parasites (Eimeria sp., Strongyloides sp, and Trichuris sp.) from goats, two genera each from cow (Eimeria sp. and Strongyloides sp.), pigs (Entamoeba sp. and A. suum), and chickens (Eimeria sp. and Ascaridia galli), were detected. Based on the direct field observation, questionnaire survey and laboratory analysis, it is concluded that the Jirel community people are aware of health and hygiene; however, intervention measures are necessary to prevent parasitic infection in their domestic animals.

POPULATION DYNAMICS OF ENTERIC PARASITES IN THE ENDANGERED VANCOUVER ISLAND MARMOT (MARMOTA VANCOUVERENSIS).

Enteric parasites can have wide-ranging effects throughout an ecosystem, often driving coevolutionary and ecological processes. Parasites have long been overlooked in conservation efforts because of the negative impact inflicted on their hosts; however, parasites make up a significant component of Earth's biodiversity and host conservation efforts need to be parasite inclusive. The Vancouver Island marmot (VIM), Marmota vancouverensis, is an endangered alpine rodent endemic to Vancouver Island, British Columbia, Canada. Captive-bred VIMs are released to augment the wild population, but their susceptibility to parasites is unknown. The objectives of this study were to describe the diversity, prevalence, severity, and temporal variation of VIM enteric parasites. Noninvasive fecal samples were collected from wild and captive marmots and analyzed using a modified McMaster fecal egg floatation technique to indicate parasite prevalence and relative mean abundance. We identified oocysts and ova from 3 parasite taxa including a protozoan coccidium not previously described in the VIM (prevalence 68%), an ascarid nematode Baylisascaris laevis (prevalence 82%), and an anoplocephalid cestode Diandrya vancouverensis (prevalence 8%). Depending on the species, comparisons revealed variation in parasite infection by sex, by colony, and between wild and captive VIMs, but not among age classes or by female reproductive status. Finally, captive VIMs displayed significant monthly variation in parasite prevalence and mean egg abundance, suggesting a seasonal influence on parasite egg shedding. This information is critically important for future research investigating the influences of these trends on the health, ecology, and conservation of VIMs and their parasites.

NLRP1B allele 2 does not respond to Val-boro-Pro (VbP) in intestinal epithelial cells

The intestinal mucosa must balance tolerance to commensal microbes and luminal antigens with rapid detection of enteric pathogens in order to maintain homeostasis. This balance is facilitated through the regulation of epithelial layer integrity by innate immune receptors. Certain NOD-like receptors (NLRs) expressed in intestinal epithelial cells, including NLRC4 and NLRP9B, form inflammasomes that protect against pathogens by activating caspase-1 to cause extrusion of infected cells. NLRP1B is a murine NLR encoded by five alleles of a highly polymorphic gene homologous to human NLRP1. NLRP1B forms inflammasomes in response to a variety of pathogens that cause intestinal infections, but it has almost exclusively been studied in immune cells and has not been characterized in cells of the intestinal epithelium. Here, we show that Nlrp1b allele 2 is expressed in ileal and colonic organoids derived for C57BL/6J mice, while the related gene Nlrp1a was not expressed. Nlrp1b was upregulated by interleukin-13 in organoids and by the protozoan Tritrichomonas muris in vivo, suggesting that NLRP1B may be involved in defense against enteric parasites. Surprisingly, while Val-boro-Pro (VbP) activated C57BL/6J-derived bone marrow-derived macrophages, which expressed both Nlrp1a and Nlrp1b, it did not activate intestinal organoids of the same genotype. We furthermore did not detect Nlrp1b in organoids derived from Balb/cJ mice, which express a different allele than the one expressed in C57BL/6J mice. Together, our results suggest that NLRP1B may have an allele-dependent function in murine IECs whose regulation is distinct from that of macrophages, and that the response to VbP might be exclusively driven by NLRP1A in C57BL/6J mice.

