Molecular characterization and subtyping of Blastocystis in urticarial patients in Turkey

Objective: To investigate Blastocystis’ etiologic role and association with gastrointestinal symptomatology in acute and chronic urticaria patients and to identify Blastocystis subtypes responsible for urticaria. Methods: The study included urticaria patients and healthy individuals that presented t...

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Main Authors: Merve Aydin, Mustafa Yazici, Mehtap Demirkazik, Ismail Soner Koltas, Aytekin Cikman, Baris Gulhan, Tugce Duran, Aysun Yilmaz, Murat Kara
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Asian Pacific Journal of Tropical Medicine
Subjects:
Online Access:http://www.apjtm.org/article.asp?issn=1995-7645;year=2019;volume=12;issue=10;spage=450;epage=456;aulast=Aydin
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author Merve Aydin
Mustafa Yazici
Mehtap Demirkazik
Ismail Soner Koltas
Aytekin Cikman
Baris Gulhan
Tugce Duran
Aysun Yilmaz
Murat Kara
author_facet Merve Aydin
Mustafa Yazici
Mehtap Demirkazik
Ismail Soner Koltas
Aytekin Cikman
Baris Gulhan
Tugce Duran
Aysun Yilmaz
Murat Kara
author_sort Merve Aydin
collection DOAJ
description Objective: To investigate Blastocystis’ etiologic role and association with gastrointestinal symptomatology in acute and chronic urticaria patients and to identify Blastocystis subtypes responsible for urticaria. Methods: The study included urticaria patients and healthy individuals that presented to our polyclinic between June 2015 and May 2017. The participants were assigned into Group I (137 patients), subdivided into acute (72) and chronic urticaria patients (65), and Group Π (129 control individuals). Blastocystis presence was investigated by native-Lugol examination, trichrome staining, PCR using sequence tagged site primers, and DNA sequencing analysis. The phylogenetic tree was constructed. Results: The native-Lugol and trichrome staining methods revealed that 16 patients (16/133, 12.0%) had Blastocystis-positive stool samples, of which seven samples (7/133, 5.3%) belonged acute and nine (9/133, 6.8%) to chronic urticaria patients. Concerning Blastocystis subtypes, of the acute urticaria patients, three had subtype 1 (ST1), one had ST2, and three had ST3. Of the chronic urticaria patients, one had ST1 and eight had ST3. Blastocystis positivity was detected in two control individuals (2/123, 1.6%), both being ST3. All subtypes identified by PCR were confirmed by the sequencing analysis. The acute and chronic urticaria groups showed no statistically significant differences for Blastocystis positivity (P=0.60) and subtype distribution (P=0.15). A statistically significant difference was found between the urticaria patients and the controls for Blastocystis positivity (P<0.01), but not for subtype distribution (P=0.67) or for Blastocystis presence and gastrointestinal complaints. Conclusions: This study on Blastocystis subtype distribution among Turkish urticaria patients showed results consistent with the literature. It was concluded that Blastocystis should be kept in mind in patients with urticaria.
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spelling doaj.art-27e1e01ee42741aa9b2d6790195f0d452022-12-21T20:18:09ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Tropical Medicine2352-41462019-01-01121045045610.4103/1995-7645.269905Molecular characterization and subtyping of Blastocystis in urticarial patients in TurkeyMerve AydinMustafa YaziciMehtap DemirkazikIsmail Soner KoltasAytekin CikmanBaris GulhanTugce DuranAysun YilmazMurat KaraObjective: To investigate Blastocystis’ etiologic role and association with gastrointestinal symptomatology in acute and chronic urticaria patients and to identify Blastocystis subtypes responsible for urticaria. Methods: The study included urticaria patients and healthy individuals that presented to our polyclinic between June 2015 and May 2017. The participants were assigned into Group I (137 patients), subdivided into acute (72) and chronic urticaria patients (65), and Group Π (129 control individuals). Blastocystis presence was investigated by native-Lugol examination, trichrome staining, PCR using sequence tagged site primers, and DNA sequencing analysis. The phylogenetic tree was constructed. Results: The native-Lugol and trichrome staining methods revealed that 16 patients (16/133, 12.0%) had Blastocystis-positive stool samples, of which seven samples (7/133, 5.3%) belonged acute and nine (9/133, 6.8%) to chronic urticaria patients. Concerning Blastocystis subtypes, of the acute urticaria patients, three had subtype 1 (ST1), one had ST2, and three had ST3. Of the chronic urticaria patients, one had ST1 and eight had ST3. Blastocystis positivity was detected in two control individuals (2/123, 1.6%), both being ST3. All subtypes identified by PCR were confirmed by the sequencing analysis. The acute and chronic urticaria groups showed no statistically significant differences for Blastocystis positivity (P=0.60) and subtype distribution (P=0.15). A statistically significant difference was found between the urticaria patients and the controls for Blastocystis positivity (P<0.01), but not for subtype distribution (P=0.67) or for Blastocystis presence and gastrointestinal complaints. Conclusions: This study on Blastocystis subtype distribution among Turkish urticaria patients showed results consistent with the literature. It was concluded that Blastocystis should be kept in mind in patients with urticaria.http://www.apjtm.org/article.asp?issn=1995-7645;year=2019;volume=12;issue=10;spage=450;epage=456;aulast=Aydinurticariablastocystissubtypespcrdna sequence analysis
spellingShingle Merve Aydin
Mustafa Yazici
Mehtap Demirkazik
Ismail Soner Koltas
Aytekin Cikman
Baris Gulhan
Tugce Duran
Aysun Yilmaz
Murat Kara
Molecular characterization and subtyping of Blastocystis in urticarial patients in Turkey
Asian Pacific Journal of Tropical Medicine
urticaria
blastocystis
subtypes
pcr
dna sequence analysis
title Molecular characterization and subtyping of Blastocystis in urticarial patients in Turkey
title_full Molecular characterization and subtyping of Blastocystis in urticarial patients in Turkey
title_fullStr Molecular characterization and subtyping of Blastocystis in urticarial patients in Turkey
title_full_unstemmed Molecular characterization and subtyping of Blastocystis in urticarial patients in Turkey
title_short Molecular characterization and subtyping of Blastocystis in urticarial patients in Turkey
title_sort molecular characterization and subtyping of blastocystis in urticarial patients in turkey
topic urticaria
blastocystis
subtypes
pcr
dna sequence analysis
url http://www.apjtm.org/article.asp?issn=1995-7645;year=2019;volume=12;issue=10;spage=450;epage=456;aulast=Aydin
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