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Table of Content

    30 August 2002, Volume 20 Issue 4
    论著
    Study on Treatment of Multi-drug Resistant Falciparum Malaria by Using a Combination of Dihydroartemisinin and Pyronaridine
    LIUDe-quan;LINShi-gan;FENGXiao-ping;CHENWen-jiang;CHENPu-lin;WUHui-min;CHENChang;LIUJian
    2002, 20(4):  1-196. 
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     Objective To provide a combined medication scheme for the treatment of multi-drug resistant falciparum malaria. . Methods. Combined administration of dihydroartemisinin and pyronaridine was given to the 32 cases of falciparum malaria cases with multi-drug resistance. The indices for evaluation on day 14, 21, and 28 after treatment included the mean fever subsidence time, mean asexual form clearance time, mean recrudescence time of asexual form and recrudescence rate, proportion of gametocyte carriers, mean density of gametocytes and its mean clearance time, cure rate and rate of side-effects. A double blind clinical test was performed with standard schemes of dihydroartemisinin (20 cases) and pyronaridine (25 cases) as control. Results . The mean fever subsidence time of treated patients by dihydroartemisinin/pyronaridine combination, dihydroartemisinin and pyronaridine was 35.7±24.7 h, 52.6±38.9 h and 35.8±16.5 h respectively, showing a significant difference between the combination group and dihydroartemisinin groups (P<0.01). The mean asexual form clearance time was 23.8±10.1 h, 22.9±6.5 h and 49.4±20.3 h respectively, showing significantly faster in the combination group than the pyronaridine group (P<0.01). The recrudescence rate was 0, 4.2% and 0 respectively. The proportion of gametocyte carriers was 20.0%, 16.7% and 60.9% respectively, with a significantly higher rate in the group of pyronaridine than the group of combination (P<0.01).. Conclusion . The combination of dihydroartemsinin and pyronaridine is an ideal medication scheme for the treatment of falciparum malaria cases with multi-drug .{resistance.}.
    Cloning and Sequence Analysis of LACK Gene of Leishmania Donovani Isolates from Plain and Desert Foci of China
    MAYing;HUXiao-su;WANGYa-jing;WANGZi-long
    2002, 20(4):  2-200. 
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     Objective To determine the nucleotide sequence of the LACK
    (Leishmania homologue of receptors for activated protein kinase C)
    gene of Leishmania donovani isolates from plain foci (L.d SD1) and desert
    foci (L.d XJ771) of China, and to find out the difference of the sequence of
    LACK gene with other Leishimania spp. and also the isolate from hill foci of China.. Methods. The LACK genes of L.d SD1 and L.d XJ771 were amplified by RT-PCR and cloned into pUC18 vector respectively, sequenced by the dideoxy chain termination method, then analyzed and compared with that of other isolates.. Results . The LACK genes of the two isolates were successfully cloned. Both of the 2 fragments were 942 bp in length. Comparison
    of the two nucleotide sequences with that of other Leishmania spp. in GenBank showed that the identities were more than 97%, and the identities of the nucleotide sequences of LACK genes of the three L.d isolates from plain, desert and hill foci of China were more than 95%.. Conclusion .
    High identities exist among the nucleotide sequences of LACK genes of the three L.d isolates from the three foci of China.
    Protective Immunity Induced by the Nucleic Acid Vaccine of SjC 21.7 in Mice
    YUChuan-xin*;ZHUYin-chang;YINXu-ren;RENJian-gong;SIJin;XUYong-liang;SHENLin-nan
    2002, 20(4):  3-204. 
