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Prevalence estimates of opisthorchis viverrini and Clonorchis sinensis infection in the Greater Mekong subregion: a systematic review and meta-analysis

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贫困所致传染病(英文) 2024年第3期13卷 11-25页

作者： Sota Pornphutthachat Andityas Morsid Kotepui Manas Sripa Banchob WHO Collaborating Centre for Research and Control of Opisthorchiasis (Southeast Asian Liver Fluke Disease) Tropical Disease Research Center Khon Kaen University Khon Kaen Thailand Department of Tropical Medicine Faculty of Medicine Khon Kaen University Khon Kaen Thailand Faculty of Veterinary Medicine Khon Kaen University Khon Kaen Thailand Department of Bioresources Technology and Veterinary Veterinary Technology Study Program Vocational College Universitas Gadjah Mada Depok Indonesia School of Allied Health Sciences Walailak University Nakhon Si Thammarat Thailand Medical Technology Program Faculty of Science Nakhon Phanom University Nakhon Phanom Thailand

Background Opisthorchiasis and clonorchiasis, caused byopisthorchis viverrini andClonorchis sinensis, respectively, are significant yet neglected foodborne trematodiases in the Great Mekong Subregion (GMS). Despite the reporting of the prevalence of these human liver flukes in the region over the past decades, there has been a lack of a comprehensive and systematic consolidation of this data. Therefore, we aimed to conduct a thorough systematic review and meta-analysis to synthesize and analyze time-trend prevalence estimates of bothO. viverrini andC. sinensis across the GMS for the past 30 *** This study undertakes a systematic review using a comprehensive search for published articles in PubMed, EMBASE, Scopus, Cochrane and Thai Journal Online databases until early 2023. The pooled prevalence ofO. viverrini andC. sinensis infection was analyzed through a random-effects meta-analysis, with meta-regression analysis used to quantify associations with study characteristics. Sub-group analysis was conducted, whenever comparison data were available, to assess the risk ofO. viverrini andC. sinensis infection in each GMS country. Heterogeneity among studies was assessed using the Q statistic and quantified by using theI2 *** From a total of 2997 articles, 155 articles comprising 218 datasets and 751,108 participants were included for review. The GMS prevalence ofO. viverrini was 21.11% [45,083/260,237; 95% confidence interval (CI): 17.74–24.47%]. Pooled prevalence estimates were highly observed in Laos (34.06%, 95%CI: 26.85–41.26%), followed by Thailand (18.19%, 95%CI: 13.86–22.51%), and Cambodia (10.48%, 95%CI: 5.52–15.45%). Myanmar and Vietnam had limited data sources for *** sinensis infection in GMS was 25.33% (95%CI: 18.32–32.34%), with Guangxi, China, exhibiting the highest prevalence rates at 26.89% (95%CI: 18.34–35.43%), while Vietnam had a prevalence rate of 20.30% (95%CI: 9.13–31.47%).O. viverrini prevalence decreased signi

关键词： opisthorchis viverrini Clonorchis sinensis Great Mekong subregion Human Meta-analysis

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Effects of albendazole,artesunate,praziquantel and miltefosine,on opisthorchis viverrini cercariae and mature metacercariae

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Asian Pacific Journal of Tropical Medicine 2017年第2期10卷 120-126页

作者： Phornphitcha Pechdee Monticha Chaiyasaeng Chanisala Sereewong Jukkrid Chaiyos Apiporn Suwannatrai Sutee Wongmaneeprateep Smarn Tesana Food-Borne Parasite Research Group Department of ParasitologyFaculty of MedicineKhon Kaen University Department of Fisheries Faculty of AgricultureKhon Kaen University

