ATLASINTESTINAL PARASITES (Protozoa)
      ZOOMASTIGOPHOREA Order: Diplomonadidae
       
      GIARDIA INTESTINALIS


      Axenic Cultivation, Pathogenesis, 
      and Diagnotic Properties of Giardia intestinalis

      By Dr Serpil DEĞERLİ, University of Cumhuriyet, Faculty of Medicine, Department of Parasitology, 58140 Sivas TURKEY


      In this study, we have tried to find out the best culture medium for Giardia intestinalis trophozoites. For this purpose, we used three strains of G. intestinalis obtained from different sources and tried to cultivate them it in HSP3, TPS1, TYI-S-33, BI-S-33, RPMI 1640, GI and Mc Coy (5A)media. We can summarize our results as below:

      1.      The trophozoites obtained by the excystation of cysts of human origin were used in inoculating  the above media. According to our results the HSP3 medium was the most appropriate culture medium.
      2.      Rats were infected with the cysts of G. intestinalis of human origin; then the trophozoites obtained from these animals were used in the inoculation of 7 media which mentioned above. Again, the HSP3 was found as the best medium for the cultivation of Giardia intestinalis trophozoites.
      3.      WB and GS/M-83-H7 strains, which were adapted to in vitro cultivation again used in the inoculation  the 7 test media. In this case we have detected that trophozoites were multiplied and remained alive for a long period of time in GI and HSP3 media.

      We have tried to establishing giardiasis in laboratory animals (some of them were given cortisone) such as mice, rats, rabbits, cat and dog. These were inoculated with an average of 6x106 cysts/ml via gastric lavage except the dog which was infected through its drinking water. Except rats, none of these animals were infected. The maximum number of cyst excretion was obtained on the seventh day post infection both in cortisone treated and normal rats. Interestingly, in the infected animals trophozoites were observed in ileum and pathological findings were found in the same area too.

      Using ELISA test, the antigens of G. intestinalis were detected in 49 of 50 infected patients. When we compared this study group with the control group the sensitivity was detected as 98% whereas specifity was 92 %.

      In the second part of our serological studies, we have screened a total of 35 patients with giardiasis for the presence of anti-G. intestinalis antibodies using IFAT. In this study we used homemade antigen prepared from cysts of this parasite. 14 of 35 patients were positive for specific IgG plus IgA; 11 patients had IgG, IgM plus IgA; 6 patients had only IgG whereas 4 patients had IgG in addition to IgM. In control group, which consisted of 15 children, 6 had IgA and 5 had IgG.


      By Dr Serpil DEĞERLİ

      giarda_1-ic

      Giardia intestinalis: trophozoite of Giardia intestinalis 
      WB strain stained with Giemsa


      By Dr Serpil DEĞERLİ

      giarda_2-ic

      G. intestinalis cysts: immunofluorescence test IgG (IFAT) positive


      By Dr Serpil DEĞERLİ

      giarda_3-ic

      G. intestinalis: sections of ileal mucosa of a rat infected with cysts 
      of the Turkish isolate of G. intestinalis, showing trophozoites between two villi 
      (original magnification X 40)


      By Dr Serpil DEĞERLİ

      giarda_4-ic

      Sections of ileal mucosa of a rat infected with cysts
      of the Turkish isolate of G. intestinalis,
      showing attachment of trophozoites to intestinal mucosa
      (original magnification X 100)