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Table of Content

    30 August 2004, Volume 22 Issue 4
    论著
    Gene Cloning,Expression and Serological Evaluation of Diagnostic Antigen Em18 for Alveolar Echinococcosis
    JIANGLi;FENGZheng;XUEHai-chou;XUXue-nian;QIULi-shu
    2004, 22(4):  1-198. 
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     Objective To clone, express and serologically evaluate the Em18 antigen gene of Echinococcus multilocularis for diagnostic purpose. Methods Polymerase chain reaction(PCR) was employed for amplification of the target gene fragments which was then ligated with pET28a+ vector. The constructed plasmid was transferred into E.coli BL21(DE3) for expression. The recombinant proteins were purified with Ni\|NTA agarose by affinity chromatography. 237 sera were used for evaluating diagnostic value of the recombinant Em18 antigen. \ Results \ Two high\|level expression clones(designated as ReEm18\|1 and ReEm18\|2) were obtained. ReEm18\|1 showed the expected sequence, ReEm18\|2 showed the same sequence but with 27 nucleotides deletion. The molecular weight of the two expression proteins was \{Mr 28 000\} and \{26 000\}, respectively. Serological evaluation by ELISA was carried out using sera from 101 patients with alveolar echinococcosis(AE), 47 with cystic echinococcosis(CE), 30 with cysticercosis(CC), 10 with hepatic cancer(HC), 9 with schistosomiasis(Sj) and 40 from healthy persons(NH)from both endemic and non\|endemic areas. The results showed an overall sensitivity of 861% and 901% with ReEm18\|1 and ReEm18\|2 for AE sera, specificity 934% and 941%, positive predictive value 906% and 919%, negative predictive value 901% and 928% and efficiency 903% and 924%, respectively. The correlation analysis between the size of AE lesions and the serum absorbance reacted with recombinant Em18 antigens showed that there was a positive correlation between antibody level and the course of the disease. \ Conclusion \ ReEm18 antigens are specific for AE diagnosis, and the serum antibody level displays a good correlation with the course of the disease at early stage. Similar results achieved by both ReEm18-1and ReEm18-2 antigens.
    Analysis on Morbidity and Chemotherapy Effects of Schistosoma japonicum Infection in Fishermen on Dongting Lake
    ZENGQing-ren;HOUJian-wei;HEYong-kang;LUOXin-song;ZHANGShun-ke;SHUHeng-ping;SIMAYan-xiang;YUXin-lin;LIYue-sheng
    2004, 22(4):  2-203. 
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     Objective To clarify and evaluate the morbidity of schistosome infection and the effectiveness of chemotherapy among fishermen on East Dongting Lake. Methods Information on water\|contact, history of infection and of praziquantel(PZQ) treatment among fishermen was collected. Kato\|Katz method and miracidium hatching test were applied to detect the pathogens in stool specimen. Serum antibodies against soluble egg antigen (SEA) were detected with ELISA and IHA. B\|ultrasonic examination was used to determine the pathological changes of liver and spleen. Chemotherapy[PZQ 40 mg/(kg·d)] was given to the fishermen followed by a re\|examination after a transmission season. Results The first investigation (six months before chemotherapy) showed that among 268 people inquired, 907% were frequently or intermittently contacting water, 240% were treated with PZQ each year, 394% had never been treated in the recent five years. Stool positive rate was 681% (111/163) and the geometric mean eggs per gram feces (EPG) were 4877. Males had a higher infection rate (760%) and intensity (6297 EPG) compared with that of females (587% infection rate and 3042 EPG). The highest positive rate (833%) was in the age group of 11 to 20 years old. The prevalence of those who frequently or intermittently contacted water and were never treated before was 763% (106/139) and 797% (51/64), respectively. Serological positive rate was 880% (IHA) or 787% (ELISA). B\|ultrasound revealed 774% (82/106) of the fishermen showing pathological changes in liver and/or spleen due to schistosomiasis. 377% of the patients showed Ⅱ-Ⅲ stage liver fibrosis (male: 530%, female: 15%), 585% hepatomegaly and 198% splenomegaly. The second investigation (six months after chemotherapy with PZQ) showed a stool positive rate of 354% and an average EPG 3613 in the treatment group which were considerably lower than 565% infection rate and 6847 EPG in the group without treatment. In 39 patients treated, the reversion rate from egg positive to negative was 487%, pathological change in liver and spleen declined by 406%. Conclusion The prevalence and morbidity of schistosomiasis in fishermen on Dongting Lake were high due to frequent exposure to the affected water, and chemotherapy can effectively reduce the prevalence, the intensity of infection and morbidity of the fishermen.
