Samar El-Beshbishi | Mansoura University (original) (raw)

Papers by Samar El-Beshbishi

Research paper thumbnail of Human fascioliasis and anaemia in Dakahlia Governorate, Egypt

Journal of the Egyptian Society of Parasitology

Fasciola infection (fascioliasis) appeared to be endemic in Egypt. Stool samples of fourty eight ... more Fasciola infection (fascioliasis) appeared to be endemic in Egypt. Stool samples of fourty eight patients were coprologically diagnosed. According to Fasciola egg counting per gram stool, the severity of infection was divided into light infection in 60.5%, moderate in 27.1% and severe infection in 12.5%. No significant correlation was detected between severity of infection and patients' sex. Complete blood picture, reticylocytic count, serum iron, immunological assays as anti-nuclear, anti-smooth muscle antibody, anti-mitochondrial anti-body, anti-DNA tests and rheumatoid factor and occult blood in stool were investigated. Normocytic normochromic anaemia was detected in 62.5% of the fascioliasis patients, microcytic hypochromic anaemia in 31.3% and macrocytic one in 6.3%. Highly significant negative correlation (R = -0.68) was detected between haemoglobin concentration and egg count per gram faeces. Human fascioliasis was associated with normocytic normochromic anaemia and to a ...

Research paper thumbnail of Comparative study between immunohistochemical grading and giardia genotyping among symptomatic and asymptomatic humans

The Egyptian journal of immunology / Egyptian Association of Immunologists, 2007

In the last years, multiple studies indicated the potential effectiveness of the polymerase chain... more In the last years, multiple studies indicated the potential effectiveness of the polymerase chain reaction (PCR) for detection of Giardia in pathological specimens. By using the difference at the triose phosphate isomerase (tpi) gene locus, we investigated the genotype groups of Giardia lamblia isolated directly from fecal specimens collected from humans living in Dakahlia Governorate, Egypt. Immunohistochemical staining for detection of Giardia local antigenic and cellular immune-determinants focusing on CD4 and CD8 T-lymphocytes was also applied. The sensitivity of the ABC (avidine-biotin-peroxidase complex) immunoperoxidase technique for detection of the antigen was 97.3% and the specificity was 100%. Our study clearly demonstrated a highly significant difference between patients and controls as regards the grade of CD4 and CD8 lymphocyte infiltration (p < 0.001 for each correlation) but no significant difference was found between Giardia symptomatic and asymptomatic patients....

Research paper thumbnail of Diagnostic criteria for house dust mites sensitized allergic patients

Journal of the Egyptian Society of Parasitology, 2007

House dust mites (HDM) contain a large number of components that react with IgE in individuals wi... more House dust mites (HDM) contain a large number of components that react with IgE in individuals with allergies and induced sensi-tization and allergic diseases. The work aimed to correlate between clinical manifestations of HDM allergic patients and skin prick test (SPT) grading, and to clarify some markers denoting allergic disorders caused by HDM exposure. Thirty allergic patients with positive SPT reaction to HDM were selected, grading of disease severity according to SPT and clinical presentations. The results revealed bronchial asthma (40%), atopic dermatitis (26.7%), rhinitis (20%) and conjuncttivitis (13.3%). Serum ELISA-IgE showed mean level of 398.41 +/- 84.73, 369.87 +/- 86.76, 332.16 +/- 65.57 and 300.25 +/- 79.39 IU/ml respecttively, with highly statistically significant difference between cases and controls (p < 0.001). Eosinophila showed highly significant difference between atopic dermatitis cases and controls (p < or = 0.001).

Research paper thumbnail of Geoparasites in rural Dakahlia Governorate, a preliminary based study for development of the community-based intervention programs

Journal of the Egyptian Society of Parasitology, 2005

A prospective study was carried out to detect the rural prevalence and intensity of geoparasites ... more A prospective study was carried out to detect the rural prevalence and intensity of geoparasites in Dakahlia Governorate, Egypt. A total of 1070 soil samples were collected; 571 (53.4%) were infected with one or more parasites. Only 24% of samples were infected with one parasite, 16.4% and 13% with two, and more than two parasites respectively, and the difference was statistically significant. The geoparasites in a descending order of their prevalence were: E. histolytica cysts (9.2%), Toxocara eggs (9.1%), Giardia cysts (7.9%), Cryptosporidium oocysts (6.1%), Trichostrongylus eggs and larvae (5.6%), Isospora oocysts (4.3%), Acanathamoeba cysts (4.1%), Naegleria cysts (3.6%), Dust mites (2.7%), H. diminuta eggs (2.7%), Strongyloides free living adults, rhabditiform and filariform larvae (2.3%), H. nana eggs (1.7%), S. mansoni eggs (1.2%), Ascaris eggs (0.6%), Ancylostoma larvae (0.5%), Taenia eggs (0.4%), Trichocephalus eggs (0.4%) and F. gigantica eggs (0.2%). The prevalence of par...