Objective:To explore larvicidal effects of anthelmintic drugs on opisthorchis viverrini(***) for alternative approach to interrupting its cycle for developing a field-based control ***:The larvicidal activities of albendazole(A1),artesunate(Ar),praziquantel(Pzq) and miltefosine(Mf) on *** cercariae and mature metacercariae were *** concentrations(LC_(50) and LC_(95)) of these drugs were *** metacercariae previously exposed to various concentrations of the drugs were administered to *** were harvested 30 d post infection and worm recovery rates ***,Ar,Pzq and Mf produced morphological degeneration and induced shedding tails of cercariae after 24 h ***:The LC_(50) and LC_(95) of Al,Ar,Pzq and Mf on cercariae were 0.720 and 1.139,0.350 and 0.861,0.017 and 0.693,and 0.530 and 1.134 ppm,***_(50) and LC_(95) of Ar on mature metacercariae were 303.643 and 446.237 ppm and of Mf were 289.711 and 631.781 ppm,respectively but no lethal effect in Pzq-and Al-treated groups(up to 1 ppt).No worms were found in hamsters administered Pzq-treated *** adult worms from Al-treated metacercariae were significantly bigger in size compared to the control group(P<0.05).Fecundity and body width were greater in adults from Mf-treated metacercariae compared to the control group(P<0.05).Conclusions:The larvicidal effects of these drugs were high efficacy to *** cercariae but lesser efficacy to *** should be further studied with the eventual aim of developing a field-based control program.

关键词： Albendazole Artesunate Praziquantel Miltefosine opisthorchis viverrini Cercariae

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Effects of physicochemical factors on development and survival of opisthorchis viverrini uterine eggs

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Asian Pacific Journal of Tropical Biomedicine 2018年第9期8卷 431-435页

作者： Chanisala Sereewong Monticha Chaiyasaeng Naiyana Senasri Jukkrid Chaiyos Smarn Tesana Food-borne Parasite Research Group Department of Parasitology Faculty of Medicine Khon Kaen University Department of Fisheries Faculty of Natural Resources Rajamangala University of Technology Isan Sakonnakhon Campus

Objective: To investigate the maturity development of miracidia in uterine eggs from four portions of the opisthorchis viverrini uterus and environmental factors possibly affected in maturation and infectivity of distal part uterine ***: Uteri of adult worms were divided into 4 equal *** of eggs was determined under light *** embryonated eggs were used to evaluate the effects of physicochemical factors: temperature, salinity, acidity, ultraviolet A, B, *** success was evaluated by feeding treated eggs to intermediate host snails and determining by using a PCR ***: Eggs obtained from the uterus closest to the ovary(regions 1 and 2) failed to develop in *** from region 4 of the uterus(close to the genital pore) were used to study effects of physicochemical *** highest survival and infection success was in groups of eggs kept at 30 ℃(95.20%).The calculated period of loss infection success(LI_(50) and LI_(95)) on miracidia in distal uterine eggs by exposure to UV-A, UV-B and UV-C were 73 and 1 523 d; 8 and 20 d; 1 and 2 d, *** concentrations(LC_(50) and LC_(95)) of salinity, HCl and NaOH on miracidia in distal uterine eggs were 45.43 and 120.09 ppt, 0.01 and 0.25 M; 0.01 and 0.11 M, respectively, after 24 h ***: opisthorchis viverrini eggs display a high tolerance to environmental conditions, especially after snail host eating for infection.

关键词： opisthorchis viverrini Physicochemical Development Survival Uterine eggs

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Transmission of opisthorchis viverrini,Schistosoma mekongi and soil-transmitted helminthes on the Mekong Islands,Southern Lao PDR

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Infectious Diseases of Poverty 2017年第1期6卷 1157-1171页

作者： Youthanavanh Vonghachack Peter Odermatt Keoka Taisayyavong Souphanh Phounsavath Kongsap Akkhavong Somphou Sayasone Swiss Tropical and Public Health Institute BaselSwitzerland University of Basel BaselSwitzerland Faculty of Basic Sciences University of Health SciencesVientiane CapitalLao PDR Malariology Parasitology and Entomology StationChampasack provinceLao PDR Provincial Health Department Champasack provinceLao PDR National Institute of Public Health Ministry of HealthVientiane CapitalLao PDR

