[leish-l] Fwd: Articles found by RefScout for your requests
jeffreyj at usp.br
jeffreyj at usp.br
Wed Jul 28 13:41:20 BRT 2004
RefScout has given me permission to circulate the article lists that their
system finds. I hope you find them useful.
Kindest regards
Jeffrey Shaw
This is RefScout-Newsletter 31/2004
REQUEST: [ leishmaniasis ]
(20 articles match this request. 2 articles matching other requests removed)
PMID: 15271911
TITLE: Intranasal Vaccination against Cutaneous Leishmaniasis with a
Particulated Leishmanial Antigen or DNA Encoding LACK.
AUTHORS: Eduardo Fonseca Pinto, Roberta Olmo Pinheiro, Alice Rayol, Vicente
Larraga, Bartira Rossi-Bergmann
AFFILIATION: Instituto de BiofÃsica Carlos Chagas Filho, Universidade Federal
do Rio de Janeiro, 21.949-900 Rio de Janeiro-RJ, Brazil. bartira at biof.ufrj.br
REFERENCE: Infect Immun 2004 Aug 72(8):4521-7
We have previously demonstrated that oral delivery of a disease-
promoting particulated antigen of Leishmania amazonensis (LaAg)
partially protects mice against cutaneous leishmaniasis. In the present
work, we sought to optimize a mucosal vaccine by using the intranasal
route for delivery of different antigen preparations, including (i) LaAg
, (ii) soluble recombinant p36/LACK leishmanial antigen (LACK), and (iii
) plasmid DNA encoding LACK (LACK DNA). BALB/c mice that received two
intranasal doses of 10 microg of LaAg and were challenged 1 week
postvaccination with L. amazonensis developed delayed but effective
control of lesion growth. A diminished parasite burden was accompanied
by enhancement of both gamma interferon (IFN-gamma) and interleukin-10
levels in the lesion-draining lymph nodes. The vaccine efficacy improved
with time. At 4 months postvaccination, when a strong parasite-specific
TH1-type response was present in vivo, the infection was controlled for
at least 5 months after challenge. In contrast to the particulated LaAg
, soluble LACK (10 microg/dose) had no effect. Interestingly, LACK DNA (
30 microg/dose), but not empty DNA, promoted rapid and durable
protective immunity. Parasite growth was effectively controlled, and at
5 months after challenge LACK-reactive cells in both the mucosal and
lesion-draining lymph nodes produced high levels of IFN-gamma. These
results demonstrate for the first time the feasibility of using the
intranasal route for long-lived memory vaccination against cutaneous
leishmaniasis with adjuvant-free crude antigens or DNA.
PMID: 15262002
TITLE: Assessment of an optimized dog-culling program in the dynamics of canine
Leishmania transmission.
AUTHORS: Edson Duarte Moreira, Verena Maria Mendes De Souza, Meera Sreenivasan,
Eliane Góes Nascimento, Lain Pontes De Carvalho
AFFILIATION: Centro de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Rua
Waldemar Falcão 121, Salvador, Bahia CEP 40295-001, Brazil.
REFERENCE: Vet Parasitol 2004 Aug 122(4):245-52
In Brazil, zoonotic visceral leishmaniasis (ZVL) control programs based
on the mass elimination of seropositive dogs have failed to reduce the
number of leishmaniasis cases. However, these programs have been done
under sub-optimal conditions. We studied a cohort of dogs in an urban
area in Brazil to determine, whether a dog-culling program optimized
with: (i) replacement of a relatively low-sensitivity indirect immune-
fluorescent test on blood eluate by a more sensitive enzyme-linked
immunosorbent assay on serum blood samples; (ii) shortening of the time
interval from serodiagnosis to removal of dogs; (iii) screening a high
proportion of the dog population could reduce the incidence of canine
Leishmania infection (CLI). The study ran from December 1997 to July
2000, with four follow-up assessments performed at approximately 8-month
intervals. All dogs seropositive for anti-Leishmania antibodies were
promptly eliminated. A large number of new dogs immigrated to the study
area throughout the study period. They comprised 43.8-49.8% of the
cohort at each follow-up assessment, and upto 15% of them already had
Leishmania infection. Overall, 42 news cases of CLI were identified, for
a crude incidence rate of 11.8 cases per 100 dog-years (95% CI 8.6-15.6
). In the first, second, third and fourth follow-up assessments the
incidence rates were 8.2 (95% CI 3.0-17.9), 12.2 (95% CI 6.3-21.2), 16.4
(95% CI 8.5-28.6) and 13.6 (95% CI 7.1-23.8), respectively. There was
no statistically significant change in these rates throughout the study
period. Our results suggest that dog-culling programs do not reduce the
incidence of CLI, even with an optimized intervention. Possible reasons
for this failure include: currently available serologic methods lack
sufficient sensitivity and/or specificity to accurately identify all
infected dogs warranting removal in order to prevent Leishmania
transmission; destroyed dogs are immediately replaced by susceptible
puppies, and quite often, by already infected dogs; and other reservoirs
may be involved in maintaining canine infection. Further efforts on ZVL
control should be directed to developing new strategies or to testing
control methods already in place with properly designed trials.
PMID: 15271920
TITLE: Inbred Strains Derived from Feral Mice Reveal New Pathogenic Mechanisms
of Experimental Leishmaniasis Due to Leishmania major.
AUTHORS: Besma E C Babay, Hechmi Louzir, Chahnaz Kebaïer, Samir Boubaker,
Koussay Dellagi, Pierre-André Cazenave
AFFILIATION: Unité d'Immunophysiopathologie Infectieuse, CNRS URA 1961,
Institut Pasteur, 25 rue du Docteur Roux, 75724 Paris Cedex 15, France.
cazenave at pasteur.fr
REFERENCE: Infect Immun 2004 Aug 72(8):4603-11
Two inbred mouse strains, derived from feral founders, are susceptible
to experimental leishmaniasis due to Leishmania major and support a
disease of a severity intermediate between those observed in strains
C57BL/6 and BALB/c. Mice of the MAI strain develop a severe, nonhealing
, but nonfatal disease with no resistance to a secondary parasite
challenge. The immunological responses showed a TH2 dominance
characterized by an early peak of interleukin-4 (IL-4) and IL-13.
