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1.
Exp Parasitol ; 258: 108720, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38367945

RESUMO

Human toxocariasis is a parasitic anthropozoonosis that is difficult to treat and control. A previous study carried out with Lactobacillus acidophilus ATCC 4356 revealed that the cell free supernatant (CFS) of this probiotic killed 100% of Toxocara canis larvae in vitro. The present study aimed to investigate the characteristics of the CFS of L. acidophilus ATCC 4356, which may be involved in its larvicidal effects on T. canis. L. acidophilus ATCC 4356 was cultured, and lactic and acetic acids present in the CFS were quantified by high performance liquid chromatography (HPLC). The levels of pH and H2O2 were also analyzed. To assess the larvicidal effect of the CFS, this was tested pure and diluted (1:2 to 1:128) on T. canis larvae. High concentrations of lactic and acetic acids were detected in the CFS. The acidity of the pure CFS was observed at pH 3.8, remaining acidic at dilutions of 1:2 to 1:16. Regarding the in vitro larvicidal effect, 100% death of T. canis larvae was observed using the pure CFS and 1:2 dilution. Based on these results, it can be inferred that the presence of higher concentrations of organic acids and low pH of the medium contributed to the larvicidal activity of the CFS of L. acidophilus ATCC 4356. In addition, the maintenance of the larvicidal effect, even after dilution, suggests a greater chance of the larvicidal effect of this CFS against T. canis in vivo.


Assuntos
Probióticos , Toxocara canis , Toxocaríase , Animais , Humanos , Lactobacillus acidophilus/metabolismo , Peróxido de Hidrogênio/farmacologia , Toxocaríase/parasitologia , Larva , Acetatos/metabolismo , Acetatos/farmacologia
2.
Immunobiology ; 228(3): 152359, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36857908

RESUMO

Toxocariasis is an anthropozoonosis caused by the helminth Toxocara canis that shows different clinical manifestations as visceral, ocular, or neurological toxocariasis forms. Probiotics have been studied as alternatives to prevent and treat this parasitosis. Lactobacillus rhamnosus is a prospect that presents immunomodulatory activity that acts to strengthen the intestinal barrier. In this context, the main objective of this study was to evaluate the protective capacity and immunomodulatory action of the probiotic Lactobacillus rhamnosus at the level of the intestinal mucosa in different stages of T. canis infection (acute and chronic). Mice were supplemented by oral gavage with 1 × 107 UFC/mL L. rhamnosus for 15 days before inoculation with 100 embryonated eggs of T. canis. Euthanasia of mice was conducted at three different time points: 2, 15 and 30 days post-inoculation (PI). The brain, lungs and liver were collected to evaluate the intensity of infection. The small intestines were removed, and mucosal cells of the duodenum were collected to perform gene analysis of IFN-γ, IL-10, IL-4 and IL-13 by real-time polymerase chain reaction (qPCR). Jejunum and ileum segments were analysed by histological techniques. A reduction of 51% in infection intensity was observed in the tissue of supplemented animals evaluated 2 days PI; however, analysis of groups 15 and 30 days PI did not show a protective effect. The intestinal mucosa of supplemented animals presented an inflammatory process that initiated at 2 days PI, persisted at 15 days PI and had regressed at 30 days PI. IL-13 transcription was increased in the probiotic group 2 days after supplementation ended; however, the same increase was not observed in the group that was supplemented and infected. Toxocara canis modulated the local immune system, with suppression of IFN-γ at 2 days PI and increased levels of IL-4 and IL-10 at 15 days PI. These results indicate that, under the studied conditions, the protective effect of Lactobacillus rhamnosus against infection caused by T. canis is not related to IL-4, IL-10 or IFN-γ but could be influenced by IL-13 action at 2 days PI. The probiotic stimulated immune cell recruitment to the intestinal mucosa, which can be involved in the diminished capacity of larval penetration in the mucosa, resulting in the reduced infection intensity observed during acute infection.


Assuntos
Lacticaseibacillus rhamnosus , Probióticos , Toxocara canis , Toxocaríase , Animais , Camundongos , Toxocaríase/patologia , Interleucina-10 , Interleucina-4 , Interleucina-13 , Mucosa Intestinal/patologia , Imunomodulação
3.
Artigo em Inglês | MEDLINE | ID: mdl-33533812

