Geophagy and parasitic infections in pregnant women attending an ante-natal care clinic in Thika Hospital, Kiambu County, Kenya

Background: Geophagy, a regular and deliberate habit of eating non-food substances is practiced  worldwide and in sub-Saharan Africa. Pregnant women and children commonly eat soil. Soil consumption exposes one to the risk of consuming eggs of  soil-transmitted intestinal parasites, which may cause severe health consequences for pregnant women and children.Objective: Determine the association between geophagy and parasitic infections in pregnant women attending Thika Level 5 Hospital.Design: Cross sectional hospital based study.Setting: Ante-natal care clinic at Thika Level-5 Hospital.Subjects: Four hundred and ten pregnant women.Results: Twenty six point one percent of the studied women practiced geophagy, majority of whom did it occasionally. Ninety two point five percent preferred soil purchased from market places. Eleven percent of the study women examined were infected with Entamoeba histolytica (8.8%), Trichuris trichiura (1%), Ascaris lumbricoides (1%), Schistosoma mansoni (0.7%), and Strongyloides stercoralis (0.2%). None of the five intestinal parasites detected were however, associated with geophagy, P>0.05. Nevertheless, only the E. histolytica infection (8.4%) was found in women who practised geophagy. Gestation period was associated with E. histolytica infection, p=0.049. Those who ate soil from the garden were more likely to have E. histolytica infection, p=0.026.Closely associated to geophagy were education at   p=0.009, feeding problems at p=0.000 and history of practising geophagyat p=0.000.Conclusion: While geophagy was not associated with parasitic infections in pregnant women, geophagy was found to have a significant association with education, history of geophagy and the feeding problems. Besides, pregnancy trimester and the source of soil were found to beassociated with E. histolytica  infection

Intestical polyparasitism in a rural Kenyan community

Background: Polyparasitism seems to be a common feature in human populations in sub-Saharan Africa. However, very little is known about its epidemiological significance, its long term impact on human health or the types of interactions that occur between the different parasite species involved.Objectives: To determine the prevalence and co-occurrence of intestinal parasites in a rural community in the Kibwezi, Makueni district, Kenya.Design: A cross sectional study.Setting: Kiteng’ei village, Kibwezi, Makueni district, between May and September 2006.Subjects: One thousand and forty five who comprised of 263 adult males, 271 adult females> 15 years of age and 232 boys, and 279 girls < 15 years of age.Interventions: All infected members of the community were offered Praziquantel (at dosages of 40 mg/ kg body weight) for Schistosomiasis and Albendazole (600 mg) for soil transmitted helminths.Results: A total of ten intestinal parasite species (five protozoan and five helminth parasite species) were present in this community and polyparasitsm was common in individuals 5- 24 years of age with no gendar related differences. Most of the infections were mild. The protozoan parasites of public health significance present were Entamoeba histolytica and Giardia lamblia with prevalence of 12.6% and 4.2%, respectively. The helminth parasites of public health significance in the locality were Schistosoma mansoni with a prevalence of 28%, and hookworms prevalence of 10%. About 53% of the study population harboured intestinal parasite infections, with 31 % of the infected population carrying single parasite species infections, and 22% harbouring two or more intestinal parasite species per individual. Significant positive associations (p value

Molecular characterisation of echinococcus granulosus species/strains in human infections from Turkana, Kenya

Background: Cystic echinococcosis (CE) or hydatid disease is a neglected, economically important zoonotic disease endemic in pastoralist communities, in particular the Turkana community of Kenya. It is caused by the larval stage of the highly diverse species complex of Echinococcus granulosus sensu lato (s.l). The situation on the genetic diversity in humans in Kenya is not well established.Objective: To characterise Echinococcus granulosus (s.l) species/strains isolated from humans undergoing surgery in Turkana, Kenya.Design: A Cross sectional study.Setting: The Kakuma Mission Hospital and Centre for Microbiology Research, Kenya Medical Research InstituteSubjects: Eighty (80) parasite samples from 26 subjects were analysed by Polymerase chain reaction – Restriction fragment length polymorphism (PCR-RFLP) targeting the nad 1 gene for molecular characterizationResults: Two different genotypes of E. granulosus were identified from the samples analysed: E. granulosus sensu stricto (G1-G3) 85% of the samples analysed and E. canadensis G6/7 (15%). Most of the hydatid cysts (35%) were isolated from the liver. Other sites where cysts were isolated from include: kidney, abdomen, omentum, retroperitonium and the submandibular. Majority of cysts presented as CE1 (50%) and CE3B (42%) images according to WHO ultrasound classification. Both males and females were infected with E. granulosus s.s but only the females showed infection with E. canadensis G6/7. Chi-square test revealed significant difference between age of individuals and cysts classification by ultrasound. In addition, there was an association between cyst presentation (single or multiple) and genotype whereby all the E. canadensis G6/7 cases presented as single cysts in the infected persons.Conclusion: This study corroborates previous reports that E. canadensis G6/7 strain is present in Turkana, a place where initially only E. granulosus s.s (G1-G3) was known to be present and that E. granulosis (G1-G3) remains the most widespread genotype infecting humans in the Turkana community

