Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-19T04:28:02.943Z Has data issue: false hasContentIssue false

The first multilocus genotype analysis of Giardia intestinalis in humans in the Czech Republic

Published online by Cambridge University Press:  20 March 2018

L. Lecová*
Affiliation:
Institute of Immunology and Microbiology, First Faculty of Medicine, Charles University, Studničkova 7, 128 00, Prague, Czech Republic
F. Weisz
Affiliation:
Institute of Immunology and Microbiology, First Faculty of Medicine, Charles University, Studničkova 7, 128 00, Prague, Czech Republic
P. Tůmová
Affiliation:
Institute of Immunology and Microbiology, First Faculty of Medicine, Charles University, Studničkova 7, 128 00, Prague, Czech Republic
V. Tolarová
Affiliation:
Regional Institute of Public Health, Sokolovská 60, 186 00, Prague, Czech Republic
E. Nohýnková
Affiliation:
Institute of Immunology and Microbiology, First Faculty of Medicine, Charles University, Studničkova 7, 128 00, Prague, Czech Republic
*
Author for correspondence: Lenka Lecová, E-mail: lenka.lecova@lf1.cuni.cz

Abstract

To date, genotyping data on giardiasis have not been available in the Czech Republic. In this study, we characterized 47 human isolates of Giardia intestinalis from symptomatic as well as asymptomatic giardiasis cases. Genomic DNA from trophozoites was tested by PCR-sequence analysis at three loci (β-giardin, glutamate dehydrogenase and triose phosphate isomerase). Sequence analysis showed assemblages A and B in 41 (87.2%) and six (12.8%) isolates, respectively. Two of the 41 assemblage A samples were genotyped as sub-assemblage AI, and 39 were genotyped as sub-assemblage AII. Four previously identified multilocus genotypes (MLGs: AI-1, AII-1, AII-4 and AII-9) and six likely novel variations of MLGs were found. In agreement with previous studies, sequences from assemblage B isolates were characterized by a large genetic variability and by the presence of heterogeneous positions, which prevent the definition of MLGs. This study also investigated whether there was a relationship between the assemblage and clinical data (including drug resistance). However, due to the large number of genotypes and the relatively small number of samples, no significant associations with the clinical data were found.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adam, RD, Dahlstrom, EW, Martens, CA, Bruno, DP, Barbian, KD, Ricklefs, SM, Hernandez, MM, Narla, NP, Patel, RB, Porcella, SF and Nash, TE (2013) Genome sequencing of Giardia lamblia genotypes A2 and B isolates (DH and GS) and comparative analysis with the genomes of genotypes A1 and E (WB and pig). Genome Biology and Evolution 5(12), 24982511.Google Scholar
Andersson, JO (2012) Double peaks reveal rare diplomonad sex. Trends in Parasitology 28(2), 4652.Google Scholar
Ankarklev, J, Svärd, SG and Lebbad, M (2012) Allelic sequence heterozygosity in single Giardia parasites. BioMedCentral Microbiology 12(65), 110.Google Scholar
Ankarklev, J, Franzén, O, Peirasmaki, D, Jerlström-Hultqvist, J, Lebbad, M, Andersson, J, Andersson, B and Svärd, SG (2015) Comparative genomic analyses of freshly isolated Giardia intestinalis assemblage A isolates. BMC Genomics 16(1), 697.Google Scholar
Ansell, BRE, McConville, MJ, Ma'ayeh, SY, Dagley, MJ, Gasser, RB, Svärd, SG and Jex, AR (2015) Drug resistance in Giardia duodenalis. Biotechnology Advances 33(6), Part 1, 888901.Google Scholar
Anuar, TS, Moktar, N, Salleh, FM and Al-Mekhlafi, HM (2015) Human giardiasis in Malaysia: correlation between the presence of clinical manifestation and Giardia intestinalis assemblage. Southeast Asian Journal of Tropical Medicine and Public Health 46(5), 835.Google Scholar
Bertrand, I, Albertini, L and Schwartzbrod, J (2005) Comparison of two target genes for detection and genotyping of Giardia lamblia in human feces by PCR and PCR-restriction fragment length polymorphism. Journal of Clinical Microbiology 43(12), 59405944.Google Scholar