Occurrence and factors associated with Cryptosporidium infection in livestock in three districts of Zambia

Cryptosporidium is one of the most important enteric diarrhoeal parasites that infect humans and animals worldwide. The current study investigated the occurrence and risk factors associated with Cryptosporidium infection in ruminants aged ≤6 months in Monze, Mumbwa, and Lusaka districts of Zambia. Faecal samples were collected from 328 calves, 190 lambs, and 245 goat kids and analysed for Cryptosporidium oocysts using modified Ziehl Neelsen staining. A closed structured questionnaire was used to obtain epidemiological characteristics and potential risk factors for Cryptosporidium infection. The overall occurrence of Cryptosporidium was 7.9% (60/763), while that in calves, lambs and goat kids was 14.5% (47/328), 5.3% (10/190), and 1.2% (3/245) respectively. Watery/pasty stool and sampling during the rainy season were independently associated with increased risk of infection. In calves, the odds of infection increased during the rainy season, while daily kraal cleaning reduced the infection risk. Lambs showed increased odds of infection with pasty/watery stool and male sex, whereas the wearing of protective clothing by handlers significantly reduced the risk. There were district variations in infection occurrence with Mumbwa district having higher prevalence. The findings of this study show that livestock in Zambia continue to be frequently infected with Cryptosporidium. Protective measures and appropriate farm cleanliness should be implemented in control of this infection. Regional and host-species-specific variations emphasize the need for targeted interventions. These findings, therefore, contribute to effective strategies for Cryptosporidium control, promoting good livestock health and management.

ACV with/without IVM: a new talk on intestinal CDX2 and muscular CD34 and Cyclin D1 during Trichinella spiralis infection.

The current study assessed the efficacy of Acyclovir (ACV) and Ivermectin (IVM) as monotherapies and combined treatments for intestinal and muscular stages of Trichinella spiralis infection. One-hundred Swiss albino mice received orally 250 ± 50 infectious larvae and were divided into infected-untreated (Group-1), IVM-treated (Group-2), ACV-treated (Group-3), combined IVM+ACV (Group-4), and healthy controls (Group-5). Each group was subdivided into subgroup-A-enteric phase (10 mice, sacrificed day-7 p.i.) and subgroup-B-muscular phase (10 mice, sacrificed day-35 p.i.). Survival rate and body weight were recorded. Parasite burden and intestinal histopathology were assessed. In addition, immunohistochemical expression of epithelial CDX2 in the intestinal phase and CyclinD1 as well as CD34 in the muscular phase were evaluated. Compared, IVM and ACV monotherapies showed insignificant differences in the amelioration of enteric histopathology, except for lymphocytic counts. In the muscle phase, monotherapies showed variable disruptions in the encapsulated larvae. Compared with monotherapies, the combined treatment performed relatively better improvement of intestinal inflammation and reduction in the enteric and muscular parasite burden. CDX2 and CyclinD1 positively correlated with intestinal inflammation and parasite burden, while CD34 showed a negative correlation. CDX2 positively correlated with CyclinD1. CD34 negatively correlated with CDX2 and CyclinD1. IVM +ACV significantly ameliorated CDX2, CyclinD1, and CD34 expressions compared with monotherapies. Conclusion. T. spiralis infection-associated inflammation induced CDX2 and CyclinD1 expressions, whereas CD34 was reduced. The molecular tumorigenic effect of the nematode remains questionable. Nevertheless, IVM +ACV appeared to be a promising anthelminthic anti-inflammatory combination that, in parallel, rectified CDX2, CyclinD1, and CD34 expressions.

Enteric parasites Cyclospora cayetanensis and Cryptosporidium hominis in domestic and wildlife animals in Ghana

BackgroundEnteric parasitic infections remain a major public health problem globally. Cryptosporidium spp., Cyclospora spp. and Giardia spp. are parasites that cause diarrhea in the general populations of both developed and developing countries. Information from molecular genetic studies on the speciation of these parasites and on the role of animals as vectors in disease transmission is lacking in Ghana. This study therefore investigated these diarrhea-causing parasites in humans, domestic rats and wildlife animals in Ghana using molecular tools.MethodsFecal samples were collected from asymptomatic school children aged 9–12 years living around the Shai Hills Resource Reserve (tourist site), from wildlife (zebras, kobs, baboons, ostriches, bush rats and bush bucks) at the same site, from warthogs at the Mole National Park (tourist site) and from rats at the Madina Market (a popular vegetable market in Accra, Ghana. The 18S rRNA gene (18S rRNA) and 60-kDa glycoprotein gene (gp60) for Cryptosporidium spp., the glutamate dehydrogenase gene (gdh) for Giardia spp. and the 18S rDNA for Cyclospora spp. were analyzed in all samples by PCR and Sanger sequencing as markers of speciation and genetic diversity.ResultsThe parasite species identified in the fecal samples collected from humans and animals included the Cryptosporidium species C. hominis, C. muris, C. parvum, C. tyzzeri, C. meleagridis and C. andersoni; the Cyclopora species C. cayetanensis; and the Gardia species, G. lamblia and G. muris. For Cryptosporidium, the presence of the gp60 gene confirmed the finding of C. parvum (41%, 35/85 samples) and C. hominis (29%, 27/85 samples) in animal samples. Cyclospora cayetanensis was found in animal samples for the first time in Ghana. Only one human sample (5%, 1/20) but the majority of animal samples (58%, 51/88) had all three parasite species in the samples tested.ConclusionsBased on these results of fecal sample testing for parasites, we conclude that animals and human share species of the three genera (Cryptosporidium, Cyclospora, Giardia), with the parasitic species mostly found in animals also found in human samples, and vice-versa. The presence of enteric parasites as mixed infections in asymptomatic humans and animal species indicates that they are reservoirs of infections. This is the first study to report the presence of C. cayetanensis and C. hominis in animals from Ghana. Our findings highlight the need for a detailed description of these parasites using high-throughput genetic tools to further understand these parasites and the neglected tropical diseases they cause in Ghana where such information is scanty.Graphical

