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"Fasciola gigantica"

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"Fasciola gigantica"

Original Article

Experimental Life History and Biological Characteristics of Fasciola gigantica (Digenea: Fasciolidae)
Anawat Phalee, Chalobol Wongsawad, Amnat Rojanapaibul, Jong-Yil Chai
Korean J Parasitol 2015;53(1):59-64.
Published online February 27, 2015
DOI: https://doi.org/10.3347/kjp.2015.53.1.59

This study was conducted to investigate the life history, morphology, and maturation of larval stages and adult worms of Fasciola gigantica in experimental mice. Lymnaea auricularia rubiginosa was used as the intermediate host, and Oryza sativa was used for encystment of the metacercariae, while Mus musculus was used as the definitive host for maturation study. Fresh eggs from the gall bladder of water buffaloes fully developed into embryonated ones and hatched out at days 11-12 after incubation at about 29ºC. Free-swimming miracidia rapidly penetrated into the snail host, and gradually developed into the next larval stages; sporocyst, redia, and daughter redia with cercariae. Fully-developed cercariae were separated from the redia and shed from the snails on day 39 post-infection (PI). Free-swimming cercariae were immediately allowed to adhere to rice plants, and capsules were constructed to protect metacercariae on rice plants. Juvenile worms were detected in intestines of mice at days 3 and 6 PI, but they were found in the bile duct from day 9 PI. Juvenile and adult flukes were recovered from 16 mice experimentally infected with metacercariae, with the average recovery rate of 35.8%. Sexually mature adult flukes were recovered from day 42 PI. It could be confirmed that experimentally encysted metacercariae could infect and develop to maturity in the experimental host. The present study reports for the first time the complete life history of F. gigantica by an experimental study in Thailand. The obtained information can be used as a guide for prevention, elimination, and treatment of F. gigantica at environment and in other hosts.