Role of the Endogenous Antioxidant System in the Protection of Schistosoma mansoni Primary Sporocysts against Exogenous Oxidative Stress

Antioxidants produced by the parasite Schistosoma mansoni are believed to be involved in the maintenance of cellular redox balance, thus contributing to larval survival in their intermediate snail host, Biomphalaria glabrata. Here, we focused on specific antioxidant enzymes, including glutathione-S-transferases 26 and 28 (GST26 and 28), glutathione peroxidase (GPx), peroxiredoxin 1 and 2 (Prx1 and 2) and Cu/Zn superoxide dismutase (SOD), known to be involved in cellular redox reactions, in an attempt to evaluate their endogenous antioxidant function in the early-developing primary sporocyst stage of S. mansoni. Previously we demonstrated a specific and consistent RNA interference (RNAi)-mediated knockdown of GST26 and 28, Prx1 and 2, and GPx transcripts, and an unexpected elevation of SOD transcripts in sporocysts treated with gene-specific double-stranded (ds)RNA. In the present followup study, in vitro transforming sporocysts were exposed to dsRNAs for GST26 and 28, combined Prx1/2, GPx, SOD or green-fluorescent protein (GFP, control) for 7 days in culture, followed by assessment of the effects of specific dsRNA treatments on protein levels using semi-quantitative Western blot analysis (GST26, Prx1/2 only), and larval susceptibility to exogenous oxidative stress in in vitro killing assays. Significant decreases (80% and 50%) in immunoreactive GST26 and Prx1/2, respectively, were observed in sporocysts treated with specific dsRNA, compared to control larvae treated with GFP dsRNA. Sporocysts cultured with dsRNAs for GST26, GST28, Prx1/2 and GPx, but not SOD dsRNA, were significantly increased in their susceptibility to H2O2 oxidative stress (60–80% mortalities at 48 hr) compared to GFP dsRNA controls (∼18% mortality). H2O2-mediated killing was abrogated by bovine catalase, further supporting a protective role for endogenous sporocyst antioxidants. Finally, in vitro killing of S. mansoni sporocysts by hemocytes of susceptible NMRI B. glabrata snails was increased in larvae treated with Prx1/2, GST26 and GST28 dsRNA, compared to those treated with GFP or SOD dsRNAs. Results of these experiments strongly support the hypothesis that endogenous expression and regulation of larval antioxidant enzymes serve a direct role in protection against external oxidative stress, including immune-mediated cytotoxic reactions. Moreover, these findings illustrate the efficacy of a RNAi-type approach in investigating gene function in larval schistosomes

Predatory capacity of a shorefly, Ochthera chalybescens, on malaria vectors

<p>Abstract</p> <p>Background</p> <p>Since <it>Ochthera chalybescens </it>had been reported to prey on African malaria vectors, the predatory capacity of adults of this species on <it>Anopheles gambiae </it>sensu stricto was explored.</p> <p>Method</p> <p>Predatory capacity of this fly on <it>A. gambiae </it>s.s. was tested at all developmental stages, including the adult stage in the laboratory setting. Effects of water depth on its predatory capacity were also examined.</p> <p>Results</p> <p>This study revealed that <it>O. chalybescens </it>preyed on mosquitoes at all life stages except eggs. It was able to prey on an average of 9.8 to 18.8 mosquito larvae in 24 hrs. Mosquito larva size and water depth did not affect predatory capacity. However, the predacious fly preyed on significantly more 2^nd-instar larvae than on pupae when larvae and pupae were both available.</p> <p>Conclusion</p> <p><it>Ochthera chalybescens </it>is, by all indications, an important predator of African malaria vectors.</p

Quantitative High-Throughput Screen Identifies Inhibitors of the Schistosoma mansoni Redox Cascade

