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عضویت

جستجوی مقالات مرتبط با کلیدواژه « Trichomonas vaginalis » در نشریات گروه « پزشکی »

  • Ali Azimi Kohn, Faeze Foroughi-Parvar, Sepehr Matini, Mohammad Matini*
    Background

     Trichomonal vaginitis or trichomoniasis is one of the most common non-viral sexually transmitted infections (STIs) in the world, which has significant health consequences. The purpose of this study was to determine the prevalence of this infection in women of Asadabad city and to investigate its epidemiological factors.

    Methods

     In this study, 291 women referred to health centers in Asadabad were examined for Trichomonas vaginalis infection by parasitological methods. The data were analyzed by chi-square test.

    Results

     Out of 291 women, 7 (2.4%, with 95% confidence interval: 0.7-4.1%) were infected with T. vaginalis. Seven people were diagnosed by culture method and 4 people were diagnosed by direct smear method. The age of participants ranged from 19 to 65 years with an average of 38.2 years. The age group of 29-38 years old was the most infected group with 4 cases of infection. Their education level ranged from illiterate to university education. Considering marriage and occupation, 97.5% were married and 91.1% were housewives. The most common clinical signs and symptoms observed in people infected with T. vaginalis were vaginal discharge and pain in the lower abdomen. There was no statistically significant relationship between trichomoniasis and any of the studied variables (P>0.05).

    Conclusion

     The results of this study show a relatively low prevalence of trichomonal vaginitis in this region. However considering the health importance of the infection in the community, it is expected that effective measures will be taken to improve people’s awareness and public health.

    Keywords: Trichomonas Vaginalis, Epidemiology, Women, Iran}
  • Ali Azimi Kohan, Dara Dastan, Mohammad Fallah, Mohammad Matini*
    Background

     Trichomonas infection is a common sexually transmitted infection, and concerns about drug resistance to this infection are increasing. The aim of this study was to evaluate the in vitro activity of Pelargonium quercetorum extracts on Trichomonas protozoans.

    Methods

     One isolate of Trichomonas vaginalis was subjected to susceptibility testing against ethyl acetate, n-hexane, and aqueous extracts of P. quercetorum using the microtiter plate method. The minimum lethal concentration (MLC) of the extracts was measured in comparison with metronidazole under aerobic conditions.

    Results

     All extracts had antiprotozoal activities against Trichomonas. After 48-hour exposure, the most antitrichomonal activity of the extracts belonged to the ethyl acetate, with an MLC of 250 µg/mL, followed by the n-hexane (500 µg/mL) and aqueous (25 mg/mL) extracts in comparison with metronidazole, with an MLC of 3.1 µg/mL.

    Conclusion

     The results of this study indicated that P. quercetorum has potential properties against Trichomonas protozoans, although further studies are needed to evaluate the antiprotozoal activity of its components.

    Keywords: Trichomonas vaginalis, Trichomonas Infections, Pelargonium quercetorum, plant extracts}
  • Masoumeh Moradi, Dara Dastan, Mohammad Fallah, Manizhe Kashi Nahanji, Mohammad Matini
    Background

    Trichomoniasis is one of the most common sexually transmitted infections worldwide. The growing concern of drug resistance of this infection has cautioned the need for new drug development. We evaluated the potential antiproliferative and apoptotic effect of α-pinene and tannic acid (TA) on Trichomonas vaginalis cells. In addition, the cytotoxicity of agents on Vero cells was investigated.

    Methods

      Trichomonas cells were axenically cultured in TYI-S-33 medium. In vitro antiproliferative activity of α-pinene, TA, and metronidazole was investigated against Trichomonas cells. The assays were carried out in triplicate using microtiter plate and trypan blue staining method. Annexin V/PI staining with flow cytometry was used to evaluate apoptosis induction. In addition, the cytotoxic effect was measured by MTT assay.

    Results

    α-Pinene and TA exhibited significant inhibition of the Trichomonas cells and the lowest IC50 values were 22.9 µg/ml and 140 µg/ml at 48 hours’ incubation, respectively. The CC50 was found at 116 μg/ml for α-pinene and 473 μg/ml for TA, after 48 hours of treatment. The flow cytometry study demonstrated that the natural compounds induced apoptosis in Trichomonas cells. After 24 hours of treatment, the induction of apoptosis was 5.2% - 36.6% at concentrations of 3.9 - 62.5 μg/ml for α-pinene and TA induced-apoptosis was 6.1% - 53.8% at concentrations of 125-2000 μg/ml.

    Conclusion

    Although the results show the antiproliferative and apoptotic effect of α-pinene and TA on Trichomonas cells, in vivo studies are needed to further clarify the effects of these compounds.

    Keywords: Antiprotozoal agents, Apoptosis, Alpha-pinene, Tannic acid, Trichomonas vaginalis}
  • Sedigheh Khoeeniha, Javid Sadraei*, Majid Pirestani, Saeed Bahadory
    Background

    Trichomoniasis caused by Trichomonas vaginalis is considered one of the most important worldwide non-viral sexually transmitted infections. The remaining clinical symptoms of the disease after treatment with metronidazole confirm the presence of metronidazole-resistant strains.

    Objectives

    Therefore, the present study aimed to investigate the inhibitory effect of the extract of the root and leaf of the Sophora alopecuroides plant on the growth and inhibition of the growth of T. vaginalis parasite.