Research paper thumbnail of Some molecular aspects in schistosomiasis mansoni and toxoplasmosis

Journal of the Egyptian Society of Parasitology, 2005

The IL-2 and IL-4 cytokines production represent cellular Th1 & Th2 immune responses respectively... more The IL-2 and IL-4 cytokines production represent cellular Th1 & Th2 immune responses respectively were associated with chronic schistosomiasis mansoni (stages 1-4) and chronic toxoplasmosis gondii. In the hepatosplenic schistosomiasis, the level of IL-2 and disease stage increased in parallel (P<0.05, <0.01, <0.01 & <0.001 in stages 1, 2, 3 & 4 respectively), whereas, IL-4 was highly significantly increased in stage 1 than control (P<0.001), then decreased to lower levels. The mean concentrations of IL-2 & IL-4 in patients with T. gondii were higher compared to control being more marked in IL-2 (P<0.001) versus IL-4 (P< 0.01). The data indicated that there are patterns of cytokine expression characteristic of type 1 & type 2 responses in vivo, with the ultimate goal of being able to manipulate the response to minimize inflammation and fibrosis for clinical benefit.

Research paper thumbnail of Kinetics of eosinophilia and IgE production in experimental murine toxocariasis

Journal of the Egyptian Society of Parasitology, 2008

Eosinophilia and immunoglobulin E (IgE) antibody are considered the first and important elements ... more Eosinophilia and immunoglobulin E (IgE) antibody are considered the first and important elements in host responses to helminth infection. Toxocara canis, which elicits prominent eosinophilia and IgE production in normal mice, may be useful in understanding the kinetics of circulating peripheral blood eosinophils and IgE antibody during infection. The onset, magnitude and duration of peripheral blood eosinophilia and total IgE production after primary T. canis infection in female outbred albino mice was investigated. Mice were either sham inoculated (controls) or were orally infected with 1000 embryonated eggs of T. canis. Patterns in leucocytic changes include significant increase in total WBC count between weeks 6 and 13 post infection (PI) with a peak on week 8 PI. Mice showed eosinophilia between weeks 2 to 17 PI with a peak on week 7. The development of eosinophilia in T. canis-infected mice was accompanied by the release of prominent level of serum IgE between weeks 2 to 21 wit...

Research paper thumbnail of Blastocystis hominis among symptomatic and asymptomatic individuals in Talkha Center, Dakahlia Governorate, Egypt

Journal of the Egyptian Society of Parasitology, 2005

Blastocystis hominis is now getting acceptance as an agent of human intestinal disease. B. homini... more Blastocystis hominis is now getting acceptance as an agent of human intestinal disease. B. hominis in stool samples of symptomatic and asymptomatic individuals was evaluated as a possible cause of gastro-intestinal troubles. B. hominis was found in 106 (10.1%) out of 1050 individuals examined from six villages and one city in Talkha Center, Dakahlia Governorate. The highest infection rate was in Manshayt El-Badawy village (25.47%), whereas Talkha City showed the lowest rate (4.73%). Age group 10-20 years had higher infection (13.3%). In twenty-three symptomatic patients, B. hominis represented the only causative parasitic agent. The most common symptoms were diarrhoea (30.4%), abdominal pain (26.1%), flatulence (21.7%). vomiting (13.1%) and fatigue (8.7%). High concentrations of B. hominis were found in symptomatic patients than in asymptomatic ones with statistical significant difference (8.2 cells/100 x field versus 3.8 respectively). The mean number of B. hominis was significantl...

Research paper thumbnail of Present situation of house dust mites in Dakahlia Governorate, Egypt

Journal of the Egyptian Society of Parasitology, 2006

House dust mites are common inhalant allergens, which can precipitate atopic disease episodes. Th... more House dust mites are common inhalant allergens, which can precipitate atopic disease episodes. The present study revealed presence of four mites. These are Dermatophagoides farinae, D. pteronyssinus, Acheles gracilis and Ornithonyssus bacoti. Population densities of different live adult mites were investigated in different house habitats. In urban houses, pyroglyphid mites were the predominant in bedrooms and D. farinae was the most abundant. A. gracilis was more abundant in living rooms followed by D. farinae then D. pteronyssinus. A. gracilis was the most prevalent in kitchens. While in rural houses, O. bacoti was the most abundant species followed by pyroglyphid mites. Since Dermatophagoides species and A. gracilis were present in numbers high enough to allow their ecological consideration, their seasonal abundance in urban bed-rooms was investigated and revealed that both D. farinae and D. pteronyssinus have two peaks of abundance, one slightly higher in spring and the second in...