However, neutralization of IL-4, which leads to a resistance phenotype
in BALB/c mice, has no effect on disease progression in MAI mice. Mice
of strain PWK develop a protracted but self-healing disease,
characterized by a mixed TH1-plus-TH2 pattern of immune responses in
which IL-10 plays an aggravating role, and acquire resistance to a
secondary challenge. These features are close to those observed in human
cutaneous leishmaniasis due to L. major and make PWK mice a suitable
model for the human disease.
PMID: 15269771
TITLE: Transmission of cutaneous leishmaniasis by sand flies is enhanced by
regurgitation of fPPG.
AUTHORS: Matthew E Rogers, Thomas Ilg, Andrei V Nikolaev, Michael A J Ferguson,
Paul A Bates
AFFILIATION: Liverpool School of Tropical Medicine, University of Liverpool,
Pembroke Place, Liverpool L3 5QA, UK.
REFERENCE: Nature 2004 Jul 430(6998):463-7
Sand flies are the exclusive vectors of the protozoan parasite
Leishmania, but the mechanism of transmission by fly bite has not been
determined nor incorporated into experimental models of infection. In
sand flies with mature Leishmania infections the anterior midgut is
blocked by a gel of parasite origin, the promastigote secretory gel.
Here we analyse the inocula from Leishmania mexicana-infected Lutzomyia
longipalpis sand flies. Analysis revealed the size of the infectious
dose, the underlying mechanism of parasite delivery by regurgitation,
and the novel contribution made to infection by filamentous
proteophosphoglycan (fPPG), a component of promastigote secretory gel
found to accompany the parasites during transmission. Collectively these
results have important implications for understanding the relationship
between the parasite and its vector, the pathology of cutaneous
leishmaniasis in humans and also the development of effective vaccines
and drugs. These findings emphasize that to fully understand
transmission of vector-borne diseases the interaction between the
parasite, its vector and the mammalian host must be considered together.
PMID: 15263027
TITLE: Role for CD4+ CD25+ Regulatory T Cells in Reactivation of Persistent
Leishmaniasis and Control of Concomitant Immunity.
AUTHORS: Susana Mendez, Stacie K Reckling, Ciriacco A Piccirillo, David Sacks,
Yasmine Belkaid
AFFILIATION: Division of Molecular Immunology, Cincinnati Children's Hospital
Research Foundation, 3333 Burnet Ave., TCHRF 1565, Cincinnati, OH 45229.
yasmine.belkaid at cchmc.org
REFERENCE: J Exp Med 2004 Jul 200(2):201-10
Reactivation of dormant infections causes an immense burden of morbidity
and mortality in the world at large. Reactivation can occur as a result
of immunosuppression, environmental insult, or aging; however, the
cause of reactivation of such infections is often not clear. We have
previously shown that persistence of the parasite Leishmania major is
controlled by endogenous CD4(+) CD25(+) regulatory T (T reg) cells. In
this report, we show that despite efficient parasite clearance at
secondary sites of infection, Leishmania superinfection can cause
disease reactivation at the primary site. Our results strongly suggest
that T reg cells, whose numbers increase in sites of reactivation, are
directly responsible for such reactivation. Depletion of CD25(+) cells
at the time of secondary challenge prevented disease reactivation at the
site of persistent infection while strengthening the expression of
immunity at the site of secondary challenge. Finally, transfer of T reg
cells purified from infected mice into chronically infected mice was
sufficient to trigger disease reactivation and prevent the expression of
an effector memory response. Our results demonstrate that after
persistence is achieved, an equilibrium between T reg cells and effector
lymphocytes, which can be disturbed by superinfection, controls the
efficiency of recall immune responses and disease reactivation.
PMID: 15225352
TITLE: Visceral leishmaniasis caused by Leishmania infantum in a Spanish
patient
in Argentina: What is the origin of the infection? Case report.
AUTHORS: Joaquina MartÃn-Sánchez, José M Navarro-Mari, Juan Pasquau-Liaño,
Oscar D Salomón, Francisco Morillas-Márquez
AFFILIATION: Departamento de ParasitologÃa, Facultad de Farmacia, Campus
Universitario de Cartuja 18,071, Universidad de Granada, Spain.
joaquina at ugr.es
REFERENCE: BMC Infect Dis 2004 Jun 4(1):20
BACKGROUND: The question "Where have you been?" is a common one asked by
doctors in Northern Europe and America when faced with clinical
symptoms not typical of their country. This question must also arise in
the clinics of developing countries in which non-autochthonous cases
such as the one described here can appear. Important outbreaks of
Leishmania infantum have been recorded in the last decade in several
Latin American countries but its presence has not yet been recorded in
Argentina. We report the first case of visceral leishmaniasis owing to L
. infantum in this country. CASE PRESENTATION: A 71-year-old Spanish
woman who has been living in Mendoza, Argentina, during the last 40
years presented with a history of high fever and shivering, anemia,
leukopenia and splenomegaly over two years. Argentinian doctors did not
suspect visceral leishmaniasis even when the histological analysis
revealed the presence of "intracytoplasmatic spheroid particles
compatible with fungal or parasitic infection". After a serious
deterioration in her health, she was taken to Spain where she was
evaluated and visceral leishmaniasis was established. Specific
identification of the parasite was done by PCR-ELISA, isoenzyme
electrophoresis and RAPD-PCR. CONCLUSION: We would like to point out
that: i) cases such as the one described here, which appear in non-
endemic areas, can pass unnoticed by the clinical physician. ii) in
countries in which these introduced cases reside, in-depth
parasitological studies are required into vectors and possible
reservoirs to rule out the rare case of local infection and, once
infection has taken place, to ensure that this does not spread by
anthroponotic transmission or a competent reservoir.
PMID: 15266395
TITLE: Diagnosis of human visceral leishmaniasis by PCR using blood samples
spotted on filter paper.
AUTHORS: Eduardo Sergio Da Silva, Célia Maria Ferreira Gontijo, Raquel Da
Silva
Pacheco, Reginaldo Peçanha Brazil
AFFILIATION: Universidade do Estado de Minas Gerais, Fundação Educacional de
Divinópolis, Av. Paraná s/n, Campus Universitário, 35500-970 Divinópolis,
MG, Brasil biologia at funedi.edu.br
REFERENCE: Genet Mol Res 2004 Jun 3(2):251-7
The polymerase chain reaction (PCR) is a simple, rapid procedure that
has been adapted for the diagnosis of leishmaniasis. In the present
study, 85 blood samples and seven bone marrow aspirates from 85 patients
with clinical symptoms suggestive of visceral leishmaniasis from the
metropolitan region of Belo Horizonte in the Brazilian State of Minas
Gerais were screened using molecular and serological techniques. Samples
that were negative (N = 12) and positive (N = 19) in parasitological
and serological tests were used as controls. Of the 85 samples analyzed
by PCR, 61 (71.7%) showed the expected amplification products in agarose
gels. However, when the technique was combined with molecular
hybridization, 72 samples (83.5%) gave a positive signal on film.
