Osteolysis in Trichinella spiralis infected vs noninfected rats

1. Based upon the present inability to describe the mechanism by which calcification takes place, and the unexplored metabolism of calcium during trichinosis, studies of rat bone involvement were undertaken. 2. Significant (P less than 0.05) differences were found in experimental (Trichinella spiralis infected) rat femurs vs those of noninfected rats. 3. Analysis by atomic absorption spectroscopy, dry femur weight, and tensile stress resistance indicated an overall reduction in calcium content. 4. This calcium reduction is due to active cyst calcification. 5. Results confirming this finding revealed significant (P less than 0.05) differences at days 60-80 postinfection (the beginning of cyst calcification.     

Trichinella spiralis: phospholipase in challenged mice and rats

Mice challenged with 400 larvae of T. spiralis showed greatly elevated phospholipase levels in tissues of the small intestine from 5 to 29 days after infection, after which the levels returned to those of the uninfected controls. Related to these rises in enzyme levels were greatly increased numbers of eosinophils in the bone marrow. Increases strikingly above those in the controls were noted from 8 to 20 days after infection. In rats challenged with 3000 larvae, the enzyme levels were elevated from 4 to 18 days, and the eosinophils were increased during the same periods. A working hypothesis is proposed to explain these phenomena.     

The role of malic enzyme in the carbohydrate metabolism of Trichinella spiralis spiralis and Trichinella spiralis pseudospiralis

The role of malic enzyme in the carbohydrate metabolism of Trichinella spiralis spiralis and Trichinella spiralis pseudospiralis. International Journal for Parasitology16: 435–440. The activities, intracellular localization and some regulatory properties of malic enzymes from homogenates of T.s. spiralis and T.s. pseudospiralis larvae have been studied. The malate saturation curves exhibit sigmoidicity. With increasing pH a ‘double sigmoidicity’ was observed in both NAD- and NADP-specific malic enzyme from T.s.spiralis and Trichinella malic enzymes resemble the Ascaris enzyme in their nondecarboxylation of oxaloacetate and in nucleotide and ammonium sulphate sensitivity, but the enzyme from T.s. pseudospiralis differs in its equal specificity for NAD and NADP. The cytoplasmic localizations and some properties of phosphoenolpyruvate carboxykinase in both Trichinella species are similar to the characteristics of the same enzyme in Ascaris.     

Trichinella spiralis: newborn larval migration route in rats reexamined

The route by which Trichinella spiralis newborn larvae migrate from the small intestine to striated muscle was studied in inbred AO and random-bred Sprague-Dawley rats. Newborn larvae were quantitatively recovered from the thoracic duct lymph, peritoneal cavity, and hepatic portal vein blood during the course of a primary infection with 4000 muscle larvae. The total recovery of newborn larvae assessed in this manner was compared with the number of muscle larvae in control rats receiving the same infection. In both strains of rats, most of the newborn larvae were recovered from hepatic portal vein blood, fewer than 3% of newborn larvae were recovered from the thoracic duct lymph and peritoneal cavity combined. Long-term drainage of thoracic duct lymph (greater than 24 hr) significantly increased newborn larval recovery over short-term drainage (less than 24 hr). We conclude that there are several natural pathways of newborn larval migration that result in muscle larval establishment. These include direct invasion of capillaries and lymphatics in the intestine as well as migration through the intestinal serosa to the peritoneal cavity. In both AO and Sprague-Dawley rats, greater than or equal to 97% of newborn larvae migrate via the hepatic portal vein blood to the general circulation.     

Trichinella spiralis: modulation of experimental autoimmune encephalomyelitis in DA rats

Helminth infection has a potent systemic immunomodulatory effect on the host immune response, which also affects the development of autoimmune diseases. We investigated the dose-dependent influence of Trichinella spiralis infection on experimental autoimmune encephalomyelitis (EAE). Our model of concomitant T. spiralis infection and EAE demonstrates that established infection of Dark Agouti (DA) rats with the parasite causes amelioration of the clinical course of induced EAE in a dose-dependent way. Infection with T. spiralis L1 stage muscle larvae (TSL1) reduced the severity of the autoimmune disease as judged by lower maximal clinical score, cumulative index, duration of illness and degree of mononuclear cell infiltration in T. spiralis infected animals compared to control, EAE-induced group. This study provides a valuable model of worm infection to investigate helminth-induced regulatory mechanisms for optimal benefit to the host.     

Trichinella spiralis and Strongyloides ratti: immune interaction in adult rats.

The consequences of prior and concurrent infection with two species of nematodes were studied in rats. Primary infection with Strongyloides ratti adversely affected the development of a secondary Trichinella spiralis infection. Both immediate and delayed challenge with T. spiralis, following the expulsion of the previous S. ratti infection, reduced the percentage of worm recovery of the former as well as their fecundities and lengths. It is suggested that nonspecific inflammation produced by one species, during the peak period of worm expulsion, was not responsible for the accelerated rate of expulsion of the other; instead a direct, specific cross-immunity was probably operative affecting the survival of the challenge species. The response elicited by previous experience of the intestinal phase was reciprocal, but there was evidence of an enhancing effect by the muscle larval stages of T. spiralis on S. ratti. Rats concurrently infected with both species expelled S. ratti more rapidly than T. spiralis. Possible mechanisms underlying the interaction between the two species are suggested and discussed.     