    Transient Expression of Echinococcus granulosus Eg95 DNA Vaccine and Induction of Immune Response in Mice
    LINRen-yong;DINGJian-bing;LUXiao-mei;WANGXiao-feng;Arziguli;WEIXiao-li;WANGYan;WENHao*
    2004, 22(4):  3-208. 
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     Objective To detect the in vitro expression of pcDNA3 Eg95 and to observe the immunological effect of the Eg95 DNA vaccine in mice. Methods The eukaryotic recombinant plasmid pcDNA3 Eg95 was transfected into HeLa cells with liposome mediated method. RT PCR, ELISA and Western blotting were used to analyze the expression of Eg95 mRNA and Eg95 protein, respectively. The BALB/c mice were immunized by pcDNA3 Eg95. Anti Eg95 IgG and IgG2a in murine serum were determined by ELISA. The proliferation activity of spleen T lymphocytes was tested using MTT assay. Results Using RT |PCR method, the expression of Eg95 mRNA was confirmed in vitro. The results of ELISA and Western blotting showed that there was a specific Eg95 protein, which can be specifically recognized by anti sera of Eg95 prokaryotic expressing protein in pcDNA3 Eg95 transfected HeLa cell lysis. The specific IgG was induced during the 3rd week and continued to increase until week 10. IgG2a was detected after 2 weeks and maintained a higher level till week 10. There was a significant difference of IgG2a level between pcDNA3 Eg95 immunized group and pcDNA3 control(P<0.01). In spleen T cell proliferation response, the stimulation index(SI) in pcDNA3 Eg95 group was higher than that of vector control(P<0.01). Conclusion Eg95 DNA vaccine can induce significant cellular and humoral immune response in mice.
    Apoptosis of Alveolar Epithelial Cells Induced by Extraction of the Second Stage Larvae of Ascaris lumbricoides
    PENGGuo-hua;YUANKeng;ZHOUXian-min;PENGWei-dong*
    2004, 22(4):  4-212. 
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     Objective To induce the apoptosis of human alveolar epithelial cells(A 549) by the extraction of the second stage larvae of Ascaris lumbricoides and investigate the extraction concentration and inducing time related to the apoptosis.Methods Following to the results of Microculture Tetrazolium Test (MTT), five concentrations of the extraction of the second stage larvae were chosen to induce the apoptosis of A 549 cells. Meanwhile, control groups without the inducement were set up. For each group, observation was made at five time points since the start of inducement, to assess the existence of apoptosis and percentage of cells showing characteristics of apoptosis. HE stain and diphenylamine reaction methods were used to assess the cell apoptosis. Agarose gel electrophoresis of DNA and flow cytometry were also employed to confirm the apoptosis for some groups. Results Observations indicated that the apoptosis ratio of A 549 cells induced by the extraction at different concentrations were significantly higher than that of the control cells (P<0.05). At most time points of observation, the apoptosis ratio increased with the increase of concentration, indicating a positive correlation between them. For each concentration group, the apoptosis ratio increased as the inducing time prolonged until a peak appeared at 5 h of the inducement. Conclusion The extraction of the second stage larvae of Ascaris lumbricoides can induce apoptosis of human alveolar epithelial cells in vitro with a concentration dependent pattern. With regard to the relationship of apoptosis to the time of inducement, two trends were revealed and the relationship also influenced by the concentration of the larvae extraction.
    Clinical Study on the Treatment of Severe Neurocysticercosis
    YUANZhi;RENHai-jun;DINGYong-zhong;ZHANGJian-sheng;WANGWei-ping;WUXiao-lu;QIUMing-de
    2004, 22(4):  5-217. 