Nineteen patients with Leishmania parasites in bone marrow cultures (
positive controls) showed PCR hybridization in whole-blood samples, as
did the seven bone marrow aspirates positive for Leishmania. None of the
negative controls reacted in PCR or in an indirect immunofluorescent
assay. These results indicate that PCR could replace the conventional
parasitological examination in the diagnosis of leishmaniasis since it
provides very satisfactory results with blood samples spotted on filter
paper.
PMID: 15270099
TITLE: The human cytokine response to Leishmania major early after exposure to
the parasite in vitro.
AUTHORS: Kathleen A Rogers, Richard G Titus
AFFILIATION: Department of Microbiology, Immunology, and Pathology, College of
Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort
Collins, Colorado 80523-1619, USA.
REFERENCE: J Parasitol 2004 Jun 90(3):557-63
Leishmaniasis is caused by the protozoan parasite Leishmania spp. In
murine leishmaniasis, a T helper cell type-I (Th1) response,
characterized by the secretion of interferon (IFN)-gamma is necessary
for clearing the infection. whereas a Th2 response, accompanied by the
production of interleukin (IL)-5, can exacerbate the disease. Moreover,
the early cytokine milieu is thought to play an important role in
determining the outcome of infection. In human leishmaniasis little is
known about this early cytokine response. Because of this, we cocultured
human peripheral blood mononuclear cells (PBMC) with Leishmania major
in vitro and measured the production of IFN-gamma, IL-5, and IL-10. We
also treated PBMC cultures with various cytokines and neutralizing
anticytokines. We found that the principal cytokine produced was IFN-
gamma and that its production was regulated by IL-10 and IL-12. In
contrast, only low levels of Th2 cytokines such as IL-5 were produced.
Therefore, the Th1-Th2 dichotomy that exists in inbred strains of mice
does not appear to apply to the response of humans to L. major. Rather,
Th2 cytokines may play a role in regulating IFN-gamma production.
PMID: 15270002
TITLE: Diversity and species composition of sand flies (Diptera: Psychodidae)
in
a Venezuelan urban focus of cutaneous leishmaniasis.
AUTHORS: E Rojas, J V Scorza, G Morales, C Morales, R Barazarte, A Torres
AFFILIATION: Universidad de Los Andes, Núcleo Universitario Rafael Rangel,
Avenida Medina Angarita, Frente al Parque Los Ilustres, Trujillo 3102 A,
Venezuela.
REFERENCE: J Am Mosq Control Assoc 2004 Jun 20(2):189-94
The present study examined the spatial and temporal abundance and
diversity of phlebotomine sand flies in an area of Venezuela that is an
ancient focus of leishmaniasis. The study was conducted in 6 stations in
urban localities in Trujillo City, located in northwestern Venezuela (9
degrees 22' 24" N, 70 degrees 26' 08" W), which is located in a
mountain range in the Andean ecoregion (altitude = 600-1,010 m). During
1995-99, entomological surveys were conducted after and before the rainy
season. Shannon light traps were operated from 1800 to 2000 h in
peridomestic site trap locations. Twelve species were captured, and
Lutzomyia youngi, L. ovallesi, L. scorzai, L. gomezi, L. lichyi, and L.
shannoni occurred at all localities in each year. The abundance of these
species showed low variation over time but high variation between
localities. The Sørensen similarity index, used to compare diversity
between years within each locality, ranged from 0.60 at Carmona to 0.84
at La Hacienda. Sand fly communities exhibited annual variation in
species richness and diversity. Variations were affected more by changes
in species abundance than by changes in species composition. Lutzomyia
ovallesi, L. lichyi, and L. scorzai had the highest coefficient of
variation between years (63, 38, and 23%, respectively).
PMID: 15258513
TITLE: [Late onset of a chronic septic granulomatous disease]
AUTHORS: M Kharfi, R Benmously, A Khaled, B Daoued, M-R Kamoun
AFFILIATION: Service de Dermatologie, Hôpital Charles Nicolle, Tunis, Tunisie.
monia.kharfi at rns.tn
REFERENCE: Ann Dermatol Venereol 2004 Apr 131(4):375-8
INTRODUCTION: Chronic septic granulomatosis is a disease characterized
by an impaired bactericidal potential of the neutrophilic polynuclear.
The cutaneous manifestations rarely reveal the disease, but are of
considerable interest in the diagnosis, notably during the late onset
forms. We report such a case. CASE REPORT: A 15 year-old girl, born of
consanguine parents, had a history of visceral leishmaniasis and hepatic
hydatidosis. For the past 3 years she had developed dermatitis lesion
on the face and skin folds, chronic folliculitis and suppurating
axillary and inguinal lymphoadenitis. The absence of a reduction in
tetrazolium nitro blue led to the diagnosis of chronic septic
granulomatosis. Prophylactic treatment stabilized the cutaneous lesions
. DISCUSSION: Chronic septic granulomatosis regroups various severe and
recurrent manifestations. Its transmission is usually X-linked recessive
or, on rare occasions, autosomal recessive. The clinical manifestations
leading to the diagnosis are often of very early onset. They are
principally pneumonia due to apergillus fumigatus and lymphoadenitis.
Cutaneous involvement, although less common, must not be neglected
because it can lead to the diagnosis of late onset forms, as in our
patient.
PMID: 15009885
TITLE: Localization and activity of multidrug resistance protein 1 in the
secretory pathway of Leishmania parasites.
AUTHORS: Matthew A Dodge, Ross F Waller, Larry M C Chow, Muhammad M Zaman,
Leanne M Cotton, Malcolm J McConville, Dyann F Wirth
AFFILIATION: Department of Immunology and Infectious Diseases, Harvard School
of
Public Health, Boston, MA 02115, USA.
