Distribution and Phylogenetic Analysis of Subtypes and Alleles of Blastocystis sp. in the Stool Samples Collected from Patients with Gastrointestinal Complaints in İzmir, Turkey       
Yazarlar (9)
Doç. Dr. Mehmet AYKUR Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Cansu Calıskan Kurt
Ege University Medical School, Türkiye
Derya Dirim Erdogan
Ege University Medical School, Türkiye
Cıgır Biray Avcı
Ege University Medical School, Türkiye
Rukiye Vardar
Ege University Medical School, Türkiye
Sohret Aydemir
Ege University Medical School, Türkiye
Nogay Girginkardesler
Celal Bayar Üniversitesi Tip Fakültesi, Türkiye
Cumhur Gunduz
Ege University Medical School, Türkiye
Hande Dagci
Ege University Medical School, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Acta Parasitologica
Dergi ISSN 1230-2821 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 06-2023
Cilt No 68
Sayı 2
Sayfalar 304 / 316
DOI Numarası 10.1007/s11686-023-00665-2
Makale Linki http://dx.doi.org/10.1007/s11686-023-00665-2
Özet
Purpose: Blastocystis sp. is one of the most prevalent intestinal protozoa found in humans and many other animals. The present study aimed to examine the distribution and genetic diversity of Blastocystis sp. in stool samples from patients with gastrointestinal complaints in İzmir, Turkey. Methods: All stool samples of 439 patients with gastrointestinal complaints were examined by native-Lugol and trichrome staining. To investigate the presence of Blastocystis sp. in stool samples, DNA was isolated, and PCR was performed with the barcode region in the SSU rRNA gene. PCR positive samples were sequenced to identify subtypes and alleles of Blastocystis sp. Results: The prevalence of Blastocystis sp. was found to be 16.6% (73/439) in patients with gastrointestinal complaints in İzmir, Turkey. Three different Blastocystis sp. subtypes were identified. ST3 (28/55; 51.0%) was the most common subtype followed by ST2 (19/55; 34.5%) and ST1 (8/55; 14.5%). Itching and diarrhea were the most prominent clinical symptoms in Blastocystis sp. positive patients. When clinical symptoms and subtypes were compared, diarrhea was found in 62.5%, 47.4%, and 46.4% of patients with ST1, ST2, and ST3 subtypes, respectively. In addition, itching was found in 37.5%, 32.1%, and 21.1% of patients with ST1, ST3, and ST2, respectively. Six distinct alleles were identified by allele analysis of Blastocystis 18S rRNA gene: allele 4 for ST1, alleles 9, 11, and 12 for ST2, and alleles 34 and 36 for ST3. In this study, Blastocystis sp. was detected in 16 of 21 districts, including the central and rural districts of İzmir. Although ST1 was detected in central districts, it was not found in rural districts. Conclusion: This study provides comprehensive data on the prevalence and molecular epidemiology of the genetic diversity at the level of subtypes and alleles of Blastocystis sp. in different districts of İzmir province in Turkey. To the best of our knowledge, this is the first study which evaluates the distribution of subtypes and alleles of Blastocystis sp. according to PCR and SSU rRNA gene sequencing in patients with gastrointestinal complaints in different districts of İzmir province in Turkey.
Anahtar Kelimeler
Alleles | Blastocystis sp | Gastrointestinal complaints | Patients | Subtyping | İzmir, Turkey