Bingham, A., Jarroll, EL, Meyer, EA and Radulescu, S (1979). Induction of Giardia excystation and the effect of temperature on cyst viability as compared by eosin-exclusion and in vitro excystation. In Jakubowski, W, Hoff, JC (eds). Waterborne Transmission of Giardiasis. Cincinnati, Ohio: U. S. Environmental Protect Agency, pp. 217229.Google Scholar
Bonhomme, J, Le Goff, L, Lemée, V, Gargala, G, Ballet, JJ and Favennec, L (2011) Limitations of tpi and bg genes sub-genotyping for characterization of human Giardia duodenalis isolates. Parasitology International 60(3), 327330.Google Scholar
Breathnach, AS, McHugh, TD and Butcher, PD (2010) Prevalence and clinical correlations of genetic subtypes of Giardia lamblia in an urban setting. Epidemiology and Infection 138(10), 14591467.Google Scholar
Cacciò, SM and Ryan, U (2008) Molecular epidemiology of giardiasis. Molecular and Biochemical Parasitology 160, 7580.Google Scholar
Cacciò, SM, Beck, R, Lalle, M, Marinculic, A and Pozio, E (2008) Multilocus genotyping of Giardia duodenalis reveals striking differences between assemblages A and B. International Journal for Parasitology 38(13), 15231531.Google Scholar
Coronato Nunes, B, Pavan, MG, Jaeger, LH, Monteiro, KJL, Xavier, SCC, Monteiro, FA, Xavier, SCC, Monteiro, FA, Bóia, MN and Carvalho-Costa, FA (2016) Spatial and molecular epidemiology of Giardia intestinalis deep in the Amazon, Brazil. PLoS ONE 11(7), e0158805.Google Scholar
Delport, TC, Asher, AJ, Beaumont, LJ, Webster, KN, Harcourt, RG and Power, ML (2014) Giardia duodenalis and Cryptosporidium occurrence in Australian sea lions (Neophoca cinerea) exposed to varied levels of human interaction. International Journal for Parasitology: Parasites and Wildlife 3(3), 269275.Google Scholar
de Quadros, RM, Weiss, PHE, Marques, SMT and Miletti, LC (2016) Potential cross-contamination of similar Giardia duodenalis assemblage in children and pet dogs in southern Brazil, as determined by PCR-RFLP. Revista Do Instituto de Medicina Tropical de São Paulo 58, 66.Google Scholar
Durigan, M, Abreu, AG, Zucchi, MI, Franco, RMB and de Souza, AP (2014) Genetic diversity of Giardia duodenalis: multilocus genotyping reveals zoonotic potential between clinical and environmental sources in a metropolitan region of Brazil. PLoS ONE 9(12), e115489.Google Scholar
Escobedo, AA, Lalle, M, Hrastnik, NA, Rodríguez-Morales, AJ, Castro-Sánchez, E, Cimerman, S, Almirall, P and Jones, J (2016) Combination therapy in the management of giardiasis: what laboratory and clinical studies tell us, so far. Acta Tropica 162, 196205.Google Scholar
Faria, CP, Zanini, GM, Dias, GS, da Silva, S and do Céu Sousa, M (2017) New multilocus genotypes of Giardia lamblia human isolates. Infection, Genetics and Evolution 54, 128137.Google Scholar
Farthing, MJ (1996) Giardiasis. Gastroenterology Clinics of North America 25(3), 493515.Google Scholar
Feng, Y and Xiao, L (2011) Zoonotic potential and molecular epidemiology of Giardia species and giardiasis. Clinical Microbiology Reviews 24(1), 110140.Google Scholar
Fletcher, SM, Stark, D, Harkness, J and Ellis, J (2012) Enteric protozoa in the developed world: a public health perspective. Clinical Microbiology Reviews 25(3), 420449.Google Scholar
Forsell, J, Granlund, M, Samuelsson, L, Koskiniemi, S, Edebro, H and Evengård, B (2016) High occurrence of Blastocystis sp. subtypes 1–3 and Giardia intestinalis assemblage B among patients in Zanzibar, Tanzania. Parasites & Vectors 9(1), 370.Google Scholar
Franzèn, O, Jerlström-Hultqvist, J, Castro, E, Sherwood, E, Ankarklev, J, Reiner, DS, Palm, D, Andersson, JO, Andersson, B and Svärd, SG (2009) Draft genome sequencing of Giardia intestinalis assemblage B isolate GS: is human giardiasis caused by two different species? PLoS Pathogens 5(8), e1000560.Google Scholar
Gardner, TB and Hill, DR (2001) Treatment of giardiasis. Clinical Microbiology Reviews 14(1), 114128.Google Scholar