Research paper thumbnail of Spotlight on the in vitro effect of artemisinin–naphthoquine phosphate on Schistosoma mansoni and its snail host Biomphalaria alexandrina

Acta Tropica, 2015

Malaria and schistosomiasis are the two most important parasitic diseases in the tropics and sub-... more Malaria and schistosomiasis are the two most important parasitic diseases in the tropics and sub-tropics with geographic overlap. Efforts have been made for developing new schistosomicidal drugs, or testing existing drugs originally used for non-related diseases. The antimalarial artemisinin-naphthoquine phosphate combination (CO-ArNp) was recently reported to be a promising novel antischistosomal therapy with potent in vivo activity against Schistosoma mansoni. In this work, we report the in vitro dose-and time-response effect of CO-ArNp against the Egyptian strain of S. mansoni, and its snail host, Biomphalaria alexandrina. Incubation of adult S. mansoni with CO-ArNp at 40 or 20 g/ml for 48 or 72 h killed all worms. Exposure of S. mansoni miracidia and cercariae to the molluscicidal LC50 of CO-ArNp (16.8 g/ml) resulted in 100% mortality of the free larval stages within 90 and 15 min, respectively. Moreover, incubation of adult B. alexandrina snails with this drug combination killed all snails at 40 g/ml within 24 h. Scanning electron microscope revealed marked morphological and tegumental alterations on the different stages of the parasite and its snail soft tissue. Our study highlights the schistosomicidal and molluscicidal effects of artemisinin-naphthoquine phosphate. No doubt more studies are needed to clarify its potential value to control schistosomiasis.

Research paper thumbnail of Hyperbilirubinämie und transkutane Bilirubinbestimmung 1 / Hyperbilirubinemia and transcutaneous bilirubinometry

LaboratoriumsMedizin, 2010

ABSTRACT Background: Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns. ... more ABSTRACT Background: Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns. Although most cases of neonatal jaundice have a benign course, severe hyperbilirubinemia can lead to kernicterus, which is preventable if the hyperbilirubinemia is identified early and treated appropriately. Content: This review discusses neonatal jaundice and the use of transcutaneous bilirubin (TcB) measurements for identification of neonates at risk of sever hyperbilirubinemia. Such a practice requires appropriate serial testing and result interpretation according to risk level from a nomogram that provides bilirubin concentrations specific for the age of the neonate in hours. In this context, we have evaluated the potential impact on clinical outcome and limitations of TcB methods in current use. Summary: TcB measurements is a viable option in screening neonates to determine if they are at risk for clinically significant hyperbilirubinemia. Total serum bilirubin should be measured by a clinical laboratory if a newborn is shown to be at higher risk for clinically significant hyperbilirubinemia. In addition, external quality assessment to identify biases and operator training issues should be part of any TcB monitoring program.

Research paper thumbnail of Effect of a novel benzimidazole derivative in experimental Schistosoma mansoni infection

Parasitology Research, 2013

Currently, praziquantel is the only drug of choice for treatment of schistosomiasis. Reports of p... more Currently, praziquantel is the only drug of choice for treatment of schistosomiasis. Reports of praziquantel resistance raise concerns about future control of the disease. Therefore, the search for new schistosomicidal drugs is eminent. In this study, the effect of a novel benzimidazole-derived compound (compound BTP-Iso) was assessed in mice harboring adult Schistosoma mansoni (Egyptian strain). Mice were treated 42 days p.i. with compound BTP-Iso using two treatment regimens (200 or 300 mg/kg). In both regimens, there were significant reductions in the number of recovered S. mansoni worms especially females and in immature ova, in addition to a significant reduction in the number and size of hepatic granulomata. A dose of 300 mg/kg resulted in a significant decrease in intestinal and hepatic tissue egg loads. Effect on schistosomes was confirmed by scanning electron microscopy, where adult worms recovered from mice treated with 200 mg/kg of compound BTP-Iso revealed tegumental alternations, characterised by swelling of tegumental ridges, bleb formation, and mild erosion in male worms; however in females, there were extensive erosion and destruction of the tegumental surface. These promising results may encourage future use of compound BTP-Iso in the treatment of schistosomiasis. However, more research is needed to detect the effect of compound BTP-Iso on early developmental stages of S. mansoni and on other species of human schistosomes.

Research paper thumbnail of Effect of Mirazid in Schistosoma japonicum-infected mice: parasitological and pathological assessment

Parasitology Research, 2013

Conflicting reports are found in the literature about the antischistosomal efficacy of Mirazid (M... more Conflicting reports are found in the literature about the antischistosomal efficacy of Mirazid (MZ), which is a special formulation of myrrh obtained from the stem of the plant Commiphora molmol. This initiated the present study to assess this drug for the first time in experimental schistosomiasis japonicum. Mice were divided into four groups: infected untreated control (I); infected treated with MZ, 500 mg/kg (II); infected treated with MZ, 250 mg/kg (III); and infected treated with praziquantel (PZQ), 200 mg/ kg (IV). The drugs were given 7 weeks post-infection for five successive days. All animals were killed 3 weeks posttreatment. Results showed no signs of antibilharzial activity of MZ. Total worms, total tissue egg load, egg developmental stages, and granuloma area were not affected by any of the MZ treatment regimens as compared to the infected untreated group (P>0.05 for all variables). These results were in contrast to those obtained in PZQ-treated animals in which 82.82 % total worm reduction, 94.62 % egg reduction, and 86.35 % granuloma area reduction were ob-served. Also, it significantly increased the percentage of dead ova and decreased the percentage of mature ova with complete absence of immature ones in comparison with the control group (P<0.01 for all variables). In conclusion, the results of the current study raise serious doubts about the antischistosomal activity of MZ.