Citations

Citations to this article as recorded by  Crossref logo
  • Knowledge and Awareness of Bovine Fasciolosis Among Dairy Farm Personnel in the Eastern Cape Province, South Africa
    Zuko Mpisana, Mandla Yawa, Mhlangabezi Slayi, Nkululeko Nyangiwe, James Oguttu, Ishmael Festus Jaja
    Parasitologia.2025; 5(3): 33.     CrossRef
  • Prevalence and risk factors of fasciolosis in a bovine population from farms in Taiping, Malaysia
    Naim Che-Kamaruddin, Nur Fazila Saulol Hamid, Lokman Hakim Idris, Ferdaus Mohamat Yusuff, Zulfa Hanan Ashaari, Hasmawati Yahaya, Norhidayu Sahimin, Nur Mahiza Md Isa
    Veterinary Parasitology: Regional Studies and Reports.2024; 49: 100998.     CrossRef
  • Coproprevalence, seroprevalence, and geographic distribution of Fasciola spp. infection in beef and dairy cattle in Pak Chong highland, Nakhon-Ratchasima Province, Northeast Thailand
    Pongsakorn Martviset, Amornrat Geadkaew-Krenc, Pantip Piyatadsananon, Ruttiroj Jirojwong, Pathanin Chantree, Wansika Phadungsil, Chompunoot Wangboon, Mantana Jamklang, Sirilak Chumkiew, Rawipreeya Poomkhokrak, Aree Taylor, Nanthawat Kosa, Rudi Grams
    Parasitology International.2024; 98: 102809.     CrossRef
  • Investigation of Fasciola gigantica in freshwater snail Radix ( Lymnaea ) spp. In the highly parasite-prevalent area of Nakhon Ratchasima Province, Thailand
    Pongsakorn Martviset, Pathanin Chantree, Amornrat Geadkaew-Krenc, Pantip Piyatadsananon, Ruttiroj Jirojwong, Chompunoot Wangboon, Mantana Jamklang, Sirilak Chumkiew, Rawipreeya Poomkhokrak, Nanthawat Kosa, Salisa Chaimon, Bumpenporn Sanannam, Rudi Grams,
    International Journal of Veterinary Science and Medicine.2024; 12(1): 125.     CrossRef
  • Towards the comprehension of fasciolosis (re-)emergence: an integrative overview
    Annia Alba, Antonio A. Vazquez, Sylvie Hurtrez-Boussès
    Parasitology.2021; 148(4): 385.     CrossRef
  • Differential expression of microRNAs and tRNA fragments mediate the adaptation of the liver fluke Fasciola gigantica to its intermediate snail and definitive mammalian hosts
    Rui-Si Hu, Xiao-Xuan Zhang, Qiao-Ni Ma, Hany M. Elsheikha, Muhammad Ehsan, Quan Zhao, Bastian Fromm, Xing-Quan Zhu
    International Journal for Parasitology.2021; 51(5): 405.     CrossRef
  • Identification of Fasciola spp. based on ITS-2 reveals the Fasciola gigantica infection in buffaloes in Nanning city, South China
    Zhengjiao Wu, Jinhui Wang, Zhen Meng, Weikun Jin, Kangxin He, Weiyu Zhang, Wenda Di
    Veterinary Parasitology.2021; 300: 109585.     CrossRef
  • An annotated checklist of the eukaryotic parasites of humans, exclusive of fungi and algae
    Blaine A. Mathison, Sarah G. H. Sapp
    ZooKeys.2021; 1069: 1.     CrossRef
  • Molecular detection of natural infection ofLymnaea(Pseudosuccinea)columella(Gastropoda: Lymnaeidae) withFasciola gigantica(Digenea: Fasciolidae) from two provinces of South Africa
    M.P. Malatji, S. Mukaratirwa
    Journal of Helminthology.2020;[Epub]     CrossRef
  • Adaptive Radiation of the Flukes of the Family Fasciolidae Inferred from Genome-Wide Comparisons of Key Species
    Young-Jun Choi, Santiago Fontenla, Peter U Fischer, Thanh Hoa Le, Alicia Costábile, David Blair, Paul J Brindley, Jose F Tort, Miguel M Cabada, Makedonka Mitreva, Keith Crandall
    Molecular Biology and Evolution.2020; 37(1): 84.     CrossRef
  • Lymnaeidae from Santander and bordering departments of Colombia: Morphological characterization, molecular identification and natural infection with Fasciola hepatica
    Andrés Esteban Pereira, Nelson Uribe, Jean-Pierre Pointier
    Veterinary Parasitology: Regional Studies and Reports.2020; 20: 100408.     CrossRef
  • Prevalence, risk factors, and spatial distribution of Fasciola in carabao and intermediate host in Baybay, Leyte, Philippines
    Harvie P. Portugaliza, Ivy Mae C. Balaso, June Clyde B. Descallar, Eugene B. Lañada
    Veterinary Parasitology: Regional Studies and Reports.2019; 15: 100261.     CrossRef
  • Les helminthoses à tropisme hépatique
    Brice Autier, Hélène Guegan, Kévin Ory, Sorya Belaz, Sarah Dion, Brigitte Degeilh, Florence Robert-Gangneux, Jean-Pierre Gangneux
    Revue Francophone des Laboratoires.2019; 2019(512): 73.     CrossRef
  • Complex and dynamic transcriptional changes allow the helminth Fasciola gigantica to adjust to its intermediate snail and definitive mammalian hosts
    Xiao-Xuan Zhang, Krystyna Cwiklinski, Rui-Si Hu, Wen-Bin Zheng, Zhao-An Sheng, Fu-Kai Zhang, Hany M. Elsheikha, John P. Dalton, Xing-Quan Zhu
    BMC Genomics.2019;[Epub]     CrossRef
  • Expression profiles of genes involved in TLRs and NLRs signaling pathways of water buffaloes infected with Fasciola gigantica
    Fu-Kai Zhang, Jun-Ling Hou, Ai-Jiang Guo, Ai-Ling Tian, Zhao-An Sheng, Wen-Bin Zheng, Wei-Yi Huang, Hany M. Elsheikha, Xing-Quan Zhu
    Molecular Immunology.2018; 94: 18.     CrossRef
  • Transcriptomic responses of water buffalo liver to infection with the digenetic fluke Fasciola gigantica
    Fu-Kai Zhang, Xiao-Xuan Zhang, Hany M. Elsheikha, Jun-Jun He, Zhao-An Sheng, Wen-Bin Zheng, Jian-Gang Ma, Wei-Yi Huang, Ai-Jiang Guo, Xing-Quan Zhu
    Parasites & Vectors.2017;[Epub]     CrossRef
  • High prevalence of cattle fascioliasis in coastal areas of Thua Thien Hue province, Vietnam
    Nga Thi NGUYEN, Thinh Cong LE, Minh Duc Co VO, Hoang VAN CAO, Ly Thi NGUYEN, Khanh Thi HO, Quyet Ngoc NGUYEN, Vui Quang TRAN, Yasunobu MATSUMOTO
    Journal of Veterinary Medical Science.2017; 79(6): 1035.     CrossRef
  • Serum levels of cytokines in water buffaloes experimentally infected with Fasciola gigantica
    Fu-Kai Zhang, Ai-Jiang Guo, Jun-Ling Hou, Miao-Miao Sun, Zhao-An Sheng, Xiao-Xuan Zhang, Wei-Yi Huang, Hany M. Elsheikha, Xing-Quan Zhu
    Veterinary Parasitology.2017; 244: 97.     CrossRef
  • 24,665 View
  • 399 Download
  • 22 Web of Science
  • Crossref

