Articles

Investigation of Possible Correlation between Giardia duodenalis Genotypes and Clinical Symptoms in Southwest of Iran

Abstract

 

Background: Giardia duodenalis is one of the most important human enteric parasites throughout the world. Clinical symptoms of this parasite vary from asymptomatic infection to chronic diarrhea. Still it is not clear, whether different types of pathogenesis are due to different strains of organism or to variable host factors. The purpose of this study was to investigate possible correlation of clin-ical symptoms with assemblages among symptomatic and asymptomatic cases collected from southwest of Iran.

Methods: Fecal samples were collected from 100 symptomatic and asympto-matic cases, which were positive for G. duodenalis. The samples were subjected to semi-nested PCR and RFLP for gdh gene.

Results: Among symptomatic patients, 54% had mixed genotypes AII and BIII, 28% and 18% of samples indicated assemblages BIII and AII, respectively. In contrast, among asymptomatic cases, 64%, 26% and 10%samples had mixed genotypes, BIII and AII assemblages, respectively. Statistical analysis using Chi- Square test showed that there was no significant correlation between assemblage and clinical symptoms in current study.

Conclusion: High prevalence of mixed infection in both groups may affect this conclusion, therefore further study in more details are necessary to clarify these finding. Additionally, it is important to carry out investigations regarding human host factors as well.

Adam RD. Biology of G. duodenalis.Clin Microbiol Rev. 2001;14:447-75.

Feng Y, Xiao L. Zoonotic Potential and Molecular Epidemiology of Giardia Species and Giardiasis. Clin Microbiol Rev. 2011; 24:110-40.

Molavi G, Mir Ahmadi H, Rezaeian M, Beigom Kia E, Daryani N, Rokni MB, Golestan B, Shafiei R, Fereshtehnejad SM, Keramati MR. Excerpts from persian medical literature. The prevalence of intestinal parasites in tribal parts of Khuzestan province. Arch Iranian Med. 2009; 12:97-9.

Thaherkhani H, Shariati S, Abdolahi N, Roshandel G. Clinical manifectations of giardiasis in Iran. J Clin Diag Res. 2009; 3:1418-26.

Farthing MJ. The molecular pathogenesis of giardiasis. J Pediatr Gastroenterol Nutr. 1997; 24:79-88.

Thampson RCA. Giardiasis as a re-emerging infectious disease and its zoonotic potential. Int J Parasitol. 2000; 30:1259-67.

Aucott J. Nelson text book of pediatrics. 14th ed. WB Sanunders Co; 1996.

Thompson RCA, Monis PT. Variation in Giardia Implication for taxonomy and epidemiology. Adv Parasitol. 2004; 58:69-137.

Thompson RCA. The zoonotic significance and molecular epidemiology of Giardia and giardiasis. Vet Parasitol. 2004; 126:15 - 35.

Lasek-Nesselquist E, Welch DM, Sogin ML. The identification of a new G. duodenalis assemblage in marine vertebrates and a preliminary analysis of G. duodenalis population biology in marine systems.Int J Parasitol. 2010; 40:1063-74.

Monis PT, Andrews RH, Mayrhofer G, Ey PL. Molecular systematics of the parasitic protozoan Giardia intestinalis. Mol Biol Evol. 1999; 16:1135-44.

Monis PT, Mayrhofer G, Andrews RH, Homan WL, Limper L, Ey PL. Molecular genetic analysis of Giardia intestinalis isolates at the glutamate dehydrogenase locus. Parasitol. 1996; 112:1-12.

Read CM, Monis PT, Thompson CA. Discrimination of all genotypes of G. duodenalis at the glutamate dehydrogenase locus PCR-RFLP. Infect Genet Evol. 2004; 4:125-30.

14- Homan W, Mank T. Human giardiasis: genotype linked differences in clinical symptomatology. Int J Parasitol. 2001; 31:822-26.

Mohammed Mahdy AK, Surin J, Wan KL, Mohd-Adnan A, Al-Mekhlafi MS, Lim YA..Giardia intestinalis genotypes: Risk factors and correlation with clinical symptoms. Acta Trop. 2009; 112:67-70.

Read CM, Walters J, Robertson ID, Thompson RCA. Correlation between genotype of G. duodenalis and diarrhoea. Int J Parasitol. 2002; 32: 229-31.

Aydin AF, Bessirbellioglu BA, Avci IS, Tanykuksel M, Araz E, Pahsa A. Classification of G. duodenalis parasites in Turkey into Group A and B using restriction fragment length polymorphism. Diag Microbiol Infect Dis. 2004; 50:147-51.

Haque R, Roy S, Kabir M, Stroup SE, Mondal D, Houpt ER.Giardia assemblage A infectionand diarrhea in Bangladesh. J Infect Dis. 2005; 192: 2171-73.

Cordon PG, Saldon OCP, Vasquezas V F, Soto JR, Bordes LS, Moreno MS, Rosales MJ. Prevalence of enteroparasites and genotyping of G. duodenalis in Peruvian children. Parasitol Res. 2008; 103:459-65.