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     Objective To observe the protective immunity induced by the nucleic acid vaccine of 21.7 kDa membrane protein molecule of Schistosoma japonicum Chinese mainland strain (SjC 21.7) in BALB/c mice. . Methods. A pair of primers (P1 and P2) was synthesized according to the DNA sequence of the SjC21.7. The ORF sequence of SjC21.7 was amplified by PCR, and the Kozark sequence was added to the position of initiator. The gene fragment was inserted into the eukaryotic expression plasmid pcDNA3.1 to form the recombinant plasmid SjC21.7-pcDNA3.1. Forty-eight BALB/c mice were divided into three groups: control, test and boost. Each mouse was injected in quadriceps femoris with plasmid pcDNA3.1 (control) or recombinant plasmid SjC21.7-pcDNA3.1 (test, boost); for the boost group, with additional P35-pcDNA3.1 and P40-pcDNA3.1. All mice were immunized three times with an interval of 2 weeks, challenged each with 45 cercariae of S.japonicum at the 30th day after final immunization. At day 45 after challenge,all mice were sacrificed, the numbers of worms and hepatic eggs were counted. Antibody level in the sera of mice before and two weeks after immunization was determined with ELISA. The expression of the target gene in quadriceps femoris was observed with immunohistochemistry. . Results . The immunohistochemistry analysis showed that there were specific antigens expressed in the local tissue of the test group mice. There was specific IgG in the serum of partial mice in test and boost groups. Compared with the control group, the worm reduction rate was 29.9% and its egg reduction rate 13.8% in the test group; 31.9% and 28.0% respectively in the boost group. The egg reduction rate in the boost group was higher than that of the test group (P<0.05). . Conclusion . The SjC21.7 nucleic acid vaccine could induce partial protective immunity against Schistosoma japonicum in BALB/c mice.
    Application of Remote Sensing for Surveillance of Snail Habitats in Poyang Lake, China
    WUWei-ping;GeorgeDavis;LIUHong-yun;EdmundSeto;LUShang-biao;ZHANGJing;HUAZheng-hui;GUOJia-gang;LINDan-dan;CHENHong-gen;PengGong;FENGZheng.
    2002, 20(4):  4-208. 
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     Objective To identify snail habitats and monitor the changes by combining remote sensing technique with the ground-based ecological data. . Methods. Of 100 survey sites selected throughout Poyang Lake, 75 were randomly identified from 574 land mass units: 50 were from snail habitats and 25 were from non-snail habitats based on a historical survey (1982-1984); 25 sites with habitats that did not have snails were also selected. Each site, covering .{10 000.} m2, was divided into a grid of 100 cells from which 20 cells were randomly selected. Snails, when present, were collected from a 4 m2 frame placed in the center of the selected cell. Satellite Landsat TM images were obtained for the same period as the ground survey data collected. Unsupervised classification was used to classify the images. Identified land-cover types were correlated with snail habitat. . Results . The sensitivity and specificity of classified snail habitat were 90.0%-95.6% and 61.1%-68.6%, respectively. Based on the classification, estimated snail habitat areas in Poyang Lake increased from 623.4 km2 in 1999 to 762.8 km2 in 2000. . Conclusion . Snail habitats are associated with grassland-covered areas. Classified images can be used to identify snail habitats, determine their areas, and monitor snail habitat changes caused by annual fluctuations of key environmental factors.
    Effect of Pentoxifylline on the Expression of Hepatic TGF-β1, Type I and Type III Collagen in Mice with Liver Fibrosis due to Schistosoma japonicum Infection
    XIONGLi-juan;LUODuan-de;ZENGLin-lan;LIShu-li
    2002, 20(4):  5-211. 
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     Objective To study the effect of pentoxifylline (PTX) on the content of hepatic TGF-β1, type Ⅰ and type Ⅲ collagen in schistosome-infected mice with liver fibrosis. . Methods. Forty mice with schistosomiasis were divided into four groups: one group as control without any treatment, other three were treated with praziquantel 500 mg/(kg·d) for 2 d, high dose PTX 360 mg/(kg·d) for 8 wk, and low dose PTX 180 mg/(kg·d) for 8 wk respectively. Immunohistochemical technique and multimedia color pathographic analysis system were applied to observe the content of hepatic TGF-β1, type Ⅰ and type Ⅲ collagen in mice infected with S.japonicum before and after treatment. . Results . The effect of PTX on the content of hepatic TGF-β1, type Ⅰ and type Ⅲ collagen in mice was related to the dosage of PTX. High dose PTX treatment significantly reduced the content of TGF-β1, type Ⅰ and type Ⅲ collagen compared to the control (P<0.01), whereas no difference was found between the group of low dose PTX treatment and control (P>0.05). . Conclusion . High dose PTX treatment could reduce the content of hepatic TGF-β1, type Ⅰ and type Ⅲ collagen significantly in schistosome-infected mice with liver fibrosis.