    Methods

    Aqueous and alcoholic extracts of S. alopecuroides plant roots and leaves with concentrations of 0.5, 1, 2, 4, and 5 mg/mL, as well as metronidazole were exposed to 105 parasites and mouse macrophage cells in 24 and 48 hours. To determine the toxicity of the extract on the cells, mice peritoneal cells were used for the 3-(4,5-dimethylthiazol-2-yl)-2,5- diphenyl-2H-tetrazolium bromide test. The half-maximal inhibitory concentration and 50% cytotoxic concentration values were evaluated by PRISM GraphPad software, and analysis of variance and t test were employed for statistical comparisons by SPSS-23.

    Results

    The aqueous-alkaline compounds of the root of the S. alopecuroides plant demonstrated a promising effect on inhibiting parasite growth, but the therapeutic index of the aqueous extract of its leaves was less effective than the rest of the extracts and metronidazole. After 24 hours, at a concentration of 2.5%, the aqueous extract of the root had the most effect with 69.4%, and the aqueous extract of the leaf had the least effect with 34.68% of growth inhibition. However, none of the extracts had a greater inhibitory effect than metronidazole, but after 48 hours, the effect of the extract caused more inhibition due to time.

    Conclusion

    Overall, the aqueous and alcoholic extracts of the leaves and roots of the S. alopecuroides plant had suitable anti-trichomonas effects. In addition, the aqueous leaf extract had a good effect with the least toxicity. Considering that this research was performed for the first time, to generalize the results, extensive research is needed in in vivo conditions.

    Keywords: Trichomonas vaginalis, Sophora alopecuroides, Anti-parasitic, Metronidazole}
  • Ali Jamshidi-Zad, Dara Dastan, Mohammad Fallah, Farid Azizi-Jalilian, Mohammad Matini *
    Background
    Trichomoniasis, caused by Trichomonas vaginalis protozoan, is the most common nonviral sexually transmitted infections worldwide. Although metronidazole and tinidazole are the only approved drugs for treatment, drug-resistant cases of infection are on the rise. The aim of the study was the evaluation of antitrichomonal potential of Piper nigrum and limonene. The phytochemical profile of P. nigrum oil was also investigated.
    Methods
    The parasites were treated in vitro with essential oil and different extracts of P. nigrum seed and limonene using microtiter plate method. The oil analysis of P. nigrum was also evaluated by gas chromatography-mass spectrometry and gas chromatography-flame ionization detector. Furthermore, the cytotoxicity assay of P. nigrum oil and limonene were screened on Vero cell line by MTT method.
    Results
    The tested P. nigrum fractions were able to kill 100% of Trichomonas trophozoites at MLC concentration and reduce the trophozoite viability at sub-MLC and lower concentrations. After 48 hours exposure, the most potent fraction was the n-hexane extract with MLC of 78 µg/ml and followed by the essential oil and methanol extract with MLC of 156 µg/ml, limonene (MLC=1250 µg/ml), and then, aqueous extract with MLC value of 25 mg/ml. Also according to cytotoxicity assay, P. nigrum oil was less toxic to Vero cell than limonene, with a selectivity index of 13.2 and 2.04, respectively.
    Conclusion
    This study clearly demonstrated the trichomonacidal potential of P. nigrum. Thus, P. nigrum fractions can be considered promising antiprotozoal agents and the basis for further development to discover new phytochemicals compounds.
    Keywords: Essential oil, Extract, Limonene, Piper nigrum, Trichomonas vaginalis}
  • Mahnaz Jafari, Hossein Amini-khoei, Mohsen Cheshmpanam, Rahman Abdizadeh*
    Background and aims

     Trichomoniasis is the most common non-viral sexually transmitted infection worldwide; although it is treated by a 5-nitroimidazole drug family such as metronidazole (MTZ) with numerous side effects, and in this regard, alternative new drugs are required. Therefore, this study examined the anti-Trichomoniasis effect of the hydroalcoholic extract of some traditional medicinal plants of Iran in vitro.

    Methods

     In this experimental study, the hydroalcoholic extracts of medicinal plants were prepared by maceration at a stock concentration of 20 mg/mL in the saline solution and then used for in vitro anti-trichomonas experiments. Trichomonas vaginalis trophozoites were isolated from the patient and cultured in a Trypticase Yeast extract Iron-Serum-33 medium. In addition, 200 μL of the culture medium containing 5×104 trophozoites was diluted in plate wells, and 10 doses were separately added on trophozoites for each extract serially diluted between 0.12 and 16 mg/mL in triplicate. The plates were incubated for 48 hours at 37 ° C with 5% CO2 . The number of trophozoites was counted with a hemocytometer and Trypan blue staining. Finally, the half maximal inhibitory concentration (IC50) was calculated by probit analysis.

    Results

     Among the tested plants, Eugenia caryophyllata, Camellia sinensis, and Terminalia chebula Retz showed the best anti-trichomonal activity with IC50 values of 1.21, 1.62, and 1.66 mg/mL, respectively. All tested extracts had more IC50 than MTZ (IC50 100 mg/mL), an antiprotozoal drug used as a positive control.

    Conclusion

     According to the results of this study, E. caryophylata, C. sinensis and T. chebula Retz affected the growth of T. vaginalis. Thus, it is recommended that other studies use this plant for the treatment of trichomoniasis infection.