Molecular screening for enteric parasites and subtyping of &lt;i&gt;Blastocystis&lt;/i&gt; sp. in haemodialysis patients in Slovakia

Molecular screening for enteric parasites and subtyping of &lt;i&gt;Blastocystis&lt;/i&gt; sp. in haemodialysis patients in Slovakia

Investigation of Enteric Parasites with a Focus on Zoonotic Parasites in the Feces of Galliformes.

Galliformes have a global distribution and are bred by humans as domestic animals or game birds. The world's poultry population is increasing due to high consumer demand for poultry products. Due to the increasing growth of Galliformes breeding, this study aimed to investigate gastrointestinal parasites in the feces of some species of Galliformes. In the present study, 100 distinct fecal samples were collected from seven different Galliformes species, including rural chickens, peacocks, partridges, pheasants, turkeys, quails, and guinea fowls. Sampling of each bird was performed separately, and these birds were kept in cages. In order to identify gastrointestinal parasites, the samples were evaluated using the Clayton-Lane method, the Modified Ziehl-Neelsen, and the Trichrome staining methods. Among 100 birds sampled, 53% were positive for gastrointestinal parasites. Moreover, 30%, 18%, and 5% of birds were infected with Eimeria spp., nematodes, and Giardia spp., respectively. The highest rate of parasitic infestation in Galliformes was related to protozoan infections, and the highest rate of protozoan infection was related to Eimeria (30%). In addition, complex infestation was not detected. Considering that most parasitic infections have been detected in apparently healthy birds, it is recommended to observe hygiene to regularly disinfect cages and reduce the density of birds in the nests. Due to the zoonotic potential of Giardia and the contamination of some birds with this parasite, this issue should be considered by public health officials, bird sellers' markets, owners, and breeders of these birds.

Cryptosporidium and associated risk factors in local breeds of pigs kept in Donga Local Government Area Taraba State, Nigeria

Cryptosporidium, an enteric protozoan parasite, poses economic losses in animal production and has zoonotic potential. This study aimed to determine the prevalence of cryptosporidium and associated risk factors in local pig breeds within Donga Local Government Area of Taraba State, Nigeria. A cross-sectional study was conducted, and a total of 384 faecal samples were collected from pigs in eight sampling sites. The samples were examined using the modified Ziehl-Neelsen staining technique.The results showed an overall prevalence of 27.9% (107/384) for cryptosporidium oocysts. The prevalence was significantly higher in pre-weaned piglets (64%) compared to post-weaned (26.9%) and adult pigs (24.14%). Female pigs had a significantly higher prevalence (49.21%) than males (17.4%), and diarrhoeic pigs had a significantly higher prevalence (55.2%) than non-diarrhoeic (22.9%). The prevalence was higher in the rainy season (42.4%) than in the dry season (10.3%).The detection of Cryptosporidium spp. oocysts in the faeces of pigs suggests that these animals may serve as potential reservoirs and shedders of this protozoan parasite, contaminating the environment and serving as a source of infection to other animals and humans. Adequate personal and environmental hygiene, along with prompt veterinary care, should be intensified.

