Purification and characterization of circulating Onchocerca volvulus antigens from epileptic and non-epileptic onchocerciasis patient sera

Studies conducted during the past 25 years to investigate the possible relationship between onchocerciasis and epilepsy have led to contradictory results. In the present study aimed at contributing to the investigation of a possible relationship between onchocerciasis and epilepsy, we proceeded to purify and characterize circulating O. volvulus antigens from sera of onchocerciasis patients with and without epilepsy. Out of 539 onchocerciasis patients included in the study, sera from 78 epileptics and 20 non epileptics with high antigen titres were separately pooled and subjected to affinity purification using immunosorbent columns prepared using human and rabbit anti-O. volvulus IgG antibodies. Eluates of purified circulating O. volvulus antigens were concentrated, and then the protein contents were determined using the Bradford method. The antigenicity of the purified antigens was evaluated in a direct ELISA using onchocerciasis patient sera. Finally, the molecular composition of the purified proteins was determined by SDS-PAGE. The purified antigens were highly antigenic and there was no significant difference in the reaction profiles of the two groups or categories of patients. SDS-PAGE analysis showed that the purified antigens ranged from 31.63 to 102.40 KDa and there was no difference in the molecular composition of antigens purified from sera of the two classes of patients. Based on this antigen profiling between epileptic and non-epileptic onchocerciasis patients, we cannot conclude with certainty whether onchocerciasis is really a cause of epilepsy in areas where it is hyperendemic as predicted by some epidemiological studies.Keywords: Antigen-detection ELISA, Immunoadsorbent columns, Affinity chromatography, Antigenicity, SDS-PAG

The Disease Burden of Taenia solium Cysticercosis in Cameroon

Taenia solium cysticercosis is a zoonotic disease occurring in many developing countries. A relatively high prevalence in humans and pigs has been reported in several parts of the world, but insufficient data are available on the disease burden. Disease impact assessment needs detailed information on well-defined epidemiological and economic parameters. Our work conducted in West Cameroon over several years allowed us to collect the necessary information to estimate the impact of the parasite on the human and animal populations in this area using both cost and Disability Adjusted Life Year (DALY) estimations. This study identified the professional inactivity caused by the disease as the major loss factor in comparison to the cost of health care and losses due to infected pigs. These findings should allow a simpler estimation of the global disease burden based on information on salary levels and human cysticercosis prevalence in endemic areas of the world. In addition, the number of DALYs lost was higher than estimates already available for some other neglected tropical diseases in sub-Saharan Africa

Serological Studies of Neurologic Helminthic Infections in Rural Areas of Southwest Cameroon: Toxocariasis, Cysticercosis and Paragonimiasis

A total of 188 people (168 and 20 with and without symptoms confirmed by clinicians, respectively, 84.6% under 20 years old) were selected on a voluntary basis in Cameroon. Soil transmitted helminthic infections were prevalent among persons surveyed as is common in developing countries, since eggs of Ascaris lumbricoides, Trichuris trichiura and hookworms were found from 56 (33.3%), 72 (42.8%) and 19 (11.3%) persons, respectively. Serological analyses revealed that 61 (36.3%), 25 (14.9%) and 2 (1.2%) persons were positive to the diagnostic antigens specific for toxocariasis, paragonimiasis and cysticercosis, respectively. Among 14 people with epilepsy, 5 persons were seropositive to the antigen of Toxocara and one of them was simultaneously positive to the antigens of Paragonimus. Serological confirmation of cysticercosis in two children is very important, and we suggest that further serologic surveys of cysticercosis be carried out in both children and adults in this area for the promotion of a better quality of life including control and early treatment

Neglected Tropical Diseases in Sub-Saharan Africa: Review of Their Prevalence, Distribution, and Disease Burden

The neglected tropical diseases (NTDs) are the most common conditions affecting the poorest 500 million people living in sub-Saharan Africa (SSA), and together produce a burden of disease that may be equivalent to up to one-half of SSA's malaria disease burden and more than double that caused by tuberculosis. Approximately 85% of the NTD disease burden results from helminth infections. Hookworm infection occurs in almost half of SSA's poorest people, including 40–50 million school-aged children and 7 million pregnant women in whom it is a leading cause of anemia. Schistosomiasis is the second most prevalent NTD after hookworm (192 million cases), accounting for 93% of the world's number of cases and possibly associated with increased horizontal transmission of HIV/AIDS. Lymphatic filariasis (46–51 million cases) and onchocerciasis (37 million cases) are also widespread in SSA, each disease representing a significant cause of disability and reduction in the region's agricultural productivity. There is a dearth of information on Africa's non-helminth NTDs. The protozoan infections, human African trypanosomiasis and visceral leishmaniasis, affect almost 100,000 people, primarily in areas of conflict in SSA where they cause high mortality, and where trachoma is the most prevalent bacterial NTD (30 million cases). However, there are little or no data on some very important protozoan infections, e.g., amebiasis and toxoplasmosis; bacterial infections, e.g., typhoid fever and non-typhoidal salmonellosis, the tick-borne bacterial zoonoses, and non-tuberculosis mycobaterial infections; and arboviral infections. Thus, the overall burden of Africa's NTDs may be severely underestimated. A full assessment is an important step for disease control priorities, particularly in Nigeria and the Democratic Republic of Congo, where the greatest number of NTDs may occur

ICAR: endoscopic skull‐base surgery

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Evidence of a protein immunologically related to pregnancy specific proteins in ruminant gonads

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