Background:Prevalence of opisthorchis viverrini,Schistosoma mekongi and soil-transmitted helminths(STH)remains high in Lao People’s Democratic Republic(Lao PDR),despite control efforts including mass-drug administration,education and communication *** approaches are required to advance helminth ***:An ecohealth study was conducted on two Mekong islands in Southern *** and behavioural data were collected by *** and animal reservoir stools were *** *** Neotricula aperta snails were examined using *** water fish were examined using digestion *** random-effects analysis was used to find risk factors associated with helminth ***:Human infection rates with ***,hookworm,***,Trichuris trichiura,Ascaris lumbricoides and Taenia *** 60.7%,44.1%,22.2%,4.1%,0.6%and 0.1%,*** intensity infections were 4.2%,3.6%and 1.8%for ***,*** and hookworm,*** and *** infection rates among dogs and cats were 25.0%and 14.7%,*** the cats tested,53.1%were infected with *** of *** and *** in snails was 0.3%and 0.01%,*** prevalence of *** infection in fresh water fish was 26.9%,with the highest infection rates occurring in Hampala dispa(87.1%),Cyclocheilichthys apogon(85.7%)and Puntius brevis(40.0%).Illiteracy and lower socioeconomic status increased the risk of *** infection,while those aged 10-16 years and possessing latrines at home were less likely to be *** dogs and cats that consumed raw fish were significantly and positively associated with *** infection of the household *** ***,children under 9 years old were exposed significantly to this infection,compared to older age ***:There is a pressing need to design and implement an integrated helminth control intervention on the Mekong

关键词： opisthorchis viverrini Schistosoma mekongi Animal hosts Bithynia species. Neotricula aperta Cyprinidae fish Southern Lao People's Democratic Republic Laos

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Thinking beyond opisthorchis viverrini for risk of cholangiocarcinoma in the lower Mekong region:a systematic review and meta-analysis

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Infectious Diseases of Poverty 2018年第1期7卷 427-439页

作者： Jennifer A.Steele Carsten H.Richter Pierre Echaubard Parichat Saenna Virginia Stout Paiboon Sithithaworn Bruce A.Wilcox Department of Infectious Disease and Global Health Tufts UniversityCummings School of Veterinary MedicineNorth GraftonMAUSA Global Health Asia Integrative Education and Research ProgrammeFaculty of Public HealthFaculty of Public Health StudiesBangkokThailand Center for Mountain Ecosystem Studies Kunming Institute of BotanyChinese Academy of SciencesKunmingChina Department of Biology Laurentian UniversityGreater SudburyONCanada Department of Science Education Khon Kaen UniversityFaculty of EducationKhon KaenThailand Department of Parasitology Khon Kaen UniversityFaculty of MedicineKhon KaenThailand

Background:Cholangiocarcinoma(CCA)is a fatal bile duct cancer associated with infection by the liver fluke,opisthorchis viverrini,in the lower Mekong *** public health interventions have focused on reducing exposure to ***,but incidence of CCA in the region remains *** this may indicate the inefficacy of public health interventions due to complex social and cultural factors,it may further indicate other risk factors or interactions with the parasite are important in pathogenesis of *** systematic review aims to provide a comprehensive analysis of described risk factors for CCA in addition to *** to guide future integrative *** body:We searched five international and seven Thai research databases to identify studies relevant to risk factors for CCA in the lower Mekong *** studies were assessed for risk of bias and quality in terms of study design,population,CCA diagnostic methods,and statistical *** final 18 included studies reported numerous risk factors which were grouped into behaviors,socioeconomics,diet,genetics,gender,immune response,other infections,and treatment for *** risk factors were reported by two or more studies and were assessed with random effects models during *** meta-analysis indicates that the combination of alcohol and smoking(OR=11.1,95%CI:5.63-21.92,P<0.0001)is most significantly associated with increased risk for CCA and is an even greater risk factor than *** *** analysis also suggests that family history of cancer,consumption of raw cyprinoid fish,consumption of high nitrate foods,and praziquantel treatment are associated with significantly increased *** risk factors may have complex relationships with the host,parasite,or pathogenesis of CCA,and many of these risk factors were found to interact with each other in one or more ***:Our findings suggest that a complex variety of risk factors in ad

