In vitro activity of Piper sarmentosum ethanol leaf extract against Toxoplasma gondii tachyzoites

Purpose: To evaluate the activity of the ethanol leaf extract of Piper sarmentosum against toxoplasmosis.Methods: An in vitro anti-Toxoplasma study was conducted using Vero cells as a host for T. gondii. Clindamycin used as the reference drug. Light microscopy technique was used to study the in situ antiparasitic activity of T. gondii. Non-toxic concentrations of the ethanol extract for Vero cells were determined by methyl thiazolyl tetrazolium (MTT) cell proliferation. The presence of Toxoplasma gondii was observed by Giemsa staining.Results: The results showed that significant (p < 0.05) anti-toxoplasma activity of the ethanol extract, though lower than that of clindamycin (control drug), was achieved, with half-maximal inhibitory concentration (IC50) of 12.4 and 7.2 μg/mL for the extract and reference drug, respectively. After 24 hours of exposure to the extract, the inoculated Vero cells showed lower parasitemia and no remarkable morphological changes.Conclusion: The findings demonstrate that the ethanol extract of P. sarmentosum leaves are active against toxoplasmosis in vitro. However, further studies are required to determine the therapeutic significance of these findings in vivo.Keywords: Toxoplasma gondii, Piper sarmentosum, Vero cell, Toxoplasmosis, Antiparasiti

Prevalence and predictors of intestinal worm infections among Semai Aboriginal Tribe School Children in Tapah, Malaysia

Introduction: Worm infection is one of the major global public health problems especially among rural communities. Objectives: to determine the prevalence of intestinal worm infection and factors associated among Semai Aboriginal children aged between 6 to 13 years in Tapah, Malaysia. Methods: A cross-sectional study design was used in this study. The estimated sample size was 508. Data was collected using a validated pretested questionnaire. Faecal samples were also examined. Data was analysed using SPSS version 22. Results: The response rate was 80.9%. The overall mean age of the 411 respondents was 10.1 years(95% CI = 9.89, 10.22). Majority (71.5%) were poor. Prevalence of intestinal worm infections was 60.8% and 57.2% had multiple infections. The multiple logistic regression analysis showed that those with poor hygiene practices were 2.18 times the odds of worm infection when compared with children with good hygiene practices (95% CI = 1.4, 3.4). Similarly, poor attitudes towards prevention of worm infection increased the odds of having worm infection by 1.62 times among Orang Asli children. Children living without toilets had 2.45 times higher odds as compared with those who had proper toilets. Absence of river near by these areas where there is no safe water supply also increases the risk of worm infection among children by 1.84 times among Orang Asli children. Conclusions: the prevalence of worm infection is still very high among rural Aboriginal community. Current control measures should be reassessed to enable introduction of effective measures to reduce the worm infection among Orang Asli children

In vitro activity of Piper sarmentosum ethanol leaf extract against Toxoplasma gondii tachyzoites

Purpose: To evaluate the activity of the ethanol leaf extract of Piper sarmentosum against toxoplasmosis. Methods: An in vitro anti-Toxoplasma study was conducted using Vero cells as a host for T. gondii. Clindamycin used as the reference drug. Light microscopy technique was used to study the in situ antiparasitic activity of T. gondii. Non-toxic concentrations of the ethanol extract for Vero cells were determined by methyl thiazolyl tetrazolium (MTT) cell proliferation. The presence of Toxoplasma gondii was observed by Giemsa staining. Results: The results showed that significant (p < 0.05) anti-toxoplasma activity of the ethanol extract, though lower than that of clindamycin (control drug), was achieved, with half-maximal inhibitory concentration (IC50) of 12.4 and 7.2 μg/mL for the extract and reference drug, respectively. After 24 hours of exposure to the extract, the inoculated Vero cells showed lower parasitemia and no remarkable morphological changes. Conclusion: The findings demonstrate that the ethanol extract of P. sarmentosum leaves are active against toxoplasmosis in vitro. However, further studies are required to determine the therapeutic significance of these findings in viv

Investigations for the possible use of a monoclonal antibody produced against strongyloides ratti antigen as an immunodiagnostic reagent for active strongyloidiasis

