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Enterocytozoon bieneusi in human and animals, focus on laboratory identification and molecular epidemiology
1Unité INSERM 511, Faculté de Médecine, France. marc.thellier@psl.aphp.fr
Abstract:
Human microsporidian infections have emerged following the onset of the AIDS pandemic. Microsporidia are unicellular eukaryotic parasites that form spores. They are an exceptionally diverse group of parasites that infect a wide range of eukaryotic cells in numerous invertebrate and vertebrate hosts. Of the 14 species newly described as pathogens in human, Enterocytozoon bieneusi, which causes gastrointestinal diseases, is the most common agent of human infections. In the past fifteen years, E. bieneusi was also identified in environmental sources, especially in surface water, as well as in wild, domestic and farm animals. These findings raised concerns for waterborne, foodborne and zoonotic transmission. Molecular analyses of the 243-bp internal Transcribed spacer-(ITS) of the rRNA gene have revealed a considerable genetic variation within E. bieneusi isolates of human and animal origins, supporting the potential for zoonotic transmission. The focus of this revue is to present and discuss recent advances in diagnosis and zoonotic potential of E. bieneusi infections.
Insights
Human microsporidian infections, particularly Enterocytozoon bieneusi, are a growing concern. Genetic analysis reveals significant variation, supporting potential zoonotic transmission of this gastrointestinal parasite.
Area of Science:
- Microbiology
- Parasitology
- Infectious Diseases
Background:
- Human microsporidian infections have increased since the AIDS pandemic.
- Enterocytozoon bieneusi (E. bieneusi) is the most common cause of human microsporidiosis, leading to gastrointestinal illness.
- E. bieneusi has been detected in environmental and animal sources, suggesting multiple transmission routes.
Purpose of the Study:
- To review recent advancements in the diagnosis of E. bieneusi infections.
- To discuss the zoonotic potential of E. bieneusi, highlighting transmission pathways.
- To explore the genetic diversity of E. bieneusi isolates from various hosts.
Main Methods:
- Review of recent scientific literature on E. bieneusi.
- Analysis of molecular data, specifically the internal transcribed spacer (ITS) region of the rRNA gene.
- Epidemiological data from human, animal, and environmental E. bieneusi isolates.
Main Results:
- E. bieneusi is a significant human pathogen, especially in immunocompromised individuals.
- Genetic variability within the ITS region of E. bieneusi suggests interspecies transmission.
- Environmental and animal reservoirs indicate potential for waterborne, foodborne, and zoonotic transmission.
Conclusions:
- Accurate diagnosis of E. bieneusi is crucial for patient management.
- The zoonotic potential of E. bieneusi warrants further investigation and public health measures.
- Understanding E. bieneusi transmission dynamics is essential for preventing infections.
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