REFERENCE: Mol Microbiol 2004 Mar 51(6):1563-75
Upregulation of the multidrug resistance protein 1 (LeMDR1) in the
protozoan parasite, Leishmania enriettii, confers resistance to
hydrophobic drugs such as vinblastine, but increases the sensitivity of
these parasites to the mitochondrial drug, rhodamine 123. In order to
investigate the mechanism of action of LeMDR1, the subcellular
localization of green fluorescent protein (GFP)-tagged versions of
LeMDR1 and the fate of the traceable-fluorescent LeMDR1 substrate
calcein AM were examined in both Leishmania mexicana and L. enriettii
LeMDR1 -/- and overexpressing cell lines. The LeMDR1-GFP chimera was
localized by fluorescence microscopy to a number of secretory and
endocytic compartments, including the Golgi apparatus, endoplasmic
reticulum (ER) and a multivesicular tubule (MVT)-lysosome. Pulse-chase
labelling experiments with calcein AM suggested that the Golgi and ER
pools, but not the MVT-lysosome pool, of LeMDR1 were active in pumping
calcein AM out of the cell. Cells labelled with calcein AM under
conditions that slow vesicular transport (low temperature and stationary
growth) inhibited export and resulted in the accumulation of
fluorescent calcein in both the Golgi and the mitochondria. We propose
that LeMDR1 substrates are pumped into secretory compartments and
exported from the parasite by exocytosis. Accumulation of MDR substrates
in the ER can result in alternative transport to the mitochondrion,
explaining the reciprocal sensitivity of drug-resistant Leishmania to
vinblastine and rhodamine 123.
PMID: 15263984
TITLE: [Eco-epidemiology of cutaneous leishmaniasis in Buriticupu, Amazon
region
of Maranhão State, Brazil, 1996-1998]
AUTHORS: Luzenice Macedo Martins, José Manuel Macário Rebêlo, Márcio Costa
Fernandes Vaz dos Santos, Jackson MaurÃcio Lopes Costa, Antonio Rafael da
Silva, Luiz Alves Ferreira
AFFILIATION: Universidade Federal do Maranhão, São LuÃs, Brasil.
REFERENCE: Cad Saude Publica 2004 May-Jun 20(3):735-43
This study presents the distribution of leishmaniasis in the town of
Buriticupu, Maranhão, Brazil, by month, season, occupation, gender, and
age from 1996 to 1998. These data were compared with those on sand
flies obtained by other authors during the same period. The disease
affected all age groups, in the following order: 0-5 years (4.1%), 6-10
(7.1%), 11-15 (13.6%), 16-21 (20.8%), 22-30 (21.1%), and > 30 (33.3%).
The disease predominantly affected males (70.1%) and agricultural
workers (52.5%), followed by students (17.7%), and domestic workers (16.
0%). Like the sand fly vector, the disease was distributed throughout
the year, but the greatest concentration of cases was recorded in the
dry season (58.5%), while sand flies presented bimodal peaks in the
first two years and occurred more frequently in the rainy season in 1998
. The disease continues to present the same characteristics as in the
past, but there was a proportional increase in cases among children and
females, suggesting transmission in the anthropic environment.
PMID: 15259464
TITLE: Detection of circulating Leishmania chagasi DNA for the non-invasive
diagnosis of human infection.
AUTHORS: J Disch, F C Maciel, M C de Oliveira, M Orsini, A Rabello
AFFILIATION: Laboratrio de Pesquisas ClÃnicas, Centro de Pesquisas René
Rachou-FIOCRUZ, Belo Horizonte, MG Brazil. jolandt at cpqrr.fiocruz.br
REFERENCE: Trans R Soc Trop Med Hyg 2003 Jul-Aug 97(4):391-5
A polymerase chain reaction (PCR) assay for the detection of Leishmania
spp. DNA in peripheral blood was optimized and evaluated for the
diagnosis of human visceral leishmaniasis (VL) in Brazil during May 2001
to December 2002. Optimization of the technique resulted in a detection
limit of 1.65 fg of purified L. (L.) chagasi DNA, equivalent to 1.65 x
10(-2) parasites. Leishmania DNA was detected in the blood of 48 of 53
patients with parasitologically-confirmed VL, which corresponds to a
sensitivity of 91%. No DNA was detected in the peripheral blood of 15
healthy, non-exposed volunteers, giving a specificity of 100%. We
conclude that detection of parasite DNA in peripheral blood offers a non
-invasive, sensitive and rapid method for the detection of VL caused by
L. (L.) chagasi.
PMID: 15259483
TITLE: Antileishmanial antibodies in an outbreak of visceral leishmaniasis in
eastern Sudan: high antibody responses occur in resistant subjects and are not
predictive of disease.
AUTHORS: B Buchetont, S H El-Safi, A Hammad, M M Kheir, N Eudes, A Mirgani, A J
Dessein, C Mary
AFFILIATION: Unité INSERM U399, Faculté de Médecine de la Timone, 27
Boulevard Jean Moulin, 13385 Marseille, France. bucheton at mpl.ird.fr
REFERENCE: Trans R Soc Trop Med Hyg 2003 Jul-Aug 97(4):463-8
A 3-year longitudinal survey was carried out from 1998 to 2000 in a
village in eastern Sudan where a visceral leishmaniasis (VL) outbreak
occurred. Leishmania-specific antibodies were analysed by enzyme-linked
immunosorbent assay and immunoblotting. Immunoblot analysis detected
antibodies to Leishmania in 80% of the healthy subjects and half of them
harboured high immunoglobulin (Ig) G antibody levels, similar to those
of VL patients. These antibodies belonged to the IgG1 and IgG3
subclasses but neither their respective levels nor the immunoblot
recognition patterns were predictive of VL. During this epidemic, a
large proportion of subjects had a high antileishmanial antibody
response, indicating that they were infected by Leishmania though most
of them remained healthy during the whole study period. These results
obtained in the context of an outbreak contrast with those obtained from
studies performed in endemic areas characterized by lower parasite
transmission levels. Furthermore, the clinical and serological follow-up
of our study subjects showed that VL occurred mainly in subjects who
had been serologically positive for 5-24 months rather than resulting
from primo infection by the parasite.
PMID: 15259478
TITLE: New World cutaneous leishmaniasis in returned travellers: treatment
failures using intravenous sodium stibogluconate.
