amoeba: formally phylum sarcodina r & j ch 7 protozoa with pseudopodia (or if not, distinct...

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Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present never in the form of a kinetoplasts. Without apical complex. Without axostyles.

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Page 1: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Amoeba: Formally Phylum SarcodinaR & J Ch 7

• Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present).

• Mitochondria when present never in the form of a kinetoplasts.

• Without apical complex.

• Without axostyles.

Page 2: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Amoeboid Movement

• Amoeboid locomotion is used by certain protists including parasitic amoeba.

Page 3: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

(gel-like)

(more fluid)

Complex changes in cell fine structure, chemistry, and behavior.

Page 4: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Mechanisms of Amoeboid Movement

Page 5: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Mechanisms of Ameboid Movement

Page 6: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Amoeba Diversity

• Most amoebas are harmless single cell protozoans living in mud, water, and soil feeding on other protozoans and bacteria.

• Some species are parasitic and endocommensals and are quite common inhabitants of animals.

Page 7: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Endocommensal and Parasitic Amoeba Diversity

• Domestic animals

• Birds are free

• Reptiles one species that is pathogenic in snakes Entamoeba invadens

• Frogs and salamanders

• Leeches, termites, and cockroaches

• Hydra

• Humans

Page 8: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Some Amoeba are Pathogenic

• Amebiasis- The pathological condition of having an amoebic infection.

• -iasis- “indicates a pathological condition”

Page 9: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

Page 10: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• One of the most important and pathogenic parasites of humans.

Page 11: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• One of the most important and pathogenic parasites of humans.

– Although dogs, cats and primates may be infected, these infections are rare and unimportant. This parasite is primarily a human parasite and is transmitted from human to human.

Page 12: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• One of the most important and pathogenic parasites of humans.

– Although dogs, cats and primates may be infected, these infections are rare and unimportant. This parasite is primarily a human parasite and is transmitted from human to human.

• First seen in 1878 but not described until 1903.

Page 13: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• One of the most important and pathogenic parasites of humans.

– Although dogs, cats and primates may be infected, these infections are rare and unimportant. This parasite is primarily a human parasite and is transmitted from human to human.

• First seen in 1878 but not described until 1903.

• Causative agent of the disease amebiasis (old name is Amoebic Dysentery).

Page 14: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

Page 15: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• Active, feeding stage• Growing stage• Amoeboid with blunt

pseudopodia• Non-foamy cytoplasm• Uninucleated; nucleus

with fine peripheral chromatin granules, small central endosomeTrophozoite: 20-30 µm

Page 16: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Trophozoites

Page 17: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• Dormant/resistant stage

• Spherical• 1-4 nuclei, (4 in

mature cysts)• Bluntly rounded

chromatoidal bars

Cyst:10-20 μm

Page 18: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Cysts

Page 19: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Cysts

Uninucleate cyst Binucleate cyst

Page 20: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Cysts

Quadrinucleate or mature cysts

Page 21: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

Page 22: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

• INFECTIVE STAGE: Cyst

Entamoeba histolytica Life Cycle

Page 23: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

• INFECTIVE STAGE: Cyst

• Cysts are susceptible to heat (above 40 °C), freezing (below –5 °C), and drying.

Entamoeba histolytica Life Cycle

Page 24: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

• INFECTIVE STAGE: Cyst

• Cysts are susceptible to heat (above 40 °C), freezing

(below –5 °C), and drying.

• Cysts remain viable in moist environment for 1 month.

Entamoeba histolytica Life Cycle

Page 25: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

• CYST: ingested with fecal contaminated food or water.

Page 26: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

• CYST: ingested with fecal contaminated food or water.

• Excystation occurs in the small intestine in an alkaline environment.

Page 27: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

• CYST: ingested with fecal contaminated food or water.

• Excystation occurs in the small intestine in an alkaline environment.

• Metacystic amoebas emerge, divide and move down into the large intestine.

Page 28: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

• Trophozoites colonize the large intestine and invade the mucosa.

Page 29: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

• Trophozoites colonize the large intestine and invade the mucosa.

• They live within the crypts and mucosa of the large intestinal lining.

Page 30: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

• Trophozoites colonize the large intestine and invade the mucosa.

• They live within the crypts and mucosa of the large intestinal lining.

• Trophozoites may live and multiply indefinitely within the crypts of the LI mucosa feeding on starches and mucous secretions.

Page 31: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

• Cysts form in response to unfavorable (deteriorating) environmental conditions, as they move down the LI.

Page 32: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Life Cycle

• Cysts form in response to unfavorable (deteriorating) environmental conditions, as they move down the LI.

• They are released in formed feces.

Page 33: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• E. histolytica has surface enzymes that can digest epithelial cells and therefore hydrolyze host tissues and cause pathology.

Page 34: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• E. histolytica has surface enzymes that can digest epithelial cells and therefore hydrolyze host tissues and cause pathology.