Gelanew, T, Lalle, M, Hailu, A, Pozio, E and Cacciò, SM (2007) Molecular characterization of human isolates of Giardia duodenalis from Ethiopia. Acta Tropica 102, 9299.Google Scholar
Hatam-Nahavandi, K, Mohebali, M, Mahvi, AH, Keshavarz, H, Mirjalali, H, Rezaei, S, Meamar, AR and Rezaeian, M (2016) Subtype analysis of Giardia duodenalis isolates from municipal and domestic raw wastewaters in Iran. Environmental Science and Pollution Research 24(14), 18.Google Scholar
Haque, R, Roy, S, Kabir, M, Stroup, SE, Mondal, D and Houpt, ER (2005) Giardia assemblage A infection and diarrhea in Bangladesh. The Journal of Infectious Diseases 192(12), 21712173.Google Scholar
Homan, WL, Gilsing, M, Bentala, H, Limper, L and Van Knapen, F (1998) Characterization of Giardia duodenalis by polymerase-chain-reaction fingerprinting. Parasitology Research 84, 707714.Google Scholar
Huang, DB and White, AC (2006) An updated review on Cryptosporidium and Giardia. Gastroenterology Clinics of North America 35(2), 291314.Google Scholar
Hussein, EM, Zaki, WM, Ahmed, SA, Almatary, AM, Nemr, NI and Hussein, AM (2016) Predominance of Giardia lamblia assemblage A among iron deficiency anaemic pre-school Egyptian children. Parasitology Research 115(4), 15371545.Google Scholar
Jerlström-Hultqvist, J, Franzén, O, Ankarklev, J, Xu, F, Nohýnková, E, Andersson, JO, Svärd, SG and Andersson, B (2010) Genome analysis and comparative genomics of a Giardia intestinalis assemblage E isolate. BMC Genomics 11, 543.Google Scholar
Kohli, A, Bushen, OY, Pinkerton, RC, Houpt, E, Newman, RD, Sears, CL, Lima, AAM and Guerrant, RL (2008) Giardia duodenalis assemblage, clinical presentation and markers of intestinal inflammation in Brazilian children. Transactions of the Royal Society of Tropical Medicine and Hygiene 102(7), 718725.Google Scholar
Lalle, M, Pozio, E, Capelli, G, Bruschi, F, Crotti, D and Cacciò, SM (2005) Genetic heterogeneity at the b-giardin locus among human and animal isolates of Giardia duodenalis and identification of potentially zoonotic subgenotypes. International Journal for Parasitology 35, 207213.Google Scholar
Lasek-Nesselquist, E, Welch, DM and Sogin, ML (2010) The identification of a new Giardia duodenalis assemblage in marine vertebrates and a preliminary analysis of G. duodenalis population biology in marine systems. International Journal for Parasitology 40(9), 10631074.Google Scholar
Lebbad, M, Petersson, I, Karlsson, L, Botero-Kleiven, S, Andersson, JO, Svenungsson, B and Svärd, SG (2011) Multilocus genotyping of human Giardia isolates suggests limited zoonotic transmission and association between assemblage B and flatulence in children. PLoS Neglected Tropical Diseases 5(8), e1262.Google Scholar
Lee, MF, Cadogan, P, Eytle, S, Copeland, S, Walochnik, J and Lindo, JF (2017) Molecular epidemiology and multilocus sequence analysis of potentially zoonotic Giardia spp. from humans and dogs in Jamaica. Parasitology Research 116(1), 409414.Google Scholar
Leitsch, D (2015) Drug resistance in the microaerophilic parasite Giardia lamblia. Current Tropical Medicine Reports 2(3), 128135.Google Scholar
Mahdy, AKM, Surin, J, Wan, KL, Mohd-Adnan, A, Hesham Al-Mekhlafi, MS and Lim, YAL (2009) Giardia intestinalis genotypes: risk factors and correlation with clinical symptoms. Acta Tropica 112(1), 6770.Google Scholar
Minetti, C, Lamden, K, Durband, C, Cheesbrough, J, Fox, A and Wastling, JM (2015a) Determination of Giardia duodenalis assemblages and multi-locus genotypes in patients with sporadic giardiasis from England. Parasites & Vectors 8, 444.Google Scholar
Minetti, C, Lamden, K, Durband, C, Cheesbrough, J, Platt, K, Charlett, A, O'Brien, SJ, Fox, A and Wastling, JM (2015 b) Case-control study of risk factors for sporadic giardiasis and parasite assemblages in North West England. Journal of Clinical Microbiology 53, 31333140.Google Scholar