Schistosomiasis is a tropical disease associated with high morbidity and mortality, currently affecting over 200 million people worldwide. Praziquantel is the only drug used to treat the disease, and with its increased use the probability of developing drug resistance has grown significantly. The Schistosoma parasites can survive for up to decades in the human host due in part to a unique set of antioxidant enzymes that continuously degrade the reactive oxygen species produced by the host's innate immune response. Two principal components of this defense system have been recently identified in S. mansoni as thioredoxin/glutathione reductase (TGR) and peroxiredoxin (Prx) and as such these enzymes present attractive new targets for anti-schistosomiasis drug development. Inhibition of TGR/Prx activity was screened in a dual-enzyme format with reducing equivalents being transferred from NADPH to glutathione via a TGR-catalyzed reaction and then to hydrogen peroxide via a Prx-catalyzed step. A fully automated quantitative high-throughput (qHTS) experiment was performed against a collection of 71,028 compounds tested as 7- to 15-point concentration series at 5 µL reaction volume in 1536-well plate format. In order to generate a robust data set and to minimize the effect of compound autofluorescence, apparent reaction rates derived from a kinetic read were utilized instead of end-point measurements. Actives identified from the screen, along with previously untested analogues, were subjected to confirmatory experiments using the screening assay and subsequently against the individual targets in secondary assays. Several novel active series were identified which inhibited TGR at a range of potencies, with IC50s ranging from micromolar to the assay response limit (∼25 nM). This is, to our knowledge, the first report of a large-scale HTS to identify lead compounds for a helminthic disease, and provides a paradigm that can be used to jump-start development of novel therapeutics for other neglected tropical diseases

Corrigendum: Whole genome analysis of a schistosomiasis-transmitting freshwater snail

This corrects the article DOI: 10.1038/ncomms15451

GC-MS analysis of pesticidal essential oils from four Kenyan plants

Essential oils are complex mixtures of odours and steam volatile compounds which are deposited by plants in the subcuticular space of glandular hairs, in excretory cavities and canals or exceptionally in heart wood. Essential oils have been found to have no specific biological functions in plants, but constitute many compounds that are insect repellents or act to alter insect feeding behavior, growth and development, ecdysis (moulting) and behavior during mating and oviposition. Others possess antifungal, insecticidal and antiseptic properties. Essential oils of leaves of Tagetes minuta L. (Asteraceae), Fuerstia africana T.C.E. Friers (Labiaae), Tephrosia vogelii  Hook. f. (Leguminosae) and Sphaeranthus ukambensis were obtained by steam distillation using the Clevenger apparatus (Guenter, 1949). Compounds in the essential oils were identified by gas chromatography-mass spectrometry (GC-MS). The characteristic volatiles isolated from the four plants were identified as follows: major constituents of the essential oils from F. africana included the following: limonene (39.1%), (Z)-β-ocimene (30.5%), targetone&lt;dihydro&gt; (26.2%),  E -targetone (59%), λ-terpinene (26.2 %), peripitenone 23.7%, ocimene allo (22.8%) and Z-targetone (100%). The compounds with the highest relative abundance value in the essential oils included Z-targetone, E-targetone and (Z)-β-Ocimene. Analysis of T. minuta also revealed a number of compounds which included mycene (20.1%), verbinene (8.0%), Z-ocimenone (35.2%), E-caryophylene (25.5%), α-Humelene (11.8%), germacrene D (21.4%) and camphene (2%). The major constituent of T. minuta was Z-ocimene, caryophylene E and mycene. Essential oils from T. vogelii as revealed by the GC-MS analysis were pinene α (32.7%), limonene (35.1%), copaene α (22.9%), β -elemene (36.7%), Z-nerolidol (77.7%), δ-cadinene  (67.6%), α humelene (69.6%) and -4-α-ol-(β)copaene (65.7%). The highest proportion of the essential oils constituted Z- nerolidol  δ-cadinene, α-humelene and 4-α-ol-β. Copaene. The compounds in essential oils obtained from S. ukambensis were α-copaene (23.8%), β-bourbonene (25.5%), α-gurjunene (14.3%), cymene&lt;2, 5-dimethoxy-para (87.7%), α -humelene (100%), λ- muurolene (17.9%), λ-cadinene (77.3%), caryophylene oxide (54.7%) and δ-cadinene (61.9%). The major compounds contained in essential oils from S. ukambensis were α-humele, λ-cadinene, δ-cadinene and cymene&lt;2, 5-dimethoxy-para.  The compounds which were  common in the four test plants included: α-pinene, α-humele, ocimene allo and (E) β-ocimene. Each of the test plant secreted essential oils constituting numerous volatiles known to exhibit acaricidal, insecticidal and/or arthropod repellent properties. These plants may be useful sources of compounds for use in the control of arthropods of medical, veterinary and agricultural importance.Key words: Essential oils, GC-MS, Tagetes minuta, F. africana, T. vogelii, S. ukambensis