Research paper thumbnail of Increased Helicobacter pylori-associated pathology in outbred mice coinfected with schistosomiasis

Parasitology Research, 2009

Research paper thumbnail of First insight into the effect of single oral dose therapy with artemisinin–naphthoquine phosphate combination in a mouse model of Schistosoma mansoni infection

International Journal for Parasitology, 2013

 Considerable efforts are ongoing in the development of novel drugs for the prevention and cure ... more  Considerable efforts are ongoing in the development of novel drugs for the prevention and cure of schistsomiasis. As a result, many compounds with promising antischistosomal properties have been identified.

Research paper thumbnail of In vivo effect of single oral dose of artemether against early juvenile stages of Schistosoma mansoni Egyptian strain

Experimental Parasitology, 2013

Currently, praziquantel is the only drug of choice for treatment of schistosomiasis. Reports of p... more Currently, praziquantel is the only drug of choice for treatment of schistosomiasis. Reports of praziquantel resistance raise concerns about future control of the disease. Therefore, the search for new schistosomicidal drugs is eminent. In this study, the effect of a novel benzimidazole-derived compound (compound BTP-Iso) was assessed in mice harboring adult Schistosoma mansoni (Egyptian strain). Mice were treated 42 days p.i. with compound BTP-Iso using two treatment regimens (200 or 300 mg/kg). In both regimens, there were significant reductions in the number of recovered S. mansoni worms especially females and in immature ova, in addition to a significant reduction in the number and size of hepatic granulomata. A dose of 300 mg/kg resulted in a significant decrease in intestinal and hepatic tissue egg loads. Effect on schistosomes was confirmed by scanning electron microscopy, where adult worms recovered from mice treated with 200 mg/kg of compound BTP-Iso revealed tegumental alternations, characterised by swelling of tegumental ridges, bleb formation, and mild erosion in male worms; however in females, there were extensive erosion and destruction of the tegumental surface. These promising results may encourage future use of compound BTP-Iso in the treatment of schistosomiasis. However, more research is needed to detect the effect of compound BTP-Iso on early developmental stages of S. mansoni and on other species of human schistosomes.

Research paper thumbnail of Hyperbilirubinemia and Transcutaneous Bilirubinometry

Clinical Chemistry, 2009

BACKGROUND: Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns. Although ... more BACKGROUND: Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns. Although most cases of neonatal jaundice have a benign course, severe hyperbilirubinemia can lead to kernicterus, which is preventable if the hyperbilirubinemia is identified early and treated appropriately.

Research paper thumbnail of The role of B-cells in immunity against adult Strongyloides venezuelensis

Parasites & Vectors, 2013

Strongyloides venezuelensis has been used as a tool and model for strongyloidiasis research. Elim... more Strongyloides venezuelensis has been used as a tool and model for strongyloidiasis research. Elimination of S. venezuelensis adult worms from mice has been particularly associated with proliferation and activation of intestinal mast cells and eosinophils. To date, the role of B-cells in the protective mechanism against adult Strongyloides infection in experimental animals has not been reported in the literature. Therefore, the present study was carried to investigate the role of B-lymphocytes in immunity against adult S. venezuelensis infection using mice with a targeted deletion of the JH locus. JHD knockout mice with its wild-type Balb/c mice were infected by intra-duodenal implantation of adult S. venezuelensis. Fecal egg count, intestinal worm recovery, mucosal mast cells and eosinophils were counted. At day 11 post infection, parasites in wild-type mice stopped egg laying, while in JHD knockout mice parasites continued to excrete eggs until the end of the observation period, day 107. The higher number of parasite eggs expelled in the feces of JHD knockout infected mice was a consequence of higher worm burdens, which established in the small intestine of these animals. On the other hand worm fecundity was comparable in both groups of mice. Both B-cell-deficient mice and wild-type mice, showed an influx of mucosal mast cells and eosinophils. The absolute numbers in JHD knockout mice were lower than those seen in wild-type mice at day 11, but not to a level of significance. JHD knockout mice could not recover from infection despite the recruitment of both types of cells. Our findings highlight a role of B cells in mucosal immunity against invasion of adult S. venezuelensis and in its expulsion. Therefore, we conclude that B-cells together with mucosal mast cells and eosinophils, contribute to immunity against adult S. venezuelensis by mechanism(s) to be investigated.

