Symbiotic Amebae in Human Intestines

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Presentation transcript:

Symbiotic Amebae in Human Intestines Entamoeba histolytica Entamoeba dispar Entamoeba coli Entamoeba hartmanni Endolimax nana Iodamoeba bütschlii Dientamoeba fragilis* Blastocystis hominis**

Entamoeba histolytica cysts 12-15 mm 4 nuclei (mature) blunt chromatoid bodies trophozoites 15-20 mm extended pseudopodia progressive movement nuclear structure peripheral chromatin small karyosome = E. dispar

Entamoeba histolytica cysts 12-15 mm 4 nuclei (mature) blunt chromatoid bodies trophozoites 15-20 mm extended pseudopodia progressive movement >20 mm (invasive) ( hematophagous) nuclear structure peripheral chromatin small karyosome

Entamoeba hartmanni cysts trophozoites nuclear structure 6-8 mm 4 nuclei (mature) blunt chromatoid bodies CB persist in mature cysts trophozoites 8-10 mm nuclear structure peripheral chromatin small karyosome < 10 mm = E. hartmanni > 10 mm = E. histolytica ‘small race’ of E. histolytica designated species in 1957

Entamoeba coli cysts trophozoites nuclear structure 15-25 mm 8 nuclei (mature) pointed chromatoid bodies (less prominent) trophozoites 20-25 mm broad blunt pseudopodia nuclear structure peripheral chromatin small karyosome

Entamoeba coli cysts trophozoites nuclear structure 15-25 mm 8 nuclei (mature) pointed chromatoid bodies (less prominent) trophozoites 20-25 mm broad blunt pseudopodia nuclear structure peripheral chromatin small karyosome

Entamoeba coli cysts trophozoites nuclear structure 15-25 mm 8 nuclei (mature) pointed chromatoid bodies (less prominent) trophozoites 20-25 mm broad blunt pseudopodia nuclear structure peripheral chromatin small karyosome irregular peripheral chromatin? eccentric karyosome?

Other Entamoeba E. gingivalis oral cavity no cyst stage trophozoites nearly identical to E. histolytica periodontal disease? E. polecki rarely found in humans commensal of pigs & monkeys cyst has one nucleus E. moshkovskii identical morphology as E. histolytica free-living (sewerage) cultured at 24o

Other Entamoeba E. gingivalis oral cavity no cyst stage trophozoites nearly identical to E. histolytica periodontal disease? E. polecki rarely found in humans commensal of pigs & monkeys mature cyst has one nucleus E. moshkovskii identical morphology as E. histolytica free-living (sewerage) cultured at 24o

Ali et al, 2003, EID (May issue) 109 stool samples from school children in Bangladesh analyzed by PCR 16% positive of E. histolytica 36% positive for E. dispar 21% positive for E. moshkovskii 74% of these co-infected with E.h. or E.d.

Endolimax nana cysts trophozoites nuclear structure 6-8 mm 4 nuclei no peripheral chromatin large karyosome

Iodamoeba bütschlii cysts trophozoites nuclear structure 10-12 mm 1 nucleus glycogen vacuole trophozoites 12-15 mm nuclear structure no peripheral chromatin large karyosome

Iodamoeba bütschlii cysts trophozoites nuclear structure 10-12 mm 1 nucleus glycogen vacuole trophozoites 12-15 mm nuclear structure no peripheral chromatin large karyosome

Dientamoeba fragilis no cyst stage trophozoites nuclear structure 9-12 mm often binucleated nuclear structure no peripheral chromatin fragmented karyosome related to trichomonads no flagella (basal bodies) 15-30% of infections associated with diarrhea

Intestinal Amebae

Nuclear Morphology

Blastocystis hominis life cycle unknown cysts? 5-30 mm granules (nuclei), especially at periphery large vacuole previously called yeast, ameba, sporozoan, etc 16S rRNA = stramenopile stramenopiles include brown algae, diatoms, etc. pathology debated GI symptoms strain variations

Quiz--What is it?