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     Objective To determine the therapeutic efficacy of albendazole combined with surgical intervention on intracranial hypertension in the treatment of severe neurocysticercosis. Methods Seventy four consecutive patients with severe neurocysticercosis were confirmed by neuroimaging techniques(CT and/or MRI) and ELISA for the detection of antibody to cysticerci of Taenia solium. The number of cysticerci in the brain ranged from 100 to 1160 . All patients were treated with albendazole by dose decreasing regimen. Initial tolerable dosage was defined by dose decreasing progressively, depending on the total number of cysticerci; then the dose of albendazole was increased progressively, and ultimate dosage was 20 mg per kilogram of body weight daily. Albendazole was taken for 3-4 courses(10 days as a course). Drugs to reduce intracranial pressure were used in all patients during the treatment, including mannitol, corticosteroids and/or sodium escin. 67 patients with intracranial hypertension were treated with surgical treatment, including drainage of cerebral ventricle and/or decompression of temporal muscle. All patients received antiseizure medications to prevent the onset of seizures during the treatment. Results The combination of albendazole and surgical intervention was curative in 69 of 74 patients with neurocysticercosis after a follow up of an average 37.2 (19-52) months. CT and/or MRI examination demonstrated that the cysts had disappeared or become calcified. Only 1 case failed because there were 1160 cysts in the brain of the patient. Conclusion The combination of albendazole and surgical maneuvers to reduce intracranial pressure is a safe and effective method for treating severe neurocysticercosis.
    The in Silico Elongation and Analysis of the EST from Schistosoma japonicum
    LIUHan-teng;WUZhong-dao;ZOUSai-de;SHAOXiao
    2004, 22(4):  6-222. 
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     Objective To construct a platform for in silico elongation and batch analysis of Schistosoma japonicum(Sj) ESTs, acquire the potential novel genes and research the expression profile of the genes. Methods On the basis of Linux operating system and local ESTs database of Sj, the BLAST and PHRAP softwares were used to construct a program to achieve the elongation of ESTs. Stand alone BLAST search against the nr database helped analyze the elongated sequence. After finishing the batch analysis script, the platform was used to research the Sj gene expression profile and acquire the potential novel genes. Results The platform showed satisfactory efficiency and fidelity. 487 elongated sequences obtained from 552 and 307 elongated sequences showed high homology within the nr database downloaded from NCBI. Furthermore, 104 elongated sequences displayed significant homology but showed no homology before elongated. 27 potential novel genes were filtered out. Conclusion An effective platform for Sj ESTs data mining was accomplished and further information on the potential novel genes was acquired.
    Random Amplified Polymorphic DNA Analysis of the Genomes Among 7 Species of Ticks
    YANGYin-shu;ZHAOHong-bin;DIWUJin-xue;ZHANGJi-jun;SHIZhi-yong
    2004, 22(4):  7-226. 
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     Objective To study genomic polymorphic DNA and genetic distance of 7 species of ticks. Methods Ticks used in this study were Dermacentor nuttalli, D.silvarum, Haemaphysalis qinghaiensis, H.formosensis, H.punctata, Amblyomma testudinarium, and Ixodes ovatus. DNA extracts of the 7 species of ticks were amplified by random amplified polymorphic DNA (RAPD) and PCR technique using 5 primers with different arbitrary single chain polynucleotide sequences. DNA fingerprint maps were analyzed and the genetic distance among 7 species of ticks were counted. Results The amplified products of the 7 species of ticks by RAPD all showed their specific DNA band. The average genetic distance among them was 071. Conclusion RAPD can differentiate the 7 species of ticks.
    Evaluation of the Enzyme-linked Immunosorbant Assay in Detecting Circumsporozoite Protein of Anopheline Vectors in Yunnan
    ZHOUHong-ning;ZHANGZai-xing;ChrisCurtis;NigelHill;LIChun-fu;WUChao;WANGPi-yu
    2004, 22(4):  8-230. 
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     Objective To detect circumsporozoite protein (CSP) in anopheline vectors from south Yunnan and to evaluate ELISA in the detection. Methods Salivary glands of the anopheline mosquitoes were taken for finding sporozoites by microscopy and part of the glands was used for detecting CSP by ELISA. An. minimus was experimentally infected by blood from vivax malaria patient (with Plasmodium vivax) and examined for sporozoites and CSP. Eight species of anopheline mosquitoes were caught in the field and examined. Monoclonal antibodies to P.falciparum (Pf2A10) and P.vivax (Pv210, Pv247) were used in ELISA for detecting CSP. Results Sporozoites were found in the salivary glands of 27 out of 36 An. minimus experimentally infected (75.0%), 29 were ELISA CSP positives (80.6%), and 26 of the 27 mosquitoes showed Pv210 CSP positive. Among 1010 parous anopheline mosquitoes from the field, 7 were found sporozoite positive (0.69%), 8 were ELISA CSP positive (0.79%), and 6 of the 7 mosquitoes showed CSP positive. Of 4 675 wild mosquitoes in 8 anopheline species with different ages, 11 were found CSP positive (0.24%) including An.minimus, An.sinensis and An.maculatus with a positive rate of 0.20%, 0.24% and 0.39% respectively.Among the 11 mosquitoes, 9 were Pv210 positive and 2 were Pf2A10 positive. Conclusion CSP detection by ELISA is a useful method to monitor the malaria transmission capacity of anopheline vectors.