Research paper thumbnail of Human fascioliasis and anaemia in Dakahlia Governorate, Egypt

Journal of the Egyptian Society of Parasitology

Fasciola infection (fascioliasis) appeared to be endemic in Egypt. Stool samples of fourty eight ... more Fasciola infection (fascioliasis) appeared to be endemic in Egypt. Stool samples of fourty eight patients were coprologically diagnosed. According to Fasciola egg counting per gram stool, the severity of infection was divided into light infection in 60.5%, moderate in 27.1% and severe infection in 12.5%. No significant correlation was detected between severity of infection and patients' sex. Complete blood picture, reticylocytic count, serum iron, immunological assays as anti-nuclear, anti-smooth muscle antibody, anti-mitochondrial anti-body, anti-DNA tests and rheumatoid factor and occult blood in stool were investigated. Normocytic normochromic anaemia was detected in 62.5% of the fascioliasis patients, microcytic hypochromic anaemia in 31.3% and macrocytic one in 6.3%. Highly significant negative correlation (R = -0.68) was detected between haemoglobin concentration and egg count per gram faeces. Human fascioliasis was associated with normocytic normochromic anaemia and to a ...

Research paper thumbnail of Comparative study between immunohistochemical grading and giardia genotyping among symptomatic and asymptomatic humans

The Egyptian journal of immunology / Egyptian Association of Immunologists, 2007

In the last years, multiple studies indicated the potential effectiveness of the polymerase chain... more In the last years, multiple studies indicated the potential effectiveness of the polymerase chain reaction (PCR) for detection of Giardia in pathological specimens. By using the difference at the triose phosphate isomerase (tpi) gene locus, we investigated the genotype groups of Giardia lamblia isolated directly from fecal specimens collected from humans living in Dakahlia Governorate, Egypt. Immunohistochemical staining for detection of Giardia local antigenic and cellular immune-determinants focusing on CD4 and CD8 T-lymphocytes was also applied. The sensitivity of the ABC (avidine-biotin-peroxidase complex) immunoperoxidase technique for detection of the antigen was 97.3% and the specificity was 100%. Our study clearly demonstrated a highly significant difference between patients and controls as regards the grade of CD4 and CD8 lymphocyte infiltration (p < 0.001 for each correlation) but no significant difference was found between Giardia symptomatic and asymptomatic patients....

Research paper thumbnail of Diagnostic criteria for house dust mites sensitized allergic patients

Journal of the Egyptian Society of Parasitology, 2007

House dust mites (HDM) contain a large number of components that react with IgE in individuals wi... more House dust mites (HDM) contain a large number of components that react with IgE in individuals with allergies and induced sensi-tization and allergic diseases. The work aimed to correlate between clinical manifestations of HDM allergic patients and skin prick test (SPT) grading, and to clarify some markers denoting allergic disorders caused by HDM exposure. Thirty allergic patients with positive SPT reaction to HDM were selected, grading of disease severity according to SPT and clinical presentations. The results revealed bronchial asthma (40%), atopic dermatitis (26.7%), rhinitis (20%) and conjuncttivitis (13.3%). Serum ELISA-IgE showed mean level of 398.41 +/- 84.73, 369.87 +/- 86.76, 332.16 +/- 65.57 and 300.25 +/- 79.39 IU/ml respecttively, with highly statistically significant difference between cases and controls (p < 0.001). Eosinophila showed highly significant difference between atopic dermatitis cases and controls (p < or = 0.001).

Research paper thumbnail of Geoparasites in rural Dakahlia Governorate, a preliminary based study for development of the community-based intervention programs

Journal of the Egyptian Society of Parasitology, 2005

A prospective study was carried out to detect the rural prevalence and intensity of geoparasites ... more A prospective study was carried out to detect the rural prevalence and intensity of geoparasites in Dakahlia Governorate, Egypt. A total of 1070 soil samples were collected; 571 (53.4%) were infected with one or more parasites. Only 24% of samples were infected with one parasite, 16.4% and 13% with two, and more than two parasites respectively, and the difference was statistically significant. The geoparasites in a descending order of their prevalence were: E. histolytica cysts (9.2%), Toxocara eggs (9.1%), Giardia cysts (7.9%), Cryptosporidium oocysts (6.1%), Trichostrongylus eggs and larvae (5.6%), Isospora oocysts (4.3%), Acanathamoeba cysts (4.1%), Naegleria cysts (3.6%), Dust mites (2.7%), H. diminuta eggs (2.7%), Strongyloides free living adults, rhabditiform and filariform larvae (2.3%), H. nana eggs (1.7%), S. mansoni eggs (1.2%), Ascaris eggs (0.6%), Ancylostoma larvae (0.5%), Taenia eggs (0.4%), Trichocephalus eggs (0.4%) and F. gigantica eggs (0.2%). The prevalence of par...