Case Report

A Case of Fasciola hepatica Infection Mimicking Cholangiocarcinoma and ITS-1 Sequencing of the Worm
Bong Kyun Kang, Bong-Kwang Jung, Yoon Suk Lee, In Kyeom Hwang, Hyemi Lim, Jaeeun Cho, Jin-Hyeok Hwang, Jong-Yil Chai
Korean J Parasitol 2014;52(2):193-196.
Published online April 18, 2014
DOI: https://doi.org/10.3347/kjp.2014.52.2.193

Fascioliasis is a zoonotic infection caused by Fasciola hepatica or Fasciola gigantica. We report an 87-year-old Korean male patient with postprandial abdominal pain and discomfort due to F. hepatica infection who was diagnosed and managed by endoscopic retrograde cholangiopancreatography (ERCP) with extraction of 2 worms. At his first visit to the hospital, a gallbladder stone was suspected. CT and magnetic retrograde cholangiopancreatography (MRCP) showed an intraductal mass in the common bile duct (CBD) without proximal duct dilatation. Based on radiological findings, the presumed diagnosis was intraductal cholangiocarcinoma. However, in ERCP which was performed for biliary decompression and tissue diagnosis, movable materials were detected in the CBD. Using a basket, 2 living leaf-like parasites were removed. The worms were morphologically compatible with F. hepatica. To rule out the possibility of the worms to be another morphologically close species, in particular F. gigantica, 1 specimen was processed for genetic analysis of its ITS-1 region. The results showed that the present worms were genetically identical (100%) with F. hepatica but different from F. gigantica.