Immune responses to Trichinella pseudospiralis and Trichinella spiralis in mice

Primary infections with Trichinella pseudospiralis and Trichinella spiralis were followed in rapid- (NIH) and slow- (B10G) responder strains of mice. Expulsion of T. pseudospiralis was slower in both strains, but markedly so only in slower responder B10G mice. Blast cell activity in the mesenteric lymph nodes of the mice correlated with the expulsion patterns. In NIH mice, both parasites stimulated a strong response by day 8 of infection and activity had returned to control levels by day 11. In B10G mice, T. spiralis elicited an earlier peak response (day 12) than T. pseudospiralis (day 18), but in both, activity returned to control levels by day 21. Immunity to T. pseudospiralis and T. spiralis could be stimulated in NIH mice by prior infection with either parasite, by injection of T. spiralis larval antigen and by adoptive transfer of immune mesenteric lymph node cells taken from mice infected with either parasite. This extensive cross reactivity, and the differences seen during primary infections, are discussed in relation to the biology and specific identity of the two worms.     

Hosts and habitats of Trichinella spiralis and Trichinella britovi in Europe

Trichinella spiralis and Trichinella britovi are the two most common species of Trichinella circulating in Europe. Based on data provided to the International Trichinella Reference Centre over the past 20 years (data referring to 540 isolates of T. spiralis and 776 isolates of T. britovi), we describe the host species and habitat characteristics for these two pathogens in Europe. A Geographical Information System was constructed using administrative boundaries, a Corine Land Cover (CLC) map, and an elevation map. In most countries, T. britovi is more widespread (62.5-100% of the isolates) than T. spiralis (0.0-37.5%), although in Finland, Germany, Poland and Spain, T. spiralis is more prevalent (56.3-84.2% of the isolates). Trichinella britovi is more widespread than T. spiralis in sylvatic carnivores (89% versus 11%), whereas T. spiralis is prevalent in both wild boars (62% versus 38%) and domestic swine (82% versus 18%), as well as in rodents (75% versus 25%). Trichinella spiralis and T. britovi circulate in the same environments: 41.1% and 46.0%, respectively, in agricultural areas, and 45.5% and 46.6% in forested and semi-natural areas. Although both pathogens can be transmitted by domestic and sylvatic cycles, their epidemiology is strongly influenced by the higher adaptability of T. spiralis to swine and of T. britovi to carnivores. These results are important because they include information on the countries at risk for these pathogens, the role played by specific species as reservoirs, the role of the pathogens in domestic and sylvatic cycles, and the role of the habitat in their circulation. The results can also be used to identify the most suitable animal species for the monitoring of these pathogens in Europe.     

Cost-effectiveness of dengue vaccination in Puerto Rico

An effective and widely used vaccine could reduce the burden of dengue virus (DENV) around the world. DENV is endemic in Puerto Rico, where the dengue vaccine CYD-TDV is currently under consideration as a control measure. CYD-TDV has demonstrated efficacy in clinical trials in vaccinees who had prior dengue virus infection. However, in vaccinees who had no prior dengue virus infection, the vaccine had a modestly elevated risk of hospitalization and severe disease. The WHO therefore recommended a strategy of pre-vaccination screening and vaccination of seropositive persons. To estimate the cost-effectiveness and benefits of this intervention (i.e., screening and vaccination of seropositive persons) in Puerto Rico, we simulated 10 years of the intervention in 9-year-olds using an agent-based model. Across the entire population, we found that 5.5% (4.6%-6.3%) of dengue hospitalizations could be averted. However, we also found that 0.057 (0.045–0.073) additional hospitalizations could occur for every 1,000 people in Puerto Rico due to DENV-naïve children who were vaccinated following a false-positive test results for prior exposure. The ratio of the averted hospitalizations among all vaccinees to additional hospitalizations among DENV-naïve vaccinees was estimated to be 19 (13–24). At a base case cost of vaccination of 382 USD, we found an incremental cost-effectiveness ratio of 122,000 USD per QALY gained. Our estimates can provide information for considerations to introduce the CYD-TDV vaccine in Puerto Rico.     

Trichinella spiralis in an agricultural ecosystem. II. Evidence for natural transmission of Trichinella spiralis spiralis from domestic swine to wildlife

Epidemiological investigations of an outbreak of trichinellosis were carried out in a domestic swine herd and it was established that the parasite also occurred in rats, and in skunks, opossums, and raccoons. Because considerable uncertainty exists regarding the role of sylvatic trichinellosis as a reservoir for the synanthropic cycle, studies were conducted to determine the genetic nature of the various isolates from this ecosystem. Pig infectivity trials, isoenzyme analyses, and repetitive DNA sequence analyses were performed. The results showed that all isolates from the farm environs were genetically similar and that they are related to Trichinella spiralis isolated from domestic pigs. The implication of these findings, in contrast to studies on isolates from wildlife elsewhere, is that this parasite is transmitted from domestic swine to sylvatic hosts and that any control or eradication efforts must take into account the potential for reinfection of hogs from wild animals.     

A spectrum of antibody response with time after Trichinella spiralis infection in rats

A chronology of class-specific antibody response against the Trichinella spiralis infection in Fischer rats was investigated. G-class antibodies against the cuticle inner layer(s), hypodermis, hemolymph, glycogen aggregates, discrete areas in genital primordial cells, intestinal gland cell granules, and cytoplasmic granules in the cords were detectable 2 wk after infection (the rapid-responding group), whereas G-class antibodies against the cuticle surface, stichocyte granules, and the esophagus-occupying substance were detected 6 wk after infection (the slow-responding group). M-class antibodies recognized a narrower spectrum of antigens than did G-class antibodies; M-class antibodies against hemolymph, cord granules, and intestinal gland cell granules were not detectable. M-class antibodies tended to decrease in titer with time after infection. This tendency was more striking with antibodies against the rapid-responding group than with those against the slow-responding group. This information sheds light upon antibody response against many antigenic components of T. spiralis muscle larvae.