    Glutathione Inhibits the Antischistosomal Activity of Artemether
    ZHAIZi-li;JIAOPei-ying;MEIJing-yan;XIAOShu-hua
    2002, 20(4):  6-215. 
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     Objective To observe the effect of reduced glutathione (GSH) and glutathione depleting agent 1-chloro-2,4-dinitrobenzene (CDNB) on the susceptibility of adult Schistosoma japonicum to artemether (Art) in combination with hemin in vitro. . Methods. In vitro, malondialdehyde(MDA) levels were determined in five-week-old worms incubated without or with Art, hemin, GSH, and CDNB, either alone or in combination, for 24 h, and the remaining worms were continuously incubated up to 96 h for worm survival assessment. In vivo, GSH levels were determined in worms freshly recovered from mice 6, 12 and 24 h after treatment with Art 300 mg/kg. . Results . In vitro, GSH decreased the proportion of worms killed by Art plus hemin, but CDNB rendered the worms susceptible to the killing. The above-mentioned distinguishing features of GSH and CDNB were associated with their reverse effect on worm lipid peroxidation induced by Art-hemin system. In vivo, Art led to a slight decrease followed by a significant increase in the parasite GSH levels. . Conclusion . GSH might play an important role in the defense of the worms against Art-generated toxic peroxides and free radicals.
    Ultrastructural Dynamic Observation on Murine Schistosomal Hepatic Fibrosis
    WANGXue-li;ZHANGLing-min;TANGFu-xing;GUOZu-wen;WUChun-yun;XIONGZhong-jin
    2002, 20(4):  7-219. 
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     Objective To explore possible mechanisms of hepatic fibrosis by investigating the ultrastructural dynamic changes of liver tissue, especially several kinds of cells related to hepatic fibrosis.. Methods. Murine schistosomal hepatic fibrosis model was established by infecting mice with Schistosoma japonicum cercariae. Routine transmission electron microscopy was used to observe the liver tissue. H.E. staining was used for examining the pathological changes. . Results . H.E. staining showed that the model was established successfully. Ultrastructural observation showed that at the 6th week after infection, the necrosis of hepatocytes around the acute granulomas occurred; the number of sinusoidal endothelial fenestrae and vitamin A droplets in fat-storing cells decreased; large phagosomes and rough endoplasmic reticulum could be seen in the cytoplasm of Kupffer′s cells. At the 8th week, steatosis was found in some hepatocytes, some microvilli emerged on a few inter-hepatocytic surfaces and the inter-hepatocytic spaces were enlarged. Large collagen fibrillar bundles filled in the perisinusoidal spaces, and capillarization of hepatic sinusoids was observed. Secretory vesicles filled with collagen fibrils appeared in the cytoplasm of fat-storing cells with large amount of collagenous fiber bundles surround the cells. Rough endoplasmic reticulum increased in Kupffer′s cells. At the 10th week, fat-storing cells were activated and transformed into myofibroblasts. At the 12th week, the number of myofibroblasts decreased but that of fibroblasts and fiber cells increased. . Conclusion . Activation of fat-storing cells and transformation from fat-storing cells into myofibroblasts are the critical link in the development of hepatic fibrogenesis following schistosome infection. Kupffer′s cells, necrotic hepatocytes and sinusoidal endothelial cells may relate to the activation of fat-storing cells. Capillarization of hepatic sinusoids possibly accelerates the development of hepatic fibrosis.
    Susceptibility and Immune Responses to Pneumocystis carinii Infection in Different Strains of Mice by Contagious Transmission
    ANChun-li;SUXiao-ping;A.G.Harmsen
    2002, 20(4):  8-222. 
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     Objective To explore the susceptibility of different strains of mice to P.carinii infection and the host immune response to the organism. . Methods. C57BL/6 and BALB/c strains of mice (15 each) were exposed to SCID mice infected with P.carinii by co-housing. Observations were made on the number of parasites in the lungs, level of CD4+ T cell and CD8+ T cell in BALF, and serum IgG at 4, 5 and 6 wk after contagion.. Results . The number of P.carinii grew in the lungs of BALB/c mice was found much greater than those in C57BL/6 mice. A few number of P.carinii cysts were detected in the lungs of both strains of mice by 4 wk after co-housing, the number of cysts increased at 5 wk in the lungs of BALB/c mice but not in that of C57BL/6 mice. P.carinii-specific IgG in the sera and high level of CD62.{low.} CD4-and CD8-positve T cells in the lungs were found at 5 wk. The parasites were cleared from the lungs at 6 wk in all infected mice, shortly after acquired immune response was initiated. . Conclusion . BALB/c mice are more susceptible to P.carinii than the C57BL/6 mice by natural transmission, and all the immunocompetent mice can clear the infection of P.carinii by cellular and humoral immune responses.