AUTHORS: S D Lawn, V Yardley, F Vega-Lopez, J Watson, D N Lockwood
AFFILIATION: Hospital for Tropical Diseases, Mortimer Market Centre, Capper
Street, London WC1E 6AU, UK. stevelawn at yahoo.co.uk
REFERENCE: Trans R Soc Trop Med Hyg 2003 Jul-Aug 97(4):443-5
Treatment outcome was determined among a cohort of travellers who
returned to the UK between February 2000 and February 2001 with New
World cutaneous leishmaniasis caused by species of the Leishmania (
Viannia) subgenus. Among 18 patients who completed treatment with 20 mg/
kg/d of i.v. sodium stibogluconate (NaSb) for 20 d, early relapse of
disease occurred in 2 patients with regional dissemination in 1 and
mucocutaneous involvement in the other. Drug susceptibility testing in
vitro of the clinical isolate from 1 of these patients confirmed
tolerance to high concentrations of NaSb.
PMID: 15259468
TITLE: Skewing of cytokine profiles towards T helper cell type 2 response in
visceral leishmaniasis patients unresponsive to sodium antimony gluconate.
AUTHORS: C P Thakur, D K Mitra, S Narayan
AFFILIATION: Balaji Utthan Sansthan, Fraser Road, Patna 800 001, Bihar, India.
cpthakur at sancharnet.in
REFERENCE: Trans R Soc Trop Med Hyg 2003 Jul-Aug 97(4):409-12
Thirty-two parasitologically confirmed visceral leishmanisis (VL)
patients and 23 healthy, age- and gender-matched controls were recruited
between April 2001 and March 2002 and studied for intracellular
cytokine production after stimulation in vitro using a Fluorescence
Activated Cell Sorter-based intracellular cytokine assay. The VL
patients were given i.m. sodium antimony gluconate at a dose of 20 mg/kg
bodyweight daily for 28 d and were grouped as responders (n = 11) or
non-responders (no response after 28 d of treatment; n = 21). Clinically
, the non-responders had longer duration of illness (P < 0.05),
larger spleen size (P < 0.05), and higher parasite load (P < 0.
05) than responders. The percentage of T helper (Th) cells producing
interferon-gamma (IFN-gamma) was significantly higher (P < 0.001) in
responders than non-responders. Non-responders had higher IFN-gamma
production than control subjects (P < 0.001). The percentage of Th
cells producing interleukin-4 (IL-4) was significantly higher in non-
responders than responders (P = 0.003) as well as in healthy subjects (P
< 0.001). The frequency of IL-4 producing cells in responders and
control subjects was similar (P= 0.65). The cytokine polarization index
, as calculated by the formula loge IFN-gamma producing cells/loge IL-4
producing cells, was significantly lower in non-responders compared with
both responders and control subjects (P = 0.003 and P < 0.001,
respectively). The overall cytokine bias in non-responders was skewed
towards a IL-4 dominance or Th2-like response and this was primarily due
to induction of IL-4.
PMID: 15259461
TITLE: Sri Lankan cutaneous leishmaniasis is caused by Leishmania donovani
zymodeme MON-37.
AUTHORS: N D Karunaweera, F Pratlong, H V Y D Siriwardane, R L Ihalamulla, J P
Dedet
AFFILIATION: Department of Parasitology, Faculty of Medicine, University of
Colombo, Colombo, Sri Lanka. nadira at cmb.ac.lk
REFERENCE: Trans R Soc Trop Med Hyg 2003 Jul-Aug 97(4):380-1
Sri Lankan cutaneous leishmaniasis (CL), once considered sporadic, is
fairly widespread in some parts of the country. Identification of 5
isolates from 4 CL patients by enzyme analysis during 2002 showed that
they were all Leishmania donovani zymodeme MON-37, the parasite which
also causes visceral leishmaniasis in India and East Africa.
PMID: 15259484
TITLE: Immunotherapy of american cutaneous leishmaniasis in Venezuela during
the
period 1990-99.
AUTHORS: J Convit, M Ulrich, O Zerpa, R Borges, N Aranzazu, M Valera, H
Villarroel, Z Zapata, I Tomedes
AFFILIATION: Instituto de Biomedicina, Universidad Central de
Venezuela/Ministerio de Salud y Desarrollo Social, Apartado 4043, Caracas,
1010A, Venezuela. jconvi at telcel.net.ve
REFERENCE: Trans R Soc Trop Med Hyg 2003 Jul-Aug 97(4):469-72
Of a total of 11532 Venezuelan patients with American cutaneous
leishmaniasis (ACL) receiving immunotherapy with a combined vaccine
containing heat-killed Leishmania promastigotes and bacille Calmette-
Guerin (BCG) during the period 1990-99, we evaluated 5341 from 4 widely
separated geographical states. Clinical healing varied from 91.2 to 98.7
%, with an average of 95.7%. Adverse reactions were mild and limited to
those associated with BCG vaccination alone. Immunotherapy failures in
143 patients included 54.5% with typical localized ulcers and 45.5% with
non-mucosal intermediate cutaneous leishmaniasis (ICL). Less than 2% of
the patients in this study had lesions suggestive of ICL. The
disproportionately large number of immunotherapy failures in the ICL
group suggests that it should not be used as monotherapy in this group.
Weaker reactivity to purified protein derivative in immunotherapy
failures, while not statistically significant in the small group
reported here, suggests the possibility that these patients develop a
relatively torpid immune response. The high percentage of clinical cures
achieved with immunotherapy, associated with few secondary effects and
low cost, support the use of immunotherapy in the routine treatment of
localized ACL.
REQUEST: [ leishmania ]
(25 articles match this request. 14 articles matching other requests removed)
PMID: 15270599
TITLE: Leishmania in the glomerulus.
AUTHORS: Perikala V Kumar, Yahya Daneshbod, Alireza Sadeghipoor
AFFILIATION: Department of Pathology, Shiraz Medical School, Shiraz University
of Medical Sciences, Shiraz, Iran. Kumarv at sums.ac.ir
REFERENCE: Arch Pathol Lab Med 2004 Aug 128(8):935-6
PMID: 15271907
TITLE: Characterization of an I-E-Restricted, gp63-Specific, CD4-T-Cell Clone
from Leishmania major-Resistant C3H Mice That Secretes Type 2 Cytokines and
Exacerbates Infection with L. major.