Morrison, HG, McArthur, AG, Gillin, FD, Aley, SB, Adam, RD, Olsen, GJ, Best, AA, Cande, WZ, Chen, F, Cipriano, MJ, Davids, BJ, Dawson, SC, Elmendorf, HG, Hehl, AB, Holder, ME, Huse, SM, Kim, UU, Lasek-Nesselquist, E, Manning, G, Nigam, A, Nixon, JEJ, Palm, D, Passamaneck, NE, Prabhu, A, Reich, CI, Reiner, DS, Samuelson, J, Svard, SG and Sogin, ML (2007) Genomic minimalism in the early diverging intestinal parasite Giardia lamblia. Science 317, 19211926.Google Scholar
Mørch, K, Hanevik, K, Robertson, LJ, Strand, EA and Langeland, N (2008) Treatment-ladder and genetic characterisation of parasites in refractory giardiasis after an outbreak in Norway. Journal of Infection 56(4), 268273.Google Scholar
Mukherjee, AK, Karmakar, S, Raj, D and Ganguly, S (2013) Multi-locus genotyping reveals high occurrence of mixed assemblages in Giardia duodenalis within a limited geographical boundary. British Microbiology Research Journal 3(2), 190197.Google Scholar
Muñoz Gutiérrez, J, Aldasoro, E, Requena, A, Comin, AM, Pinazo, MJ, Bardají, A, Oliveira, I, Valls, ME and Gascon, J (2013) Refractory giardiasis in Spanish travellers. Travel Medicine and Infectious Disease 11(2), 126129.Google Scholar
Nabarro, LEB, Lever, RA, Armstrong, M and Chiodini, PL (2015) Increased incidence of nitroimidazole-refractory giardiasis at the hospital for tropical diseases, London: 2008-2013. Clinical Microbiology and Infection 21, 791796.Google Scholar
Ortega-Pierres, MG, Jex, AR, Ansell, BRE and Svärd, SG (2017). Recent advances in the genomic and molecular biology of Giardia. Acta Tropica In press. doi: 10.1016/j.actatropica.2017.09.004.Google Scholar
Painter, JE, Gargano, JW, Collier, SA and Yoder, JS (2015) Giardiasis surveillance – United States, 2011–2012. Morbidity and Mortality Weekly Reported Surveillance Summaries 64(3), 1525.Google Scholar
Pelayo, L, Nuñez, FA, Rojas, L, Furuseth Hansen, E, Gjerde, B, Wilke, H, Mulder, B and Robertson, L (2008) Giardia infections in Cuban children: the genotypes circulating in a rural population. Annals of Tropical Medicine and Parasitology 102(7), 585595.Google Scholar
Pestechian, N, Rasekh, H, Rostami-nejad, M and Yousofi, HA (2014) Molecular identification of Giardia lamblia; is there any correlation between diarrhea and genotyping in Iranian population? Gastroenterology and Hepatology from Bed to Bench 7(3), 168172.Google Scholar
Prystajecky, N, Tsui, CKM, Hsiao, WWL, Uyaguari-Diaz, MI, Ho, J, Tang, P and Isaac-Renton, J (2015) Giardia spp. are commonly found in mixed assemblages in surface water, as revealed by molecular and whole-genome characterization. Applied and Environmental Microbiology 81(14), 48274834.Google Scholar
Puebla, LJ, Núñez, FA, Fernández, YA, Fraga, J, Rivero, LR, Millán, IA, Valdés, LA and Silva, IM (2014) Correlation of Giardia duodenalis assemblages with clinical and epidemiological data in Cuban children. Infection, Genetics and Evolution: Journal of Molecular Epidemiology and Evolutionary Genetics in Infectious Diseases 23, 712.Google Scholar
Rafiei, A, Roointan, ES, Samarbafzadeh, AR, Shayesteh, AA, Shamsizadeh, A and Pourmahdi Borujeni, M (2013) Investigation of possible correlation between Giardia duodenalis genotypes and clinical symptoms in southwest of Iran. Iranian Journal of Parasitology 8(3), 389395.Google Scholar
Ramírez, JD, Heredia, RD, Hernández, C, León, CM, Moncada, LI, Reyes, P, Pinilla, AE and Lopez, MC (2015) Molecular diagnosis and genotype analysis of Giardia duodenalis in asymptomatic children from a rural area in central Colombia. Infection, Genetics and Evolution 32, 208213.Google Scholar
Read, C, Walters, J, Robertson, ID and hompson, RC (2002) Correlation between genotype of Giardia duodenalis and diarrhoea. International Journal for Parasitology 32, 229231.Google Scholar
Robertson, LJ, Hanevik, k, Escobedo, AA, Morch, K and Langeland, N (2010) Giardiasis – why do the symptoms sometimes never stop? Trends in Parasitology 26(2), 7581.Google Scholar