    Keywords: Medicinal plants, Hydroalcoholic extracts, Trichomonas vaginalis, Trophozoites, In vitro}
  • Zahra Gharibi*, Khadijeh Ahmadi, Parivash Davoodian*, Mehdi Hassani Azad, Habibollah Turki, Khojasteh Sharifi-Sarasiabi, Atefeh Khezri
    Background

     The harmful effects of smoking on women’s bodies have been proven. One of these effects is an increase in sexually transmitted diseases, including Trichomonas vaginalis infection. Smoking is one of the main risk factors for infections in the respiratory, digestive, and reproductive systems in humans. Mechanisms of susceptibility to infection in smokers may involve changes in the host’s structural, functional, and immunological defenses. T. vaginalis infection is one of the non-viral sexually transmitted diseases and the most common curable sexually transmitted infection in the world, which can increase the risk of pelvic inflammatory disease and HIV transmission. This infection is still relatively common, especially in women who smoke and in groups with lower socioeconomic status. We aimed to present a compressive review of the probability of being infected with T. vaginalis in smokers compared to non-smokers.

    Materials and Methods

     PubMed and Google databases were searched for research articles related to smoking and its association with T. vaginalis infection.

    Results

     The smoking status of the person is an independent risk factor for T. vaginalis infection and leads to an increased likelihood of developing this infection.

    Conclusion

     Finally, the results of various studies showed that the prevalence of T. vaginalis infection is higher in smokers than in non-smokers.

    Keywords: Trichomonas vaginalis, Smoking, Risk factor, Infection}
  • Fateme Nematishahri, Omid Pouresmaeil, Roghaieh Rahmani Bilandi, Alireza Mohammadzadeh, Jalal Mardaneh *

    Amongst sexually transmitted infections in the world, Trichomonas vaginalis is of the most common. Most of the infections are asymptomatic. It can infect women more than men because of genital tracts condition. The mother’s birth canal and perineum are common sources of infants’ eye infection. Some studies noted the possibility of T. vaginalis transmission through the birth canal to infants. Such an event can lead to neonatal conjunctivitis. By following Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines, a systematic review conducted to assess the possibility of neonatal conjunctivitis caused by T. vaginalis. Several factors can play a role in T. vaginalis transmission, such as low sanitary level, physical contact by contaminated biological fluids and infant’s opened eyes during the delivery. Through the review of different studies, it is inferred, although the probability of neonatal conjunctivitis caused by T. vaginalis is low, but it is possible. Finally, metronidazole is an approved drug for treatment of trichomoniasis and needs to consider in neonatal conjunctivitis caused by T. vaginalis.

    Keywords: neonatal conjunctivitis, Trichomonas vaginalis, Sexually transmitted infections, Sexually Transmitted Diseases, infant’s eye infection, trichomoniasis}
  • مرضیه طاهرزاده، رضا عباسیان، رضا طاهرخانی، مرادعلی فولادوند*
    زمینه

    تریکومونیازیس شایع ترین بیماری مقاربتی غیرویروسی است که توسط تک یاخته تریکوموناس واژینالیس ایجاد می شود. مترونیدازول (مشتق 5- نیتروایمیدازول) داروی اصلی منتخب ضد تریکومونایی برای درمان تریکومونیازیس است. از سال 1962 مواردی از شکست درمان با مترونیدازول گزارش شده است و به عنوان یک مسیله بهداشت عمومی بسیار مشکل ساز ظاهر شده است. این مطالعه با هدف تعیین حساسیت فعلی جدایه های تریکوموناس واژینالیس به مترونیدازول در شهر بوشهر انجام شد.

    مواد و روش ها:

    این مطالعه بر روی 20 جدایه T. vaginalis جمع آوری شده از مراکز خدمات جامع سلامت و بیمارستان های شهر بوشهر انجام شد. پس از کشت انگل ها، تست حساسیت با استفاده از رقت های متوالی دو برابری مترونیدازول (2 تا 64 میکروگرم در میلی لیتر) انجام شد. حداقل غلظت مهاری (MIC) و حداقل غلظت کشنده (MLC) تریکوموناس ها پس از 24 و 48 ساعت انکوباسیون در 36 درجه سانتی گراد تعیین شد. سنجش حساسیت دارویی تمامی جدایه ها دو بار در سه تکرار در شرایط هوازی و بی هوازی انجام شد.

    یافته ها:

    صد درصد جدایه های تریکوموناس (20/20) به مترونیدازول حساس بودند. مقاومت به مترونیدازول به عنوان MIC هوازی ≥50 میکروگرم در میلی لیتر تعریف شده که در هیچکدام از ایزوله ها شناسایی نشد. میانگین MICها و MLCهای هوازی و MICهای بی هوازی انگل ها به ترتیب 8/3، 2/3 و 1/2 میکروگرم در میلی لیتر بود.

    نتیجه گیری:

    بررسی حساسیت دارویی جدایه های T. vaginalis برای اولین بار در شهرستان بوشهر انجام شد. از آنجا که ایزوله مقاوم به مترونیدازول یافت نشد، وضعیت بسیار امیدوارکننده بود. اگرچه نیاز به تحقیقات در مقیاس بزرگ تر در استان اجتناب ناپذیر است. با توجه به اینکه در اکثر مطالعات نتایج بر اساس مشاهدات آزمایشگاهی است، اخیرا مطالعه in vivo نیز توصیه شده است زیرا منجر به توسعه استانداردهای واقعی در مورد پاسخ بالینی و میکروبیولوژیکی به درمان مترونیدازول خواهد شد.