Prevalence of enteroparasites in rural and urban children in the municipalities of Bocaiúva do Sul and Colombo, Paraná, Brazil

The aim of this study was to diagnose enteroparasites and to relate them to socioeconomic factors in schoolchildren from the public system in the municipalities of Colombo and Bocaiúva do Sul, located in the Metropolitan Region from the city of Curitiba, Brazil. Fecal samples were processed using the modified Ritchie and Ziehl-Neelsen staining methods. Analysis of the risk factors, using Tukey test and Odds ratio (OR), was obtained by connecting questionnaires with parasitological results. Of the 414 schoolchildren analyzed, 32.4% (134) were positive for at least one enteroparasite species. The most prevalent were Blastocystis spp. (21.7%), Entamoeba coli (5.5%), Endolimax nana (5.5%), Giardia duodenalis (3.9%), Trichuris trichiura (3.7%) and Ascaris lumbricoides (2.9%). Schoolchildren from rural areas had a higher occurrence of enteric parasites (p&lt;0.05), showing that is necessary to continue with health education, being careful with the food, basic sanitation and parasitological examination of feces before treatment. KEY WORDS: Enteroparasites; monoparasitism; multiparasitism; children; socio-echonomic factors.

Enteric parasites in free-living Mediterranean pond turtle (Mauremys leprosa leprosa) in contrasted areas (natural vs polluted) from central-western of Morocco.

The objective of this study is to assess the occurrence of intestinal parasites in Mediterranean pond turtle Mauremys leprosa leprosa collected from three contrasting environments in Morocco. Stool samples from 92 turtles were examined for parasite detection and enumeration. The identified intestinal parasites belong to helminths (oxyurids and ascarid) and protozoa (Entamoebidae). A total of 25 turtles (27.17%) were found to be infected by helminths and/or protozoan parasites. No adult form of these parasites was detected. Eggs of oxyurid and ascarid were detected in individuals of populations studied from Oued Ksob (23.07% and 30.76% of n = 13 turtles) and Oued Zat (34.14% and 24.39% of n = 41 turtles), respectively. For protozoa, Entamoeba cysts were present in turtles in Oued Ksob (15.38% of n = 13turtles), Oued Zat (12.19% of n = 41turtles), and Oued Tensift (5.26% of n = 38turtles) localities. Oxyurid eggs showed the highest intensity at Oued Zat reaching 29.30 ± 59.59 eggs per gram (EPG), versus 12 ± 0.38 EPG for ascaris eggs in Oued Ksob. Entamoeba cysts were detected in lower levels with a maximum of 1.66 ± 1.50 cysts per gram (CPG), in Oued Zat. The prevalence of turtles eliminating eggs was statistically significant between localities for different parasite groups. This study reports for the first time a parasitological characterization of gastrointestinal parasites in wild populations of M. leprosa leprosa from contrasting environments, suggesting a relationship between turtles' infestation and the quality of their habitat.

A40 THE ROLE OF HYPOXIA-INDUCIBLE FACTOR IN CELLULAR METABOLIC ADAPTATION UPON GIARDIA INFECTION

Abstract Background Recent findings have highlighted the integral role of oxygen tension in gastrointestinal (GI) homeostasis. During hypoxia when oxygen supply is limited, mammalian cells utilize the Hypoxia-Inducible Factor (HIF) complex to activate genes that promote cell survival and alter glucose metabolism. The GI system exists in a state of physiologic hypoxia, subject to further alterations by pathogens. Although tissue and blood parasites are known to influence tissue oxygen tension, little is known regarding the modulation of hypoxia and HIF by enteric parasites. Aims This project aims to characterize the effect of Giardia duodenalis, a common enteric protozoan that perturbs gastrointestinal function leading to diarrheal disease, on the cellular hypoxic response. We hypothesize that hypoxia-associated genes are activated upon Giardia infection, leading to an adaptive metabolic response with increased glycolytic flux to maintain cellular bioenergetic homeostasis. Methods Caco-2 colonic epithelial cells were infected with Giardia isolate GS/M (MOI 10) for 1.5 or 4.5 hours to capture early and peak HIF activation, under normoxic (21% O2) or hypoxic (1%O2, STEMCELL hypoxia incubator) conditions. RNA was extracted for RT-qPCR to assess transcriptional changes of known HIF-target genes. Intracellular metabolite analysis via liquid-chromatography mass-spectrometry (hydrophilic-interaction chromatography method) was performed to assess HIF-mediated metabolic changes in uninfected and Giardia-infected cells (MOI 10) exposed to the hypoxia mimetic DMOG or the HIF inhibitor PX-478. Results Under normoxic conditions, genes associated with compensatory cellular stress responses such as VEGFA, ANKRD37, GADD45A, and glycolysis-associated genes HK2, and LDHA are upregulated in Giardia-infected cells in a time-dependent manner (pampersand:003C0.05). Under hypoxic conditions, fewer HIF-target genes are upregulated (e.g., VEGFA, GADD45A, PGK1; pampersand:003C0.05), suggesting Giardia-infected cells behave similarly to uninfected cells with constant HIF activation. Analysis of the Caco-2 intracellular metabolome indicates HIF-dependent changes in amino acid (e.g., glycine, threonine) and nucleic acid (e.g., guanosine, inosine, uracil) metabolism. DMOG treatment altered the production of glycolytic intermediates (e.g., DHAP, PEP), confirming the promotion of glycolytic flux by HIF. Conclusions Both cell-stress-related and glucose-metabolism HIF target genes are activated upon Giardia infection. As well, some metabolic changes are dependent on HIF activation. These novel findings indicate Giardia promotes a hypoxic state in human intestinal cells, highlighting a metabolic cell rescue mechanism in response to enteropathogens. Furthermore, understanding the role of hypoxia in enteric parasitic infections will shed light on the potential of HIF as a therapeutic target. Funding Agencies Natural Sciences and Engineering Research Council of Canada (NSERC)