• Usually the hosts’ repair of the epithelial cells can keep pace with the damage.

Page 35: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• E. histolytica has surface enzymes that can digest epithelial cells and therefore hydrolyze host tissues and cause pathology.

• Usually the hosts’ repair of the epithelial cells can keep pace with the damage.

• However, when the host is stressed, has too much HCl, or a high bacterial flora, the digestion will be ahead of repair.

Page 36: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

1. A Primary Ulcer can occur.

Page 37: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

1. A Primary Ulcer can occur.

Flask Shaped Ulcers

Page 38: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

1. A Primary Ulcer can occur.

A primary ulcer can cause rupturing of the bowel and can cause Peritonitis.

Page 39: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Shows movement of trophozoites from large intestine to liver via hepatic portal vein.

Liver Abscesses

Page 40: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

2. Extra-Intestinal Lesions and Abscess Occurs

Page 41: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

2. Extra-Intestinal Lesions and Abscess Occurs

A. Hepatic Amebiasis

Page 42: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

2. Extra-Intestinal Lesions and Abscess Occurs

A. Hepatic Amebiasis

B. Pulmonary Amebiasis

Page 43: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

2. Extra-Intestinal Lesions and Abscess Occurs

A. Hepatic Amebiasis

B. Pulmonary Amebiasis

C. Cerebral Amebiasis

Page 44: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

• Frequently, intestinal lesions will heal themselves.

Page 45: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica Pathology

• Frequently, intestinal lesions will heal themselves.

• Two exceptions- External ulcers that did not come from the intestine.

Ocular amebiasis

Genital amebiasis

Page 46: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Amoebic Amebiasis of the Skin

Page 47: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Symptoms

• 10% of people in the world infected with ameba, but only 3% ever have some sort of clinical signs.

Page 48: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Symptoms

• 10% of people in the world infected with ameba, but only 3% ever have some sort of clinical signs.

• Abdominal discomfort.

Page 49: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Symptoms

• 10% of people in the world infected with ameba, but only 3% ever have some sort of clinical signs.

• Abdominal discomfort.

• Intense pain localized on the right side.

Page 50: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Symptoms

• 10% of people in the world infected with ameba, but only 3% ever have some sort of clinical signs.

• Abdominal discomfort.

• Intense pain localized on the right side.

• Dysentery.

Page 51: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

So How Bad is This?

• In theory, ingestion of 1 cyst could kill you.

• In practice, probably it will never happen.

Page 52: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Prognosis

• 90% of time recovery.

- How much damage.

- Body will repair itself but this repaired

connective tissue in bowel will not

function.

Page 53: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Diagnosis

• Fecal smear/Nested PCR and monoclonal antibody methods.

• Biopsy.

• Serological/Immunological tests (ELISA).

Page 54: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Seriousness of Diagnosis

• Could expose someone to unnecessary treatment.

• Will not be treating the real problem.

• There is an expense.

• Time factor.

Page 55: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Treatment

• Current drug of choice Metronidazole (Flagyl).

• Side effects: Insomnia, headaches, vomiting, intense vasodilation, mutations on bacteria, and carcinogenic in mice.

Page 56: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Epidemiology

• How an infectious organism spreads through a population.

Page 57: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

DISTRIBUTION - Parasite has worldwide distribution but is most common in the tropical and subtropical areas of the world.

Page 58: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

DISTRIBUTION - Parasite has worldwide distribution but is most common in the tropical and subtropical areas of the world.

 - it is estimated that up to 500 million people may be affected.

 - may cause up to 100,000 deaths each year.

Page 59: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

DISTRIBUTION - Parasite has worldwide distribution but is most common in the tropical and subtropical areas of the world.

 - it is estimated that up to 500 million people may be affected.

 - may cause up to 100,000 deaths each year.

PREVALENCE: < 1% in Canada and Alaska

0.9% in U.S.

40% in the tropics

Page 60: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• A number of outbreaks have resulted from a breakdown in sanitation or behavioral practices of people.

Page 61: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• A number of outbreaks have resulted from a breakdown in sanitation or behavioral practices of people.

• Outbreak in 1933 World's Fair in Chicago caused by defective plumbing (cross connections between water lines and sewer lines) caused over 1,000 cases of amebiasis resulting in 58 deaths.

Page 62: Amoeba: Formally Phylum Sarcodina R & J Ch 7 Protozoa with pseudopodia (or if not, distinct locomotive protoplasmic flow present). Mitochondria when present

Entamoeba histolytica

• A number of outbreaks have resulted from a breakdown in sanitation or behavioral practices of people.

• Outbreak in 1933 World's Fair in Chicago caused by defective plumbing (cross connections between water lines and sewer lines) caused over 1,000 cases of amebiasis resulting in 58 deaths.

• Outbreak in the late 1970’s in New York City among gay men.