17 results on '"Kanduma E"'
Search Results
2. Molecular methods for Mycobacterium tuberculosis strain typing: a users guide
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Kanduma, E., McHugh, T. D., and Gillespie, S. H.
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- 2003
3. The bactericidal activity of moxifloxacin in patients with pulmonary tuberculosis
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Gosling, R. D., Uiso, L. O., Sam, N. E., Bongard, E., Kanduma, E. G., Nyindo, M., Morris, R. W., and Gillespie, S. H.
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clinical trials, Africa, tuberculosis, quinolone, SPUTUM VIABLE COUNTS, IN-VIVO ACTIVITIES, ANTITUBERCULOSIS DRUGS, MYCOBACTERIUM-TUBERCULOSIS, STERILIZING ACTIVITIES, CIPROFLOXACIN, VITRO, FLUOROQUINOLONES, RIFABUTIN - Abstract
Patients in whom acid-fast bacilli smear-positive pulmonary tuberculosis was newly diagnosed were randomized to receive 400 mg moxifloxacin, 300 mg isonaizid, or 600 mg rifampin daily for 5 days. Sixteen-hour overnight sputa collections were made for the 2 days before and for 5 days of monotherapy. Bactericidal activity was estimated by the time taken to kill 50% of viable bacilli (vt(50)) and the fall in sputum viable count during the first 2 days designated as the early bactericidal activity (EBA). The mean vt(50) of moxifloxacin was 0.88 days (95% confidence interval [Cl], 0.43-1.33 days) and the mean EBA was 0.53 (95% CI 0.28-0.79). For the isoniazid group, the mean vt(50) was 0.46 days (95% Cl, 0.31-0.61 days) and the mean EBA was 0.77 (95% Cl, 0.54-1.00). For rifampin, the mean vt(50) was 0.71 days (95% Cl, 0.48-0.95 days) and the mean EBA was 0.28 (95% Cl, 0.15-0.41). Using the EBA method, isoniazid was significantly more active than rifampin (p < 0.01) but not moxifloxacin. Using the vt(50) method, isoniazid was more active than both rifampin and moxifloxacin (p = 0.03). Moxifloxacin has an activity similar to rifampin in human subjects with pulmonary tuberculosis, suggesting that it should undergo further assessment as part of a short course regimen for the treatment of drug-susceptible tuberculosis.
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- 2003
4. Molecular cloning and characterization of Th1 and Th2 cytokines of African buffalo (Syncerus caffer)
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Suzuki, S., primary, Konnai, S., additional, Okagawa, T., additional, Githaka, N. W., additional, Kariuki, E., additional, Gakuya, F., additional, Kanduma, E., additional, Shirai, T., additional, Ikebuchi, R., additional, Ikenaka, Y., additional, Ishizuka, M., additional, Murata, S., additional, and Ohashi, K., additional
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- 2011
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5. Differential transcription of two highly divergent gut-expressed Bm86 antigen gene homologues in the tick Rhipicephalus appendiculatus (Acari: Ixodida)
- Author
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Kamau, L., primary, Skilton, R. A., additional, Odongo, D. O., additional, Mwaura, S., additional, Githaka, N., additional, Kanduma, E., additional, Obura, M., additional, Kabiru, E., additional, Orago, A., additional, Musoke, A., additional, and Bishop, R. P., additional
- Published
- 2010
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6. Serum total sialic acid and Hanganutziu-Deicher antibody in normals and in cancer patients
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Kanduma, E G, primary, Mukuria, J C, additional, and Mwanda, O W, additional
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- 2008
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7. Differential transcription of two highly divergent gut-expressed Bm86 antigen gene homologues in the tick Rhipicephalus appendiculatus (Acari: Ixodida).
- Author
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Kamau, L., Skilton, R. A., Odongo, D. O., Mwaura, S., Githaka, N., Kanduma, E., Obura, M., Kabiru, E., Orago, A., Musoke, A., and Bishop, R. P.