RESUMO

Human toxocariasis consists of chronic tissue parasitosis that is difficult to treat and control. This study aimed to evaluate the action of the probiotic Lactobacillus acidophilus ATCC 4356 on larvae of Toxocara canis and the effect of IFN-γ cytokine on parasite-host in vivo (1.109 CFU) and in vitro (1.106, 1.107, 1.108, 1.109 CFU) interactions. Four groups of six BALB/c mice were formed: G1 - L. acidophilus supplementation and T. canis infection; G2 - T. canis infection; G3 - L. acidophilus supplementation; and G4 - PBS administration. Mice were intragastrically suplemented with probiotics for 15 days before inoculation and 48 h after inoculation with 100 T. canis eggs. The inoculation of T. canis was also perfomed intragastrically. The recovery of larvae took place through digestion of liver and lung tissues; the evaluation of IFN-γ gene transcription in leukocytes was performed by qPCR. The in vitro test consisted of incubating the probiotic with T. canis larvae. The supplementation of probiotics produced a reduction of 57.7% (p = 0.025) in the intensity of infection of T. canis larvae in mice, whereas in the in vitro test, there was no larvicidal effect. In addition, a decrease in the IFN-γ gene transcription was observed in both, T. canis-infected and uninfected mice, regardless of whether or not they received supplementation. The probiotic L. acidophilus ATCC 4356 reduced T. canis infection intensity in mice, however, the probiotic did not have a direct effect on larvae, demonstrating the need of interaction with the host for the beneficial effect of the probiotic to occur. Yet, the proinflammatory cytokine IFN-γ did not apparently contributed to the observed beneficial effect of probiotics.


Assuntos
Lactobacillus acidophilus/efeitos dos fármacos , Probióticos/administração & dosagem , Toxocara canis/efeitos dos fármacos , Toxocaríase/tratamento farmacológico , Toxocaríase/prevenção & controle , Animais , Lactobacillus , Larva/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos BALB C , Probióticos/farmacologia , Toxocara canis/microbiologia , Toxocara canis/fisiologia , Toxocaríase/parasitologia
4.
Parasitol Int ; 78: 102134, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32416257

RESUMO

The nematode Toxocara canis is of public health importance and is the main causative agent of toxocariasis in humans. This disease is difficult to diagnose due to several factors, including the possibility of cross-reactions with other nematodes in the ELISA. To overcome this problem, molecular tests have been recommended as an alternative to identify the parasite. The quantitative real-time polymerase chain reaction (qPCR) technique was used in this study to identify and quantify the parasite load of T. canis in the mouse brain. To this end, 24 mice were divided into six groups, five of which were challenged with different infective doses of T. canis larvae (L3) (1000, 500, 250, 100 and 50 larvae), while the sixth group, uninfected, acted as negative control. Forty-five days after infection, the animals were euthanized to collect the brain, from which two portions of 20 mg of tissue were taken for DNA extraction, while the rest of the brain tissue was digested to quantify the number of larvae by microscopy. The number of DNA copies was calculated from the standard DNA quantification curve, showing values of E = 93.4%, R2 = 0.9655 and Y = -3.415. A strong positive correlation (R = 0, 81; p < .001) was found between the number of copies and the recovery of larvae from brain. However, the parasite's DNA was also identified even in animals from whose brain no larvae were recovered after tissue digestion. The results of this study therefore confirm that the qPCR technique can be a valuable tool for the detection and quantification of T. canis DNA in murine hosts, even in animals whose with tissues contain very few parasites.


Assuntos
Encéfalo/parasitologia , DNA de Helmintos/análise , Olho/parasitologia , Carga Parasitária/métodos , Parasitologia/métodos , Reação em Cadeia da Polimerase em Tempo Real/métodos , Toxocara canis/isolamento & purificação , Animais , Feminino , Larva/crescimento & desenvolvimento , Camundongos , Carga Parasitária/instrumentação , Parasitologia/instrumentação , Toxocara canis/crescimento & desenvolvimento
5.
Parasitol Res ; 119(3): 1161-1165, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31848743

RESUMO

Probiotics have shown promising results as a potential method to control toxocariasis in mice inoculated with embryonated eggs of Toxocara canis. This study aimed to evaluate the protective effect of Saccharomyces boulardii in mice fed in natura chicken livers infected with T. canis. Twenty 15-day-old male Sussex chickens were inoculated with 300 T. canis embryonated eggs via intragastric catheter (GI). After 72 h of infection, each liver was collected and individually offered to a group of 20 mice. Mice that received supplemented ration with S. boulardii (1.107 colony forming units) and consumed in natura chicken liver showed reduction in infection intensity of 67.1%. This study demonstrated that administration of S. boulardii has potential as a probiotic to assist in controlling visceral toxocariasis caused by the consumption of viscera from paratenic hosts containing infective parasite larvae.


