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Published in: European Journal of Clinical Microbiology & Infectious Diseases 12/2017

01-12-2017 | Original Article

Distribution and phylogenetic analysis of Blastocystis sp. subtypes isolated from IBD patients and healthy individuals in Iran

Authors: H. Mirjalali, M. R. Abbasi, N. Naderi, Z. Hasani, E. S. Mirsamadi, C. R. Stensvold, H. Balaii, H. Asadzadeh Aghdaei, M. R. Zali

Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 12/2017

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Abstract

Blastocystis is a single-celled intestinal parasite commonly found in humans and a broad range of animals all over the world. In humans, its role in health and disease remains unsettled. The aim of our study was to investigate the distribution of Blastocystis and Blastocystis subtypes (ST) in patients with inflammatory bowel disease (IBD) and control subjects. A total of 71 stool samples were collected from IBD patients, 69 and 2 of whom had ulcerative colitis (UC) and Crohn’s Disease (CD), respectively. Moreover, 166 stool samples from healthy subjects were included as control samples. All stool samples were cultivated, and 550-bp fragments of the small subunit ribosomal RNA gene was amplified from Blastocystis-positive cultures. All PCR-positive samples were sequenced. Blastocystis was observed in 9 (12.67%) and 35 (21.1%) IBD patients and healthy controls, respectively. There was no statistically significant correlation between IBD and presence of Blastocystis (P = 0.147). There was a statistically significant correlation between age and Blastocystis colonization in the IBD group (P < 0.05), but not among healthy controls. No significant correlation between gender and colonization was observed. ST1 and ST3 were obtained from 1 (12.5%) and 7 (87.5%) IBD patients, respectively, while in the healthy control group, subtypes 1, 2, and 3 were found in 14 (40%), 12 (34.28%), and 9 (25.72%), respectively. Phylogenetic analysis showed no variation in the distribution of subtypes nor intra-subtype genetic diversity between samples acquired from IBD patients and healthy controls. This study showed a trend towards a lower prevalence of Blastocystis in IBD patients than in control subjects. ST3 sequences isolated from IBD patients and control individuals did not appear to differ genetically.
Literature
3.
go back to reference Duda A, Kosik-Bogacka D, Lanocha N, Szymanski S (2014) Blastocystis hominis—parasites or commensals? Ann Acad Med Stetin 60(1):23–28PubMed Duda A, Kosik-Bogacka D, Lanocha N, Szymanski S (2014) Blastocystis hominis—parasites or commensals? Ann Acad Med Stetin 60(1):23–28PubMed
8.
go back to reference Poulsen CS, Efunshile AM, Nelson JA, Stensvold CR (2016) Epidemiological aspects of Blastocystis colonization in children in Ilero, Nigeria. Am J Trop Med Hyg 95(1):175–179. doi:10.4269/ajtmh.16-0074 Poulsen CS, Efunshile AM, Nelson JA, Stensvold CR (2016) Epidemiological aspects of Blastocystis colonization in children in Ilero, Nigeria. Am J Trop Med Hyg 95(1):175–179. doi:10.​4269/​ajtmh.​16-0074
12.
go back to reference Fleta Zaragozano J, Clavel Parrilla A, Castillo Garcia FJ, Bueno Lozano M, Sarria Chueca A (1993) Blastocystis hominis and abdominal pain in childhood. An Esp Pediatr 38(1):13–16PubMed Fleta Zaragozano J, Clavel Parrilla A, Castillo Garcia FJ, Bueno Lozano M, Sarria Chueca A (1993) Blastocystis hominis and abdominal pain in childhood. An Esp Pediatr 38(1):13–16PubMed
15.
go back to reference Kick G, Rueff F, Przybilla B (2002) Palmoplantar pruritus subsiding after Blastocystis hominis eradication. Acta Dermatol Venereol 82(1):60CrossRef Kick G, Rueff F, Przybilla B (2002) Palmoplantar pruritus subsiding after Blastocystis hominis eradication. Acta Dermatol Venereol 82(1):60CrossRef
18.
go back to reference Micheloud D, Jensen J, Fernandez-Cruz E, Carbone J (2007) Chronic angioedema and blastocystis hominis infection. Revist Gastroenterol del Peru [Article in Spanish] 27(2):191–193 Micheloud D, Jensen J, Fernandez-Cruz E, Carbone J (2007) Chronic angioedema and blastocystis hominis infection. Revist Gastroenterol del Peru [Article in Spanish] 27(2):191–193
21.
go back to reference Ko JK, Auyeung KK (2014) Inflammatory bowel disease: etiology, pathogenesis and current therapy. Curr Pharm Des 20(7):1082–1096PubMedCrossRef Ko JK, Auyeung KK (2014) Inflammatory bowel disease: etiology, pathogenesis and current therapy. Curr Pharm Des 20(7):1082–1096PubMedCrossRef