    High Efficiency Expression and Antigenicity Analysis of the SAG2 GeneFrom Toxoplasma gondii RH Strain
    LEIMing-jun;WUShao-ting*;DAIWu-xing;PANHui-rong;LINQi-ping;WENJian-xiang;HUANGDa-na;GAOShi-tong;ZHANGRen-li
    2004, 22(4):  9-234. 
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     Objective To make high efficiency expression of the SAG2 gene from Toxoplasma gondii RH strain in E.coli and study the antigenicity of the expressed product. Methods The SAG2 gene fragment of T.gondii RH strain amplified by PCR method from genome DNA was cloned into the pMD-18T vector and transformed into E.coli DH5α. After nucleotide sequencing, the SAG2 gene fragment was subcloned into the expression vector pET23a with correct orientation and transformed into E.coli DH5α. The plasmid from the correct clone identified by PCR method and endonuclease digestion was transformed into E.coli BL21(DE3) and induced for expression. The expressed product was studied by SDS PAGE and Western blot. Results 502 bp gene fragment was amplified by PCR as anticipated. Nucleotide sequencing showed a 100% homology with that of the published sequence in GenBank. The molecular weight of the expressed protein was about Mr 19000. Western blotting indicated that the antigenicity of the protein was specific. Conclusion The plasmid pET 23a SAG2 was constructed and a high efficiency expression of the SAG2 gene from T.gondii RH strain was made. The expressed product shows a specific antigenicity.

    Immunoscreening of Newborn Larvae cDNA Library of Trichinella spiralis
    WUXiu-ping;FUBao-quan;LIUMing-yuan;ZHANGYa-lan;YUANLi-hong;LILian-rui;LUQiang;PascalBoireau
    2004, 22(4):  10-239. 
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     Objective To obtain antigenic genes encoding newborn larvae antigens of Trichinella spiralis. Methods Newborn larvae(NBL) cDNA library of Trichinella spiralis was screened using the infected swine serum and positive clones were sequenced and analysed. Results 158 positive clones were obtained from 45×105 recombinant clones by immunoscreening. The sequence analysis of positive clones showed that there are 36 novel cDNAs, 5 reported cDNAs and 12 cDNAs without the ORF showing high similarity to the mitochondrial DNA of Trichinella spiralis. Conclusion Some cDNAs encoding antigenic protein of newborn larvae of Trichinella spiralis were obtained.
    Identification of the Source and Types of Cells of Schistosoma japonicum by Histochemical Staining
    LINXue-chi;ZENGQing-ren*;GONGYan-fei;YANGan-wei;SHENJie
    2004, 22(4):  11-242. 
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     Objective To study the possibility on in vitro identifying the source or kinds of cells from Schistosoma japonicum(S.j). Methods The cells from digested tissues of 18 days old schistosomula were smeared on slides. The adult worms of S.j were used for making paraffin sections. The cell smears and tissue sections were stained with 6 different methods of histochemical staining including Periodic Acid Schiff (PAS), Argyrophil reaction (by Grimeliu's), Picric acid acid Fuchsin (by Van Gieson,VG), Thionin, Toluidine blue (TB) and Hematoxylin Eosin (HE) staining parallelly. The results were judged through inspecting the specific color of the cells on smears referring to location of corresponding staining of paraffin sections of adult worm tissues under light microscopy. Results Vitelline gland cells, mother germ cells, nerve cells, digestive epithelial cells, muscular cells and mast cells were shown clearly. The stainings of VG, PAS and Thionin demonstrated cell types coinciding to histological location. The TB staining did not find red purple mast cell in tissue sections but one in cell smears. The Grimeliu's argyrophil reaction displayed that intestine wall of tissure sections and stained cells of cell smears were in black clearly. Conclusion HE staining together with histochemical staining can reliably and rapidly distinguish the cell types of Schistosoma japonicum.
    Antigenic Localization of Specific Allergen in the Body of Dermatophagoides pteronyssinus by Immunohistochemistry
    FURen-long*;LIUZhi-gang**;XINGMiao;LILi;ZOUZe-hong
    2004, 22(4):  12-244. 