Research paper thumbnail of Some molecular aspects in schistosomiasis mansoni and toxoplasmosis

Journal of the Egyptian Society of Parasitology, 2005

The IL-2 and IL-4 cytokines production represent cellular Th1 & Th2 immune responses respectively... more The IL-2 and IL-4 cytokines production represent cellular Th1 & Th2 immune responses respectively were associated with chronic schistosomiasis mansoni (stages 1-4) and chronic toxoplasmosis gondii. In the hepatosplenic schistosomiasis, the level of IL-2 and disease stage increased in parallel (P<0.05, <0.01, <0.01 & <0.001 in stages 1, 2, 3 & 4 respectively), whereas, IL-4 was highly significantly increased in stage 1 than control (P<0.001), then decreased to lower levels. The mean concentrations of IL-2 & IL-4 in patients with T. gondii were higher compared to control being more marked in IL-2 (P<0.001) versus IL-4 (P< 0.01). The data indicated that there are patterns of cytokine expression characteristic of type 1 & type 2 responses in vivo, with the ultimate goal of being able to manipulate the response to minimize inflammation and fibrosis for clinical benefit.

Research paper thumbnail of Kinetics of eosinophilia and IgE production in experimental murine toxocariasis

Journal of the Egyptian Society of Parasitology, 2008

Eosinophilia and immunoglobulin E (IgE) antibody are considered the first and important elements ... more Eosinophilia and immunoglobulin E (IgE) antibody are considered the first and important elements in host responses to helminth infection. Toxocara canis, which elicits prominent eosinophilia and IgE production in normal mice, may be useful in understanding the kinetics of circulating peripheral blood eosinophils and IgE antibody during infection. The onset, magnitude and duration of peripheral blood eosinophilia and total IgE production after primary T. canis infection in female outbred albino mice was investigated. Mice were either sham inoculated (controls) or were orally infected with 1000 embryonated eggs of T. canis. Patterns in leucocytic changes include significant increase in total WBC count between weeks 6 and 13 post infection (PI) with a peak on week 8 PI. Mice showed eosinophilia between weeks 2 to 17 PI with a peak on week 7. The development of eosinophilia in T. canis-infected mice was accompanied by the release of prominent level of serum IgE between weeks 2 to 21 wit...

Research paper thumbnail of Blastocystis hominis among symptomatic and asymptomatic individuals in Talkha Center, Dakahlia Governorate, Egypt

Journal of the Egyptian Society of Parasitology, 2005

Blastocystis hominis is now getting acceptance as an agent of human intestinal disease. B. homini... more Blastocystis hominis is now getting acceptance as an agent of human intestinal disease. B. hominis in stool samples of symptomatic and asymptomatic individuals was evaluated as a possible cause of gastro-intestinal troubles. B. hominis was found in 106 (10.1%) out of 1050 individuals examined from six villages and one city in Talkha Center, Dakahlia Governorate. The highest infection rate was in Manshayt El-Badawy village (25.47%), whereas Talkha City showed the lowest rate (4.73%). Age group 10-20 years had higher infection (13.3%). In twenty-three symptomatic patients, B. hominis represented the only causative parasitic agent. The most common symptoms were diarrhoea (30.4%), abdominal pain (26.1%), flatulence (21.7%). vomiting (13.1%) and fatigue (8.7%). High concentrations of B. hominis were found in symptomatic patients than in asymptomatic ones with statistical significant difference (8.2 cells/100 x field versus 3.8 respectively). The mean number of B. hominis was significantl...

Research paper thumbnail of Present situation of house dust mites in Dakahlia Governorate, Egypt

Journal of the Egyptian Society of Parasitology, 2006

House dust mites are common inhalant allergens, which can precipitate atopic disease episodes. Th... more House dust mites are common inhalant allergens, which can precipitate atopic disease episodes. The present study revealed presence of four mites. These are Dermatophagoides farinae, D. pteronyssinus, Acheles gracilis and Ornithonyssus bacoti. Population densities of different live adult mites were investigated in different house habitats. In urban houses, pyroglyphid mites were the predominant in bedrooms and D. farinae was the most abundant. A. gracilis was more abundant in living rooms followed by D. farinae then D. pteronyssinus. A. gracilis was the most prevalent in kitchens. While in rural houses, O. bacoti was the most abundant species followed by pyroglyphid mites. Since Dermatophagoides species and A. gracilis were present in numbers high enough to allow their ecological consideration, their seasonal abundance in urban bed-rooms was investigated and revealed that both D. farinae and D. pteronyssinus have two peaks of abundance, one slightly higher in spring and the second in...