    کلید واژگان: تریکوموناس واژینالیس, حساسیت دارویی, شرایط آزمایشگاهی, مترونیدازول}
    Marzeieh Taherzadeh, Reza Abbasian, Reza Taherkhani, Morad Ali Fouladvand*
    Background

    Trichomoniasis is the most common non-viral sexually transmitted disease caused by the protozoan parasite Trichomonas vaginalis. Metronidazole (MTZ), a 5-nitroimidazole derivative, is the main antitrichomonal agent of choice for the treatment of trichomoniasis. Since 1962, some cases of treatment failure with metronidazole have been reported, and the increased resistance of the parasite to MTZ has emerged as a highly problematic public health issue. This study aimed to determine the current susceptibility of isolates of T. vaginalis to metronidazole in Bushehr city.

    Materials and Methods

    This study was performed on 20 T. vaginalis isolates collected from comprehensive health service centers and hospitals in Bushehr city. After the culture of the parasites, susceptibility testing was carried out using serial twofold dilutions of MTZ (2 to 64 μg/ml). The minimum inhibitory concentration (MIC) and the minimum lethal concentration (MLC) of the trichomonads were determined after 24 and 48 h of incubation at 36 °C. Drug susceptibility assays of all the isolates were carried out twice in triplicate under aerobic and anaerobic conditions.

    Results

    One hundred percent of the T. vaginalis isolates (20/20) were susceptible to MTZ. Resistance to metronidazole was defined as aerobic MIC ≥50 μg/ml, which was not detected in any of the isolates. The mean aerobic MIC and MLC and the mean anaerobic MIC of the parasites were 3.8, 3.2 and 2.1 μg/ml, respectively.

    Conclusion

    The present study was the first to investigate drug susceptibility in T. vaginalis isolates in Bushehr city. Since no metronidazole-resistant isolates were found, the situation looked very promising. Nevertheless, the need for larger-scale research is inevitable in the province. Considering that most results are based on in vitro observations, conducting an in vivo study has also been recommended in recent years, as these studies could help develop real standards about clinical and microbiological responses to MTZ treatment.

    Keywords: Trichomonas Vaginalis, Drug Susceptibility, In Vitro, Metronidazole}
  • مهدی اکبری، دارا دستان، محمد فلاح، محمد متینی*
    مقدمه

     تریکومونیاز شایع ترین عفونت جنسی غیرویروسی در جهان می باشد که موارد مقاوم به درمان آن در حال گسترش است. هدف از این مطالعه بررسی تاثیر عصاره ها و اسانس چویل (Ferulago  angulata) بر تریکوموناس واژینالیس بود.

    روش کار

    در این مطالعه عصاره های متانولی، اتیل استاتی، هگزانی و اسانس اندام هوایی چویل تهیه و آزمایش تعیین حداقل غلظت کشنده (MLC) و تعیین درصد ممانعت از رشد (GI%) روی دو ایزوله بالینی تریکوموناس واژینالیس در شرایط هوازی و در مقابل مترونیدازول و کنترل انجام شد. نتایج آزمایشات بعد از 24 و 48 ساعت قرایت گردید.

    یافته ها

    بعد از 24 ساعت میزان MLC عصاره های متانولی، اتیل استاتی، هگزانی و اسانس  به ترتیب برابر 250، 500، 250 و 500 میکروگرم در میلی لیتر تعیین گردید. میزان MLC عصاره های اتیل استاتی و هگزانی بعد 48 ساعت به 250 و 125 میکروگرم در میلی لیتر کاهش یافت. میزان GI% در یک غلظت کمتر از غلظت کشنده برای عصاره ها و اسانس بعد از 24 ساعت از 39/3% تا 93/2% و بعد از 48 ساعت از 51/6% تا 95/1% تعیین گردید. همچنین میانگین میزان MLC مترونیدازول بعد از 24 و 48 ساعت 3/9 و 6/4 میکروگرم در میلی لیتر بدست آمد.

    نتیجه گیری

    نتایج این مطالعه نشان داد چویل دارای ظرفیت ضد تریکومونیایی می باشد. بنابراین لازم است تحقیقات بیشتری در جهت استخراج و خالص سازی اجزا سازنده اسانس و عصاره های آن صورت گیرد تا با آزمایشات تکمیلی در شرایط برون تنی و درون تنی روی آن ها، قضاوت دقیق تری در رابطه با توان ضدمیکروبی و ظرفیت استفاده از  این گیاه حاصل گردد.

    کلید واژگان: چویل, تریکوموناس واژینالیس, عصاره, اسانس}
    Mehdi Akbari, Dara Dastan, Mohammad Fallah, Mohammad Matini*
    Introduction

    Trichomoniasis is the most common non-viral sexually transmitted infection in the world, with resistant cases spreading. The aim of this study was to evaluate the effect of Ferulago angulata extracts and essential oil on Trichomonas vaginalis protozoan.