- Subjects
RHIPICEPHALUS appendiculatus ,GENETIC transcription regulation ,ARTHROPODA ,ANTISENSE DNA ,REVERSE transcriptase polymerase chain reaction ,GENE amplification ,GENE expression - Abstract
The transcriptional control of gene expression is not well documented in the Arthropoda. We describe transcriptional analysis of two exceptionally divergent homologues (Ra86) of the Bm86 gut antigen from Rhipicephalus appendiculatus. Bm86 forms the basis of a commercial vaccine for the control of Rhipicephalus (Boophilus) microplus. The R. appendiculatus Ra86 proteins contain 654 and 693 amino acids, with only 80% amino acid sequence identity. Reverse-transcription PCR of gut cDNA showed transcription of only one genotype in individual female ticks. PCR amplification of 3′ untranslated sequences from genomic DNA indicated that both variants could be encoded within a single genome. When both variants were present, one of the two Ra86 genotypes was transcriptionally dominant. [ABSTRACT FROM AUTHOR]
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- 2011
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8. Spatial Access to Continuous Maternal and Perinatal Health Care Services in Low-Resource Settings: Cross-Sectional Study.
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Li Q, Kanduma E, Ramiro I, Xu DR, Cuco RMM, Chaquisse E, Yang Y, Wang X, and Pan J
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- Humans, Female, Cross-Sectional Studies, Mozambique, Adult, Pregnancy, Maternal Health Services statistics & numerical data, Adolescent, Spatial Analysis, Young Adult, Health Services Accessibility statistics & numerical data, Perinatal Care methods, Perinatal Care standards, Perinatal Care statistics & numerical data
- Abstract
Background: Maternal and perinatal health are fundamental to human development. However, in low-resource settings such as sub-Saharan Africa (SSA), significant challenges persist in reducing maternal, newborn, and child mortality. To achieve the targets of the sustainable development goal 3 (SDG3) and universal health coverage (UHC), improving access to continuous maternal and perinatal health care services (CMPHS) has been addressed as a critical strategy., Objective: This study aims to provide a widely applicable procedure to illuminate the current challenges in ensuring access to CMPHS for women of reproductive age. The findings are intended to inform targeted recommendations for prioritizing resource allocation and policy making in low-resource settings., Methods: In accordance with the World Health Organization guidelines and existing literature, and taking into account the local context of CMPHS delivery to women of reproductive age in Mozambique, we first proposed the identification of CMPHS as the continuum of 3 independent service packages, namely antenatal care (ANC), institutional delivery (ID), and postnatal care (PNC). Then, we used the nearest-neighbor method (NNM) to assess spatial access to each of the 3 service packages. Lastly, we carried out an overlap analysis to identify 8 types of resource-shortage zones., Results: The median shortest travel times for women of reproductive age to access ANC, ID, and PNC were 2.38 (IQR 1.38-3.89) hours, 3.69 (IQR 1.87-5.82) hours, and 4.16 (IQR 2.48-6.67) hours, respectively. Spatial barriers for women of reproductive age accessing ANC, ID, and PNC demonstrated large variations both among and within regions. Maputo City showed the shortest travel time and the best equity within the regions (0.46, IQR 0.26-0.69 hours; 0.74, IQR 0.47-1.04 hours; and 1.34, IQR 0.83-1.85 hours, respectively), while the provinces of Niassa (4.07, IQR 2.41-6.63 hours; 18.20, IQR 11.67-24.65 hours; and 7.69, IQR 4.74-13.05 hours, respectively) and Inhambane (2.69, IQR 1.49-3.91 hours; 4.43, IQR 2.37-7.16 hours; and 10.76, IQR 7.73-13.66 hours, respectively) lagged behind significantly in both aspects. In general, more than 51% of the women of reproductive age, residing in 83.25% of Mozambique's land area, were unable to access any service package of CMPHS in time (within 2 hours), while only about 21%, living in 2.69% of Mozambique's land area, including Maputo, could access timely CMPHS., Conclusions: The spatial accessibility and equity of CMPHS in Mozambique present significant challenges in achieving SDG3 and UHC, especially in the Inhambane and Niassa regions. For Inhambane, policy makers should prioritize the implementation of a decentralization allocation strategy to increase coverage and equity through upgrading existing health care facilities. For Niassa, the cultivation of well-trained midwives who can provide door-to-door ANC and PNC at home should be prioritized, with an emphasis on strengthening communities' engagement. The proposed 2-step procedure should be implemented in other low-resource settings to promote the achievement of SDG3., (©Qin Li, Elsa Kanduma, Isaías Ramiro, Dong (Roman) Xu, Rosa Marlene Manjate Cuco, Eusebio Chaquisse, Yili Yang, Xiuli Wang, Jay Pan. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 18.07.2024.)
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- 2024
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9. Herminthology: promoting gender equity in science and parasitology: (Trends in Parasitology, 39:2 p:73-79, 2023).
