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Published on: November 30, 2016
[Irritable bowel syndrome: frequency and phylogenetic relationship of Blastocystis sp. from Mexican patients]
M E Ramírez-Miranda1, D E Jiménez-González, M E Rodríguez-Campa
1Hospital General Dr. Manuel Gea González, México, D. F.
Introduction:
Recent studies reported increased presence of Blastocystis in patients with Irritable Bowel Syndrome (IBS) and an etiologic role has been proposed. The pathogenic role of Blastocystis is controversial, because it is frequently found not only in individuals with enteric symptoms but also in healthy and asymptomatic subjects. Furthermore, there are few studies of blastocistosis in Mexico.
Objective:
To assess the frequency of Blastocystis sp. in IBS patients using molecular techniques and to describe its phylogenetic relationship with sequences of other countries.
Methods:
IBS patients according to Rome III criteria were enrolled. In all patients evaluations included: colonoscopies, coproparasitoscopic studies, coproculture, fecal virus screening. PCR and sequencing for Blastocystis sp. were also performed.
Results:
We recruited 11 men and 51 women with a mean age of 45.6 (SD ± 15.7) years. Eighty-six percent of the IBS patients presented a normal colonoscopy, 8% showed polyps and 6% diverticular disease. Blastocystis sp. was identified in 25% patients (all of them with normal colonoscopy), while two patients had Endolimax nana and Entamoeba histolytica/E. dispar, respectively. Phylogenetic analysis showed that major sequences of Mexican carriers clustered together with sequences of parasites from Japan and Denmark; furthermore, two sequences from IBS patients were grouped in a single cluster.
Conclusions:
Blastocystis sp. was identified in 25% of the IBS patients. Our data support the hypothesis of clonal lineages in distinct geographical areas in the world.
Insights
Blastocystis sp. was found in 25% of Irritable Bowel Syndrome (IBS) patients in Mexico. Phylogenetic analysis suggests clonal lineages of this parasite exist globally, linking Mexican strains to those in Japan and Denmark.
Area of Science:
- Medical Parasitology
- Molecular Epidemiology
- Gastroenterology
Context:
- Irritable Bowel Syndrome (IBS) is increasingly associated with Blastocystis, though its pathogenic role remains debated.
- Limited research exists on Blastocystis prevalence and phylogeny in Mexico.
Purpose:
- To determine the frequency of Blastocystis sp. in Mexican IBS patients using molecular methods.
- To analyze the phylogenetic relationships of identified Blastocystis strains with international isolates.
Summary:
- This study investigated 62 IBS patients (Rome III criteria) in Mexico, employing colonoscopies, parasitological exams, and PCR for Blastocystis sp.
- Blastocystis sp. was detected in 25% of IBS patients, all with normal colonoscopies.
- Phylogenetic analysis revealed Mexican Blastocystis sequences clustering with those from Japan and Denmark, supporting global clonal lineages.
Impact:
- Provides crucial data on Blastocystis prevalence in Mexican IBS patients.
- Contributes to understanding the global genetic diversity and clonal spread of Blastocystis.
- Informs potential diagnostic and therapeutic strategies for IBS patients with Blastocystis infections.
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