I-ii- Pathological Analysis
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Item Investigating Specific Calprotectin and Immunological Markers Associated With Intestinal Infections Caused by Entamoeba histolytica(2024-10-01) Hamssa M. Mustafa; Anas Abdullah Hamad; Osama A. Mohsein3Background: Entamoeba histolytica is a parasitic organism that infects the intestines and causes dysentery, characterized by intestine inflammation. Objectives: We aimed to estimate calprotectin levels and their relationship to the severity and progression of intestinal inflammation. Methods: We conducted a cross-sectional study in Al-Habbobi Teaching Hospital Thi-Qar, Al-Nasseriah, Iraq, from March 10 to October 1, 2023. The sample included 50 men and 50 women aged in three groups: 25–29, 30-34, and >34 years. We employed microscopy, direct wet method, and formal-ether concentration approach to detect parasites. Also, we employed nzyme-linked immunosorbent assay (ELISA) for measuring fecal calprotectin (FC) and C-reactive protein (CRP), and XP-Sysmex for detecting white blood cells. Results: The calprotectin levels below 50 ng/mL were more common in the second age group. The third age group had calprotectin values of 50 ng/mL. In the first age group (25–29 years old), calprotectin frequency was similar. CRP levels were equal in the first age group. In the second age group (30–34 years), negative CRP outnumbered positive CRP. Positive CRP was more common than negative in the third age group of >34 years. The group above 35 had the highest general stool examination (GSE) and antigen Ag detection rates, while those aged 30–34 years in the control group had the highest. Conclusion: Calprotectin levels less than 50 ng/mL were more frequent in the age group of 30-34 years, while calprotectin levels greater than 50 ng/mL were more frequent in the age group <35 years. CRP levels were equal in frequency in the first age group. Negative CRP was more common than positive CRP in the second age group. Positive CRP was more common than negative CRP in the third age group.Item Detection of the levels of immune cytokines (IL4, IL5, TNF-α) in schoolage and preschoolers with an Ascaris lumbricoides infection(Journal of Parasitic Diseases, 2024-03-25) Anas Abdullah Hamad; Hamssa Majid Mustafa; Osama A. Mohsein3Gastrointestinal parasite infections have been identified as a significant public health concern in regions with high humidity levels globally. Ascaris lumbricoides, a prevalent human pathogen, is widely distributed throughout several regions globally. It is estimated that around 1.5 billion cases are attributed only to A. Lumbricoides. These types of disorders are associated with a wide range of diseases. Several animal studies have demonstrated the significance of T helper cell type 2 responses to helminths in the digestive system, as well as the crucial role of specific interleukins (ILs), such as IL-4 and IL-5, in eliminating parasites and combating infections. However, there is a limited body of research examining the response of human cytokines to gut helminths, particularly in relation to the cellular reactions to Ascariasis in populations where it is prevalent. This is a case-control study and included 100 children suffering from Ascaris infection, aged between 4 and 15 years, and 50 healthy children as a control group. Samples were collected at Al-Habobbi Teaching Hospital after ethical approval. The children were diagnosed by stool examination and the concentration method was performed. Five milliliter of blood was collected from each participant, and the levels of interleukins 4, interleukins 5 and TNF-α were measured by ELISA. The levels of TNF-α and IL-5 exhibited statistically significant variance between the preschool and school-age groups at P=<0.01. The difference in the level of IL-4 was non-significant between preschool and school-age groups at P>0.05. The difference in the levels of TNF-α and IL-5 was significant between control and moderate infection (P=<0.05), while that of IL-4 was non-significant (P>0.05). When comparing control, the modest groups showed significantly higher IL-5 and IL-4 levels (P=>0.05). The difference in TNF-α, IL-5 and IL4 levels between mild and control groups was significant (P<0.001), except for TNF-α which was not significant (P=0.86). The difference in levels of interleukins in children according to age group and severity of infection indicates the role of the cellular immune response in the emergence and development of the disease and its severity in children