Assuntos
Probióticos , Saccharomyces boulardii/fisiologia , Toxocaríase/microbiologia , Toxocaríase/parasitologia , Animais , Galinhas/microbiologia , Galinhas/parasitologia , Larva/efeitos dos fármacos , Fígado/parasitologia , Masculino , Camundongos , Toxocara canis/fisiologia
6.
Braz. arch. biol. technol ; 63: e20190148, 2020. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1132220

RESUMO

Abstract Recombinant proteins are a suggested alternative for the diagnosis of toxocariasis. The current Escherichia coli recombinant protein overexpression system usually produces insoluble products. As an alternative, yeast such as Pichia pastoris have secretory mechanisms, which could diminish the cost and time for production. This study aimed to produce recombinant proteins in Pichia pastoris and verify their sensibility and specificity in an indirect ELISA assay. Two sequences (rTES-30 and rTES-120) of Toxocara canis excretory-secretory antigens were cloned in a pPICZαB vector and expressed in P. pastoris KM71H. Sera samples collected from human adults infected by Toxocara spp. were tested by indirect ELISA using rTES-30 and rTES-120 as antigens. Recombinant proteins were detected at 72 hours after induction, in the supernatant, as pure bands between 60~70 kDa with hyperglycosylation. Regarding diagnosis potential, recombinant antigens had high specificity (95.6%); however, sensitivity was 55.6% for rTES-30 and 68.9% for rTES-120. Further deglycosylation of the P. pastoris antigens did not seem to affect ELISA performance (p>0.05). The low sensitivity in the serodiagnosis diminished any advantage that P. pastoris expression could have. Therefore, we do not recommend P. pastoris recombinant TES production as an alternative for the diagnosis of toxocariasis.


Assuntos
Humanos , Pichia/imunologia , Proteínas Recombinantes/sangue , Toxocaríase/diagnóstico , Testes Imunológicos , Ensaio de Imunoadsorção Enzimática , Sensibilidade e Especificidade
7.
PLoS One ; 14(3): e0213830, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30870519

RESUMO

Toxocariasis is a zoonotic disease that affects humans and animals alike. Although recombinant proteins are widely used for its diagnosis in humans, their performance in companion and production animals remains unknown. This study aimed to investigate the serodiagnostic potential of the recombinant proteins rTES-30 and rTES-120 from Toxocara canis in an indirect ELISA for cattle, horses, and sheep. Serum samples collected from the animals were tested with indirect ELISA and Western Blotting using T. canis TES-30 and TES-120 recombinant proteins produced in Escherichia coli, as well as native-TES. In the ELISA, rTES-30 showed high serodiagnostic potential in sheep and horses (92.6% and 85.2%, respectively), while the sensitivity of rTES-120 was higher in cattle and horses (97.2% and 92.6%, respectively). Furthermore, a highly positive association was observed between native and recombinant proteins in seropositive samples, while a moderately positive association was observed in seronegative samples, probably due to the lower specificity of native TES. In conclusion, our study indicates that the use of recombinant proteins in an indirect ELISA is an effective tool for the serodiagnosis of toxocariasis in animals, with the choice of protein being species-dependent.


Assuntos
Proteínas de Helminto/imunologia , Proteínas Recombinantes/imunologia , Testes Sorológicos/métodos , Toxocara canis/imunologia , Toxocaríase/diagnóstico , Animais , Bovinos , Feminino , Cavalos , Masculino , Ovinos , Toxocaríase/imunologia , Toxocaríase/parasitologia
8.
PLoS One ; 13(12): e0208991, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30543696

RESUMO

Toxocariasis is a neglected zoonosis that affects children and adults. Recombinant proteins have been widely investigated for diagnosis, achieving high sensitivity and specificity in an overall population; however, little is known about age as a factor in its application. This study aims to investigate the diagnostic potential of Toxocara canis TES-30 and TES-120 recombinant proteins in humans, differentiating between its performance in children and adults. Serum samples collected from children and adults seropositive to Toxocara spp. were tested with indirect ELISA using T. canis TES-30 and TES-120 recombinant proteins produced in Escherichia coli. While rTES-30 sensitivity was not affected by age (81.8% in children and 87% in adults), rTES-120 sensitivity severely decreased in children to only 63.6%, down from 95.7% in adults. Furthermore, the sensitivity of rTES-30 increased to 97.8% after Western blotting confirmation. High specificity (>94%) against other geohelminths was reported for both recombinant proteins. Our study favors the use of rTES-30 with total IgG as the primary antibody in an indirect ELISA assay as a tool for epidemiological human studies.


