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To determine whether gerbils can be used as a suitable animal model for giardiasis, we attempted to infect Mongolian gerbils with cysts of Giardia lamblia isolated from the stools of 10 humans with symptomatic and asymptomatic giardiasis. We obtained 100% infection with one isolate (CDC:0284:1), as evidenced by the presence of numerous trophozoites in the intestines of the gerbil and cysts in the feces. Cysts from four patients were not infective, while cysts from the other five patients produced infections in 11 to 75% of the animals. On the basis of these and other experiments, we concluded that (i) only certain isolates of human G. lamblia infect gerbils, colonize the intestine, and complete their life cycle by undergoing differentiation into cysts; (ii) the infection could last for about 39 days, but the animals excreted maximum numbers of cysts on about day 13 postinfection; (iii) the pattern of cyst excretion was irregular, and some gerbils, like humans, excreted cysts intermittently; (iv) the minimum number of cysts needed to establish an infection in 50% of the gerbils was 100; and (v) only certain strains retained the ability to infect gerbils even after repeated animal passage.

Antigens prepared from each of five strains (CA, CJ, HB-1, HB-3, and TY) of pathogenic Naegleria and the EG strain of nonpathogenic Naegleria gruberi were compared by the gel diffusion and immunoelectrophoresis techniques. Axenically grown amoebae were used as sources of antigens. Antisera were produced in individual rabbits against three strains (CA, CJ, and HB-1) of pathogenic Naegleria and the EG strain of N. gruberi. In the gel diffusion experiment each of the six antigens was reacted with each of the four antisera in agar gel. The results of these experiments revealed that the antigens of N. gruberi reacted strongly with the homologous antiserum but minimally with each of the three heterologous antisera. The antigens of all five pathogenic strains reacted extensively with the anti-CA, anti-CJ, and anti-HB-1 sera and moderately with the anti-EG serum. In the immunoelectrophoresis test each of the six antigens was separated electrophoretically in agar gel and reacted with each of the four antisera. The EG strain reacted extensively with its homologous antiserum and produced multiple precipitin arcs; it reacted minimally with anti-CA, anti-CJ, and anti-HB-1 sera and produced only three arcs. The antigens of all five strains of Naegleria fowleri reacted very strongly with anti-CA, anti-CJ, and anti-HB-1 sera and produced multiple precipitin arcs. They, however, reacted variably with the anti-EG serum and produced three to six precipitin arcs. Comparative immunoelectrophoretic analysis carried out on the CA and HB-1 strains revealed the antigenic identity of these two strains. Based on these results, together with those from the reciprocal absorption experiments, it was concluded that (i) the pathogenic strains of Naegleria, though they shared three to six common antigens with N. gruberi, were nevertheless distinct from it, and (ii) the five pathogenic strains were antigenically close and belonged in the same species. Antigens of Acanthamoeba castellanii, A. culbertsoni, and Entamoeba histolytica were also reacted with the four anti-Naegleria sera in gel diffusion experiments. Results of these tests indicate that these three organisms are antigenically distinct from Naegleria.

In this preliminary report, we describe a polyacrylamide gel electrophoresis technique for the resolution of isoenzyme patterns of four isolates of Entamoeba histolytica and one isolate of Entamoeba coli. Our findings were similar to previous findings for three enzyme systems: maleic enzyme (malate dehydrogenase [EC 1.1.1.40]), hexokinase (EC 2.7.1.1), and phosphoglucomutase (EC 2.7.5.1). We found preliminary evidence that glucosephosphate isomerase (EC 5.3.1.9) may also differentiate invasive amoebae from noninvasive amoebae, when the isoenzymes are separated by polyacrylamide gel electrophoresis, whereas this differentiation is not evident with starch-gel electrophoresis. We used an Rf system to relate isoenzyme band mobility to the migration distance of a standard E. histolytica strain (HK-9). The numerical identification of isoenzyme bands can simplify the grouping of isolates into zymodemes.

Trichomonas vaginalis is a widely prevalent, sexually transmitted protozoan infecting both males and females. Despite its prevalence, little is known about its contribution to the morbidity rates for urogenital-tract infections. Currently accepted diagnostic methods are limited to the demonstration of the organism in fresh material, identification in stained material, or in vitro cultivation of organisms from the urogenital tract. We have evaluated the indirect hemagglutination test and the gel diffusion test for efficacy in detecting antibodies in serum samples drawn from two population groups. Sera from patients attending a vaginitis clinic had a seropositivity rate of 69% by indirect hemagglutination and 34% by gel diffusion. Seropositivity rates among culture-positive patients were 78% with indirect hemagglutination and 43% with gel diffusion. A group of normal female hospital employees showed seropositivity rates of 30% by indirect hemagglutination and 3% by gel diffusion. Absorption of reactive sera with Trichomonas antigens reduced or abolished the serological reactivity, confirming the specificity of the test. Serological methods can provide a rapid, sensitive, and economical tool to study the epidemiology of this common protozoan infection.

Parasitologic, serologic, and epidemiologic studies were done during 1967 in Calion, Arkansas (population 544). Infection with Entamoeba histolytica was found to be endemic but was segregated along racial lines. Twenty-two (9.9%) black compared with only one (0.6%) white had E. histolytica demonstrated in one stool examination; only two blacks had symptoms suggestive of amebiasis. No positive amebiasis indirect hemaggulination titers were found in 135 white residents. In contrast, 41 (17.9%) blacks had positive titers. Age, sex, and geographic location were not associated with stool or seropositivity. Within the black population, clustering of stool and seropositivity occurred. Significantly higher rates of stool and seropositivity were seen in households with crowding and poor sanitation as evidenced by lack of indoor toilet facilities. The presence of contaminated water supplies did not correlate with stool or seropositivity. The probable importance of person-to-person transmission is suggested by the observed clustering of infection within households with crowding and unsanitary conditions. The absence of evidence for transmission by food or water further supports this hypothesis.

An improved tissue culture basal medium, CMRL-1969, supplemented with serum, has been evaluated by measuring the growth responses of primary cultures of trypsin-dispersed monkey kidney cells (PMKC) and of an established culture of a human diploid cell strain (HDCS). Medium H597, an early modification of medium 199 which has been used successfully in the preparation of poliomyelitis vaccine for 15 years, was used for comparison. In addition, parallel testing was done with Basal Medium Eagle (BME) widely used for the growth of HDCS. The improvements in basal medium CMRL-1969 are attributed to changes in amino acid concentrations, in vitamin composition, and, in particular, to enhanced buffering capacity. The latter has been achieved by the use of free-base amino acids and by increasing the dibasic sodium phosphate. The new medium has already been used to advantage for the production of polioviruses in PMKC where equivalent titers were obtained from cultures initiated with 70% of the number of cells required with earlier media. The population-doubling time was reduced in this system. Also, with small inocula of HDCS, the time required to obtain maximum cell yield was shorter with CMRL-1969 than with BME. Both media were supplemented with 10% calf serum. Maximum cell yields after repeated subcultivation in the new basal medium were greatly increased and the stability of the strain, as shown by chromosomal analysis, was not affected. Basal medium CMRL-1969 can be prepared easily in liquid or powdered form.