- Author
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Calvani NED, Verissimo CM, Cantacessi C, Clark E, and Kanduma E
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- 2023
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10. Amplification and sequencing of entire tick mitochondrial genomes for a phylogenomic analysis.
- Author
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Kneubehl AR, Muñoz-Leal S, Filatov S, de Klerk DG, Pienaar R, Lohmeyer KH, Bermúdez SE, Suriyamongkol T, Mali I, Kanduma E, Latif AA, Sarih M, Bouattour A, de León AAP, Teel PD, Labruna MB, Mans BJ, and Lopez JE
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- Humans, Animals, Phylogeny, Sequence Analysis, DNA, High-Throughput Nucleotide Sequencing methods, Genome, Mitochondrial genetics, Ticks genetics
- Abstract
The mitochondrial genome (mitogenome) has proven to be important for the taxonomy, systematics, and population genetics of ticks. However, current methods to generate mitogenomes can be cost-prohibitive at scale. To address this issue, we developed a cost-effective approach to amplify and sequence the whole mitogenome of individual tick specimens. Using two different primer sites, this approach generated two full-length mitogenome amplicons that were sequenced using the Oxford Nanopore Technologies' Mk1B sequencer. We used this approach to generate 85 individual tick mitogenomes from samples comprised of the three tick families, 11 genera, and 57 species. Twenty-six of these species did not have a complete mitogenome available on GenBank prior to this work. We benchmarked the accuracy of this approach using a subset of samples that had been previously sequenced by low-coverage Illumina genome skimming. We found our assemblies were comparable or exceeded the Illumina method, achieving a median sequence concordance of 99.98%. We further analyzed our mitogenome dataset in a mitophylogenomic analysis in the context of all three tick families. We were able to sequence 72 samples in one run and achieved a cost/sample of ~ $10 USD. This cost-effective strategy is applicable for sample identification, taxonomy, systematics, and population genetics for not only ticks but likely other metazoans; thus, making mitogenome sequencing equitable for the wider scientific community., (© 2022. The Author(s).)
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- 2022
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11. Detection of Antibodies to Ehrlichia spp. in Dromedary Camels and Co-Grazing Sheep in Northern Kenya Using an Ehrlichia ruminantium Polyclonal Competitive ELISA.
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Collins M, Ngetich C, Owido M, Getange D, Harris R, Bargul JL, Bodha B, Njoroge D, Muloi D, Martins DJ, Villinger J, Githaka N, Baylis M, Fèvre EM, Kanduma E, Younan M, and Bell-Sakyi L
- Abstract
A disease with clinical and post-mortem presentation similar to those seen in heartwater, a tick-borne disease of domestic and wild ruminants caused by the intracellular bacterium Ehrlichia ruminantium, was first reported in dromedary camels in Kenya in 2016; investigations carried out at the time to determine the cause were inconclusive. In the present study, we screened sera from Kenyan camels collected before (2015) and after (2020) the 2016 disease outbreak for antibodies to Ehrlichia spp. using an E. ruminantium polyclonal competitive ELISA (PC-ELISA). Median antibody levels were significantly higher (p < 0.0001) amongst camels originating from areas where the heartwater-like disease was reported than from disease-free areas, for animals sampled in both 2015 and 2020. Overall median seropositivity was higher in camels sampled in 2015 than in 2020, which could have been due to higher mean age in the former group. Camels that were PCR-positive for Candidatus Ehrlichia regneryi had significantly lower (p = 0.03) median antibody levels than PCR-negative camels. Our results indicate that Kenyan camels are frequently exposed to E. ruminantium from an early age, E. ruminantium was unlikely to have been the sole cause of the outbreak of heartwater-like disease; and Ca. E. regneryi does not appreciably cross-react with E. ruminantium in the PC-ELISA.
- Published
- 2022
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12. Ticks and Tick-Borne Pathogens Associated with Dromedary Camels ( Camelus dromedarius ) in Northern Kenya.