关键词： Cholangiocarcinoma Risk factors opisthorchis viverrini Mekong Southeast Asia Thailand Public health

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Glycoproteomics analysis of plasma proteins associated with opisthorchis viverrini infection-induced cholangiocarcinoma in hamster model

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Asian Pacific Journal of Tropical Medicine 2016年第12期9卷 1142-1147页

作者： Pramote Sriwanitchrak Atchara Paemanee Sittiruk Roytrakul Vithoon Viyanant Kesara Na-Bangchang Graduate Program in Biomedical Sciences Faculty of Allied Health SciencesThammasat University Proteomics Research Laboratory National Center for Genetic Engineering and Biotechnology Graduate Program in Bioclinical Sciences Center of Excellence in Pharmacology and Molecular Biology of Malaria and CholangiocarcinomaChulabhorn International College of Medicine Center of Excellence in Pharmacology and Molecular Biology of Malaria and Cholangiocarcinoma Chulabhorn International College of Medicine Excellence Center in Pharmacology and Molecular Biology of Malaria and Cholangiocarcinoma Thammasat University

Objective: To apply lectin affinity chromatography and glycoproteomics-based LC-MS/MS to preliminarily investigate the possible potential plasma biomarkers of opisthorchis viverrini(OV)-associated CCA in OV/dimethylnitrosamine(DMN)-induced CCA hamster model. Methods: Nine Syrian hamsters were divided into 3 groups as follows(n=3 each): normal(healthy control group); OV group; and OV/DMN group(CCA group). Pooled plasma samples collected from animals in each group at the 6th month post-infection with OV metacercarae were subjected to glycoproteomics analysis. Glycoproteins in the pooled sample from each group were initially isolated by concanavilin A(Con A)-based affinity chromatography. The expression of glycoproteins isolated by both enrichment methods were determined using LCMS/MS. Results: Among the 24 Con A-binding glycoproteins isolated, two proteins, N-myc downstream regulated gene 1(NDRG1) and fetuin-B(FETUB) were found up-regulated only in the samples from the OV and control groups, but not in the OV/DMN(CCA) groups. On the other hand, one protein, i.e., NSFL1 cofactor p47 isoform x3(NSFL1C) was found only in the samples from OV/DMN(CCA) and control groups, but not in the OV group. The remaining 21 proteins were upregulated in the samples from all groups. Conclusions: NDRG1, FETUB and NSFL1 C glycoproteins isolated by Con A-based affinity chromatography could be potential biomarkers for CCA. Plasma samples with negative for NDRG1 and FETUB proteins but positive for NSFL1 C are likely to be OV-associated CCA. Nevertheless, this conclusion remains to be confirmed whether this battery test can discriminate OV-associated CCA from other risk factors.

关键词： Cholangiocarcinoma opisthorchis viverrini Glycoprotein Hamster model ConA binding protein LC-MS/MS

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Accuracy of a new rapid diagnostic test for urinary antigen detection and assessment of drug treatment in opisthorchiasis

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Infectious Diseases of Poverty 2023年第6期12卷 79-90页