    Materials and Methods

    In this study, methanol, ethyl acetate and hexane extracts and essential oil of F. angulata aerial parts were prepared and tested to determine the minimum lethal concentration (MLC) and the percentage of growth inhibition (GI%). The tests were carried out on two clinical isolates of T. vaginalis under aerobic conditions and against metronidazole and control.  The tests were surveyed after 24 and 48 hours of incubation.

    Results

    After 24 hours, the MLC of methanol, ethyl acetate and hexane extracts and essential oil were 250, 500, 250 and 500 μg/ml, respectively. The MLC of ethyl acetate and hexane extracts were reduced to 250 and 125 μg/ml, after 48 hours. GI% at Sub-MLC for extracts and essential oils were 24.3% to 93.2%, after 24 hours, and from 51.6% to 95.1% after 48 hours. Also, the mean MLCs of metronidazole after 24 and 48 hours were 9.3 and 4.6 μg/ml.

    Conclusion

    The results of this study showed that F. angulata has anti-trichomonial potential. Thus, more investigations it is necessary to purify the constituents of essential oil and extracts. Further in vitro and in vivo experiments will clarify the antimicrobial potential of the plant to make a more correct judgment.

    Keywords: Ferulago angulata, Trichomonas vaginalis, extract, essential oil}
  • Mahdiyeh Taheri, Reza Ghasemikhah
    Background

    This study intends to increase awareness on the clinical and laboratory diagnosis as well as health care of newborns with trichomoniasis from infected mothers, to introduce this organism as a respiratory pathogen with lower prevalence in other areas, and to outline its manifestations and symptoms.

    Methods

    All case report articles in English language regarding the presence of T. vaginalisin unusual areas among infants, which were available in Scopus, PubMed, Science Direct, Google scholar, and Web of Science published between 1980 and 2021 were searched and reported by two independent researchers. Titles and abstracts of all articles were reviewed for initial screening.

    Results

    After searching the articles and evaluating their quality, 9 full text articles were selected. All reported cases were from 8 different cities (4 countries) in the world. In most cases, the parasite was in the respiratory tract, but it was also reported in the brain and urogenital tract. The most common clinical symptom was respiratory distress.

    Conclusion

    Although the possibility of trichomoniasis infection in unusual areas such as genitals is low, according to the reports collected from around the world, this parasite can also be present outside the genitals. Perhaps, reviewing trichomoniasis along with other diagnoses in these cases may lead to early diagnosis and treatment of the affected neonates.

    Keywords: Trichomonas vaginalis, Neonate, Neonates}
  • بابک بیک زاده*
    مقدمه

    تریکوموناس واژینالیس، یکی از شایع ترین عفونت مقاربتی در جهان است. با توجه به اهمیت این عفونت در بهداشت عمومی، تلاش های گسترده ای برای ساخت واکسن صورت گرفته است. تحقیقات پیشین به واکسن کشته شده و یا استفاده از یک پروتیین چسبنده به عنوان کاندید واکسن محدود شده اند و هیچ واکسن موثری تاکنون برای این بیماری معرفی نشده است. هدف از این مطالعه، طراحی واکسن بر اساس اپی توپ های پروتیین های چسبنده انگل به عنوان یک پروتیین ایمنی زا با استفاده از ابزارهای ایمونوانفورماتیک بود.

    روش ها

    در ابتدا توالی پروتیین های AP33، AP51 و AP65 بازیابی شدند. سپس اپی توپ های لنفوسیت های B و T آن ها پیشگویی شد. خاصیت آنتی ژنی، عدم آلرژی زایی و عدم سم زایی اپی توپ ها بررسی و سازه ی واکسن طراحی گردید. سپس خصوصیات فیزیکی و شیمیایی و ساختاری واکسن مشخص شد و در نهایت توانایی اتصال واکسن با TLRs بررسی گردید.

    یافته ها

    در مجموع 9 اپی توپ لنفوست B و T انتخاب گردید و بر اساس آن سازه ی واکسن طراحی شد. ارزیابی های ایمونوانفورماتیک نشان داد که واکسن طراحی شده بی خطر، هیدروفیل و پایدار در دماها و شرایط مختلف است و قابلیت اتصال TLRs و فعال سازی ایمنی ذاتی را دارد.

    نتیجه گیری

    بر اساس نتایج به دست آمده، سازه ی پلی اپی توپی طراحی شده می تواند یک کاندید مناسب واکسن ضد بیماری تریکومونیازیس باشد.

    کلید واژگان: تریکوموناس واژینالیس, واکسن, پروتئین چسبنده, اپی توپ}
    Babak Beikzadeh *
    Background

    Trichomonas vaginalis is one of the most common sexually transmitted infections around the world. Given the importance of this infection in public health, extensive efforts have been made to develop vaccines. Previous research has been limited to the inactivated vaccine or using an adhesion protein as a vaccine candidate, and no effective vaccine for the disease has been suggested until now.  This study aimed to design a vaccine based on epitopes of parasite adhesion proteins to be used as an immunogenic protein using immune-informatics tools.

    Methods

    First, AP33, AP51 and AP65 protein sequences were retrieved. Epitopes of B and T lymphocytes were then predicted. Antigenicity, non-allergenicity and non-toxicity of epitopes were evaluated and vaccine structure was designed. Then the physical, chemical and structural properties of the vaccine were determined and finally, the ability of the vaccine to bind to TLRs was investigated.