Assuntos
Proteínas Recombinantes/metabolismo , Testes Sorológicos/métodos , Toxocara , Adulto , Animais , Criança , Pré-Escolar , Custos e Análise de Custo , Humanos , Lactente , Prognóstico , Sensibilidade e Especificidade , Testes Sorológicos/economia , Fatores de Tempo
9.
Acta Trop ; 187: 51-56, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30053384

RESUMO

The main etiological agent of toxocariasis is the helminth Toxocara canis. Several difficulties are found in the diagnosis of this disease, because of nonspecific clinical signs and possible cross-reactions that may occur in the available test, the indirect ELISA. Therefore, molecular diagnosis has been indicated as an alternative to conventional diagnosis. The purpose of this study was to evaluate the polymerase chain reaction (PCR) technique for the identification of T. canis in tissues of experimentally infected mice. To this end, nine mice were inoculated with 1500 embryonated eggs and were divided into two groups, the first euthanized 48 h (G1) and the other 30 days post inoculation (G2). Lungs, brain, liver and blood were collected from all the animals for DNA Extraction and tissue digestion, also was collected blood samples for DNA extraction and ELISA test (serum). Toxocara canis DNA was identified in all the inoculated animals using the ITS-2 target gene. The PCR test successfully identified the parasite in the brain, lung and liver of the animals euthanized 48 h PI and 30 days PI. This technique yielded good results in the identification of the parasite in the brain, being more sensitive than the method for the recovery of larvae, in the group with acute infection (48 h PI). The infection was confirmed by PCR within 48 h after infection, while the ELISA indicated serological conversion occurred only 14 days after inoculation. This study demonstrates the ability of PCR to identify T. canis in the liver, lungs and brain during acute and chronic infection.


Assuntos
DNA/isolamento & purificação , Larva/imunologia , Toxocara canis/genética , Toxocara canis/imunologia , Toxocaríase/diagnóstico , Toxocaríase/imunologia , Animais , Ensaio de Imunoadsorção Enzimática , Camundongos
10.
Parasite Immunol ; 40(8): e12568, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29938803

RESUMO

AIM: While the use of recombinant antigens is being widely investigated in the diagnosis of human toxocariasis, relatively little attention has been given to animal diagnostic models. For this reason, this study aimed to investigate the diagnosis potential of Toxocara canis TES-30 and TES-120 recombinant antigens in mice, the animal model for toxocariasis studies. METHODS AND RESULTS: Serum samples obtained from mice infected with T. canis or Toxocara cati were tested by indirect ELISA using T. canis TES-30 and TES-120 recombinant antigens produced in Escherichia coli. 90% of the samples reacted with rTES-30, whereas there was almost no reactivity with rTES-120. CONCLUSION: Despite rTES-120 being a good antigen for diagnosis in humans, it could not reproduce its reactivity in this animal model. As rTES-30 has good reactivity in mice, it is a valuable tool for diagnosis.


Assuntos
Antígenos de Helmintos/imunologia , Proteínas de Helminto/imunologia , Toxocara canis/imunologia , Toxocaríase/parasitologia , Animais , Modelos Animais de Doenças , Ensaio de Imunoadsorção Enzimática , Escherichia coli/genética , Escherichia coli/metabolismo , Feminino , Humanos , Camundongos , Proteínas Recombinantes , Toxocaríase/imunologia
11.
Parasitol Res ; 117(2): 597-602, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29243027

RESUMO

Human toxocariasis is a neglected global parasitic zoonosis. The efficacy of drug treatment for this disease has been hindered by the biological complexity of the main etiological agent, the nematode Toxocara canis. Experimental studies have shown the potential of probiotics to promote a reduction in the parasite load of T. canis larvae. This study aimed to evaluate the effect of probiotic Lactobacillus rhamnosus ATCC 7469 on the parasite load of BALB/c mice with acute toxocariasis and evaluate the direct effect of this probiotic on T. canis larvae in vitro. In vivo administration of probiotics reduced the parasite load of T. canis larvae by 53.3% (p = 0.0018) during the early stage of infection in mice. However, when analyzed in vitro, it was observed that the probiotic did not present a deleterious effect on the larvae, as approximately 90% of these remained viable. These results demonstrate the potential of the probiotic L. rhamnosus in the reduction of T. canis larvae in BALB/c mice and suggest it could be used as an alternative means for the controlling of visceral toxocariasis. However, further studies are required to elucidate the mechanisms of action promoted by this probiotic.