- Author
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Getange D, Bargul JL, Kanduma E, Collins M, Bodha B, Denge D, Chiuya T, Githaka N, Younan M, Fèvre EM, Bell-Sakyi L, and Villinger J
- Abstract
Ticks and tick-borne pathogens (TBPs) are major constraints to camel health and production, yet epidemiological data on their diversity and impact on dromedary camels remain limited. We surveyed the diversity of ticks and TBPs associated with camels and co-grazing sheep at 12 sites in Marsabit County, northern Kenya. We screened blood and ticks (858 pools) from 296 camels and 77 sheep for bacterial and protozoan TBPs by high-resolution melting analysis and sequencing of PCR products. Hyalomma (75.7%), Amblyomma (17.6%) and Rhipicephalus (6.7%) spp. ticks were morphologically identified and confirmed by molecular analyses. We detected TBP DNA in 80.1% of blood samples from 296 healthy camels. " Candidatus Anaplasma camelii", " Candidatus Ehrlichia regneryi" and Coxiella burnetii were detected in both camels and associated ticks, and Ehrlichia chaffeensis , Rickettsia africae , Rickettsia aeschlimannii and Coxiella endosymbionts were detected in camel ticks. We also detected Ehrlichia ruminantium , which is responsible for heartwater disease in ruminants, in Amblyomma ticks infesting camels and sheep and in sheep blood, indicating its endemicity in Marsabit. Our findings also suggest that camels and/or the ticks infesting them are disease reservoirs of zoonotic Q fever ( C. burnetii ), ehrlichiosis ( E. chaffeensis ) and rickettsiosis ( R. africae ), which pose public health threats to pastoralist communities.
- Published
- 2021
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13. Transcriptomics reveal potential vaccine antigens and a drastic increase of upregulated genes during Theileria parva development from arthropod to bovine infective stages.
- Author
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Tonui T, Corredor-Moreno P, Kanduma E, Njuguna J, Njahira MN, Nyanjom SG, Silva JC, Djikeng A, and Pelle R
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- Animals, Antigens, Protozoan immunology, Cattle, Gene Expression Regulation, Developmental, High-Throughput Nucleotide Sequencing methods, Protozoan Proteins genetics, Protozoan Proteins immunology, Protozoan Vaccines genetics, Protozoan Vaccines immunology, Schizonts genetics, Schizonts immunology, Sequence Analysis, RNA methods, Sporozoites genetics, Sporozoites immunology, Theileria parva genetics, Theileria parva immunology, Up-Regulation, Antigens, Protozoan genetics, Gene Expression Profiling methods, Theileria parva growth & development, Theileriasis parasitology
- Abstract
Theileria parva is a protozoan parasite transmitted by the brown ear tick Rhipicephalus appendiculatus that causes East Coast fever (ECF) in cattle, resulting in substantial economic losses in the regions of southern, eastern and central Africa. The schizont form of the parasite transforms the bovine host lymphocytes into actively proliferating cancer-like cells. However, how T. parva causes bovine host cells to proliferate and maintain a cancerous phenotype following infection is still poorly understood. On the other hand, current efforts to develop improved vaccines have identified only a few candidate antigens. In the present paper, we report the first comparative transcriptomic analysis throughout the course of T. parva infection. We observed that the development of sporoblast into sporozoite and then the establishment in the host cells as schizont is accompanied by a drastic increase of upregulated genes in the schizont stage of the parasite. In contrast, the ten highest gene expression values occurred in the arthropod vector stages. A comparative analysis showed that 2845 genes were upregulated in both sporozoite and schizont stages compared to the sporoblast. In addition, 647 were upregulated only in the sporozoite whereas 310 were only upregulated in the schizont. We detected low p67 expression in the schizont stage, an unexpected finding considering that p67 has been reported as a sporozoite stage-specific gene. In contrast, we found that transcription of p67 was 20 times higher in the sporoblast than in the sporozoite. Using the expression profiles of recently identified candidate vaccine antigens as a benchmark for selection for novel potential vaccine candidates, we identified three genes with expression similar to p67 and several other genes similar to Tp1-Tp10 schizont vaccine antigens. We propose that the antigenicity or chemotherapeutic potential of this panel of new candidate antigens be further investigated. Structural comparisons of the transcripts generated here with the existing gene models for the respective loci revealed indels. Our findings can be used to improve the structural annotation of the T. parva genome, and the identification of alternatively spliced transcripts., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2018
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14. Genotypic variations in field isolates of Theileria species infecting giraffes (Giraffa camelopardalis tippelskirchi and Giraffa camelopardalis reticulata) in Kenya.