22.
go back to reference Hanauer SB (2006) Inflammatory bowel disease: epidemiology, pathogenesis, and therapeutic opportunities. Inflamm Bowel Dis 12(Suppl 1):S3–S9PubMedCrossRef Hanauer SB (2006) Inflammatory bowel disease: epidemiology, pathogenesis, and therapeutic opportunities. Inflamm Bowel Dis 12(Suppl 1):S3–S9PubMedCrossRef
26.
go back to reference Sartor RB, Mazmanian SK (2012) Intestinal microbes in inflammatory bowel diseases. Am J Gastroenterol Suppl 1(1):15–21CrossRef Sartor RB, Mazmanian SK (2012) Intestinal microbes in inflammatory bowel diseases. Am J Gastroenterol Suppl 1(1):15–21CrossRef
31.
go back to reference Mumcuoglu I, Coskun FA, Aksu N, Purnak T, Gungor C (2013) Role of Dientamoeba fragilis and Blastocystis spp. in irritable bowel syndrome. Turkiye Parazitol Derg (Turkish Society for Parasitology) 37(2):73–77. doi:10.5152/tpd.2013.19 CrossRef Mumcuoglu I, Coskun FA, Aksu N, Purnak T, Gungor C (2013) Role of Dientamoeba fragilis and Blastocystis spp. in irritable bowel syndrome. Turkiye Parazitol Derg (Turkish Society for Parasitology) 37(2):73–77. doi:10.​5152/​tpd.​2013.​19 CrossRef
32.
go back to reference Surangsrirat S, Thamrongwittawatpong L, Piyaniran W et al (2010) Assessment of the association between Blastocystis infection and irritable bowel syndrome. J Med Assoc Thai 93(Suppl 6):S119–S124PubMed Surangsrirat S, Thamrongwittawatpong L, Piyaniran W et al (2010) Assessment of the association between Blastocystis infection and irritable bowel syndrome. J Med Assoc Thai 93(Suppl 6):S119–S124PubMed
34.
go back to reference Dogruman-Al F, Kustimur S, Yoshikawa H et al (2009) Blastocystis subtypes in irritable bowel syndrome and inflammatory bowel disease in Ankara, Turkey. Mem Inst Oswaldo Cruz 104(5):724–727PubMedCrossRef Dogruman-Al F, Kustimur S, Yoshikawa H et al (2009) Blastocystis subtypes in irritable bowel syndrome and inflammatory bowel disease in Ankara, Turkey. Mem Inst Oswaldo Cruz 104(5):724–727PubMedCrossRef
36.
go back to reference Jalallou N, Iravani S, Rezaeian M, Alinaghizade A, Mirjalali H (2017) Subtypes distribution and frequency of Blastocystis sp., isolated from diarrheic and non-diarrheic patients. Iran J Parasitol 12(1):63–68PubMedPubMedCentral Jalallou N, Iravani S, Rezaeian M, Alinaghizade A, Mirjalali H (2017) Subtypes distribution and frequency of Blastocystis sp., isolated from diarrheic and non-diarrheic patients. Iran J Parasitol 12(1):63–68PubMedPubMedCentral
37.
go back to reference Alinaghizade A, Mirjalali H, Mohebali M, Stensvold CR, Rezaeian M (2017) Inter- and intra-subtype variation of Blastocystis subtypes isolated from diarrheic and non-diarrheic patients in Iran. Infect Gen Evol 50:77–82. doi:10.1016/j.meegid.2017.02.016 Alinaghizade A, Mirjalali H, Mohebali M, Stensvold CR, Rezaeian M (2017) Inter- and intra-subtype variation of Blastocystis subtypes isolated from diarrheic and non-diarrheic patients in Iran. Infect Gen Evol 50:77–82. doi:10.​1016/​j.​meegid.​2017.​02.​016
38.
go back to reference Lanuza MD, Carbajal JA, Villar J, Borras R (1997) Description of an improved method for Blastocystis hominis culture and axenization. Parasitol Res 83(1):60–63PubMedCrossRef Lanuza MD, Carbajal JA, Villar J, Borras R (1997) Description of an improved method for Blastocystis hominis culture and axenization. Parasitol Res 83(1):60–63PubMedCrossRef
39.
go back to reference Bohm-Gloning B, Knobloch J, Walderich B (1997) Five subgroups of Blastocystis hominis from symptomatic and asymptomatic patients revealed by restriction site analysis of PCR-amplified 16S-like rDNA. Trop Med Int Health 2(8):771–778PubMedCrossRef Bohm-Gloning B, Knobloch J, Walderich B (1997) Five subgroups of Blastocystis hominis from symptomatic and asymptomatic patients revealed by restriction site analysis of PCR-amplified 16S-like rDNA. Trop Med Int Health 2(8):771–778PubMedCrossRef
47.
48.
go back to reference Nagel R, Traub RJ, Kwan MM, Bielefeldt-Ohmann H (2015) Blastocystis specific serum immunoglobulin in patients with irritable bowel syndrome (IBS) versus healthy controls. Parasite Vector 8(1):453. doi:10.1186/s13071-015-1069-x CrossRef Nagel R, Traub RJ, Kwan MM, Bielefeldt-Ohmann H (2015) Blastocystis specific serum immunoglobulin in patients with irritable bowel syndrome (IBS) versus healthy controls. Parasite Vector 8(1):453. doi:10.​1186/​s13071-015-1069-x CrossRef