Background: Currently, most of the available serological diagnostic kits for strongyloidiasis are based on the use of the crude antigens of Strongyloides ratti, which are good, but with less sensitivity towards the infection. Hence, this study aimed to produce and evaluate monoclonal antibody for detecting soluble parasite antigen in animal sera. Methods: The study was conducted in the Department of Medical Microbiology and Parasitology, University Putra Malaysia in 2014-2017. Saline extract protein from the infective larvae of S. ratti was used to immunize BALB/c mice and subsequent fusion of the B-cells with myeloma cells (SP2/0) using 50% PEG. The hybridomas were cultured in HAT medium and cloned by limiting dilutions. Positive hybrids were screened by indirect ELISA. The ascites fluid from the antibody-secreting hybridoma was purified and the MAb was characterized by western-blots and evaluated in sandwich ELISA for reactivity against the homologous and heterologous antigens. Results: An IgG1 that recognizes a 30 and 34 kDa protein bands was obtained. The MAb was recognized by all S. ratti-related antigens and cross-reacted with only Toxocara canis antigens in both assays. The minimum antigen detection limit was found to be 5 ng/ml. All antibody-positive rat and dog sera evaluated have shown antigen-positive reactions in Sandwich-ELISA. Conclusion: The MAb produced, was able to detect antigens in strongyloidiasis and toxocariasis in animal models and may also be useful for the serological detection of active strongyloidiasis and visceral toxocariasis in human sera

Antiplasmodium and chloroquine resistance reversing effects of embelin against Plasmodium falciparum K1

Background: Emergence of chloroquine (CQ) resistance among different strains of Plasmodium falciparum is the worst catastrophe that has ever perplexed efforts to eradicate malaria. This behooved the scientists to search for new alternatives or sensitizers that augment its action. Method: In this experiment, the potential of embeline, a quinonoid phytochemical obtained from the Indian plant Embelia ribes, to inhibit the growth and sensitize CQ action was screened using SYBRE green-1 based drug sensitivity assay and isobologram technique respectively. Its effect on both RBCs and Vero cells stability and RBCs fragility was screened to assess its safety. To depict its molecular mechanism, its effect on hemozoin formation and the new permeation pathway (NPP) of the host RBCs membrane were screened. Furthermore, its anti-oxidant activity was measured using the conventional in vitro tests and its molecular characters were obtained using Molispiration program. Results: The results showed that its antiplasmodial effect was weaker than CQ but synergism was obtained when they were combined together. Its low anti-plasmodial potency and poor selectivity toward RBCs reduces its eligibility to be introduced as an antimalarial. Nevertheless, it synergized CQ at a concentration within the safe limit. Embelin did not produce any impact on NPP but its impact on hemozoin formation was pronounced. Its antiplasmodium effect can be attributed to the latter or to its effect on RBCs membrane but further investigations are required to detect its CQ resistance. Conclusion: Overall, embelin is not ideal to be used as antiplasmodium but can be suggested as CQ resistance reversing agent

Anti-plasmodial and chloroquine resistance suppressive effects of embelin

Background: Emergence of chloroquine (CQ) resistance among different strains of Plasmodium falciparum is the worst catastrophe that has ever perplexed the dedicated efforts to eradicate malaria. This urged the scientists to search for new alternatives or sensitizers to augment its antiplasmodium effect. Materials and Method: In this experiment, the potential of embelin, isolated from Embelia ribes, to inhibit the growth and sensitize CQ action was screened using SYBRE-green-I based drug sensitivity and isobologram assays, respectively. Its effect on red blood cells stability was screened to assess its safety. To explore its molecular mechanism, its effect on plasmodial Hemozoin and the in vitro β-hematin formation was screened as well. Furthermore, its anti-oxidant activity was measured using the conventional in vitro tests and its molecular characters were obtained using Molispiration program. Results: The results showed that its anti-plasmodial effect was weaker than CQ but synergism was obtained when they were combined at ratios lower than 5:5 CQ/embelin. Furthermore, β-hematin formation was inhibited by embelin without showing any synergism after mixing with CQ. Conclusion: Overall, embelin is not ideal to be suggested as a conventional antiplasmodium but it has a potential to ameliorate CQ resistance. Furthermore, its action is not related to its impact on hemozoin formation. Further, investigations are recommended to illustrate its detailed mechanism of action

Current trend on the economic and public health significance of Salmonellosis in Iraq

Salmonellosis is reported as one of the main cause of diarrhoeal diseases globally. The disease is also associated with enteric fever, including typhoid which is a potentially fatal systemic illness bedeviling many developing countries. The disease is estimated to affect nearly 17 million people with over 150,000 deaths occurring annually. Salmonellosis is also beginning to emerge as a foodborne infection characterized by significant economic and public health hazard with global ramifications. High prevalence of the disease is directly related to poor sanitation and hygiene, consumption and use of unsafe water, overcrowding and social unrest. A significant number of Iraqis are affected annually with a death rate of 10-20 %, mainly resulting from limited access to fresh water and improper sewage disposal into the river bodies. This review provides an overview of Salmonella infection in human and animals, with emphasis on the economic and public health burden of the disease in Iraq

