Polymorphonuclear Neutrophil Infiltration Intensity as Consequence of Entamoeba histolytica Density in Amebic Colitis

Background: It has been suggested that the damage observed in invasive amebiasis is related to interactions between polymorphonuclear leukocytes (PMN) and Entamoeba histolytica trophozoites. We analyzed the relation between infiltrating inflammatory cell populations and E. histolytica density in int...

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Veröffentlicht in:Surgical infections 2009-04, Vol.10 (2), p.91-97
Hauptverfasser: Dickson-Gonzalez, Sonia M., de Uribe, Marleny Lunar, Rodriguez-Morales, Alfonso J.
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Rodriguez-Morales, Alfonso J.
description Background: It has been suggested that the damage observed in invasive amebiasis is related to interactions between polymorphonuclear leukocytes (PMN) and Entamoeba histolytica trophozoites. We analyzed the relation between infiltrating inflammatory cell populations and E. histolytica density in intestinal amebic lesions. Methods: Biopsies obtained endoscopically from patients with amebic colitis were analyzed to describe their morphologic abnormalities. Cellular populations and E. histolytica trophozoites were measured quantitatively in order to assess the correlation between infiltrating inflammatory cell populations and parasite density. Results: Amebic lesions were most often located in the colon (55%). The histopathologic diagnoses were colitis in 31%, erosive colitis in 26%, and ulcerated colitis in 24%. The predominant cellular populations found in the lesions were lymphocytes (59.8%) (3,672 ± 2,413/mm 2 ) followed by PMN (17%) (1,038 ± 1,171 PMN/mm 2 ) (p < 0.01). A higher density of PMN infiltration was observed in severe cases. Cellular populations predictive of the presence of E. histolytica trophozoites (p = 0.047) were PMN (p = 0.019) and lymphocytes (p = 0.033). The highest association was found between E. histolytica trophozoites and PMN (p = 0.0221). Conclusions: Neutrophils and lymphocytes, particularly the former, are associated significantly with the density of parasites. Our findings support the theory that PMN interaction with E. histolytica contributes to the pathogenesis of amebic intestinal lesions.
doi_str_mv 10.1089/sur.2008.011
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We analyzed the relation between infiltrating inflammatory cell populations and E. histolytica density in intestinal amebic lesions. Methods: Biopsies obtained endoscopically from patients with amebic colitis were analyzed to describe their morphologic abnormalities. Cellular populations and E. histolytica trophozoites were measured quantitatively in order to assess the correlation between infiltrating inflammatory cell populations and parasite density. Results: Amebic lesions were most often located in the colon (55%). The histopathologic diagnoses were colitis in 31%, erosive colitis in 26%, and ulcerated colitis in 24%. The predominant cellular populations found in the lesions were lymphocytes (59.8%) (3,672 ± 2,413/mm 2 ) followed by PMN (17%) (1,038 ± 1,171 PMN/mm 2 ) (p &lt; 0.01). A higher density of PMN infiltration was observed in severe cases. Cellular populations predictive of the presence of E. histolytica trophozoites (p = 0.047) were PMN (p = 0.019) and lymphocytes (p = 0.033). The highest association was found between E. histolytica trophozoites and PMN (p = 0.0221). Conclusions: Neutrophils and lymphocytes, particularly the former, are associated significantly with the density of parasites. Our findings support the theory that PMN interaction with E. histolytica contributes to the pathogenesis of amebic intestinal lesions.</description><identifier>ISSN: 1096-2964</identifier><identifier>EISSN: 1557-8674</identifier><identifier>DOI: 10.1089/sur.2008.011</identifier><identifier>PMID: 18831680</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amebiasis ; Analysis of Variance ; Animals ; Causes of ; Cell Count ; Chi-Square Distribution ; Child ; Child, Preschool ; Colon - parasitology ; Colon - ultrastructure ; Development and progression ; Dysentery, Amebic - immunology ; Dysentery, Amebic - parasitology ; Dysentery, Amebic - pathology ; Entamoeba histolytica - immunology ; Female ; Humans ; Infant ; Intestinal Mucosa - parasitology ; Intestinal Mucosa - ultrastructure ; Intestine, Large - parasitology ; Intestine, Large - pathology ; Linear Models ; Lymphocytes ; Lymphocytes - immunology ; Male ; Middle Aged ; Neutrophil Infiltration ; Neutrophils ; Neutrophils - immunology ; ORIGINAL PAPERS ; Physiological aspects ; Trophozoites - immunology</subject><ispartof>Surgical infections, 2009-04, Vol.10 (2), p.91-97</ispartof><rights>2009 Mary Ann Liebert, Inc.