Mahmoud Nada R, Younis Azza I, Zalat Rabab S, Soliman Ahmed S A, Khater Mona M
Medical Parasitology Department, Kasr Al-Ainy, Faculty of Medicine, Cairo University, Giza, Egypt.
Parasitology Department, Theodor Bilharz Research Institute, Imbaba, Giza Egypt.
J Parasit Dis. 2024 Dec;48(4):849-859. doi: 10.1007/s12639-024-01713-y. Epub 2024 Aug 7.
The present study was designed to assess the possible effects of platelet rich plasma (PRP) when used individually and in combination with nitazoxanide (NTZ) on experimental () infection. It was conducted on 100 male albino mice, laboratory bred in Theodore Bilharz Research Institute. Starting from the 7th day post infection (p.i), therapeutics were given to immunosuppressed infected mice, which were divided as follows; oral NTZ treated group (0.2 mg/g/day for 6 consecutive days), six-PRP-treated groups (0.5 μl/g/week) to be administered intravenously (IV) in 1st, 2nd, 3rd week as PRP alone in (3 groups) and combined with oral NTZ (0.2 mg/g/day for 6 consecutive days) in (3 groups). Parasitological, histopathological and immunohistochemical assessments of therapeutics under study were done. Fecal pellets collected from groups at different intervals were stained using modified Ziehl-Neelsen and examined under microscope. Among PRP-treated groups, the highest significant percentage of oocyst reduction (89.96%) was observed in the group received 3 doses of PRP in combination with NTZ on the 35th day post infection. Likewise, the histopathological examination of small intestinal tissue sections showed improvement in villous architecture with mild to moderate stunting and moderate inflammatory infiltrates in lamina propria. Immunohistochemical staining of small intestinal tissue sections showed moderate increase in the expression of TGF-β1. Therefore, PRP can be a novel strategy in the treatment of cryptosporidiosis particularly when combined with NTZ.
本研究旨在评估富血小板血浆(PRP)单独使用以及与硝唑尼特(NTZ)联合使用时对实验性()感染的可能影响。研究在西奥多·比尔哈兹研究所实验室饲养的100只雄性白化小鼠上进行。从感染后第7天开始,对免疫抑制的感染小鼠给予治疗,分组如下:口服NTZ治疗组(连续6天,0.2mg/g/天),六个PRP治疗组(0.5μl/g/周),在第1、2、3周静脉注射(IV),其中3组单独使用PRP,3组联合口服NTZ(连续6天,0.2mg/g/天)。对所研究的治疗方法进行了寄生虫学、组织病理学和免疫组织化学评估。在不同时间间隔从各组收集粪便颗粒,用改良齐-尼氏染色法染色并在显微镜下检查。在PRP治疗组中,感染后第35天接受3剂PRP联合NTZ治疗的组观察到最高的显著卵囊减少百分比(89.96%)。同样,小肠组织切片的组织病理学检查显示绒毛结构有所改善,有轻度至中度发育迟缓以及固有层中度炎症浸润。小肠组织切片的免疫组织化学染色显示TGF-β1表达有中度增加。因此,PRP可以成为治疗隐孢子虫病的一种新策略,特别是与NTZ联合使用时。