Assuntos
Lacticaseibacillus rhamnosus/fisiologia , Probióticos/administração & dosagem , Toxocara canis/efeitos dos fármacos , Toxocaríase/tratamento farmacológico , Animais , Humanos , Larva/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos BALB C , Carga Parasitária , Toxocara canis/microbiologia , Toxocara canis/fisiologia , Toxocaríase/parasitologia , Zoonoses/tratamento farmacológico , Zoonoses/parasitologia
12.
PLoS One ; 12(3): e0173604, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28346531

RESUMO

BACKGROUND: Trichomoniasis is the most prevalent non-viral sexually transmitted disease (STD) in the world; however, it remains a neglected parasitic disease. This study aimed to determine the prevalence of trichomoniasis and its associated epidemiological factors among women treated at a hospital in southern Brazil. METHODOLOGY/PRINCIPAL FINDINGS: A cross-sectional study was performed to determine the prevalence of this infection in women treated at Hospital Universitário (HU) in Rio Grande, Rio Grande do Sul, Brazil, between January 2012 and January 2015. This study consisted a self-administered questionnaire regarding demographic, clinical, and behavioural data and a molecular diagnosis with polymerase chain reaction (PCR) using the TVK3/7 primer set, which was confirmed with sequence analysis. Of the 345 women surveyed, the overall prevalence of Trichomonas vaginalis (T. vaginalis) was 4.1% (14/345). The prevalence rates were 5.9% among pregnant women, 8.5% among HIV-positive women, and 10.1% among HIV-positive pregnant women. The rates for groups with other significant demographic and clinical features were as follows: 6.6% among women with white skin, 12.3% among women with an income below the minimum monthly wage, 7.4% among women with a vaginal pH greater than or equal to 4.6, and 7.9% among women with a comorbid STD. The multivariate analysis confirmed that pregnant women who were HIV-positive (p = 0.001) and had low incomes (p = 0.026) were the most likely to have this infection. CONCLUSIONS: A multivariate analysis confirmed that HIV-positive pregnant women with low incomes were the participants most likely to have trichomoniasis. These results are important because this Brazilian region presents a high prevalence of HIV-1 subtype C, which is associated with greater transmissibility. Additionally, low family income reveals a socioeconomic fragility that might favour the transmission of this STD.


Assuntos
Infecções por HIV/epidemiologia , HIV-1/isolamento & purificação , Complicações Infecciosas na Gravidez/epidemiologia , Vaginite por Trichomonas/epidemiologia , Trichomonas vaginalis/isolamento & purificação , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Infecções por HIV/complicações , Infecções por HIV/diagnóstico , Hospitais Universitários , Humanos , Gravidez , Complicações Infecciosas na Gravidez/diagnóstico , Prevalência , Fatores de Risco , Vaginite por Trichomonas/complicações , Vaginite por Trichomonas/diagnóstico , Adulto Jovem
13.
Acta Trop ; 170: 43-47, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28188768

RESUMO

Toxocariasis is a neglected and geographically widespread parasitic disease. The detection of specific antibodies associated with this disease is required to confirm its clinical diagnosis and to aid in prevention. Although helminth infection during pregnancy can promote foetal immune responses with long-term effects, specific information regarding the risk of Toxocara spp. infection to the human foetus during pregnancy is lacking. Therefore, the present study aimed to investigate the frequency of antibodies against Toxocara spp. in umbilical cord serum samples to determine the neonatal risk factors associated with Toxocara spp. infection. A cross-sectional study of the frequency of specific antibodies against Toxocara spp. was performed on umbilical cord samples of 280 neonates. A cord blood sample was obtained from each newborn after parturition, and serum samples were examined by enzyme-linked immunoassay. Epidemiological data were obtained through a questionnaire regarding obstetric history (abortion history, premature birthhistory, and pregnancy and birth numbers), general aspects (animal contact anddiet) and socio-economic factors. The frequency of anti-Toxocara spp. IgG antibodies in the umbilical cords of neonates was 20% in serum pre-adsorbed with Ascaris spp. antigen. Family income and dog ownership were considered risk factors associated with infection. No association was found between reproductive disorders and Toxocara seropositivity. The 20% frequency rate of anti-Toxocara spp. IgG antibodies in sera from umbilical cords of newborns can be related to IgG binding at the maternal-foetal interface, requiring greater care during pregnancy. Anti-Toxocara IgM and IgE antibodies no were found in umbilical cord serum samples, indicating that no vertical transmission of these parasites occurred in this population. Studies regarding antibodies against Toxocara spp. in umbilical cord sera are important for determining neonatal exposure to these parasites.