</rights><rights>COPYRIGHT 2009 Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-75c06a725e05ec94d70e8021f199ba18ccdc5b734a85a8f860323432bb2cb10c3</citedby><cites>FETCH-LOGICAL-c391t-75c06a725e05ec94d70e8021f199ba18ccdc5b734a85a8f860323432bb2cb10c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18831680$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dickson-Gonzalez, Sonia M.</creatorcontrib><creatorcontrib>de Uribe, Marleny Lunar</creatorcontrib><creatorcontrib>Rodriguez-Morales, Alfonso J.</creatorcontrib><title>Polymorphonuclear Neutrophil Infiltration Intensity as Consequence of Entamoeba histolytica Density in Amebic Colitis</title><title>Surgical infections</title><addtitle>Surg Infect (Larchmt)</addtitle><description>Background: It has been suggested that the damage observed in invasive amebiasis is related to interactions between polymorphonuclear leukocytes (PMN) and Entamoeba histolytica trophozoites. We analyzed the relation between infiltrating inflammatory cell populations and E. histolytica density in intestinal amebic lesions. Methods: Biopsies obtained endoscopically from patients with amebic colitis were analyzed to describe their morphologic abnormalities. Cellular populations and E. histolytica trophozoites were measured quantitatively in order to assess the correlation between infiltrating inflammatory cell populations and parasite density. Results: Amebic lesions were most often located in the colon (55%). The histopathologic diagnoses were colitis in 31%, erosive colitis in 26%, and ulcerated colitis in 24%. The predominant cellular populations found in the lesions were lymphocytes (59.8%) (3,672 ± 2,413/mm 2 ) followed by PMN (17%) (1,038 ± 1,171 PMN/mm 2 ) (p &lt; 0.01). A higher density of PMN infiltration was observed in severe cases. Cellular populations predictive of the presence of E. histolytica trophozoites (p = 0.047) were PMN (p = 0.019) and lymphocytes (p = 0.033). The highest association was found between E. histolytica trophozoites and PMN (p = 0.0221). Conclusions: Neutrophils and lymphocytes, particularly the former, are associated significantly with the density of parasites. Our findings support the theory that PMN interaction with E. histolytica contributes to the pathogenesis of amebic intestinal lesions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amebiasis</subject><subject>Analysis of Variance</subject><subject>Animals</subject><subject>Causes of</subject><subject>Cell Count</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Colon - parasitology</subject><subject>Colon - ultrastructure</subject><subject>Development and progression</subject><subject>Dysentery, Amebic - immunology</subject><subject>Dysentery, Amebic - parasitology</subject><subject>Dysentery, Amebic - pathology</subject><subject>Entamoeba histolytica - immunology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Intestinal Mucosa - parasitology</subject><subject>Intestinal Mucosa - ultrastructure</subject><subject>Intestine, Large - parasitology</subject><subject>Intestine, Large - pathology</subject><subject>Linear Models</subject><subject>Lymphocytes</subject><subject>Lymphocytes - immunology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neutrophil Infiltration</subject><subject>Neutrophils</subject><subject>Neutrophils - immunology</subject><subject>ORIGINAL PAPERS</subject><subject>Physiological aspects</subject><subject>Trophozoites - immunology</subject><issn>1096-2964</issn><issn>1557-8674</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkc2LFDEQxYMo7pc3zxIQPCz2bCrdnaSPw7jqwqIe9BzSmWonkk7GJH2Y_94MMygLkkNS4fceVfUIeQ1sBUwNd3lJK86YWjGAZ-QS-l42SsjueX2zQTR8EN0Fucr5F2MguRAvyQUo1YJQ7JIs36I_zDHtdzEs1qNJ9AsuJcX9znn6ECbnSzLFxVCLgiG7cqAm000MGX8vGCzSONH7UMwccTR053KplsVZQz-ceRfoesbR2Srzrrh8Q15Mxmd8db6vyY-P9983n5vHr58eNuvHxrYDlEb2lgkjeY-sRzt0W8lQMQ4TDMNoQFm7tf0o286o3qhJCdbytmv5OHI7ArPtNXl38t2nWJvNRc8uW_TeBIxL1kKCqH5dBd-ewJ_Go3ZhinVqe4T1mjMJ0EpQlVr9h6pni7OzMWDdFj4VvD8JbIo5J5z0PrnZpIMGpo_p6ZqePqana3oVf3Nudxln3P6Dz3FV4PYEHL9NCN7hiKn8BZ-4_QHS-6V3</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Dickson-Gonzalez, Sonia M.</creator><creator>de Uribe, Marleny Lunar</creator><creator>Rodriguez-Morales, Alfonso J.