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Am. J. Trop. Med. Hyg., 77(1), 2007, pp. 107-112
Copyright © 2007 by The American Society of Tropical Medicine and Hygiene

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Morphologic and Molecular Characterization of Isospora belli Oocysts from Patients in Thailand

Somchai Jongwutiwes*, Chaturong Putaporntip, Malee Charoenkorn, Takuya Iwasaki, AND Takuro Endo
Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Department of Laboratory Investigation, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan; Division of Laboratory Medicine, National Iwate Hospital, Iwate, Japan; Department of Parasitology, National Institute of Infectious Diseases, Tokyo, Japan

To investigate the extent of genetic heterogeneity in the genus Isospora infecting patients in Thailand, a total of 38 fecal samples containing Isospora oocysts from human immunodeficiency virus/acquired immunodeficiency syndrome patients (n = 30), corticosteroid-treated patients (n = 3) and immunocompetent individuals (n = 5) were recruited for analysis. Remarkable variation in the maximum width and length of oocysts both within and between isolates was observed. However, the average length-width ratio of oocysts was within the range for I. belli (> 1.2). Ex vivo sporogonic development of freshly passed oocysts in feces from three of these isolates was observed longitudinally, showing that 27% of these oocysts underwent complete sporulation. Interestingly, 95% of sporulated oocysts contained two sporocysts in an oocyst with four sporozoites in each sporocyst, and Caryospora-like oocysts, characterized by eight sporozoites enclosed by a single sporocyst, were also detected (5%). The small subunit ribosomal RNA (rRNA), 5.8S rRNA, internal transcribed spacer 1 (ITS-1), and ITS-2 were highly conserved, indicating that there were no cryptic species or extensive strain variation.


Received December 29, 2006. Accepted for publication March 12, 2007.

Acknowledgments: We are grateful to all patients who participated in this study, and to Professors Hiroji Kanbara and Haruo Watanabe for valuable support.

Financial support: This study was supported by the Ministry of Labor and Welfare of Japan through The National Institute of Infectious Diseases (Tokyo); the Ratchadapiseksompotch Fund from the Faculty of Medicine, Chulalongkorn University (grant no. RA227/48); funds for devoted scholar from the Ananthamahidol Foundation to Somchai Jongwutiwes, and funds from the Faculty of Medicine, Chulalongkorn University to Somchai Jongwutiwes and Chaturong Putaporntip.

* Address correspondence to Somchai Jongwutiwes, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand. E-mail: fmedsjw{at}md2.md.chula.ac.th

Authors’ addresses: Somchai Jongwutiwes, Chaturong Putaporntip, and Malee Charoenkorn, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Rama 4 Road, Pathumwan, Bangkok 10330, Thailand. Takuya Iwasaki, Department of Laboratory Investigation, Institute of Tropical Medicine, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 8528523, Japan; and Division of Laboratory Medicine, National Iwate Hospital, Iwate 0210056, Japan. Takuro Endo, Department of Parasitology, National Institute of Infectious Diseases, Toyama 1-23-1, Shinjuku-ku, Tokyo 162-8640, Japan.

Reprint requests: Somchai Jongwutiwes, Department of Parasitology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand, Telephone: 66-2-256-4000 extension 3685, Fax 66-2-252-4963, E-mail: fmedsjw{at}md2.md.chula.ac.th.







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Copyright © 2007 by the American Society of Tropical Medicine and Hygiene.