Rogawski, ET, Bartelt, LA, Platts-Mills, JA, Seidman, JC, Samie, A, Havt, A, Babji, S, Trigoso, DR, Qureshi, S, Shakoor, S, Haque, R, Mduma, E, Bajracharya, S, Abdul Gaffar, SM, Lima, AAM, Kang, G, Kosek, MN, Ahmed, T, Svensen, E, Mason, C, Bhutta, ZA, Lang, DR, Gottlieb, M, Guerrant, RL, Houpt, ER and Bessong, PO (2017) Determinants and impact of Giardia infection in the first 2 years of life in the MAL-ED birth cohort. Journal of the Pediatric Infectious Diseases Society 6(2), 153160.Google Scholar
Ryan, U and Cacciò, SM (2013) Zoonotic potential of Giardia. International Journal for Parasitology 43(12–13), 943956.Google Scholar
Sahagun, J, Clavel, A, Goni, P, Seral, C, Llorente, MT, Castillo, FJ, Capilla, S, Arias, A and Gomez-Lus, R (2008) Correlation between the presence of symptoms and the Giardia duodenalis genotype. European Journal of Clinical Microbiology & Infectious Diseases 27, 8183.Google Scholar
Savioli, L, Smith, H and Thompson, A (2006) Giardia and Cryptosporidium join the neglected diseases initiative. Trends in Parasitology 22(5), 203208.Google Scholar
Šoba, B, Islamović, S, Skvarč, M and Cacciò, S (2015) Multilocus genotyping of Giardia duodenalis (Lambl, 1859) from symptomatic human infections in Slovenia. Folia Parasitologica 62, 062.Google Scholar
Sprong, H, Cacciò, SM and Van der Giessen, JWB on behalf of the ZOOPNET network and partners (2009). Identification of zoonotic genotypes of Giardia duodenalis. PLoS Neglected Tropical Diseases 3(12), e588.Google Scholar
Stejskal, F, Trojánek, M and Nohýnkova, E (2015) Imported giardiasis in Czech travellers resistant to treatment with metronidazole. Tropical Medicine & International Health 20(SI), 273274.Google Scholar
Sulaiman, IM, Fayer, R, Bern, C, Gilman, RH, Trout, JM, Schantz, PM, Das, P, Lal, AA and Xiao, L (2003) Triosephosphate isomerase gene characterization and potential zoonotic transmission of giardia duodenalis. Emerging Infectious Diseases 9(11), 14441452.Google Scholar
Tolarová, V (1992) Giardia intestinalis: isolation, axenic cultivation, characterization of the isolates. PhD Thesis. Charles University, Prague, Czech Republic (in Czech).Google Scholar
Upcroft, P and Upcroft, JA (2001) Drug targets and mechanisms of resistance in the anaerobic protozoa. Clinical Microbiology Reviews 14(1), 150164.Google Scholar
Waldram, A, Vivancos, R, Hartley, C and Lamden, K (2017) Prevalence of Giardia infection in households of Giardia cases and risk factors for household transmission. BMC Infectious Diseases 17, 486.Google Scholar
Wang, H, Zhao, G, Chen, G, Jian, F, Zhang, S, Feng, C, Wang, R, Zhu, J, Dong, H, Hua, J, Wang, M and Zhang, L (2014) Multilocus genotyping of Giardia duodenalis in dairy cattle in Henan, China. PLoS ONE 9(6), e100453.Google Scholar
Wielinga, CM and Thompson, RC (2007) Comparative evaluation of Giardia duodenalis sequence data. Parasitology 134(12), 17951821.Google Scholar
Wielinga, C, Ryan, U, Andrew Thompson, RC and Monis, P (2011) Multi-locus analysis of Giardia duodenalis intra-assemblage B substitution patterns in cloned culture isolates suggests sub-assemblage B analyses will require multi-locus genotyping with conserved and variable genes. International Journal for Parasitology 41(5), 495503.Google Scholar
World Medical Association (2013) Declaration of Helsinki – ethical principles for medical research involving human subjects. [Online]. JAMA 310(20), 21912194.Google Scholar
Yadav, P, Tak, V, Mirdha, BR and Makharia, GK (2014) Refractory giardiasis: a molecular appraisal from a tertiary care centre in India. Indian Journal of Medical Microbiology 32(4), 378382.Google Scholar
Yang, R, Lee, J, Ng, J and Ryan, U (2010) High prevalence Giardia duodenalis assemblage B and potentially zoonotic subtypes in sporadic human cases in Western Australia. International Journal for Parasitology 40(3), 293297.Google Scholar
Yoder, JS, Harral, C and Beach, MJ (2010) Giardiasis surveillance – United States, 2006–2008. Morbidity and Mortality Weekly Report 59, 1525.Google Scholar