A45 ASSESSING THE ROLE OF MICROBIOTA DYSBIOSIS ON INTESTINAL TUFT CELL FUNCTIONS UPON GIARDIA INFECTION

Abstract Background Enteric tuft cells can detect and respond to intestinal parasitic infection by modulating host responses to aid parasite clearance, yet the extent of tuft cell functions upon other infections remains to be elucidated. Previous work in our lab showed that the enteric protozoan parasite Giardia induced tuft and goblet cell hyperplasia, yet Giardia colonization in Pou2f3-/- (tuft cell-deficient) mice was impaired. Not only can Giardia modulate the gut microbiota and lead to microbial dysbiosis, but the microbiota itself can influence Giardia colonization. Interestingly, certain microbiota-derived products can activate tuft cells in the gut. In this study, we investigated the role of microbiota dysbiosis in the crosstalk between Giardia and tuft cells. Aims We aim to explore the bidirectional effects between tuft cells and Giardia infection by investigating the role of 1) the host microbiota influenced by the presence or absence of tuft cells in altering Giardia infectivity, and 2) Giardia modified microbiota in contributing to tuft cell activity. Methods Fecal matter from 6–8-week-old C57Bl/6 and Pou2f3-/- mice were administered to polyethylene glycol (PEG) treated C57Bl/6 mice via oral gavage for 7 days, followed by gavage with 5x104Giardia muris trophozoites. Duodenal parasite burden was assessed 11 days after infection. Small intestinal (SI) microbiota was collected from 5–7-week-old C57Bl/6 and Pou2f3-/- mice following 11 days of G. muris infection and transplanted into PEG treated C57Bl/6 and Pou2f3-/- recipients. 11 days post-transfer, SI tuft and goblet cell hyperplasia was assessed in recipient mice by immunohistochemistry, and Dclk1, Atoh1, and Muc2 gene expression was quantified by RT-qPCR. Parameters of gut motility were evaluated. Results FMT with Pou2f3-/- mouse fecal matter prior to Giardia infection led to improved weight gain during infection compared to FMT from C57Bl/6 mice. Giardia modified microbiota (GMM) did not induce tuft or goblet cell hyperplasia 11 days after transfer. Jejunal Dclk1, Atoh1, and Muc2 were no different after GMM compared to control microbiota (CM) transfer. Ileal Atoh1 or Muc2 were upregulated in mice receiving GMM from C57Bl/6 or Pou2f3-/- mice, respectively. Intestinal transit time and stool water content was altered in mice which received GMM from Pou2f3-/- mice compared to CM. Conclusions The resident microbiota in tuft cell deficient mice may in part contribute to limiting Giardia infection. Giardia modified microbiota does not substantially contribute to tuft cell hyperplasia or related gene expression alterations at 11 days after microbiota transfer. The mechanistic contributors to tuft cell hyperplasia during Giardia infection and how a lack of tuft cells can lead to impaired colonization does not appear to be primarily driven by microbiota alterations and remains to be fully defined. Funding Agencies NSERC