    Findings

    A total of 9 lymphocytes B and T epitopes were selected and a vaccine construct was designed based on them. Immuno-informatics evaluations showed that the designed vaccine is safe, hydrophilic and stable at different temperatures and conditions, that can bind to TLRs and activate innate immunity.

    Conclusion

    Based on the results, the polypeptide construct can be a suitable candidate for Trichomoniasis vaccine.

    Keywords: Trichomonas vaginalis, Vaccine, Adhesion protein, Epitopes}
  • Abdolhossein Dalimi*, Elham Moradi, Javid Sadraei, Majid Pirestani
    Backgrounds

    Trichomoniasis is one of the most common sexually transmitted infections in the world. The main aim of the present descriptive study was to determine the prevalence rate and clinical symptoms of trichomoniasis among women referring to the hospital in Mahshahr city in Khuzestan province, southwest of Iran.

    Materials & Methods

    Urine samples were collected from 2200 women referring to Imam Musa Kazim hospital in Mahshahr city. In addition, 500 Pap smear samples were used for early detection of Trichomonas vaginalis. At first, parasitological tests were performed to detect T. vaginalis in urine and dissolved Pap smear samples using microscopic examination. Finally, DNA extraction was performed on 34 parasites isolated from positive urine and Pap smear samples. Then the 18s rRNA gene of the parasite was amplified by PCR method. The PCR products of the 18s rRNA gene were finally sequenced.

    Findings

    The prevalence rate of this parasite was determined to be 1.54%. The highest prevalence rate of infection and clinical symptoms were observed in women aged 31-40 years. Totally, clinical symptoms were observed in 64.70% of infected women, including vaginal itching and irritation (64.70%) and abnormal discharge (26.47%).

    Conclusion

    The prevalence rate of Trichomonas infection was relatively low in women living in Mahshahr. In addition, about 35.29% of infected women were found to be clinically asymptomatic.

    Keywords: Trichomonas vaginalis, Infection rate, Clinical symptoms, Mahshahr}
  • محمد فلاح*، مهدی مسیبی، محمد متینی، فاطمه دارابی
    سابقه و هدف

     تریکومونیازیس شایع ترین بیماری انگلی منتقل شونده از طریق جنسی در دنیاست. با توجه به اهمیت و ضرورت شناخت دقیق شیوع و اپیدمیولوژی آن، این مطالعه با هدف تعیین میزان آلودگی به تریکوموناس واژینالیس در زنان مراجعه کننده به مراکز بهداشتی درمانی اراک در سال 1399 انجام شد.

    مواد و روش ها

    در این مطالعه مقطعی از 630 زن مراجعه کننده تحت معاینات ژنیتال نمونه سواپ واژینال تهیه شد و در ظرف مخصوص نمونه نگهداری و ظرف 2 ساعت به آزمایشگاه منتقل شد. پرسش نامه حاوی اطلاعات دموگرافیک و علایم بالینی بیماران تکمیل شد. نمونه ها با استفاده از دو روش گسترش مرطوب و کشت در محیط دیاموند بررسی شدند. داده های به دست آمده ثبت و تجزیه وتحلیل شد.

    یافته ها

    5/41 درصد از شرکت کنندگان در رده سنی 25 تا 34 سال بودند. شیوع تریکومونیازیس در جمعیت بررسی شده، 9/0 درصد تعیین شد. میزان ابتلا با سن و تحصیلات مرتبط نبود، اما با وضعیت تاهل مبتلایان ارتباط داشت (003/0=P). شایع ترین علامت در بیماران، ترشح واژن بود که در 1/67 درصد از زنان وجود داشت. ابتلای بیماران با شدت های مختلف ترشح واژن، قوام ترشح و خارش و سوزش واژن از نظر آماری اختلاف معنادار داشت. حداقل دز کشندگی مترونیدازول در 24 ساعت، 2/6 میکروگرم بر میلی لیتر و در 48 ساعت، 6/1 میکروگرم بر میلی لیتر تعیین شد.

    نتیجه گیری

    شیوع تریکومونیازیس در این جمعیت نسبتا کم و با وضعیت تاهل، علایم بالینی، ترشح و قوام ترشح واژن، سوزش و خارش مرتبط بود و نمونه های بررسی شده به داروی مترونیدازول حساس بودند.

    کلید واژگان: تریکوموناس واژینالیس, مقاومت دارویی, مترونیدازول}
    Mohammad Fallah*, Mahdi Mosayebi, Mohammad Matini, Fateme Darabi
    Background and Objective

    Trichomoniasis is the most common sexually transmitted parasitic disease in the world. Due to its importance and the need for recognizing its prevalence and epidemiology, this study was conducted to determine the rate of T. vaginalis infection in women referred to Health Centers in Arak, Iran, in 2020.

    Materials and Methods

    In this cross-sectional study, from 630 women undergoing genital examinations, a sample of the vaginal swab was prepared, kept in a special container, and transferred to the laboratory within 2 hours. Furthermore, a questionnaire containing demographic characteristics and clinical signs of patients was completed. The samples were examined using two methods of wet smear and culture in a Diamond medium. The obtained data were recorded and analyzed.