Research paper thumbnail of Spotlight on the in vitro effect of artemisinin–naphthoquine phosphate on Schistosoma mansoni and its snail host Biomphalaria alexandrina

Acta Tropica, 2015

Malaria and schistosomiasis are the two most important parasitic diseases in the tropics and sub-... more Malaria and schistosomiasis are the two most important parasitic diseases in the tropics and sub-tropics with geographic overlap. Efforts have been made for developing new schistosomicidal drugs, or testing existing drugs originally used for non-related diseases. The antimalarial artemisinin-naphthoquine phosphate combination (CO-ArNp) was recently reported to be a promising novel antischistosomal therapy with potent in vivo activity against Schistosoma mansoni. In this work, we report the in vitro dose-and time-response effect of CO-ArNp against the Egyptian strain of S. mansoni, and its snail host, Biomphalaria alexandrina. Incubation of adult S. mansoni with CO-ArNp at 40 or 20 g/ml for 48 or 72 h killed all worms. Exposure of S. mansoni miracidia and cercariae to the molluscicidal LC50 of CO-ArNp (16.8 g/ml) resulted in 100% mortality of the free larval stages within 90 and 15 min, respectively. Moreover, incubation of adult B. alexandrina snails with this drug combination killed all snails at 40 g/ml within 24 h. Scanning electron microscope revealed marked morphological and tegumental alterations on the different stages of the parasite and its snail soft tissue. Our study highlights the schistosomicidal and molluscicidal effects of artemisinin-naphthoquine phosphate. No doubt more studies are needed to clarify its potential value to control schistosomiasis.

Research paper thumbnail of Hyperbilirubinämie und transkutane Bilirubinbestimmung 1 / Hyperbilirubinemia and transcutaneous bilirubinometry

LaboratoriumsMedizin, 2010

ABSTRACT Background: Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns. ... more ABSTRACT Background: Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns. Although most cases of neonatal jaundice have a benign course, severe hyperbilirubinemia can lead to kernicterus, which is preventable if the hyperbilirubinemia is identified early and treated appropriately. Content: This review discusses neonatal jaundice and the use of transcutaneous bilirubin (TcB) measurements for identification of neonates at risk of sever hyperbilirubinemia. Such a practice requires appropriate serial testing and result interpretation according to risk level from a nomogram that provides bilirubin concentrations specific for the age of the neonate in hours. In this context, we have evaluated the potential impact on clinical outcome and limitations of TcB methods in current use. Summary: TcB measurements is a viable option in screening neonates to determine if they are at risk for clinically significant hyperbilirubinemia. Total serum bilirubin should be measured by a clinical laboratory if a newborn is shown to be at higher risk for clinically significant hyperbilirubinemia. In addition, external quality assessment to identify biases and operator training issues should be part of any TcB monitoring program.

Research paper thumbnail of Effect of a novel benzimidazole derivative in experimental Schistosoma mansoni infection

Parasitology Research, 2013

Currently, praziquantel is the only drug of choice for treatment of schistosomiasis. Reports of p... more Currently, praziquantel is the only drug of choice for treatment of schistosomiasis. Reports of praziquantel resistance raise concerns about future control of the disease. Therefore, the search for new schistosomicidal drugs is eminent. In this study, the effect of a novel benzimidazole-derived compound (compound BTP-Iso) was assessed in mice harboring adult Schistosoma mansoni (Egyptian strain). Mice were treated 42 days p.i. with compound BTP-Iso using two treatment regimens (200 or 300 mg/kg). In both regimens, there were significant reductions in the number of recovered S. mansoni worms especially females and in immature ova, in addition to a significant reduction in the number and size of hepatic granulomata. A dose of 300 mg/kg resulted in a significant decrease in intestinal and hepatic tissue egg loads. Effect on schistosomes was confirmed by scanning electron microscopy, where adult worms recovered from mice treated with 200 mg/kg of compound BTP-Iso revealed tegumental alternations, characterised by swelling of tegumental ridges, bleb formation, and mild erosion in male worms; however in females, there were extensive erosion and destruction of the tegumental surface. These promising results may encourage future use of compound BTP-Iso in the treatment of schistosomiasis. However, more research is needed to detect the effect of compound BTP-Iso on early developmental stages of S. mansoni and on other species of human schistosomes.

Research paper thumbnail of Effect of Mirazid in Schistosoma japonicum-infected mice: parasitological and pathological assessment

Parasitology Research, 2013

Conflicting reports are found in the literature about the antischistosomal efficacy of Mirazid (M... more Conflicting reports are found in the literature about the antischistosomal efficacy of Mirazid (MZ), which is a special formulation of myrrh obtained from the stem of the plant Commiphora molmol. This initiated the present study to assess this drug for the first time in experimental schistosomiasis japonicum. Mice were divided into four groups: infected untreated control (I); infected treated with MZ, 500 mg/kg (II); infected treated with MZ, 250 mg/kg (III); and infected treated with praziquantel (PZQ), 200 mg/ kg (IV). The drugs were given 7 weeks post-infection for five successive days. All animals were killed 3 weeks posttreatment. Results showed no signs of antibilharzial activity of MZ. Total worms, total tissue egg load, egg developmental stages, and granuloma area were not affected by any of the MZ treatment regimens as compared to the infected untreated group (P>0.05 for all variables). These results were in contrast to those obtained in PZQ-treated animals in which 82.82 % total worm reduction, 94.62 % egg reduction, and 86.35 % granuloma area reduction were ob-served. Also, it significantly increased the percentage of dead ova and decreased the percentage of mature ova with complete absence of immature ones in comparison with the control group (P<0.01 for all variables). In conclusion, the results of the current study raise serious doubts about the antischistosomal activity of MZ.