AUTHORS: Cynthia M Theodos, Robin V Morris, Jeanette V Bishop, Jeremy D Jones,
W
Robert McMaster, Richard G Titus
AFFILIATION: Department of Microbiology, Immunology and Pathology, CVMBS,
Colorado State University, 1619 Campus Delivery, Fort Collins, CO 80523-1619.
richard.titus at colostate.edu
REFERENCE: Infect Immun 2004 Aug 72(8):4486-93
A T-cell clone (designated KLmB-3) was derived from resistant C3H mice 2
weeks after infection with Leishmania major. KLmB-3 was a CD4-T-cell
clone that utilized the Vbeta8.1 T-cell receptor. When adoptively
transferred to naive C3H mice, KLmB-3 unexpectedly exacerbated infection
with L. major (it increased the cutaneous lesion size and the parasite
burden within the lesion). The ability of KLmB-3 to exacerbate disease
correlated with its ability to produce the type 2-associated cytokines
interleukin-4 (IL-4), IL-5, IL-10, and transforming growth factor beta.
Interestingly, KLmB-3 was specific for an epitope in the amino-terminal
end of the L. major surface gp63 zinc metalloproteinase (leishmanolysin
) that has been shown to be capable of inducing a protective immune
response. Moreover, KLmB-3 was activated when this epitope was presented
in the context of H-2 I-E rather than H-2 I-A.
PMID: 15271903
TITLE: CD4+ Th1 Cells Induced by Dendritic Cell-Based Immunotherapy in Mice
Chronically Infected with Leishmania amazonensis Do Not Promote Healing.
AUTHORS: Yannick F Vanloubbeeck, Amanda E Ramer, Fei Jie, Douglas E Jones
AFFILIATION: Department of Veterinary Pathology 2750, College of Veterinary
Medicine, Iowa State University, Ames, IA 50011-1250. jonesdou at iastate.edu
REFERENCE: Infect Immun 2004 Aug 72(8):4455-63
The susceptibility of mice to Leishmania amazonensis infection is
thought to result from an inability to develop a Th1 response. Our data
show that the low levels of gamma interferon (IFN-gamma) produced by the
draining lymph node (DLN) cells of chronically infected mice could be
enhanced in vitro and in vivo with L. amazonensis antigen-pulsed bone
marrow-derived dendritic cells (BM-DC) and the Th1-promoting cytokine
interleukin-12 (IL-12). Given intralesionally to chronically infected
mice, this treatment induced the upregulation of mRNA levels for IFN-
gamma, the transcription factor T-box expressed in T cells, and IL-12
receptor beta2 in CD4(+) T cells from the DLN and an increase in
parasite-specific immunoglobulin G2a in the serum. However, this Th1
response was not associated with healing, and the antigen-specific
enhancement of IFN-gamma production remained impaired in the DLN.
However, addition of IL-12 to the in vitro recall response was able to
recover this defect, suggesting that antigen-presenting cell-derived IL-
12 production may be limited in infected mice. This was supported by the
fact that L. amazonensis amastigotes limited the production of IL-12p40
from BM-DC in vitro. Altogether, our data indicate that the immune
response of mice chronically infected with L. amazonensis can be
enhanced towards a Th1 phenotype but that the presence of Th1 CD4(+) T
cells does not promote healing. This suggests that the phenotype of the
CD4(+) T cells may not always be indicative of protection to L.
amazonensis infection. Furthermore, our data support growing evidence
that antigen-presenting cell function, such as IL-12 production, may
limit the immune response in L. amazonensis-infected mice.
PMID: 15271961
TITLE: Involvement of the Chemokine RANTES (CCL5) in Resistance to Experimental
Infection with Leishmania major.
AUTHORS: Helton Da Costa Santiago, Carolina Ferreira Oliveira, Luciana
Santiago,
Fernanda Oliveira Ferraz, Daniele Da Glória De Souza, Luiz Antônio Rodrigues
De-Freitas, LuÃs Carlos Crocco Afonso, Mauro Martins Teixeira, Ricardo Tostes
Gazzinelli, Leda Quercia Vieira
AFFILIATION: Departamento de BioquÃmica e Imunologia, ICB-Universidade Federal
de Minas Gerais, CP 486, 30161-970, Belo Horizonte MG, Brazil.
lqvieira at icb.ufmg.br
REFERENCE: Infect Immun 2004 Aug 72(8):4918-23
The expression and putative role of chemokines during infection with
Leishmania major in mice were investigated. CCL5 expression correlates
with resistance, and blockade of CCL5 rendered mice more susceptible to
infection. CCL5 is part of the cascade of events leading to efficient
parasite control in L. major infection.
PMID: 15271962
TITLE: DNA-Salmonella enterica Serovar Typhimurium Primer-Booster Vaccination
Biases towards T Helper 1 Responses and Enhances Protection against Leishmania
major Infection in Mice.
AUTHORS: Uta G Lange, Pietro Mastroeni, Jenefer M Blackwell, Carmel B Stober
AFFILIATION: Cambridge Institute for Medical Research, Wellcome Trust/MRC
Building, Addenbrooke's Hospital, Hills Rd., Cambridge CB2 2XY, United Kingdom.
jennie.blackwell at cimr.cam.ac.uk
REFERENCE: Infect Immun 2004 Aug 72(8):4924-8
Successful resolution of infections by intracellular pathogens requires
gamma interferon (IFN-gamma). DNA vaccines promote T helper 1 (Th1)
responses by triggering interleukin-12 (IL-12) release by dendritic
cells (DC) through Toll-like receptor 9 (TLR9). In humans TLR9 is
restricted to plasmacytoid DC. Here we show that DNA-Salmonella enterica
serovar Typhimurium primer-booster vaccination, which provides
alternative ligands to bind TLR4 on myeloid DC, strongly biases towards
Th1 responses compared to vaccination with DNA alone. This results in
higher immunoglobulin G2a (IgG2a) responses compared to IgG1 responses,
higher IFN-gamma responses compared to IL-10 CD4(+)-T-cell responses,
and enhanced protection against Leishmania major infection in
susceptible BALB/c mice.
PMID: 15249594
TITLE: Enhanced TCR-induced Apoptosis in Interferon Regulatory Factor
4-deficient CD4+ Th Cells.