    Changes of Elements in Culex quinquefasciatus Larvae after Infected by Lagenidium giganteum (Oomycetes:lagenidiales)
    PANWei;BAOHuai-en
    2002, 20(4):  9-225. 
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    Objective To analyze the quantitative change of 18 elements in Culex quinquefasciatus Larvae infected by Lagenidium giganteum (Oomycetes:lagenidiales), and to explore possible mechanism of mosquito-killing by the fungus. Methods. Elements in the mosquito larvae at different developmental stages from infected and non-infected (control) groups were detected with automatic bioassay machine. Results . At the early stage of infection, content of Ca and Cu in the infected group was markedly lower while the content of Co and Cd were higher than the control. In 24 hrs after infection, the content of Ca, Mg, Na, P, Fe, Zn, Cu, Mn and Cr was significantly lower while that of K, Mo, Co, Ni, Al, Cd and Pb were higher than those in non-infected larvae. No marked difference was found for the content of Sr and B between the two groups. In 48 hrs after infection, considerable difference was found in 17 elements between infected and non-infected larvae, with only one exception of Sr. Conclusion . Many elements which play an important role in maintaining the vitality of the mosquito larvae decreased and some of the heavy metal elements accumulated after the infection of Lagenidium giganteum. This might be a part of the killing mechanism to Culex quinquefasciatus larvae.
    实验报道
    Content of Nitric Oxide in Cerebrospinal Fluid from Patients with Neurocysticercosis
    WENFang;ZENGFei;YUShao-zu
    2002, 20(4):  10-228. 
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     Objective To evaluate the relationship between the concentration of nitric oxide (NO) and cytological change in cerebrospinal fluid ( CSF ) and the onset of neurocysticercosis in patients. . Methods. NO Level in CSF was detected in 30 cases of neurocysticercosis, 20 cases of tuberculous meningitis (TBM) and 20 healthy people as control by using Griess method. The cytological components in CSF were also examined.. Results and Conclusion . Griess method was proved to be a rapid and accurate technique for the detection of NO content in CSF. The NO concentration in cases of neurocysticercosis and TBM was significantly higher than that of control(P<0.01). The neurocysticercosis cases showed the highest CSF NO level which was considerably higher than that of TBM cases(P<0.05). Among the cytological changes, the neurocysticercosis cases also showed a higher count of eosinophils than that of TBM cases and control (P<0.01). The NO level and eosinophils count in CSF increased significantly in patients with neurocysticercosis.
    Observation on Moving Patterns of Oncomelania Snails in Rivers and Canals
    HEChang-hao;PANZhao-han;ZHANGAi-hua;CAIShun-de;PanYou-qin;DENGWei-wen
    2002, 20(4):  11-231. 
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     Objective To understand the moving patterns of Oncomelania snails, intermediate host of S.japonicum, in the water bodies. . Methods. Based on the biological features of the snails, methods and techniques in relation to hydraulics and silt engineering were adopted to investigate the active scrawl ability and passive movement of the snails. . Results and Conclusion . The scrawl speed of the snails themselves was very low, 2.45 mm per minute only. The active movement in the water current was therefore almost negligible. The major moving patterns of the snails in rivers and canals were that: 1. Snails adsorbed on different kinds of carriers drifted on the water. 2. Snails suspended on the water and drifted with the current, these were the young snails under 7 weeks of age. Adult snail showed a strong ability of adhesion, 12 times higher than its body weight.
    防治经验
    Technical Measures of Filariasis Elimination in Tengzhou City
    MAXi-wen;ZHANGXue-qi;XUYu-luan
    2002, 20(4):  12-234. 
