Cholecystolithiasis is associated with Clonorchis sinensis infection.

BACKGROUND: The objective of this study was to analyze gallbladder stones for direct evidence of a relationship between Clonorchis sinensis infection and gallbladder stones formation. METHODOLOGY: We investigated one hundred eighty-three gallbladder stones for the presence of Clonorchis sinensis egg...

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Main Authors: Tie Qiao, Rui-hong Ma, Xiao-bing Luo, Zhen-liang Luo, Pei-ming Zheng
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3414519?pdf=render
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author Tie Qiao
Rui-hong Ma
Xiao-bing Luo
Zhen-liang Luo
Pei-ming Zheng
author_facet Tie Qiao
Rui-hong Ma
Xiao-bing Luo
Zhen-liang Luo
Pei-ming Zheng
author_sort Tie Qiao
collection DOAJ
description BACKGROUND: The objective of this study was to analyze gallbladder stones for direct evidence of a relationship between Clonorchis sinensis infection and gallbladder stones formation. METHODOLOGY: We investigated one hundred eighty-three gallbladder stones for the presence of Clonorchis sinensis eggs using microscopy, and analyzed their composition using Fourier transform infrared spectroscopy. We confirmed the presence of Clonorchis sinensis eggs in the gallbladder stones using real-time fluorescent PCR and scanning electron microscopy. PRINCIPAL FINDINGS: Clonorchis sinensis eggs were detected in 122 of 183 gallbladder stones based on morphologic characteristics and results from real-time fluorescent PCR. The proportion of pigment stones, cholesterol stones and mixed gallstones in the egg-positive stones was 79.5% (97/122), 3.3% (4/122) and 17.2% (21/122), respectively, while 29.5% (18/61), 31.1% (19/61) and 39.3% (24/61) in the egg-negative stones. The proportion of pigment stone in the Clonorchis sinensis egg-positive stones was higher than in egg-negative stones (P<0.0001). In the 30 egg-positive stones examined by scanning electron microscopy, dozens or even hundreds of Clonorchis sinensis eggs were visible (×400) showing a distinct morphology. Many eggs were wrapped with surrounding particles, and in some, muskmelon wrinkles was seen on the surface of the eggs. Also visible were pieces of texture shed from some of the eggs. Some eggs were depressed or without operculum while most eggs were adhered to or wrapped with amorphous particles or mucoid matter (×3000). CONCLUSION: Clonorchis sinensis eggs were detected in the gallbladder stones which suggests an association between Clonorchis sinensis infection and gallbladder stones formation, especially pigment stones.
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spelling doaj.art-a5f66dfed6be4935b68a1bafe1fc20642022-12-22T03:45:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0178e4247110.1371/journal.pone.0042471Cholecystolithiasis is associated with Clonorchis sinensis infection.Tie QiaoRui-hong MaXiao-bing LuoZhen-liang LuoPei-ming ZhengBACKGROUND: The objective of this study was to analyze gallbladder stones for direct evidence of a relationship between Clonorchis sinensis infection and gallbladder stones formation. METHODOLOGY: We investigated one hundred eighty-three gallbladder stones for the presence of Clonorchis sinensis eggs using microscopy, and analyzed their composition using Fourier transform infrared spectroscopy. We confirmed the presence of Clonorchis sinensis eggs in the gallbladder stones using real-time fluorescent PCR and scanning electron microscopy. PRINCIPAL FINDINGS: Clonorchis sinensis eggs were detected in 122 of 183 gallbladder stones based on morphologic characteristics and results from real-time fluorescent PCR. The proportion of pigment stones, cholesterol stones and mixed gallstones in the egg-positive stones was 79.5% (97/122), 3.3% (4/122) and 17.2% (21/122), respectively, while 29.5% (18/61), 31.1% (19/61) and 39.3% (24/61) in the egg-negative stones. The proportion of pigment stone in the Clonorchis sinensis egg-positive stones was higher than in egg-negative stones (P<0.0001). In the 30 egg-positive stones examined by scanning electron microscopy, dozens or even hundreds of Clonorchis sinensis eggs were visible (×400) showing a distinct morphology. Many eggs were wrapped with surrounding particles, and in some, muskmelon wrinkles was seen on the surface of the eggs. Also visible were pieces of texture shed from some of the eggs. Some eggs were depressed or without operculum while most eggs were adhered to or wrapped with amorphous particles or mucoid matter (×3000). CONCLUSION: Clonorchis sinensis eggs were detected in the gallbladder stones which suggests an association between Clonorchis sinensis infection and gallbladder stones formation, especially pigment stones.http://europepmc.org/articles/PMC3414519?pdf=render
spellingShingle Tie Qiao
Rui-hong Ma
Xiao-bing Luo
Zhen-liang Luo
Pei-ming Zheng
Cholecystolithiasis is associated with Clonorchis sinensis infection.
PLoS ONE
title Cholecystolithiasis is associated with Clonorchis sinensis infection.
title_full Cholecystolithiasis is associated with Clonorchis sinensis infection.
title_fullStr Cholecystolithiasis is associated with Clonorchis sinensis infection.
title_full_unstemmed Cholecystolithiasis is associated with Clonorchis sinensis infection.
title_short Cholecystolithiasis is associated with Clonorchis sinensis infection.
title_sort cholecystolithiasis is associated with clonorchis sinensis infection
url http://europepmc.org/articles/PMC3414519?pdf=render
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AT xiaobingluo cholecystolithiasisisassociatedwithclonorchissinensisinfection
AT zhenliangluo cholecystolithiasisisassociatedwithclonorchissinensisinfection
AT peimingzheng cholecystolithiasisisassociatedwithclonorchissinensisinfection