</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090401</creationdate><title>Polymorphonuclear Neutrophil Infiltration Intensity as Consequence of Entamoeba histolytica Density in Amebic Colitis</title><author>Dickson-Gonzalez, Sonia M. ; de Uribe, Marleny Lunar ; Rodriguez-Morales, Alfonso J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-75c06a725e05ec94d70e8021f199ba18ccdc5b734a85a8f860323432bb2cb10c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amebiasis</topic><topic>Analysis of Variance</topic><topic>Animals</topic><topic>Causes of</topic><topic>Cell Count</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Colon - parasitology</topic><topic>Colon - ultrastructure</topic><topic>Development and progression</topic><topic>Dysentery, Amebic - immunology</topic><topic>Dysentery, Amebic - parasitology</topic><topic>Dysentery, Amebic - pathology</topic><topic>Entamoeba histolytica - immunology</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Intestinal Mucosa - parasitology</topic><topic>Intestinal Mucosa - ultrastructure</topic><topic>Intestine, Large - parasitology</topic><topic>Intestine, Large - pathology</topic><topic>Linear Models</topic><topic>Lymphocytes</topic><topic>Lymphocytes - immunology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neutrophil Infiltration</topic><topic>Neutrophils</topic><topic>Neutrophils - immunology</topic><topic>ORIGINAL PAPERS</topic><topic>Physiological aspects</topic><topic>Trophozoites - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dickson-Gonzalez, Sonia M.</creatorcontrib><creatorcontrib>de Uribe, Marleny Lunar</creatorcontrib><creatorcontrib>Rodriguez-Morales, Alfonso J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical infections</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dickson-Gonzalez, Sonia M.</au><au>de Uribe, Marleny Lunar</au><au>Rodriguez-Morales, Alfonso J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Polymorphonuclear Neutrophil Infiltration Intensity as Consequence of Entamoeba histolytica Density in Amebic Colitis</atitle><jtitle>Surgical infections</jtitle><addtitle>Surg Infect (Larchmt)</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>10</volume><issue>2</issue><spage>91</spage><epage>97</epage><pages>91-97</pages><issn>1096-2964</issn><eissn>1557-8674</eissn><abstract>Background: It has been suggested that the damage observed in invasive amebiasis is related to interactions between polymorphonuclear leukocytes (PMN) and Entamoeba histolytica trophozoites. We analyzed the relation between infiltrating inflammatory cell populations and E. histolytica density in intestinal amebic lesions. Methods: Biopsies obtained endoscopically from patients with amebic colitis were analyzed to describe their morphologic abnormalities. Cellular populations and E. histolytica trophozoites were measured quantitatively in order to assess the correlation between infiltrating inflammatory cell populations and parasite density. Results: Amebic lesions were most often located in the colon (55%). The histopathologic diagnoses were colitis in 31%, erosive colitis in 26%, and ulcerated colitis in 24%. The predominant cellular populations found in the lesions were lymphocytes (59.8%) (3,672 ± 2,413/mm 2 ) followed by PMN (17%) (1,038 ± 1,171 PMN/mm 2 ) (p &lt; 0.01). A higher density of PMN infiltration was observed in severe cases. Cellular populations predictive of the presence of E. histolytica trophozoites (p = 0.047) were PMN (p = 0.019) and lymphocytes (p = 0.033). The highest association was found between E. histolytica trophozoites and PMN (p = 0.0221). Conclusions: Neutrophils and lymphocytes, particularly the former, are associated significantly with the density of parasites. Our findings support the theory that PMN interaction with E. histolytica contributes to the pathogenesis of amebic intestinal lesions.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>18831680</pmid><doi>10.1089/sur.2008.011</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Amebiasis
Analysis of Variance
Animals
Causes of
Cell Count
Chi-Square Distribution
Child
Child, Preschool
Colon - parasitology
Colon - ultrastructure
Development and progression
Dysentery, Amebic - immunology
Dysentery, Amebic - parasitology
Dysentery, Amebic - pathology
Entamoeba histolytica - immunology
Female
Humans
Infant
Intestinal Mucosa - parasitology
Intestinal Mucosa - ultrastructure
Intestine, Large - parasitology
Intestine, Large - pathology
Linear Models
Lymphocytes
Lymphocytes - immunology
Male
Middle Aged
Neutrophil Infiltration
Neutrophils
Neutrophils - immunology
ORIGINAL PAPERS
Physiological aspects
Trophozoites - immunology
title Polymorphonuclear Neutrophil Infiltration Intensity as Consequence of Entamoeba histolytica Density in Amebic Colitis
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