High frequency of infection of lung cancer patients with the parasite Toxoplasma gondii

Background Toxoplasma gondii is an intracellular protozoan parasite that can cause a wide range of clinical conditions, including miscarriage and pneumonia. The global prevalence is 30% in humans, but varies by locality (e.g. in the UK it is typically 10%). The association between lung cancer and T....

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Main Authors: Jaroslav Bajnok, Muyassar Tarabulsi, Helen Carlin, Kevin Bown, Thomas Southworth, Josiah Dungwa, Dave Singh, Zhao-Rong Lun, Lucy Smyth, Geoff Hide
Format: Article
Language:English
Published: European Respiratory Society 2019-05-01
Series:ERJ Open Research
Online Access:http://openres.ersjournals.com/content/5/2/00143-2018.full
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author Jaroslav Bajnok
Muyassar Tarabulsi
Helen Carlin
Kevin Bown
Thomas Southworth
Josiah Dungwa
Dave Singh
Zhao-Rong Lun
Lucy Smyth
Geoff Hide
author_facet Jaroslav Bajnok
Muyassar Tarabulsi
Helen Carlin
Kevin Bown
Thomas Southworth
Josiah Dungwa
Dave Singh
Zhao-Rong Lun
Lucy Smyth
Geoff Hide
author_sort Jaroslav Bajnok
collection DOAJ
description Background Toxoplasma gondii is an intracellular protozoan parasite that can cause a wide range of clinical conditions, including miscarriage and pneumonia. The global prevalence is 30% in humans, but varies by locality (e.g. in the UK it is typically 10%). The association between lung cancer and T. gondii infection was investigated by direct detection in lung tissue samples. Methods Lung tissue samples were taken from patients undergoing lung resection surgery (n=72) for suspected lung cancer (infection prevalence 100% (95% CI: 93.9–100%)). All 72 participants were confirmed as having lung cancer following subsequent diagnostic tests. In addition, bronchial biopsy samples were collected from non-lung cancer healthy control subjects (n=10). Samples were tested for T. gondii using PCR amplification of T. gondii specific gene markers and T. gondii specific immunohistochemistry. Results All 72 lung cancer patients were infected with T. gondii (prevalence 100% (95% CI: 93.9–100%)). Of which, 95.8% (n=69) of patients showed evidence of active parasite stages. Infection prevalence in the controls (10%) was significantly lower (p<0.0001). Conclusions Clinicians treating lung cancer patients should be aware of the potential presence of the parasite, the potential for induction of symptomatic complications and interference with treatment success.
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spelling doaj.art-243e1087e20e48c3812e37b11502e7642022-12-21T23:31:13ZengEuropean Respiratory SocietyERJ Open Research2312-05412019-05-015210.1183/23120541.00143-201800143-2018High frequency of infection of lung cancer patients with the parasite Toxoplasma gondiiJaroslav Bajnok0Muyassar Tarabulsi1Helen Carlin2Kevin Bown3Thomas Southworth4Josiah Dungwa5Dave Singh6Zhao-Rong Lun7Lucy Smyth8Geoff Hide9 Biomedical Research Centre and Ecosystems and Environment Research Centre, School of Science, Engineering and Environment, University of Salford, Salford, UK Biomedical Research Centre and Ecosystems and Environment Research Centre, School of Science, Engineering and Environment, University of Salford, Salford, UK Biomedical Research Centre and Ecosystems and Environment Research Centre, School of Science, Engineering and Environment, University of Salford, Salford, UK Biomedical Research Centre and Ecosystems and Environment Research Centre, School of Science, Engineering and Environment, University of Salford, Salford, UK The University of Manchester, Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, UK The University of Manchester, Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, UK The University of Manchester, Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, UK Biomedical Research Centre and Ecosystems and Environment Research Centre, School of Science, Engineering and Environment, University of Salford, Salford, UK Biomedical Research Centre and Ecosystems and Environment Research Centre, School of Science, Engineering and Environment, University of Salford, Salford, UK Biomedical Research Centre and Ecosystems and Environment Research Centre, School of Science, Engineering and Environment, University of Salford, Salford, UK Background Toxoplasma gondii is an intracellular protozoan parasite that can cause a wide range of clinical conditions, including miscarriage and pneumonia. The global prevalence is 30% in humans, but varies by locality (e.g. in the UK it is typically 10%). The association between lung cancer and T. gondii infection was investigated by direct detection in lung tissue samples. Methods Lung tissue samples were taken from patients undergoing lung resection surgery (n=72) for suspected lung cancer (infection prevalence 100% (95% CI: 93.9–100%)). All 72 participants were confirmed as having lung cancer following subsequent diagnostic tests. In addition, bronchial biopsy samples were collected from non-lung cancer healthy control subjects (n=10). Samples were tested for T. gondii using PCR amplification of T. gondii specific gene markers and T. gondii specific immunohistochemistry. Results All 72 lung cancer patients were infected with T. gondii (prevalence 100% (95% CI: 93.9–100%)). Of which, 95.8% (n=69) of patients showed evidence of active parasite stages. Infection prevalence in the controls (10%) was significantly lower (p<0.0001). Conclusions Clinicians treating lung cancer patients should be aware of the potential presence of the parasite, the potential for induction of symptomatic complications and interference with treatment success.http://openres.ersjournals.com/content/5/2/00143-2018.full
spellingShingle Jaroslav Bajnok
Muyassar Tarabulsi
Helen Carlin
Kevin Bown
Thomas Southworth
Josiah Dungwa
Dave Singh
Zhao-Rong Lun
Lucy Smyth
Geoff Hide
High frequency of infection of lung cancer patients with the parasite Toxoplasma gondii
ERJ Open Research
title High frequency of infection of lung cancer patients with the parasite Toxoplasma gondii
title_full High frequency of infection of lung cancer patients with the parasite Toxoplasma gondii
title_fullStr High frequency of infection of lung cancer patients with the parasite Toxoplasma gondii
title_full_unstemmed High frequency of infection of lung cancer patients with the parasite Toxoplasma gondii
title_short High frequency of infection of lung cancer patients with the parasite Toxoplasma gondii
title_sort high frequency of infection of lung cancer patients with the parasite toxoplasma gondii
url http://openres.ersjournals.com/content/5/2/00143-2018.full
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