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     Objective To study the localization of specific allergen of Dermatophagoides pteronyssinus. Methods Through optical microscope,the specific allergens of D.pteronyssinus were observed in paraffin sections using D.pteronyssinus specific IgE antibodies from the patient sera. Results and Conclusion The digestive system was found occupying large parts of body cavity of D.pteronyssinus by HE staining, while the specific allergens of D.pteronyssinus were mostly occurred in the midgut tissue, gut contents, cuticle and reproductive system in the immunostained sections. The results also showed that many parts of D. pteronyssinus were recognized by the specific IgE antibodies obtained from allergic individuals to D.pteronyssinus, which provided a theoretic base for further study of isolation and purification of the specific allergen.
    Diagnosis and Therapy of Pneumocystosis Complicated after Renal Transplantation
    SUNMing;YANGYu-ru;LUYi-ping;WANGLi;TANGKe-shi;WEIQiang;LIHong
    2004, 22(4):  13-247. 
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     Objective To investigate the early diagnosis, treatment and prevention of pneumocystosis complicated after renal transplantation. Methods Data from 12 cases of kidney transplant recipients who developed pneumocystosis were analyzed by clinical symptoms and signs, results of laboratory examination, imaging, bronchoscopy and biopsy. Combined TMP/SMZ was used for the prevention and treatment. esults Pneumocystis carinii (Pc) detection rate was 167% from alveolar douche, 667% with bronchoscopy and biopsy. Two cases was diagnosed by PCR method with sputum. Plain chest film showed 583% of lung cirrhosis. CT showed 50% frosted glass like change in lungs and 25% with lung consolidation. Eleven cases were cured but one died. Conclusion Pc detection by bronchoscopy and biopsy, and PCR are most helpful in the diagnosis of pneumocystosis complicated with renal transplantation, in addition to plain chest film and CT scaning. Combined TMP SMZ is effective in the prevention and treatment of pneumocystosis.
    Studies of Di-n-butyl Phthalate-OP Emulsion in the Treatment of Demodicidosis
    XIAHui;HUShou-feng;MAWei-ju;GEJi-hua
    2004, 22(4):  14-249. 
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     Objective To observe the curative effect of Di\n\butyl phthalate\OP emulsion in the treatment of demodicidosis. Methods 447 cases with Demodex infection on face were treated with Di\n\butyl phthalate\OP emulsion. Among them, 30 cases suffering from acne, tetter and pustule were also randomly observed. 20 days after treatment negative conversion rate and the therapeutic effect were evaluated. At the same time, the effect of this solution was compared with that of other three medicaments (FuManLing, 2% metronidazole and 8% metronidazole preparations). In vitro test of mites\|killing, toxicity test in experimental animals and the safety evaluation for local application were also performed. Results Results showed that the negative conversion rate was 92.8%(415/447), effective rate for the cases showing evident face damage was 90.0%(27/30). The result also indicated that the OP emulsion medicament was more effective than other three medicaments (P<0.01). In vitro test showed that this medicament killed all mites within 1 hour. Toxicity test in animals showed that its LD-50 was in safe range. It showed no evident stimulation and hypersensitivity by local use. Conclusion Di\|n\|butyl phthalate\|OP emulsion is promising to be developed as a safe, effective therapeutic medicament on demodicidosis.
    Epidemiological Survey on the Infection of Paragonimus westermani in Jiangxi Province
    YANQu-ru;YANTao;ZHOUXian-min;LIYou-song;ZHUChun-chao;SHILin-bo;MAXi-mei;HUNing-yan
    2004, 22(4):  15-252. 
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     Objective To investigate Paragonimus westermani infection in the intermediate hosts and animal reservoivs in Jiangxi Province. Methods Two forest farms in Jingan and Wanzai Counties and one town in Yushan County of Jiangxi Province were selected as pilots for epidemiological and retrospective survey. The intermediate hosts (snails, crabs) and reservoir hosts(cat, dog, civet cat, wildcat, etc.) were collected and examined. Data on the changes of ecological environment and people's behaviors were also collected. Results The average infection rate in Semisulcospira libertina and Sinopotamon spp. was 0.21% and 54.3% respectively, and that of reservoir hosts was 56%. Compared with those in 20 years ago, the infection rate in Sinopotamon spp. decreased considerably. Conclusion The three areas are still endemic for P.westermani with lower prevalence than before possibly due to the change of ecological environment.