- Author
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Githaka N, Konnai S, Skilton R, Kariuki E, Kanduma E, Murata S, and Ohashi K
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- Animals, Base Sequence, Kenya epidemiology, Molecular Sequence Data, Phylogeny, RNA, Protozoan genetics, RNA, Ribosomal, 18S genetics, Theileriasis epidemiology, Antelopes, Genetic Variation, Genotype, Theileria genetics, Theileriasis parasitology
- Abstract
Recently, mortalities among giraffes, attributed to infection with unique species of piroplasms were reported in South Africa. Although haemoparasites are known to occur in giraffes of Kenya, the prevalence, genetic diversity and pathogenicity of these parasites have not been investigated. In this study, blood samples from 13 giraffes in Kenya were investigated microscopically and genomic DNA extracted. PCR amplicons of the hyper-variable region 4 (V4) of Theileria spp. small subunit ribosomal RNA (18S rRNA) gene were hybridized to a panel of genus- and species-specific oligonucleotide probes by reverse line blot (RLB). Two newly designed oligonucleotide probes specific for previously identified Theileria spp. of giraffes found single infections in eight of the specimens and mixed infections in the remaining five samples. Partial 18S rRNA genes were successfully amplified from 9 samples and the PCR amplicons were cloned. A total of 28 plasmid clones representing the Kenyan isolates were analyzed in the present study and compared with those of closely-related organisms retrieved from GenBank. In agreement with RLB results, the nucleotide sequence alignment indicated the presence of mixed infections in the giraffes. In addition, sequence alignment with the obtained 18S rRNA gene sequences revealed extensive microheterogeneities within and between isolates, characterized by indels in the V4 regions and point mutations outside this region. Phylogeny with 18S rRNA gene sequences from the detected parasites and those of related organisms places Theileria of giraffes into two major groups, within which are numerous clades that include the isolates reported in South Africa. Collectively, these data suggest the existence of at least two distinct Theileria species among giraffes, and extensive genetic diversity within the two parasite groups., (Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.)
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- 2013
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15. Molecular detection and characterization of potentially new Babesia and Theileria species/variants in wild felids from Kenya.
- Author
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Githaka N, Konnai S, Kariuki E, Kanduma E, Murata S, and Ohashi K
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- Acinonyx parasitology, Animals, Babesia classification, Babesia genetics, Babesiosis parasitology, Cluster Analysis, DNA, Protozoan chemistry, DNA, Protozoan genetics, Kenya, Lions parasitology, Molecular Sequence Data, Panthera parasitology, Phylogeny, Sequence Analysis, DNA, Theileria classification, Theileria genetics, Babesia isolation & purification, Babesiosis veterinary, Theileria isolation & purification, Theileriasis parasitology
- Abstract
Piroplasms frequently infect domestic and wild carnivores. At present, there is limited information on the occurrence and molecular identity of these tick-borne parasites in wild felids in Kenya. In 2009, a pair of captive lions (Panthare leo) was diagnosed with suspected babesiosis and mineral deficiency at an animal orphanage on the outskirts of Nairobi, Kenya. Blood smears indicated presences of haemoparasites in the erythrocytes, however, no further investigations were conducted to identify the infecting agent. The animals recovered completely following diet supplementation and treatment with anti-parasite drug. In this report, we extracted and detected parasite DNA from the two lions and seven other asymptomatic feline samples; two leopards (Panthera pardus) and five cheetahs (Acinonyx jubatus). Reverse line blot with probes specific for Babesia spp. of felines indicated the presence of new Babesia species or genotypes in the lions and leopards, and unknown Theileria sp. in the cheetahs. Phylogenetic analyses using partial sequences of 18S ribosomal RNA (18S rRNA) gene showed that the parasite infecting the lions belong to the Babesia canis complex, and the parasite variant detected in the leopards clusters in a clade bearing other Babesia spp. reported in wild felids from Africa. The cheetah isolates falls in the Theileria sensu stricto group. Our findings indicate the occurrence of potentially new species or genotypes of piroplams in all three feline species., (Copyright © 2012 Elsevier B.V. All rights reserved.)
- Published
- 2012
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16. Transcriptional profiling of inflammatory cytokine genes in African buffaloes (Syncerus caffer) infected with Theileria parva.
