Plasma Endotoxin Levels Are Not Increased in Schistosoma mansoni -Infected Women without Signs or Symptoms of Hepatosplenic Disease

Elevated circulating endotoxin levels in the plasma of patients with advanced hepatosplenic schistosomiasis caused by have been reported, possibly caused by parasite egg-induced intestinal mucosal breaches facilitating bacterial access to the bloodstream. Neither endotoxin levels in people with but...

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Veröffentlicht in:The American journal of tropical medicine and hygiene 2020-06, Vol.102 (6), p.1382-1385
Hauptverfasser: Klemperer, Katherine M, Reust, Mary Juliet, Lee, Myung Hee, Corstjens, Paul L A M, van Dam, Govert J, Mazigo, Humphrey D, Dupnik, Kathryn M, Downs, Jennifer A
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container_end_page 1385
container_issue 6
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container_title The American journal of tropical medicine and hygiene
container_volume 102
creator Klemperer, Katherine M
Reust, Mary Juliet
Lee, Myung Hee
Corstjens, Paul L A M
van Dam, Govert J
Mazigo, Humphrey D
Dupnik, Kathryn M
Downs, Jennifer A
description Elevated circulating endotoxin levels in the plasma of patients with advanced hepatosplenic schistosomiasis caused by have been reported, possibly caused by parasite egg-induced intestinal mucosal breaches facilitating bacterial access to the bloodstream. Neither endotoxin levels in people with but without hepatosplenic disease nor the impact of treatment on endotoxin levels have been described. We used a methodically optimized amebocyte lysate assay to measure plasma endotoxin in community-dwelling women from an endemic area without clinical hepatosplenic disease. We found no difference in baseline mean plasma endotoxin levels between those with ( = 22) and without ( = 31) infection (1.001 versus 0.949 EU/mL, = 0.61). Endotoxin levels did not change in schistosome-infected women after successful treatment (1.001 versus 1.093 EU/mL, = 0.45) and were not correlated with circulating anodic antigen or stool egg burden. Our findings do not support the hypothesis that translocating eggs in infection introduce bacterial sources of endotoxin to the circulation.
doi_str_mv 10.4269/ajtmh.19-0875
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subjects Adult
Animals
Bacteria
Endotoxins - blood
Female
Humans
Intestinal Diseases, Parasitic - blood
Liver Diseases - parasitology
Parasitic diseases
Plasma
Schistosoma mansoni
Schistosomiasis mansoni - blood
Splenic Diseases - parasitology
Toxins
Women
title Plasma Endotoxin Levels Are Not Increased in Schistosoma mansoni -Infected Women without Signs or Symptoms of Hepatosplenic Disease
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