AUTHORS: Michael Lohoff, Hans-Willi Mittrücker, Anne Brüstle, Frank Sommer,
Bärbel Casper, Magda Huber, David A Ferrick, Gordon S Duncan, Tak W Mak
AFFILIATION: Advanced Medical Discovery Institute, 620 University Ave, Suite
706, Toronto, Ontario, Canada M5G 2C1. tmak at oci.utoronto.ca
REFERENCE: J Exp Med 2004 Jul 200(2):247-53
Transcription factors of the interferon regulatory factor (IRF) family
contribute to the regulation of cell proliferation and apoptosis. Here,
we show that CD4(+) T helper (Th) cells lacking IRF4 (IRF4(-/-)) are
highly sensitive to apoptosis. After infection of IRF4(-/-) mice with
the protozoan parasite Leishmania major, the lesion-draining lymph nodes
developed the prototypic lymphadenopathy of wild-type mice after 4 wk,
but demonstrated almost total loss of cellularity and enhanced apoptosis
after 7 wk. In vitro, activation of IRF4(-/-) CD4(+) Th cells led to
greatly increased apoptosis compared with wild-type cells. Coculture of
IRF4(-/-) and IRF4(+/+) CD4(+) cells did not increase survival of IRF4
(-/-) CD4(+) cells, indicating that the enhanced rate of IRF4(-/-) Th
cell apoptosis was neither transferable nor due to lack of a cytokine.
Enhanced CD4(+) cell apoptosis was also observed after anti-CD95 mAb
treatment, despite normal CD95 expression. Removal of endogenous
cytokines, notably interleukin (IL)-4, led to increased and equally high
levels of IRF4(-/-) and IRF4(+/+) cell apoptosis, whereas the
protective activity of exogenous IL-4 was reduced in IRF4(-/-) CD4(+)
cells despite normal expression of the IL-4 receptor. Therefore, IRF4 is
central in protecting CD4(+) cells against proapoptotic stimuli.
PMID: 15266752
TITLE: Nectar and honeydew feeding of Phlebotomus papatasi in a focus of
Leishmania major in Neot Hakikar oasis.
AUTHORS: Günter Müller, Yosef Schlein
AFFILIATION: Department of Parasitology, The Kuvin Center for Study of
Infectious and Tropical Diseases, The Hebrew University- Hadassah Medical
School, Box 12272, Jerusalem 91120, Israel.
REFERENCE: J Vector Ecol 2004 Jun 29(1):154-8
Feeding of Phlebotomus papatasi Scopoli on nectar and honeydew was
investigated in Neot Hakikar, an oasis in the southern Jordan Valley.
Sand flies were caught with miniature light traps in cleared areas with
large Tamarix nilotica Bunge bushes, in colonies of the sandrat
Psammomys obesus Cretzschmar. Fly series were trapped and compared
according to the condition of T. nilotica bushes: with flowers, soiled
with honeydew excreted by cicadas, or without flowers. Near flowering
bushes the catch was five times greater (7.9: 1.6 flies/trap) and the
proportion of sugar-positive flies was also much greater (49.9:17.3%)
than near bushes without flowers. The catch was three times greater (6.6
:2.2 flies/trap) near cicada- infested than near uninfested bushes.
Color markers within the gut, obtained from infested or uninfested
bushes that had been sprayed with food dye, indicated feeding of 33.2%
and 4.5% of these series, respectively. Sand flies were strongly
attracted to flowers of T. nilotica. In similar trap series, those
baited with flowering branches caught 231 flies, whereas with baits of
honeydew- soiled branches, control regular branches or wet filter paper
, the catch ranged between 11 to 15 flies. This study is the first
evidence of nectar feeding by sand flies in the field and it indicates
that nectar may be an important and an attractive source of sugar.
PMID: 15270094
TITLE: Effect of hypoxia on macrophage infection by Leishmania amazonensis.
AUTHORS: Marcelle Carolina Colhone, Wagner Welber Arrais-Silva, Claudia Picoli,
Selma Giorgio
AFFILIATION: Departamento de Parasitologia, Instituto de Biologia, Universidade
Estadual de Campinas, CxP 6109, 13087-970 Campinas, SP, Brazil.
REFERENCE: J Parasitol 2004 Jun 90(3):510-5
In the present study, we compared the effect of 5% oxygen tension (
hypoxia) with a normal tension of 21% oxygen (normoxia) on macrophage
infection by the protozoan parasite Leishmania amazonensis. Macrophages
from different sources (human cell line U937, murine cell line J774, and
murine peritoneal macrophages) exposed to hypoxia showed a reduction of
the percentage of infected cells and the number of intracellular
parasites per cell. Observations on the kinetics of infection indicated
that hypoxia did not depress L. amazonensis phagocytosis but induced
macrophages to reduce intracellular parasitism. Furthermore, hypoxia did
not act synergistically with gamma-interferon and bacterial
lipopolysaccharides in macrophages to induce killing of parasites.
Experiments also indicated no correlation between nitric oxide
production and control of infection in macrophages under hypoxic
condition. Thus, we have provided the first evidence that hypoxia, which
occurs in various pathological conditions, can alter macrophage
susceptibility to a parasitic infection.
PMID: 15271421
TITLE: In vitro antileishmanial activity of acetogenins from Annonaceae.
AUTHORS: S Raynaud-Le Grandic, C Fourneau, A Laurens, C Bories, R Hocquemiller,
P M Loiseau
AFFILIATION: Laboratoire de Phytotechnologie, EA 2085, Faculté de Pharmacie,
Université Picardie Jules Verne, 80037 Amiens, France.
REFERENCE: Biomed Pharmacother 2004 Jul-Aug 58(6-7):388-92
Twelve acetogenins from Annonaceae were evaluated in vitro for their
antileishmanial activities in order to search for new lead-compounds
having antileishmanial properties. The compounds were comparatively
evaluated by the 50% inhibitory concentrations (IC(50)) determination on
promastigote forms of wild-type and four drug-resistant lines of
Leishmania donovani. In addition, after testing the toxicity on mouse
peritoneal macrophages, the compounds were evaluated on amastigote
infected macrophages and a therapeutic index was calculated. The IC(50)
of the acetogenins against promastigote forms of L. donovani was in a
range 4.7-47.3 microM. The most active compound was Rolliniastatin 1 (IC
(50) at 4.7 microM). On the intramacrophage amastigote in vitro model,
only seven compounds exhibited measurable antileishmanial activity with
IC(50) values in a range 2.5-29.7 microM. Rollinistatin 1 was the most
interesting compound with IC(50) of 2.5 microM and it appears as the
most promising one on the basis of therapeutic index (18.08).
Isoannonacin, which is active against intramacrophagic amastigotes (IC(
50) of 6.2 microM) with a therapeutic index of 2.05, exhibited a strong
action on drug-resistant strains (IC(50) from 5.1 to 9.8 microM).