作者： Chanika Worasith Jiraporn Sithithaworn Phattharaphon Wongphutorn Chutima Homwong Kanoknan Khongsukwiwat Anchalee Techasen Kulthida Y.Kopolrat Watcharin Loilome Nisana Namwat Bandit Thinkamrop Chaiwat Tawarungruang Attapol Titapun Thewarach Laha Ross H.Andrews Simon D.Taylor‑Robinson Paiboon Sithithaworn Department of Adult Nursing Faculty of NursingKhon Kaen UniversityKhon KaenThailand Cholangiocarcinoma Research Institute Khon Kaen UniversityKhon KaenThailand Faculty of Associated Medical Sciences Khon Kaen UniversityKhon KaenThailand Biomedical Science Program Graduate SchoolKhon Kaen UniversityKhon KaenThailand Faculty of Public Health Kasetsart University Chalermphrakiat Sakon Nakhon Province CampusSakon NakhonThailand Department of Systems Biosciences and Computational Medicine Faculty of MedicineKhon Kaen UniversityKhon KaenThailand Khon Kaen University Phenome Centre Khon Kaen UniversityKhon KaenThailand Department of Epidemiology and Biostatistics Faculty of Public HealthKhon Kaen UniversityKhon KaenThailand Department of Surgery Faculty of MedicineKhon Kaen UniversityKhon KaenThailand Depart‑ment of Parasitology Faculty of MedicineKhon Kaen UniversityKhon KaenThailand Faculty of Medicine St Mary’s CampusImperial College LondonLondonUK Division of Digestive Health Department of Surgery and Can‑cerImperial College LondonLondonUK

Background Screening for opisthorchiasis,a parasitic worm infection affecting many millions of people in Southeast Asia,has traditionally relied on faecal egg examination such as the formalin-ethyl acetate concentration technique(FECT)and Kato-Katz *** the urinary enzyme-linked immunosorbent assay(ELISA)has been used more recently,we developed a urinary antigen-based rapid diagnostic test(RDT)to simplify diagnosis and as a point-of-care testing(POCT)and field applications for surveillance and control of *** A urinaryopisthorchis viverrini(OV)-RDT was developed using immunochromatographic methodology with a specific monoclonal antibody against *** diagnostic performance of the urinary OV-RDT was compared to that of quantitative faecal FECT and urinary antigen ELISA(n=493).Cross-reactivities of urinary OV-RDT with other helminthiases coexisted *** were determined(n=96).A field trial in the application of urinary OV-RDT was compared with urinary antigen ELISA at baseline screening and assessment of drug treatment outcomes in opisthorchiasis(n=1629).The McNemar chi-square,Kruskal-Wallis and Cohen’s kappa coefficient(κ-value)tests were used for statistical *** Urinary OV-RDT had sensitivity of 94.2%and specificity of 93.2%,compared to faecal *** OV-RDT had high diagnostic agreement(Kappa=0.842-0.874,P0.8,P<0.0001)between urinary OV-RDT and urinary antigen *** cure rates of opisthorchiasis at 1 month post-praziq

关键词： Liver fluke opisthorchis viverrini Urinary antigen detection Urinary opisthorchis viverrini rapid diagnosis test Enzyme-linked immunosorbent assay Quantitative formalin-ethyl acetate concentration technique

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Association between helminth infections and diabetes mellitus in adults from the Lao People’s Democratic Republic:a crosssectional study

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Infectious Diseases of Poverty 2018年第1期7卷 1110-1120页

作者： Nan Shwe Nwe Htun Peter Odermatt Phimpha Paboriboune Somphou Sayasone Malisa Vongsakid Vilayouth Phimolsarn-Nusith Xuan Duong Tran Phoum-Savath Ounnavong Navalone Andriama-Hefasoa Nilun-Done Senvanpan Anousine Homsana Baocher Lianosay Dalouny Xayavong Dimbitsoa Rakotomalala Robinson Phaivanh Bounsavath Phoy-Phaylinh Prasayasith Seng-Davanh Syphan Yi-Xiao Lu Kanchana Thilakoun Xaipa-Song Xaiyaphet Phout-Tasin Vongngakesone Ikenna C Eze Medea Imboden Banchob Sripa Daniel Reinharz Nicole Probst-Hensch Department of Epidemiology and Public Health Swiss Tropical and Public Health InstitutePO Box40024051 BaselSwitzerland University of Basel BaselSwitzerland The Francophone Institute for Tropical Medicine(International Program for Health in the Tropics) VientianeLao PDR Lao Tropical and Public Health Institute Ministry of HealthVientianeLao People’s Democratic Republic Tropical Disease Research Laboratory Faculty of MedicineKhon Kaen UniversityKhon KaenThailand Universite Laval Quebec CityCanada