    Results

    According to the results, 41.5% of the participants were in the age group of 25 to 34 years. The prevalence of trichomoniasis in the study population was 0.9%. The rate of infection was not related to age and education level; however, it was related to the marital status of patients (P<0.003). The most common symptom in patients was vaginal discharge, which was present in 67.1% of the women. Infection of patients showed statistically significant differences with different intensities of vaginal discharge, consistency of vaginal discharge, as well as itching and burning. The minimum lethal dose of metronidazole was determined to be 6.2 μg/ml in 24 hours and 1.6 μg/ml in 48 hours.

    Conclusion

    The prevalence of trichomoniasis in this population was relatively low and was associated with marital status, clinical symptoms, discharge and consistency of vaginal discharge, as well as burning and itching. Moreover, the investigated samples were sensitive to metronidazole.

    Keywords: Drug Resistance, Metronidazole, Trichomonas vaginalis}
  • Abdolhossein Dalimi, Samira Payameni
    Background

    Trichomonas vaginalis is a protozoan pathogen of the human genitourinary tract, which is the cause of trichomoniasis. The disease is one of the most important non-viral sexually transmitted infections in the world. Many studies have been performed on the molecular identification of Trichomonas in men in different parts of the world, but in Iran, such a study has been very limited. We aimed to detect T. vaginalis in urine of men with unusual sexual behavior by wet mount microscopic observation, culturing in TYM-33 and molecular method in Tehran, Iran.

    Methods

    Totally, 47 urine samples were collected from men with high-risk sexual behaviors referred to Health Care Centers in South of Tehran, Iran during 2017-2018. After urine centrifugation and wet mount sediment preparation, the samples were cultured in TYM-33 medium and examined microscopically. Then DNA was extracted from urine sediment samples and finally the 18srRNA gene was amplified by PCR.

    Results

    Thirty-one (65.95%) urine samples were positive for T. vaginalis by PCR. Of these, only 6 (12.76%) were detected positive by wet mount method and 25 (53.19%) by culture and successive passages. 

    Conclusion

    The high prevalence of trichomoniasis among men with high-risk sexual behavior in Tehran indicates a potent health risk condition for families. Of course, this percentage is not the real infection rate in ordinary men in Tehran. This situation could be controlled by promoting concurrent diagnosis and treatment of T. vaginalis infection in men and women, as well as strengthening religious beliefs and health education in the individuals.

    Keywords: Trichomonas vaginalis, Unsafe sex, Sexual behavior, Polymerase chain reaction, Iran}
  • Joel H. Elizondo Luévano, Oscar A. Pérez Narváez, Eduardo Sánchez García, Rocío Castro Ríos, Magda E. Hernández García, Abelardo Chávez Montes
    Background

    Parasitic infections represent one of the main public health problems in humans according to the WHO. Therefore, the need has arisen to find new treatments that can be used as an alternative cure to parasitosis. We aimed to investigate the in-vitro effects of the methanolic extract of Kalanchoe daigremontiana as well as its main component, quercetin against Entamoeba histolytica and Trichomonas vaginalis.

    Methods

    For this purpose, the in-vitro activity of the methanol extract of K. daigremontiana also its main component, quercetin, against trophozoites of E. histolytica and T. vaginalis was evaluated, using the microassay technique. Furthermore, the antioxidant activity was determined. Finally, the cytotoxic and cytoprotective capacity was determined using the hemolysis technique.

    Results

    The IC50 indicated that quercetin significantly (P < 0.05) inhibited the growth rate of the trophozoite stage of E. histolytica and T. vaginalis in comparison to the methanolic extract of K. daigremontiana (KalL). Also, quercetin significantly (P < 0.05) was a better antioxidant as compared with the positive control. In the evaluation of cytotoxicity effects, it could be observed that KalL as compared with quercetin exhibited more cytotoxicity against human erythrocytes. Quercetin significantly (P < 0.001) exhibited better cytoprotective activity compared to KalL.

    Conclusion

    Both K. daigremontiana methanolic extract and quercetin alone demonstrated high antiparasitic activity against E. histolytica and T. vaginalis. However, the in-vivo efficacy of K. daigremontiana and quercetin also requires to be evaluated using an animal model.

    Keywords: Entamoeba histolytica, In-vitro, Kalanchoe daigremontiana, Quercetin, Trichomonas vaginalis}
  • Maryam Alikhani, Reza Saberi, Seyed Abdollah Hosseini, Fatemeh Rezaei, Abdol Satar Pagheh, Asad Mirzaei*
    Background

    Trichomonas vaginalis (T. vaginalis) is a sexually transmitted protozoan parasite and the causative agent of trichomoniasis. The genetic characterization of T. vaginalis isolates shows notable genetic variation in this parasite. In the present study, we aimed to identify the T. vaginalis genotypes based on analyzing of actin gene in women specimens referred to health centers of Ilam city, southwest Iran.

    Methods

    A total of 1765 female samples were collected from gynecology clinics in the city of Ilam. DNA was extracted from positive samples and nested polymerase chain reaction (Nested PCR) was used to amplify the actin gene. Then, partial sequencing and genotyping of the actin gene was performed. A phylogenetic tree was drawn using the detected genotypes of T. vaginalis and reference sequences.

    Results

    Twenty-one of the 1765 urine and vaginal samples were positive for T. vaginalis. All infected individuals were married and their age in years was between 25 to 34. Further, the majority of infected women had cervical lesions, patchy erythema, and white color discharge. According to sequencing analysis, the isolates were identified as genotype G (n= 8) and genotype E (n= 2).