Acetogenins are a new chemical series with interesting in vitro
antileishmanial activity and further studies will be focused on the
understanding of this selectivity in regard to the membrane and
mitochondrial action using specific probes.
PMID: 15267002
TITLE: A stable focus of canine leishmaniosis in the Bologna Province, Italy.
AUTHORS: E Mollicone, G Battelli, M Gramiccia, M Maroli, R Baldellii
AFFILIATION: Dipartimento di Sanità Pubblica Veterinaria e Patologia Animale,
Alma Mater Studiorum-Università di Bologna, via Tolara di Sopra 50, 40064
Ozzano dell'Emilia (BO), Italy.
REFERENCE: Parassitologia 2003 Jun 45(2):85-8
During an epidemiological survey carried out for two consecutive years (
2001-2002), autochthonous cases of canine leishmaniosis (CanL) were
reported in Communes of the Bologna Province (Emilia-Romagna Region,
northern Italy), involved in the past (1971-1972) in a severe outbreak
of human visceral leishmaniosis (VL). Serological controls, carried out
by immunofluorescence antibody test on a sample of owned dogs, detected
a mean prevalence of 2.5% in the first year in 4 Communes, and of 11.2%
in the second year in only one Commune, where an incidence value of 9.3
% was assessed. The autochthonous origin of the infection was confirmed
in 11 out of 13 positive animals in the first year and in 5 out of 6 new
cases in the second year. In one case the parasitological examinations
led to the isolation of leishmaniae characterized as Leishmania infantum
zymodeme MON 1. Entomological surveys carried out during two sandfly
seasons in one of the areas concerned by the VL outbreak showed the
presence of Phlebotomus perfiliewi and, to a lesser extent, of P
perniciosus, both proven vectors of L. infantum in Italy. The results
obtained seem to suggest the presence of a stable focus of CanL in the
territory involved in the previous VL outbreak of 1971-1972, within
which the infection in the canine population had been assessed only
serologically. Such an epidemiological situation may be seen either as
the persistence of an old focus or as a new imported one.
PMID: 15266790
TITLE: [In vitro effect of an alkaloid isolated from Amphimedon viridis
(Porifea) on promastigots of Leishmania mexicana]
AUTHORS: E Marchán, D Arrieche, W HenrÃquez, O Crescente
AFFILIATION: Instituto de Investigaciones en Biomedicina y Ciencias Aplicadas,
IIBCA-UDO, Cumaná, Venezuela.
REFERENCE: Rev Biol Trop 2000 Dec 48 Suppl 1():31-8
The dose dependent antiproliferative effect of an alkaloidal substance
extracted from the sponge Amphimedon viridis was tested on Leishmania
mexicana promastigotes. Sponges were collected in Isla Larga, Venezuela
(10 degrees 20' 20" - 10 degrees 24" N, 64 degrees 19' - 64 degrees 22
' W), cut and dipped in methanol for vacum filtering extraction every 24
hr. The aqueous extract was separated by chromatography over silica gel
. The parasites were from the Venezuelan NR strain. Their growth rate
was reduced by 50 % with a dose of 10 microg/ml in 48 hr, whilst
concentrations of 30 and 40 microg/ml induce leishmanicidal action after
110 and 20 min, respectively. Lysis is preceded by an immediate
increase in cellular volume associated with progressive damage of
cellular content and the destruction of organelles. These findings
suggest that one important factor associated with the antiproliferative
effect of this alkaloidal substance on L. mexicana promastigotes is the
loss of the plasma membrane selective permeability.
REQUEST: [ sand fly ]
(4 articles match this request. 3 articles matching other requests removed)
PMID: 15264620
TITLE: Evaluation of 1-octen-3-ol and carbon dioxide as attractants for
Phlebotomus papatasi (Diptera: Psychodidae) in southern Egypt.
AUTHORS: Gregory M Beavers, Hanafi A Hanafi, Elizabeth A Dykstra
AFFILIATION: Vector Biology Research Program, U.S. Naval Medical Research Unit
Number Three, PSC 452, Box 5000, FPO, AE 09835-0007.
REFERENCE: J Am Mosq Control Assoc 2004 Jun 20(2):130-3
The effectiveness of 1-octen-3-ol (octenol) as an attractant for
collecting medically important psychodids has never been reported. This
study evaluated the effects of carbon dioxide (CO2) and octenol released
at 2 rates, individually and in combination, as attractants for adult
sand flies in a small village in southern Egypt. Four sand fly species
were collected: Phlebotomus papatasi, P. sergenti, Sergentomyia
palestinensis, and S. schwetzi. Only P. papatasi was collected in
numbers sufficient to allow statistical analysis. This study reaffirms
that CO2 is an effective attractant for female P. papatasi and also
demonstrates that neither male nor female P. papatasi respond to octenol
alone. Additionally, no synergistic attractancy for either females or
males was observed when CO2 and octenol were combined.
REQUEST: [ sandfly ]
(2 articles match this request. 1 article matching other requests removed)
PMID: 15267005
TITLE: Sandfly (Diptera, Psychodidae, Phlebotominae) fauna of South-Western
Pakistan. 1. Diagnostic morphology of Phlebotomus papatasi (Scopoli), Ph.
bergeroti (Parrot) and Ph. salehi (Mesghali).
AUTHORS: Juma-Khan Kakarsulemankhel
AFFILIATION: Sandflies, Leishmaniasis and Mosquitoes Laboratory/Zoology,
University of Balochistan, Ouetta, Pakistan. jumakhankakar at yahoo.co.uk
REFERENCE: Parassitologia 2003 Jun 45(2):103-18
A survey was conducted to study the morphology of the sandfly fauna in
South-Western Pakistan (Balochistan). During the revision of different
genera of sandflies the specimens of Phlebotomus papatasi (Scopoli) (N
= 720), Ph. bergeroti Parrot (N = 30) and Ph. salehi Mesghali (N = 70)
were encountered in various localities. These localities appear to be
new records of the subgenus in the literature to date. Ph. bergeroti is
reported for the first time from Pakistan and Ph. salehi from
Balochistan as well. Characters of these three Pakistanese Phlebotomus
are compared with the published data of these species from other
countries. Keys for the identification of Pakistanese Phlebotomus are
also constructed. Two female Ph. papatasi collected from indoors out of
132 female flies (1.5%) were found positive with flagellate infection in
pharynx and midgut. The possible vectorial role of these flies is also
discussed. Further surveys are necessary in parts of the country that
have not been systematically surveyed.
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