Background:As a result of epidemiological transition,the health systems of low-and middle-income countries are increasingly faced with a dual disease burden of infectious diseases and emerging non-communicable *** is known about the mutual influence of these two disease *** aim of this study was to investigate the cooccurrence of helminth infections and diabetes mellitus in adults in Lao People’s Democratic Republic(Lao PDR).Methods:We conducted a cross-sectional study among 1600 randomly selected adults aged 35 and older from four different socio-economical and ecological *** on socio-demographics,risk factors and health conditions was obtained from personal *** assessments including anthropometry(height,weight,waist and hip circumference)and blood pressure measurements were also *** was classified based on selfreported diagnoses and a point-of-care glycated haemoglobin(HbA1c)test from finger prick blood *** samples for helminth diagnosis were examined with formalin-ether concentration technique for intestinal parasitic *** independent associations of helminth infections with diabetic status and HbA1c were assessed using multiple regression ***:The prevalence of pre-diabetes and diabetes was 37.3%and 22.8%,***-six percent of diabetic cases were undiagnosed and 85%of diagnosed diabetic cases had poor glycemic *** from rural areas and from southern parts of the country had higher infection rates,with opisthorchis viverrini,being the most common helminth infection(30.5%).We found a positive association between Taenia *** and HbA1c(β=0.117;95%CI:0.042-0.200)and diabetes mellitus risk(OR=2.98;95%CI:1.10-8.05).No other helminth species was associated with glycated ***:Hyperglycaemia and diabetic rates in Lao PDR are alarmingly high,but consistent with other high rates in the *** the high rates of unde

关键词： Dual burden of disease opisthorchis viverrini Taenia Diabetes mellitus Cross-sectional Epidemiology Adults Lao PDR

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Fish sharing as a risk factor forinfection: evidence from two villages in north-eastern Thailand

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贫困所致传染病（英文） 2017年第2期

Background: Foodborne trematodiasis (FBT) is a significant global health problem, with the liver flukesopisthorchis viverrini, O. felineus, andClonorchis sinensis contributing to half of the global burden of FBT. North-eastern Thailand whereO. viverrini is endemic and un-cooked fish dishes remain an integral part of the food culture has the highest reported incidence of opisthorchiasis, including associated cholangiocarcinoma. Both food sharing and eating practices are potentially important factors in FTB, suggesting an important role for the social ecology of disease transmission in these rural ***: Two rural Thai-Lao villages that were part of a 12-village project in Northeastern Thailand were selected for detailed investigation ofO. viverrini infection risk associated with sharing of raw fish dishes among households. The project included screening individuals for infection and cholangiocarcinoma, a household questionnaire, and offering treatment options for positive individuals. Social network mapping was used to construct raw fish dish-sharing networks and create a proxy variable capturing variability in the degree of food sharing (DFS), measured as the number of different households with which each household shared fish dishes. Measures of associations between DFS,O. viverrini infection, the frequency of raw fish consumption, and the number of raw fish dishes consumed were generated using binary logistic regression, proportional odds ordinal logistic regression, and Poisson ***: The results showed that the probability that a household has members infected withO. viverrini increased by ～7% (P < 0.01) for each additional household included in its network Moreover, the frequency and number of types of raw fish dishes consumed increased significantly as the DFS increased. Of the two villages, that with the highest infection prevalence (48% versus 34.6%) had significantly higher social connectivity overall (P < 0.001).Conclusions: Our

关键词： Foodborne trematodes opisthorchis viverrini Opisthorchiasis prevention and control Food sharing Raw fish dishes Social network analysis Thailand

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