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     Objective To summarize the technical measures in achieving the elimination of lymphatic filariasis in Tengzhou city. . Methods. To collect and analyze the materials on research and control of lymphatic filariasis in Tengzhou city during the disease elimination program over the 40 years.. Results . Following to the national criteria for the control and elimination of filariasis, efforts were made for epidemiological investigation, mass blood examination, and mass drug administration by taking diethylcarbamazine (DEC) medicated salt for the whole population. After the criteria of transmission interruption (basic elimination) of filariasis were met in 1974, re-examination and treatment for the cases with microfilaremia, and parasitological and entomological surveillance were conducted. In 1995, filariasis elimination in the whole city was declared. . Conclusion . Comprehensive measures focusing on the elimination of source of infection were proved effective for interrupting the transmission of filariasis. Unremitting surveillance was necessary for achieving the goal of elimination of filariasis.
    Re-emergence of Schistosomiasis in Dali City after the Criteria of Transmission Control Were Met
    LIKe-lin;YANGGuang-huai;DUANSuo-sheng;XIAGuang-hui
    2002, 20(4):  13-237. 
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     Objective To analyze the epidemic situation on schistosomiasis in five years after reaching the criteria of transmission control in 1995 in Dali City. . Methods. Epidemiological data of schistosomiasis during 1995-2000 were collected and analyzed. . Results . Stool positive rate in the population was increasing yearly, new cases of infection including cases under 14 years old were detected each year. Acute infection occurred during 1996-1998 consecutively. Stool positive rate in cattle was unstable. Snail-ridden area increased significantly in 1996 and spots with infected snails stayed at a higher level during 1997-2000. . Conclusion . Schistosomiasis in Dali city has been re-emerging though it was once deemed under transmission control. Possible reasons include a low drug-taking rate though distributed, frequent movement of cattle population, and less activity on snail control.

    Cost-effectiveness Analysis of the Current Measures for Malaria Prevention in Yuanjiang Valley, Yunnan Province
    XUJian-wei;YANGHuang;YANGZong-qiang;YANGGuo-can;MAXin-wen;WANGWen-ren;GUYun-an;WANGLi-bo;YANGXue-wen;MAJun
    2002, 20(4):  14-241. 
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    Cost-effectiveness Analysis of the Current Measures for Malaria Prevention in Yuanjiang Valley, Yunnan Province
    XUJian-wei;YANGHuang;YANGZong-qiang;YANGGuo-can;MAXin-wen;WANGWen-ren;GUYun-an;WANGLi-bo;YANGXue-wen;MAJun
    2002, 20(4):  14-241. 
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     Objective To evaluate the cost-effectiveness analysis of the measures currently used for malaria prevention in the region of Yuanjiang River Valley. . Methods. The efficacy and cost-effectiveness analysis of chemoprophylaxis, single DDT residual spraying and a combination of both were evaluated through three field intervention trials. Results . (1) From July to November, the rate ratio of malaria incidence among building workers of expressway as the group of chemoprophylaxis using combined piperaquine/sulfadoxine once per month was 0.35 (95%CI: 0.20-0.59); the cost per individual protected (CIP) and the cost per case averted (CCA) were RMB 6.69 yuan and RMB 459 yuan respectively. (2) In the hyper-endemic villages near the river, the rate ratio in the group using chloroquine plus primaquine once every 10 days for 5 months was 0.28 (95%CI: 0.08-0.99); the CIP and CCA were RMB 5.30 yuan and RMB 300 yuan respectively. (3) The standardized morbidity ratio (SMR) was 100%, 98% and 50% respectively for the chemoprophylaxis group with pyrimethamine/sulfadoxine once per month from May to September, the group with single DDT residual spraying in April and the group of combined chemoprophylaxis and DDT spraying. The CIP was RMB 1.49, 2.48 and 3.97 yuan for the three groups respectively. As compared with the previous year, no cases were averted from the chemoprophlaxis group; the CCA was RMB 14 535 yuan and 908 yuan respectively for the DDT spraying group and the group with combined measures. . Conclusion . There was no significant difference on the chemoprophylaxis cost between the group using piperaquine/sulfadoxine combination once per month and that of chloroquine plus primaquine once per ten days. However, the study proved an efficacy for malaria prevention in the former but not in the latter. In comparison with the groups of single measures, the group with combined measures showed the best efficacy and effectiveness, but highly expensive.