Assuntos
Anticorpos Anti-Helmínticos/sangue , Toxocara/imunologia , Toxocaríase/epidemiologia , Cordão Umbilical/imunologia , Animais , Anticorpos Anti-Idiotípicos/sangue , Ascaris/imunologia , Brasil/epidemiologia , Estudos Transversais , Cães , Feminino , Hospitais Universitários , Humanos , Recém-Nascido , Animais de Estimação , Gravidez , Fatores de Risco , Estudos Soroepidemiológicos , Fatores Socioeconômicos
14.
Rev Bras Ginecol Obstet ; 38(11): 538-544, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27907933

RESUMO

Introduction Toxoplasmosis a parasitic zoonosis of global distribution, responsible for disorders during gestation can cause fetal death or congenital anomalies. Objective To evaluate the knowledge of toxoplasmosis among pregnant and postpartum women treated at the University Hospital of the city of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a cross-sectional study of 100 pregnant and postpartum women at the University Hospital. Participants answered a self-administered questionnaire and gave consent for data relating to serological examinations to be abstracted from their medical records. Results The proportion of women who received information about toxoplasmosis was higher among those who received care in the private health care system (52.9%) than among those cared for in the public health care system (25.0%). Only 55.7% of women reported having some knowledge about toxoplasmosis. Of these, 53.7% received information during the prenatal period. However, most participants were unable to answer questions about preventive measures and modes of infection. Of the 100 patients in the study, only 46 underwent serologic testing for toxoplasmosis, 65.2% of whom tested negative (IgG). Conclusion Findings from this study are relevant to the training of health professionals regarding toxoplasmosis education and prevention. Improved education for health care providers and patients can lead to earlier diagnoses and reductions in adverse outcomes.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Complicações Infecciosas na Gravidez , Toxoplasmose , Adolescente , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Período Pós-Parto , Gravidez , Autorrelato , Adulto Jovem
15.
Rev. bras. ginecol. obstet ; 38(11): 538-544, Nov. 2016. tab
Artigo em Inglês | LILACS | ID: biblio-843876

RESUMO

Abstract Introduction Toxoplasmosis a parasitic zoonosis of global distribution, responsible for disorders during gestation can cause fetal death or congenital anomalies. Objective To evaluate the knowledge of toxoplasmosis among pregnant and postpartum women treated at the University Hospital of the city of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a cross-sectional study of 100 pregnant and postpartum women at the University Hospital. Participants answered a self-administered questionnaire and gave consent for data relating to serological examinations to be abstracted from their medical records. Results The proportion of women who received information about toxoplasmosis was higher among those who received care in the private health care system (52.9%) than among those cared for in the public health care system (25.0%). Only 55.7% of women reported having some knowledge about toxoplasmosis. Of these, 53.7% received information during the prenatal period. However, most participants were unable to answer questions about preventive measures and modes of infection. Of the 100 patients in the study, only 46 underwent serologic testing for toxoplasmosis, 65.2% of whom tested negative (IgG). Conclusion Findings from this study are relevant to the training of health professionals regarding toxoplasmosis education and prevention. Improved education for health care providers and patients can lead to earlier diagnoses and reductions in adverse outcomes.


Resumo Introdução A toxoplasmose é um parasita zoonose com distribuic¸ão global, responsável por enfermidades durante a gestac¸ão que podem causar o óbito do feto ou anomalias congênitas. Objetivo Avaliar o conhecimento sobre toxoplasmose das gestantes e puérperas atendidas no Hospital Universitário da cidade de Rio Grande, Rio Grande do Sul, Brasil. Método Estudo transversal sobre o conhecimento de 100 gestantes/puérperas no Hospital Universitário. A participação do sujeito da pesquisa consistiu em responder a um questionário autoaplicável e em autorizar o acesso ao seu prontuário e à sua carteira de pré-natal, nos quais foram pesquisados dados referentes aos exames sorológicos realizados. Resultados O percentual de mulheres que receberam informações sobre toxoplasmose foi maior nas atendidas no sistema de saúde privado (52,9%). Somente 55,7% afirmaram ter algum conhecimento sobre a toxoplasmose. Destas, 53,7% receberam informação durante o pré-natal. Entretanto, a maioria das participantes não soube responder sobre as medidas preventivas e formas de infecção da toxoplasmose. Das 100 pacientes, apenas 46 realizaram o teste sorológico para toxoplasmose, e destas, 65,2% apresentaram resultado negativo. Conclusões Comisso, torna-se relevante o incentivo à educação em saúde dentro das instituições em todos os momentos do pré-natal, e a capacitação dos profissionais frente às gestantes e puérperas acerca da toxoplasmose, abrangendo desde a educação em saúde até a realização do diagnóstico precoce.


