african trypanosomes

Uploaded from authorPOINTLite
Views:
 
Category: Education
     
 

Presentation Description

No description available.

Comments

By: OKONJI (9 month(s) ago)

am requesting for ahance to observe the slides

By: OKONJI (9 month(s) ago)

beatiful presantation

By: juyal (27 month(s) ago)

good presentation........should hav added sum pics too

Presentation Transcript

Trypanosomiasis Sleeping Sickness: 

Trypanosomiasis Sleeping Sickness David Humber

Trypanosomes of Vertebrates: 

Trypanosomes of Vertebrates T.corvi Corvids T.cruzi Humans, rodents, marsupials T.brucei sp Man, ungulates T.lewisi Rodents T.musculis Rodents T.microti Voles T.dionisii Bats T.equiperdum Equids Bone Marrow Heart muscle, autonomic ganglia Blood Blood Blood Lymphoid tissue Heart muscle Genitals Species Host Site

African Sleeping Sickness Ngana South American Sleeping Sickness Chagas Disease: 

African Sleeping Sickness Ngana South American Sleeping Sickness Chagas Disease

African Sleeping Sickness: 

African Sleeping Sickness Parasite - Trypanosoma brucei ssp Trypanosoma brucei rhodesiense Trypanosoma brucei gambiense Vector - Tse Tse fly Glossina mortisans (Eastern Africa) Glossina palpalis (Western Africa)

Lecture Topics: 

Lecture Topics The Parasite & Vector The Life Cycle Clinical Features Diagnosis Epidemiology Chemotherapy & Control Vaccination

Taxonomy: 

Taxonomy Phylum Sub-Phylum Class Order Genus Mastigophora Sarcomastigophora Zoomastigophora Kinetoplastidae Trypanosoma ? species of mammals, birds, reptiles and amphibians

The Parasite: 

The Parasite Polymorphic spindle-shaped Kinetoplast Flagella & undulating membrane Trypomastigote Epimastigote

African Trypanosomiasis The Life Cycle: 

African Trypanosomiasis The Life Cycle Human Tse fly Trypomastigote Trypomastigote Stumpy Metacyclic Intermediate Epimastigote Slender Trypomastigote

The Vectors: 

The Vectors Glossina 22 species - hatchet wing cell Shady habitat (20-30oC) Viviparous - 12 offspring Diurnal feeders (1mg/sec) Parasite development 10-14 days

Animal Reservoirs: 

Animal Reservoirs Sub species now thought to be zoonotic Largely ungulates

African Sleeping Sickness: 

African Sleeping Sickness Virulence Reservoir Zoonotic Vector Distribution Less More Human/animal Human/animal Less More G.palpalis G.mortisans Western Africa Eastern Africa T.b.gambiense T.b.rhodesiense

Clinical Features: 

Clinical Features Primary chancre - resolves 2-3 weeks Initial symptoms - fever & headaches Day time sleeping Tremors & Convulsions Coma & Death Enlarged cervical lymph nodes (T.b.g) Winterbottoms sign

Diagnosis: 

Diagnosis Direct microscopy Blood (T.b.r.) Lymph node aspirate (T.b.g.) Lumbar puncture (Late T.b.r. & T.b.g.) Serology Animal inoculation

Epidemiology: 

Epidemiology 50 million at risk <20% under surveillance 20,000 new case/year Devastating epidemics 200 endemic foci

Distribution: 

Distribution

Chemotherapy: 

Chemotherapy Early stage - most recover Suramin Melasporol Pentamidine Late stage - upto 5% relapse Only Melasporol 10% encephalitis - 5% fatal

Control: 

Control Destruction of animal reservoir Vector Control Diagnosis & treatment

Immunology: 

Immunology Antibody Inteferon

Parasitemia: 

Parasitemia

Variable Surface Glycoprotein: 

Variable Surface Glycoprotein 60kd (450aa) glycoprotein (CHO 7-17%) C-terminal anchored in membrane Often as a dimer (alpha helix) Densely clustered 107molecules/parasite Only epitopes in end third of N-terminal exposed Presented as topographical array T-independent antigen

VSG: 

VSG Constant & Variable regions Random rearrangement of N terminal end (2/3) Almost no homology between V VSG’s Except cystein residues S-S bonds Switching not initiated by IR But selected

Production of VSG: 

Production of VSG Gene rearrangement Produces on expression linked copy (ELC) ELC transposed to telomeric end of chromosome - replacing existing gene Displaced gene lost Switch occurs every 106 divisions 100-1000 copie of different VSG’s in clone

VSG Specific IR: 

VSG Specific IR 3-4 days post infection strong IgM response Trypanosome disappear within hours VSG specific IgG appears - not relevant IgM response often >IgG After several cycles VSG abs vanish But abs to invariant ags remain elevated

Trypanosome Elimination: 

Trypanosome Elimination Antibody mediated Destruction by Kupffer cells Splenic macrophages minor role (cf malaria) Uptake - C3b - C3bi - direct? C mediated lysis not important Trypanosome destroyed within minutes

Immunoregulation: 

Immunoregulation No secondary response to VSG’s unless cured by chemotherapy Failure of 1ry or 2ndry response prior to death Non specific polyclonal activation Suppresser Macrophages Failure of Ag presentation Anti idiotype responses

Resistance and Virulence: 

Resistance and Virulence Spectrum of disease T. brucei sub species Host differences Independant of VSG

Vaccination: 

Vaccination Effective Antibody response Phagocytosis & killing but Cyclical parasitemia Antigenic variation not predicable