Research paper thumbnail of Increased Helicobacter pylori-associated pathology in outbred mice coinfected with schistosomiasis

Parasitology Research, 2009

Research paper thumbnail of First insight into the effect of single oral dose therapy with artemisinin–naphthoquine phosphate combination in a mouse model of Schistosoma mansoni infection

International Journal for Parasitology, 2013

 Considerable efforts are ongoing in the development of novel drugs for the prevention and cure ... more  Considerable efforts are ongoing in the development of novel drugs for the prevention and cure of schistsomiasis. As a result, many compounds with promising antischistosomal properties have been identified.

Research paper thumbnail of In vivo effect of single oral dose of artemether against early juvenile stages of Schistosoma mansoni Egyptian strain

Experimental Parasitology, 2013

Currently, praziquantel is the only drug of choice for treatment of schistosomiasis. Reports of p... more Currently, praziquantel is the only drug of choice for treatment of schistosomiasis. Reports of praziquantel resistance raise concerns about future control of the disease. Therefore, the search for new schistosomicidal drugs is eminent. In this study, the effect of a novel benzimidazole-derived compound (compound BTP-Iso) was assessed in mice harboring adult Schistosoma mansoni (Egyptian strain). Mice were treated 42 days p.i. with compound BTP-Iso using two treatment regimens (200 or 300 mg/kg). In both regimens, there were significant reductions in the number of recovered S. mansoni worms especially females and in immature ova, in addition to a significant reduction in the number and size of hepatic granulomata. A dose of 300 mg/kg resulted in a significant decrease in intestinal and hepatic tissue egg loads. Effect on schistosomes was confirmed by scanning electron microscopy, where adult worms recovered from mice treated with 200 mg/kg of compound BTP-Iso revealed tegumental alternations, characterised by swelling of tegumental ridges, bleb formation, and mild erosion in male worms; however in females, there were extensive erosion and destruction of the tegumental surface. These promising results may encourage future use of compound BTP-Iso in the treatment of schistosomiasis. However, more research is needed to detect the effect of compound BTP-Iso on early developmental stages of S. mansoni and on other species of human schistosomes.

Research paper thumbnail of Hyperbilirubinemia and Transcutaneous Bilirubinometry

Clinical Chemistry, 2009

BACKGROUND: Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns. Although ... more BACKGROUND: Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns. Although most cases of neonatal jaundice have a benign course, severe hyperbilirubinemia can lead to kernicterus, which is preventable if the hyperbilirubinemia is identified early and treated appropriately.

Research paper thumbnail of The role of B-cells in immunity against adult Strongyloides venezuelensis

Parasites & Vectors, 2013

Strongyloides venezuelensis has been used as a tool and model for strongyloidiasis research. Elim... more Strongyloides venezuelensis has been used as a tool and model for strongyloidiasis research. Elimination of S. venezuelensis adult worms from mice has been particularly associated with proliferation and activation of intestinal mast cells and eosinophils. To date, the role of B-cells in the protective mechanism against adult Strongyloides infection in experimental animals has not been reported in the literature. Therefore, the present study was carried to investigate the role of B-lymphocytes in immunity against adult S. venezuelensis infection using mice with a targeted deletion of the JH locus. JHD knockout mice with its wild-type Balb/c mice were infected by intra-duodenal implantation of adult S. venezuelensis. Fecal egg count, intestinal worm recovery, mucosal mast cells and eosinophils were counted. At day 11 post infection, parasites in wild-type mice stopped egg laying, while in JHD knockout mice parasites continued to excrete eggs until the end of the observation period, day 107. The higher number of parasite eggs expelled in the feces of JHD knockout infected mice was a consequence of higher worm burdens, which established in the small intestine of these animals. On the other hand worm fecundity was comparable in both groups of mice. Both B-cell-deficient mice and wild-type mice, showed an influx of mucosal mast cells and eosinophils. The absolute numbers in JHD knockout mice were lower than those seen in wild-type mice at day 11, but not to a level of significance. JHD knockout mice could not recover from infection despite the recruitment of both types of cells. Our findings highlight a role of B cells in mucosal immunity against invasion of adult S. venezuelensis and in its expulsion. Therefore, we conclude that B-cells together with mucosal mast cells and eosinophils, contribute to immunity against adult S. venezuelensis by mechanism(s) to be investigated.