    Conclusions

    From the collected samples, we were able to distinguish at least two genotypes (G and E) of T. vaginalis. However, lesser is known about these genotypes in the city of Ilam. Further studies with a higher number of isolates should be performed in order to understand the implications of these results in this region.

    Keywords: Actin gene, Genotypes, Ilam, Iran, Trichomonas vaginalis}
  • Manizheh Yarizadeh, Heshmatollah Taherkhani, MohammadAli Amir Zargar, Mohammad Matini
    Background

    Trichomoniasis, caused by Trichomonas vaginalis protozoan, may lead to clinical or subclinical urethritis or prostatitis in men. Despite the importance of men in the epidemiology of trichomoniasis, there is little information about this topic. This epidemiological study was performed on men in Hamedan, western Iran.

    Methods

    During Oct 2018 to Mar 2019, 214 male individuals, presenting to the Urology Clinic of Shahid Beheshti Hospital in Hamadan, were enrolled and evaluated for trichomoniasis. First-voided urine specimen was used for detection of T. vaginalis infection using molecular and parasitological methods.

    Results

    Trichomoniasis was detected in 10 of 214 male participants (4.7%, 95% CI: 7.5-1.8%) using PCR assay. Culture and wet mount preparation of urine sediment were unable to isolates any T. vaginalis parasite. Nine of the 10 infected men were married, and six of them were ≥49 yr of age. Urinary frequency and dysuria were the most complaints (80%) among infected individuals.

    Conclusion

    Given the notable prevalence of the infection, the prevalence of male trichomoniasis will be underestimated if only conventional diagnostic methods are used. Therefore, the risk of infection as well as the molecular survey of T. vaginalis infection should be considered in men with or without clinical symptoms.

    Keywords: Diagnosis, Men, Polymerase chain reaction, Trichomonas vaginalis, Urine}
  • Queen Ozioma Lawrence*, Chinenye Okosa
    Background

    This study was conducted to investigate the prevalence and risk factors of Trichomonas vaginalis infections among prison inmates in Umuahia, Abia State.

    Methods

    Approximately 350 inmates aged 18 to 61 participated in the study. A total number of 70 high vaginal swabs of female participants and 350 urine samples from both male and females    were examined using direct wet mount methods. Questionnaire was used to obtain socio-demographic and behavioral factors of the participants.

    Results

    The results showed that, the overall prevalence of T. vaginalis infections was 43.4%. .The result of Chi-square analysis showed a significant difference (P < 0.05) in the prevalence of T. vaginalis infection among the men (33.6%)   and women (82.8%). Furthermore, the prevalence of T. vaginalis was 11.0% and 22.8%, respectively,    in individuals between 31-40 years. No infection was noted among men between 18-20 years of age. Moreover, examination of urine and vaginal swabs combinations revealed high infection in women. Questionnaire analysis indicated no significant relationship between multiple sexual partners and unprotected sex with T. vaginalis infection (p>0.05). It was also found that, inmates showed symptoms, such as light burning after urination and itching/rashes at the private part while some infected cases were asymptomatic.

    Conclusion

    The findings highlight the need for adequate and improved health care for prison inmates as well as their examination and treatment before release.

    Keywords: Trichomonas vaginalis, Prevalence, Risk factors, Prison inmates}
  • Arghavan Vafafar, Naser Ziaali, Razieh Tavakoli, Mohammad Rayani, Gholamreza Hatam *
    Background
    Trichomonas vaginalis is an anaerobic flagellated protozoan which is responsible for human urogenital infections. Several zymodemes of T. vaginalis have been reported from various parts of the worlds on the basis of isoenzyme patterns. This study was conducted to characterize the isolated organisms of T. vaginalis from HIV patients using isoenzyme electrophoresis in Fars and Kerman provinces, southeast Iran.
    Methods
    Eighteen mass cultivated isolates of T. vaginalis in the modified TYI-S-33 medium were analyzed using isoenzyme electrophoresis. Polyacrylamide gel electrophoresis (PAGE) of five different enzyme systems were used to characterize T. vaginalis isolates: (i) Glucose-6-phosphate dehydrogenase (G6PD), (ii) Glucose phosphate isomerase (GPI), (iii) Malate dehydrogenase (MDH), (iv) Malic enzyme (ME), and (v) Phosphoglucomutase (PGM). 
    Results
    MDH, GPI, PGM, and ME enzyme systems showed a homogeneity and detected an identical enzyme pattern in all isolates. Meanwhile, G6PD revealed two different enzyme patterns. The isoenzyme electrophoretic profiles divided 18 T. vaginalis isolates into two zymodemes. Zymodeme 1 contained Shiraz isolates and zymodeme 2 contained Kerman isolates.
    Conclusion
    The polymorphism of Iranian human isolates of T. vaginalis could be assessed by biochemical study using appropriate enzyme systems. Isoenzyme analysis is a promising method for the characterization of T. vaginalis. New molecular studies with increased number of enzyme loci and genetic markers are suggested to classify more zymodemes of Trichomonas in Iran.
    Keywords: Trichomonas vaginalis, HIV, Isoenzyme Electrophoresis, Zymodeme}
نکته
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