中国寄生虫学与寄生虫病杂志 ›› 2010, Vol. 28 ›› Issue (2): 6-112.

• 论著 • 上一篇    下一篇

头节小钩数目异常链状带绦虫的鉴定

陈峥宏,包怀恩*,吴晓娟,杨廷秀,胡兴竹   

  1. 贵阳医学院,贵阳 550004
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-04-30 发布日期:2010-04-30
  • 通讯作者: 包怀恩

Identification of Taenia solium with Abnormal Number of Scolex Hooklets

CHEN Zheng-hong, BAO Huai-en*, WU Xiao-juan, YANG Ting-xiu, HU Xing-zhu   

  1. Guiyang Medical College,Guiyang 550004,China
  • Received:1900-01-01 Revised:1900-01-01 Online:2010-04-30 Published:2010-04-30
  • Contact: BAO Huai-en

摘要: 目的 对采自云南大理的3例寄生人体的3条小钩数目异常的疑似链状带绦虫进行虫种鉴定。 方法 肉眼观察虫体,镜下观察头节和孕节形态。提取3条带绦虫的孕节DNA,PCR扩增链状带绦虫细胞色素C氧化酶亚单位1基因(cox1)片段和全长基因,对其中1条的cox1全长基因的PCR产物测序。孵化虫卵,皮下注射感染9只小鼠,同时每只小鼠皮下注射地塞米松1 mg/d×45 d,感染60 d后剖检,观察囊尾蚴形态。将虫卵喂食2只猕猴(2.5×105/只),47 d后剖检,光镜和扫描电镜观察囊尾蚴形态,观察其肝脏的病理改变。 结果 3条疑似链状带绦虫头节顶突的小钩数目分别为0、4和10,孕节子宫单侧分支数为7~12。3条带绦虫cox1片段的链状带绦虫种特异性引物PCR结果均为阳性,cox1全长基因的测序结果表明,其与GenBank中多株链状带绦虫的cox1基因序列一致性为99.8%。小鼠皮下、猕猴肌肉和心脏均可检获囊尾蚴,经压片镜检可见头节上的4个吸盘和顶突,顶突上均有内外两圈共26~28个小钩。猕猴肝实质内见粟粒样病灶,组织切片显示,病灶周围纤维结缔组织增生,有嗜酸粒细胞浸润,部分囊腔内可见虫体结构。 结论 3条小钩数目异常的带绦虫为链状带绦虫,其幼虫可感染猕猴,引起肌肉型囊尾蚴病和肝囊尾蚴病。

关键词: 链状带绦虫, 囊尾蚴病, 猕猴, 分子鉴定

Abstract: Objective To identify 3 suspected adults Taenia solium with abnormal number of hooklets on scolex collected from 3 patients of Dali in Yunnan Province. Methods Tapeworms were observed with unaided eyes. Morphology of the scoleces and gravid proglottids was observed under microscope. DNA of gravid proglottids of the 3 adult tapeworms was extracted. T. solium mitochondrial cytochrome c oxidase subunit 1 gene (cox1) fragment and the full cox1 gene were amplified by PCR. The cox1 gene of one isolate was sequenced. Eggs were hatched and oncospheres were inoculated into mice subcutaneously. Each mouse was subcutaneously injected with 1 mg dexamethasone once daily. Sixty days after infection, all mice were sacrificed and the morphology of cysticerci was observed. Two macaque monkeys were fed with eggs(2.5×105 per monkey). Euthanasia and autopsy were performed on day 47. Morphology of cysticerci were observed by light and scanning electron microscopy, and pathological changes of livers were observed. Results The number of hooklets on scoleces of the three tapeworms was 0, 4 and 10, respectively, and lateral uterine branches in gravid proglottids were 7-12. PCR results of cox1 gene fragment with species-specific primer for T. solium were all positive. The complete sequence of cox1 gene had 99.8% identity to the reported T. solium sequences. Cysticerci were obtained from hypoderm of mouse, muscles and hearts of monkey. Four suckers and 26-28 hooklets ranged in two rows around rostellum on scolex were microscopically observed. Milia-like lesions were found in monkey liver. Histological examination showed that there was fibrous connective tissue hyperplasia and eosinophil infiltration around lesion, and parasites were found in some cysts. Conclusion The three tapeworms with abnormal number of hooklets have all been identified as T. solium. The larvae can infect macaque and lead to muscle and liver cysticercosis.

Key words: Taenia solium, Cysticercosis, Macaque, Molecular identification