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Published on: August 10, 2022
Subtype distribution of Blastocystis isolates identified in a Sydney population and pathogenic potential of
T Roberts1, D Stark, J Harkness
1Department of Microbiology, SydPath, St. Vincent's Hospital, Victoria St., Darlinghurst, 2010 NSW, Australia. troberts@stvincents.com.au
Abstract:
Blastocystis is one of the most common enteric parasites present in humans. There is still much uncertainty about the pathogenic potential of this parasite, and it was suggested that its pathogenicity could be subtype-related. This report aimed to study 98 Blastocystis isolates found in human stool specimens to identify the subtypes present and carry out phylogenetic analysis on these isolates. This study also aimed to show the relationship between subtype and symptoms. Five-hundred and thirteen stool samples were submitted to five different diagnostic techniques for the detection of Blastocystis. Polymerase chain reaction (PCR)-positive samples were then sequenced and the small subunit (SSU) rDNA sequences were aligned and submitted to phylogenetic analysis. Ninety-eight samples were positive by any of the diagnostic methods for Blastocystis and 96 were positive by PCR. There were seven different subtypes (1, 2, 3, 4, 6, 7 and 8) identified by PCR and sequencing. This is the first large-scale study to examine the occurrence of Blastocystis in Australia. This study reports the high incidence of subtype 3 (44 %) in this population and discusses the emerging idea of subtype-dependent pathogenicity.
Insights
This study identified seven Blastocystis subtypes in Australian stool samples, finding subtype 3 to be most common. The research explores the link between Blastocystis subtypes and potential disease symptoms.
Area of Science:
- Medical Parasitology
- Molecular Biology
- Public Health
Background:
- Blastocystis is a common human enteric parasite with uncertain pathogenicity.
- Pathogenicity may be linked to specific Blastocystis subtypes.
- Understanding subtype distribution is crucial for assessing health impacts.
Purpose of the Study:
- To identify Blastocystis subtypes in Australian human stool samples.
- To perform phylogenetic analysis of Blastocystis isolates.
- To investigate the relationship between Blastocystis subtypes and clinical symptoms.
Main Methods:
- Screening 513 stool samples using five diagnostic techniques.
- Detection and subtyping of Blastocystis using Polymerase Chain Reaction (PCR) and sequencing of small subunit (SSU) ribosomal DNA (rDNA).
- Phylogenetic analysis of sequenced isolates.
Main Results:
- Ninety-eight Blastocystis isolates were identified from 513 samples.
- Seven subtypes (1, 2, 3, 4, 6, 7, and 8) were detected.
- Subtype 3 was the most prevalent, found in 44% of isolates.
Conclusions:
- This is the first large-scale study of Blastocystis subtypes in Australia.
- High prevalence of subtype 3 suggests potential public health significance.
- Further research is needed to confirm subtype-dependent pathogenicity and clinical correlations.
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