Molecular Identification and Genotyping of Blastocystis Spp. In Children with Clinical Symptoms in Southeast Iran

H Mirahmadi1,2, M Rahmati-Balaghaleh1,2, E Darabi3

  • 1Infectious Disease and Tropical Medicine Research Center, Research Institute of Cellular and Molecular Sciences in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, Iran.

Archives of Razi Institute
|September 15, 2025
PubMed

Insights

Blastocystis spp. parasites were found in 8.33% of children with diarrhea in Zahedan, Iran. Four subtypes (1, 2, 3, and 5) were identified, highlighting the zoonotic potential of Blastocystis infections.

Area of Science:

  • Medical Parasitology
  • Molecular Epidemiology
  • Infectious Diseases

Background:

  • Blastocystis spp. is a common zoonotic parasite found in the human and animal gut.
  • It is frequently observed in individuals with close animal contact.
  • Understanding its prevalence and genotypes is crucial for public health, especially in regions like Southeast Iran.

Purpose of the Study:

  • To determine the prevalence of Blastocystis spp. in children experiencing diarrhea in Zahedan, Iran.
  • To identify the specific genotypes of Blastocystis spp. circulating in this pediatric population.
  • To provide insights into the potential zoonotic transmission routes.

Main Methods:

  • A cross-sectional study involving 60 children under ten with gastrointestinal symptoms.
  • Diagnosis using direct stool microscopy and Polymerase Chain Reaction (PCR) targeting the small subunit ribosomal RNA (SSU rRNA) gene.
  • Sequencing of PCR products, followed by bioinformatic analysis (BLAST, CLC genomics, MEGA7) for genotyping and phylogenetic analysis.

Main Results:

  • Blastocystis spp. was detected in 5 out of 60 children (8.33%) via microscopy and PCR.
  • PCR identified a 479 bp fragment in the SSU-rRNA gene.
  • Four subtypes (ST1, ST2, ST3, and ST5) were identified, with high nucleotide identity (93-100%) to reference sequences.

Conclusions:

  • Blastocystis spp. is present in children with diarrhea in Zahedan, Iran.
  • The identification of zoonotic subtypes (ST3 and ST5) suggests potential transmission from animals.
  • Epidemiological surveillance and understanding parasite dynamics are key for controlling Blastocystis infections.

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