In vitro antiplasmodium and chloroquine resistance reversal effects of mangostin

Aim/Background: Chloroquine (CQ) resistance that appeared among different strains of Plasmodium falciparum is considered as the worst catastrophe in the realm of malaria chemotherapy. CQ is still the most favorable drug among other antimalarials especially in the poor endemic areas due to its high potency and cost-effectiveness. This urged the scientists to explore for other alternatives or sensitizers for CQ. Materials and Methods: In this experiment, the antiplasmodium and the CQ resistance reversing effects of mangostin were tested using the in vitro SYBRE green-1-based drug sensitivity assay and the isobologram technique, respectively. Furthermore, its safety level toward two types of mammalian cells, namely Vero cells and red blood cells (RBCs), was screened using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide-based drug sensitivity and the RBCs hemolysis assays, respectively. On the other hand, its effect against hemozoin formation was screened using β-hematin formation. Meanwhile, its molecular characters were determined the in silico on-line free chemi-informatic Molinspiration software for the molecular characterization as well as the standard testes for the measurement of the antioxidant effect. Results: Mangostin was moderately effective and selective toward the plasmodium so it is unsuitable to be a substituent for CQ. But it improved the sensitivity of the parasite to CQ. The molecular elucidation suggests that its CQ resistance reversal effect can be ascribed to its ability to interfere with hemozoin formation or the intravacuolar accumulation of CQ. Conclusion: Overall, the study suggests mangostin as a possible pharmacophore to develop new CQ resistance reversing agents but further studies are recommended to confirm this notion

Interleukin-27 exhibited anti-inflammatory activity during Plasmodium berghei infection in mice

Interleukin-27 (IL-27) has a pleiotropic role either as a pro-inflammatory or anti-inflammatory cytokine in inflammatory related diseases. The role and involvement of IL-27 during malaria was investigated and the effects of modulating its release on the production of major inflammatory cytokines and the histopathological consequences in major affected organs during the infection were evaluated. Results showed that IL-27 concentration was significantly elevated throughout the infection but no positive correlation with the parasitaemia development observed. Augmentation of IL-27 significantly elevated the release of anti-inflammatory cytokine, IL-10 whereas antagonising and neutralising IL-27 produced the opposite. A significant elevation of pro-inflammatory cytokines (IFN-γ and IL-6) was also observed, both during augmentation and inhibition of IL-27. Thus, it is suggested that IL-27 exerts an anti-inflammatory activity in the Th1 type response by signalling the production of IL-10 during malaria. Histopathological examination showed sequestration of PRBC in the microvasculature of major organs in malarial mice. Other significant histopathological changes include hyperplasia and hypertrophy of the Kupffer cells in the liver, hyaline membrane formation in lung tissue, enlargement of the white and red pulp followed by the disappearance of germinal centre of the spleen, and tubular vacuolation of the kidney tissues. In conclusion, it is suggested that IL-27 may possibly acts as an anti-inflammatory cytokine during the infection. Modulation of its release produced a positive impact on inflammatory cytokine production during the infection, suggesting its potential in malaria immunotherapy, in which the host may benefit from its inhibition

The Potential of β Carbolin Alkaloids to Hinder Growth and Reverse Chloroquine Resistance in Plasmodium falciparum

Background: Nowadays, scourge of malaria as a fatalistic disease has increased due to emergence of drug resistance and tolerance among different strains of Plasmodium falciparum. Emergence of chloroquine (CQ) resistance has worsened the calamity as CQ is still considered the most efficient, safe and cost effective drug among other antimalarials. This urged the scientists to search for other alternatives or sensitizers that may be able to augment CQ action and reverse its resistance. Method: Three β-carbolin derivatives, namely, harmalin, harmol and harmalol were tested for their anti-plasmodial and CQ resistance reversal effects against P. falciparum 3D7 and K1. SYBRE Green-1 based drug sensitivity assay and isobologram analysis were used to screen the mentioned effects respectively. Results: All of them showed moderate anti-plasmodium effect and harmalin was the most effective as compared to the others in reversing CQ resistance and tolerance. Conclusion: The mentioned phytochemicals are not ideal to be used as conven­tional anti-malarials and only harmalin can be suggested to reverse CQ resistance in P. falciparum K1