- Author
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Okagawa T, Konnai S, Mekata H, Githaka N, Suzuki S, Kariuki E, Gakuya F, Kanduma E, Shirai T, Ikebuchi R, Ikenaka Y, Ishizuka M, Murata S, and Ohashi K
- Subjects
- Amino Acid Sequence, Animals, Base Sequence, Buffaloes immunology, Cytokines blood, Cytokines genetics, Gene Expression Profiling methods, Interleukin-1beta biosynthesis, Interleukin-1beta blood, Interleukin-1beta genetics, Interleukin-6 biosynthesis, Interleukin-6 blood, Interleukin-6 genetics, Molecular Sequence Data, Nitric Oxide Synthase Type II biosynthesis, Nitric Oxide Synthase Type II blood, Nitric Oxide Synthase Type II genetics, Real-Time Polymerase Chain Reaction veterinary, Theileriasis immunology, Tumor Necrosis Factor-alpha biosynthesis, Tumor Necrosis Factor-alpha blood, Tumor Necrosis Factor-alpha genetics, Buffaloes parasitology, Cytokines biosynthesis, Gene Expression Profiling veterinary, Theileria parva, Theileriasis diagnosis
- Abstract
Theileria parva (T. parva) causes East Coast fever (ECF), which is of huge economic importance to Eastern and Southern African countries. In a previous bovine model, inflammatory cytokines were closely associated with disease progression in animals experimentally infected with T. parva. The African Cape buffalo (Syncerus caffer), the natural reservoir for T. parva, is completely resistant to ECF despite a persistently high parasitaemia following infection with T. parva. Characterizing basic immunological interactions in the host is critical to understanding the mechanism underlying disease resistance in the African Cape buffalo. In this study, the expression level of several cytokines was analyzed in T. parva-infected buffaloes. There were no significant differences in the expression profiles of inflammatory cytokines between the infected and uninfected animals despite a remarkably high parasitaemia in the former. However, the expression level of IL-10 was significantly upregulated in the infected animals. These results indicate a correlation between diminished inflammatory cytokines response and disease resistance in the buffalo., (Copyright © 2012 Elsevier B.V. All rights reserved.)
- Published
- 2012
- Full Text
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17. Serum total sialic acid and Hanganutziu-Deicher antibody in normals and in cancer patients.
- Author
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Kanduma EG, Mukuria JC, and Mwanda OW
- Subjects
- Adolescent, Adult, Aged, Analysis of Variance, Carcinoma blood, Case-Control Studies, Enzyme-Linked Immunosorbent Assay, Female, Hospitals, University, Humans, Kenya, Lymphoma blood, Male, Middle Aged, Sarcoma blood, Antibodies, Heterophile blood, Biomarkers, Tumor blood, Carcinoma diagnosis, Lymphoma diagnosis, N-Acetylneuraminic Acid blood, Sarcoma diagnosis
- Abstract
Objective: To determine the levels of both TSA and HD antibody in sera of patients with various malignancies and evaluate their potential role as diagnostic and/ or prognostic markers., Design: Laboratory based analysis., Settings: Kenyatta National Hospital, Kenya Medical Research Institute and the Department of Biochemistry, University of Nairobi., Subjects: A total of 909 serum samples, 420 from cancer patients recruited at Kenyatta National Hospital and 509 from normal blood donors recruited at Nairobi Hospital., Results: The mean age for the patients and controls was 36 and 37 years respectively. Carcinoma patients constituted 54%, sarcoma 12.1%, lymphoma 16.4% and 17.4% had other types of tumours. The mean TSA in patients was 0.86 mg/ml +/- 0.026 compared to 0.82 mg/ml +/- 0.014 in controls. The TSA level was significantly higher in patients compared to controls (Student's t-test p = 0.031 at 0.05 confidence level). The TSA increased with age in both study groups. In patient sera, both gender gave the same mean of 0.83 mg/ml while it was 0.82 mg/ml and 0.83 mg/ml in control females and in males respectively. Sarcomas had the highest amount of 0.93 mg/ml but there was no significant statistical variation between tumour types (p = 0.076). The HD antibody mean readings were 0.004 in pathologic sera compared to 0.011 in controls. The values were significantly elevated in patients (p = 0.03) with females giving a higher value for both study groups (p = 0.628). HD antibody readings was significantly higher in carcinomas (p = 0.017) compared to those of sarcomas and lymphomas. There was no association between antibody readings and age of patient (p = 0.601)., Conclusion: Both TSA and HD antibody values were significantly elevated in patients compared to clinically healthy controls and while TSA levels increased with age and was independent of gender, HD antibody levels were independent of age, gender and also tumour type. The study demonstrates that although TSA is normally elevated in malignancy, most of the sialic acid shed is of N-acetyl type as some patients do not express HD antibody directed to the N-glycolyl sialic acid. The reason why some tumours would express Neu5Gc at any one time needs further evaluation.
- Published
- 2007
- Full Text
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