Assuntos
Humanos , Feminino , Gravidez , Adolescente , Adulto , Adulto Jovem , Conhecimentos, Atitudes e Prática em Saúde , Complicações Infecciosas na Gravidez , Toxoplasmose , Brasil , Estudos Transversais , Período Pós-Parto , Autorrelato
16.
Am J Trop Med Hyg ; 95(6): 1428-1431, 2016 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-27698276

RESUMO

Human toxocariasis is a neglected parasitic disease worldwide. Researchers studying this disease use infectious strains of Toxocara for experiments. Health workers are at risk in the course of their daily routine and must adhere to biosafety standards while carrying out the activities. Researchers on biosafety concerning working with these parasites are insufficient. The aim of this study was to determine the rate of seroprevalence of Toxocara species among health-care research laboratory workers (professors, technicians, and students), and to investigate the risk factors of Toxocara infection associated with laboratory practices. This cross-sectional study involved 74 researchers at two federal universities in southern Brazil from February 2014 to February 2015; 29 researchers manipulated infective strains of Toxocara canis (test group) and 45 did not (control group). Serum samples were examined using enzyme-linked immunosorbent assay. Epidemiological data were obtained via a questionnaire containing information about laboratory routine, eating behavior, and contact with dogs. The seroprevalence of anti-T. canis IgG was 14.9% (11/74; 13.8% [4/29] in the test group and 15.6% [7/45] in the control group). Most individuals in the test group correctly understood the primary mode of infection; however, 13.8% did not use gloves while manipulating T. canis eggs. Knowledge of biosafety must be well understood by health-care professionals doing laboratory work with biological agents. To our knowledge, this is the first study to investigate the rate of seroprevalence of IgG against Toxocara spp. among professionals and students who handle infective forms of the nematode T. canis.


Assuntos
Técnicas de Laboratório Clínico/normas , Laboratórios/normas , Toxocaríase/diagnóstico , Toxocaríase/epidemiologia , Animais , Brasil/epidemiologia , Técnicas de Laboratório Clínico/métodos , Estudos Transversais , Humanos , Imunoglobulina G/sangue , Doenças Negligenciadas , Prevalência , Fatores de Risco , Toxocara canis/imunologia
17.
J Asthma ; 53(6): 601-6, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27104477

RESUMO

OBJECTIVE: The objective of this study is to investigate the association between anti-Toxocara IgG seropositivity and asthma in children. METHODS: This was a case-control study conducted in a university hospital in south Brazil between May 2012 and June 2013. Were recruited 208 children up to 12 years old of whom 156 had asthma (cases) and 52 did not have asthma (controls), with a case-control ratio of 3:1 matched by age. Children's parents or guardians were interviewed using a structured questionnaire with closed questions. Serology was performed using enzyme-linked immunosorbent assay (ELISA) with excretory-secretory antigen of Toxocara canis (TES). RESULTS: The seroprevalence of IgG anti-T. canis antibodies was 12.8% in the cases and 7.7% in the controls. There was no significant association between seropositivity to T. canis and risk of asthma (adjusted odds ratio [OR]: 1.89, 95% CI: 0.52 to 6.89, p = 0.33). Household income < 2 minimum salaries, paternal school years < 9, allergic rhinitis in children, a positive family history of asthma and rhinitis and contact with cats were significantly associated with asthma, with adjusted ORs (95% CIs) of 3.05 (1.21 to 7.73), 2.83 (1.11 to 7.18), 10.5 (4.32 to 25.6), 2.65 (1.14 to 6.17), 2.49 (1.07 to 5.78) and 2.73 (1.03 to 7.27), respectively. CONCLUSIONS: This study did not find a statistically significant association between seropositivity to Toxocara sp. and risk of asthma in children. Low family income, low paternal education level, concomitant allergic rhinitis, family history of asthma and allergic rhinitis and contact with cats were independent factors associated with childhood asthma.


Assuntos
Asma/epidemiologia , Imunoglobulina G/sangue , Toxocara/imunologia , Toxocaríase/epidemiologia , Toxocaríase/imunologia , Animais , Anticorpos Anti-Helmínticos/sangue , Brasil/epidemiologia , Estudos de Casos e Controles , Gatos , Criança , Pré-Escolar , Cães , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Lactente , Masculino , Rinite Alérgica/epidemiologia , Fatores de Risco , Estudos Soroepidemiológicos , Fatores Socioeconômicos , Toxocaríase/transmissão
18.
Bioorg Med Chem Lett ; 26(3): 739-741, 2016 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-26783180

RESUMO

Considering the therapeutic potential of fatty acid amides, the present study aimed to evaluate their in vitro activity against Toxocara canis larvae and their cytotoxicity for the first time. Linoleylpyrrolidilamide was the most potent, with a minimal larvicidal concentration (MLC) of 0.05 mg/mL and 27% cytotoxicity against murine peritoneal macrophages C57BL/6 mice, as assessed by the MTT assay.