Kohli A, Bushin OY, Pinkerton RC, Houpt E, Newman RD, Sears CL, Lima AA,Guerrant RL.G. duodenalis assemblage, Clinical presentation and markers of intestinal inflammation in Brazilian children. Trans R Soc Trop Med Hyg. 2008; 102:718-25.

Ajjampur SSR, Sankaran P, Kannan A, Sathyakumar k, Sarkar R,Gladstone B, Kang G.G. duodenalis Assemblages associated with diarrhea in children in south Indiaidentified by PCR-RFLP. Am J Trop Med. 2009; 80:16-19.

Breathnach AS, McHugh TD, Butcher, PD. Prevalence and clinical correlations of genetic subtypes of G. duodenalis in an urban setting. Epidemiol Infect. 2010;138: 1459-67.

Garcia LS. Diagnostic Medical Parasitology.5th ed. Washington DC. American Society for Microbiology Press; 2007.

Barazesh A, Majidi J, Fallah E, Ghazanchaii A. Camparison of three different methods for concentration and purification of Giardia cyst. Yafte J. 2006; 8: 71-6.

Babaei Z, Oormazdi H, Akhlaghi L, Rezaie S, Razmjou E, Soltani-Arabshahi SK, Meamar AR, Hadighi R. Molecular characterization of the Iranian isolated of Giardia lamblia: application of the glutamate dehydrogenase gene. Iranian J Publ Health. 2008; 37:75-82.

Etemadi S, Zia-Ali N, Babaei Z, Fasihi-Harandi M, Zia-Ali A, Salari Z, Kamyabi H. The Correlation between Clinical Signs and Genotypes of G. duodenalis Isolated from Patients with Giardiasis in Kerman City. J Kerman Univ Med Sci. 2011;18:330-38.

Hatam-Nahavandi k, Fallah E, Asgharzadeh M, Mirsamadi N, Mahdavipour B. Glutamate dehyrogenase and triose-phosphate-isomerase coding genes for detection and genetic cheracterization of Giardia lamblia in human feces by PCR and PCR-RFLP. Turk J Med Sci. 2011; 41:283-89.

Sarkari B, Ashrafmansori A, Hatam GR, Motazedian MH, Asgari Q, Mohammadpour I. Genotyping of Giardia lamblia isolates from human in southern Iran. Trop Biomed. 2012; 29: 366–71.

Roointan ES, Rafiei A, Samarbaf-Zadeh AR, Shayesteh AA, Shamsizadeh A, Pourmahdi Borujeni M. Molecular identification of Giardia lamblia isolates from adult human cases in southwest of Iran. African J Biotech. 2013; 12: 901-6.

Ivanov AI. Giardia and Giardiasis. Bulg J Vet Med. 2011; 13:65-80.

Sahagun J, Clavel A, Goni P, Seral C, Llorente MT, Castillo FJ. Correlation between the presence of symptoms and the G. duodenalis genotype. Eur J Clin Microbiol Infect Dis. 2008; 27:81-3.

Hamdan AM. Genotypes of Giardia intestinalis clinical isolates of gastrointestinal symptomatic and asymptomatic Saudi childern. Parasitol Res. 2011; 108:1375-81.

Pelayo L, Nunez F, Rojas L, Furuseth E, Gjerde B, Wilke H, Mulder B, Robertson L.Giardia infection in Cuban childern: the genotypes circulating in a rural population. Ann Trop Med Parasitol. 2008; 102: 585-95.

Gelanew T, Lalle M, Hailu A, Pozio E, Caccio SM. Molecular characterization of human isolates of G. duodenalis from Ethiopia. Acta Trop. 2007; 102: 92-9.

Amar CF, Dear PH, Pedraza-Diaz S, Looker N, Linnane E, McLauchlin J. Sensitive PCR-restriction fragment length polymorphism assay for detection and genotyping of G. duodenalis in human feces. J Clin Microbiol. 2002; 40: 446-52.

Guy RA, Xiao C, Horgen PA. Real-time PCR assay for detection and genotype differentiation of G. duodenalis in stool specimens. J Clin Microbiol. 2004; 42: 3317-20.

Yason J, Rivera W. Genotyping of G. duodenalis isolates among residents of slum area in Manila, Philippines. Parasitol Res. 2007; 101: 681-87.

Singh A, Janaki L, Petri WA, Houpt ER.Giardia intestinalis assemblages A and B infections in Nepal. Am J Trop Med Hyg. 2009; 81:538-39.

Tungtrongchitr A, Sookrung N, Indrawattana N, Kwangsi S, Ongrotchanaku J, Cjaicumpa W. Giardia intestinalis in Thailand: identification of genotypes. J Health Popul Nutr. 2010; 28: 42-52.

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IssueVol 8 No 3 (2013) QRcode
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Keywords
Giardia duodenalis Glutamate dehydrogenase (gdh) Iran PCR-RFLP Semi-nested PCR

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1.
Rafiei A, Roointan ES, Samarbafzadeh AR, Shayesteh AA, Shamsizadeh A, Pourmahdi Borujeni M. Investigation of Possible Correlation between Giardia duodenalis Genotypes and Clinical Symptoms in Southwest of Iran. Iran J Parasitol. 1;8(3):389-395.