49.
go back to reference Yamamoto-Furusho JK, Torijano-Carrera E (2010) Intestinal protozoa infections among patients with ulcerative colitis: prevalence and impact on clinical disease course. Digestion 82(1):18–23. doi:10.1159/000273871 PubMedCrossRef Yamamoto-Furusho JK, Torijano-Carrera E (2010) Intestinal protozoa infections among patients with ulcerative colitis: prevalence and impact on clinical disease course. Digestion 82(1):18–23. doi:10.​1159/​000273871 PubMedCrossRef
54.
go back to reference Badparva E, Sadraee J, Kheirandish F, Frouzandeh M (2014) Genetic diversity of human Blastocystis isolates in khorramabad, central iran. Iran J Parasitol 9(1):44–49PubMedPubMedCentral Badparva E, Sadraee J, Kheirandish F, Frouzandeh M (2014) Genetic diversity of human Blastocystis isolates in khorramabad, central iran. Iran J Parasitol 9(1):44–49PubMedPubMedCentral
61.
62.
go back to reference Mattiucci S, Crisafi B, Gabrielli S, Paoletti M, Cancrini G (2015) Molecular epidemiology and genetic diversity of Blastocystis infection in humans in Italy. Epidemiol Infect 1-12. doi:10.1017/S0950268815001697 Mattiucci S, Crisafi B, Gabrielli S, Paoletti M, Cancrini G (2015) Molecular epidemiology and genetic diversity of Blastocystis infection in humans in Italy. Epidemiol Infect 1-12. doi:10.​1017/​S095026881500169​7
64.
go back to reference Wu Z, Mirza H, Tan KS (2014) Intra-subtype variation in enteroadhesion accounts for differences in epithelial barrier disruption and is associated with metronidazole resistance in Blastocystis subtype-7. PLoS Neglected Trop Dis 8(5):e2885. doi:10.1371/journal.pntd.0002885 CrossRef Wu Z, Mirza H, Tan KS (2014) Intra-subtype variation in enteroadhesion accounts for differences in epithelial barrier disruption and is associated with metronidazole resistance in Blastocystis subtype-7. PLoS Neglected Trop Dis 8(5):e2885. doi:10.​1371/​journal.​pntd.​0002885 CrossRef
73.
go back to reference Scanlan PD, Stensvold CR, Rajilic-Stojanovic M et al (2014) The microbial eukaryote Blastocystis is a prevalent and diverse member of the healthy human gut microbiota. FEMS Microbiol Ecol 90(1):326–330. doi:10.1111/1574-6941.12396 PubMedCrossRef Scanlan PD, Stensvold CR, Rajilic-Stojanovic M et al (2014) The microbial eukaryote Blastocystis is a prevalent and diverse member of the healthy human gut microbiota. FEMS Microbiol Ecol 90(1):326–330. doi:10.​1111/​1574-6941.​12396 PubMedCrossRef
74.
go back to reference Andersen LO, Bonde I, Nielsen HB, Stensvold CR (2015) A retrospective metagenomics approach to studying Blastocystis. FEMS Microbiol Ecol 91(7). doi:10.1093/femsec/fiv072 Andersen LO, Bonde I, Nielsen HB, Stensvold CR (2015) A retrospective metagenomics approach to studying Blastocystis. FEMS Microbiol Ecol 91(7). doi:10.​1093/​femsec/​fiv072
75.
go back to reference Rook GA (2010) 99th Dahlem conference on infection, inflammation and chronic inflammatory disorders: Darwinian medicine and the ‘hygiene’ or‘old friends’ hypothesis. Clin Exp Immunol 160(1):70–79PubMedPubMedCentralCrossRef Rook GA (2010) 99th Dahlem conference on infection, inflammation and chronic inflammatory disorders: Darwinian medicine and the ‘hygiene’ or‘old friends’ hypothesis. Clin Exp Immunol 160(1):70–79PubMedPubMedCentralCrossRef
76.
go back to reference Rook GA (2011) Hygiene and other early childhood influences on the subsequent function of the immune system. Dig Dis (Basel, Switzerland) 29(2):144–153. doi:10.1159/000323877 CrossRef Rook GA (2011) Hygiene and other early childhood influences on the subsequent function of the immune system. Dig Dis (Basel, Switzerland) 29(2):144–153. doi:10.​1159/​000323877 CrossRef
Metadata
Title
Distribution and phylogenetic analysis of Blastocystis sp. subtypes isolated from IBD patients and healthy individuals in Iran
Authors
H. Mirjalali
M. R. Abbasi
N. Naderi
Z. Hasani
E. S. Mirsamadi
C. R. Stensvold
H. Balaii
H. Asadzadeh Aghdaei
M. R. Zali
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Clinical Microbiology & Infectious Diseases / Issue 12/2017
Print ISSN: 0934-9723
Electronic ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-017-3065-x

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