Assuntos
Amidas/química , Amidas/farmacologia , Antiprotozoários/química , Antiprotozoários/farmacologia , Ácidos Graxos/química , Toxocara canis/efeitos dos fármacos , Animais , Larva/efeitos dos fármacos , Macrófagos/efeitos dos fármacos , Macrófagos/metabolismo , Macrófagos/parasitologia , Camundongos , Camundongos Endogâmicos C57BL , Toxocara canis/crescimento & desenvolvimento
19.
Rev Inst Med Trop Sao Paulo ; 57(3): 197-204, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26200958

RESUMO

Anthelmintics used for intestinal helminthiasis treatment are generally effective; however, their effectiveness in tissue parasitosis (i.e. visceral toxocariasis) is moderate. The aim of this study was to evaluate the in vitro activity of lapachol, ß-lapachone and phenazines in relation to the viability of Toxocara canis larvae. A concentration of 2 mg/mL (in duplicate) of the compounds was tested using microculture plates containing Toxocara canis larvae in an RPMI-1640 environment, incubated at 37 °C in 5% CO2 tension for 48 hours. In the 2 mg/mL concentration, four phenazines, lapachol and three of its derivatives presented a larvicide/larvistatic activity of 100%. Then, the minimum larvicide/larvistatic concentration (MLC) test was conducted. The compounds that presented the best results were nor-lapachol (MLC, 1 mg/mL), lapachol (MLC 0.5 mg/mL), ß-lapachone, and ß-C-allyl-lawsone (MLC, 0.25 mg/mL). The larvae exposed to the compounds, at best MLC with 100% in vitro activity larvicide, were inoculated into healthy BALB/c mice and were not capable of causing infection, confirming the larvicide potential in vitro of these compounds.


Assuntos
Anti-Helmínticos/farmacologia , Naftoquinonas/farmacologia , Toxocara canis/efeitos dos fármacos , Animais , Feminino , Larva/efeitos dos fármacos , Larva/crescimento & desenvolvimento , Camundongos , Camundongos Endogâmicos BALB C , Testes de Sensibilidade Parasitária
20.
PLoS One ; 10(7): e0131058, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26146833

RESUMO

BACKGROUND: Human toxocariasis is a parasitic zoonosis with a worldwide distribution but is underdiagnosed with an underestimated impact on human health. The ingestion of embryonated eggs of Toxocara spp. present on the hands or in contaminated food or water is the main mode of infection. The only record of Toxocara congenital infection in humans occurred in a premature infant. Helminth infections during pregnancy may be associated with reproductive disorders. Studies investigating the occurrence of toxocariasis in pregnancy are scarce, as is research on the possible implications of these parasites in reproductive health. The aim of this study was to determine the seroprevalence of antibodies to Toxocara spp. in pregnant women and to identify risk factors associated with its infection. METHODOLOGY/PRINCIPAL FINDINGS: The cross-sectional study of the seropositivity of specific antibodies for Toxocara spp. was performed on 280 pregnant women. Serum samples were examined with enzyme-linked immunoassay. Epidemiological data were obtained through a questionnaire containing information about obstetric history, general life style choices, and the social and economic status of the women. The prevalence of Toxocara spp. IgG in pregnant women was 6.4%. Some of the risk factors associated with the infection were owning dogs (p = 0.003), living in the city centre (p = 0.028), living at the city beach (p = 0.003), and having a family income at or below minimum wage (p < 0.001). There was no association between reproductive disorders and Toxocara seropositivity. CONCLUSIONS/SIGNIFICANCE: The seroprevalence of 6.4% for Toxocara spp. in pregnant women shows that there was exposure to the parasite. The study demonstrates the need for attention for the completion of clinical diagnosis parameters, as well as the expansion of highly specific serological studies in different regions to understand the impact of toxocariasis in pregnancy.


Assuntos
Anticorpos Anti-Helmínticos/sangue , Complicações Infecciosas na Gravidez/epidemiologia , Toxocara/imunologia , Toxocaríase/epidemiologia , Adolescente , Adulto , Animais , Praias , Brasil/epidemiologia , Doenças do Cão/parasitologia , Cães , Exposição Ambiental , Feminino , Hospitais Universitários/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Pobreza , Gravidez , Complicações Infecciosas na Gravidez/sangue , Complicações Infecciosas na Gravidez/diagnóstico , Fatores de Risco , Estudos Soroepidemiológicos , Fatores Socioeconômicos , Inquéritos e Questionários , Toxocaríase/sangue , Toxocaríase/diagnóstico , População Urbana , Adulto Jovem , Zoonoses
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