Citations

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  • A Curious Culprit Behind Biliary Pus: What’s the Diagnosis?
    Partha Pal, Uday Kumar Marri, D. Nageshwar Reddy
    Gastroenterology.2026; 170(1): 21.     CrossRef
  • Parasitic Diseases of Upper Gastrointestinal Tract
    Heung Up Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(2): 127.     CrossRef
  • Global distribution of zoonotic digenetic trematodes: a scoping review
    Yue Hu, Rong-Jian Zhan, Shi-Lin Lu, Yi-Yang Zhang, Min-Yu Zhou, Hui Huang, Ding-Ding Wang, Tao Zhang, Zi-Xin Huang, Yun-Fei Zhou, Zhi-Yue Lv
    Infectious Diseases of Poverty.2024;[Epub]     CrossRef
  • General overview of the current status of human foodborne trematodiasis
    Jong-Yil Chai, Bong-Kwang Jung
    Parasitology.2022; 149(10): 1262.     CrossRef
  • Phylogenetic Characteristics of Fasciola hepatica Isolated from a Korean Patient
    Mi Jin Jeong, Jae Kyun Park, Hak Sun Yu
    The Korean Journal of Parasitology.2022; 60(5): 367.     CrossRef
  • Fasciola Hepatica Induced Hepatic Abscess Treated with Triclabendazole
    Hyun Joon Park, Gil-Soon Choi, Minjung Jung, Sang Uk Lee
    The Korean Journal of Gastroenterology.2021; 77(1): 39.     CrossRef
  • Oxysterols of helminth parasites and pathogenesis of foodborne hepatic trematodiasis caused by Opisthorchis and Fasciola species
    Nuno Vale, Maria João Gouveia, Fátima Gärtner, Paul J Brindley
    Parasitology Research.2020; 119(5): 1443.     CrossRef
  • Prolonged antibiotic use leading to Clostridium difficile colitis in an ill returned traveller with acute fascioliasis
    Dylan Kain, Avinash N Mukkala, Andrea K Boggild
    Journal of Travel Medicine.2018;[Epub]     CrossRef
  • A Case of Fascioliasis in A Wild Nutria, Myocastor coypus, in Republic of Korea
    Hyo-Seok Kim, Joo-Yeon Kong, Jong-Hyun Kim, Seong-Chan Yeon, Il-Hwa Hong
    The Korean Journal of Parasitology.2018; 56(4): 375.     CrossRef
  • F-18-FDG PET/BT’de kolanjiosellüler kanseri taklit eden Fasciola hepatica vakası
    Hüseyin KAÇMAZ, Elif Tuğba TUNCEL, Berat EBİK, Feyzullah UÇMAK, Muhsin KAYA, Kendal YALÇIN
    Endoskopi Gastrointestinal.2018; 26(2): 69.     CrossRef
  • Unexpected hosts: imaging parasitic diseases
    Pablo Rodríguez Carnero, Paula Hernández Mateo, Susana Martín-Garre, Ángela García Pérez, Lourdes del Campo
    Insights into Imaging.2017; 8(1): 101.     CrossRef
  • Acute biliary obstruction with cholestasis caused by Fasciola hepatica in a patient travelled to Turcmenistan (a case report and literature review)
    Alexander M. Bronshteyn, N. A Malyshev, L. V Fedianina, I. V Davydova
    Epidemiology and Infectious Diseases.2016; 21(2): 92.     CrossRef
  • Monitoring of Fasciola Species Contamination in Water Dropwort by COX1 Mitochondrial and ITS-2 rDNA Sequencing Analysis
    In-Wook Choi, Hwang-Yong Kim, Juan-Hua Quan, Jae-Gee Ryu, Rubing Sun, Young-Ha Lee
    The Korean Journal of Parasitology.2015; 53(5): 641.     CrossRef
  • Endoscopic Extraction of Biliary Fascioliasis Diagnosed Using Intraductal Ultrasonography in a Patient with Acute Cholangitis
    Ji Su Ha, Hyun Jong Choi, Jong Ho Moon, Yun Nah Lee, Jae Woong Tae, Moon Han Choi, Tae Hoon Lee, Sang-Woo Cha
    Clinical Endoscopy.2015; 48(6): 579.     CrossRef
  • Prevalence of Fasciola spp. from cattle in slaughterhouse by macroscopic examination
    Bae-Keun Park, Eui-Ju Hong, Si-Yun Ryu, Bae-Dong Jung, Ji-Min Kim, Hyeon-Cheol Kim
    Korean Journal of Veterinary Service.2015; 38(4): 227.     CrossRef
  • Fasciola hepatica in Snails Collected from Water-Dropwort Fields using PCR
    Hwang-Yong Kim, In-Wook Choi, Yeon-Rok Kim, Juan-Hua Quan, Hassan Ahmed Hassan Ahmed Ismail, Guang-Ho Cha, Sung-Jong Hong, Young-Ha Lee
    The Korean Journal of Parasitology.2014; 52(6): 645.     CrossRef
  • 12,426 View
  • 143 Download
  • 20 Web of Science
  • Crossref

Original Articles

Dot-Blot Immunoassay of Fasciola gigantica Infection using 27 kDa and Adult Worm Regurge Antigens in Egyptian Patients
Hanan H. Kamel, Ghada A. Saad, Rania M. Sarhan
Korean J Parasitol 2013;51(2):177-182.
Published online April 25, 2013
DOI: https://doi.org/10.3347/kjp.2013.51.2.177

The purpose of the present study was to evaluate the potential role of the 27-Kilodalton (KDa) antigen versus Fasciola gigantica adult worm regurge antigens in a DOT-Blot assay and to assess this assay as a practical tool for diagnosis fascioliasis in Egyptian patients. Fasciola gigantica antigen of an approximate molecular mass 27-(KDa) was obtained from adult worms by a simple elution SDS-PAGE. A Dot-Blot was developed comparatively to adult worm regurge antigens for the detection of specific antibodies from patients infected with F. gigantica in Egypt. Control sera were obtained from patients with other parasitic infections and healthy volunteers to assess the test and compare between the antigens. The sensitivity, specificity, positive and negative predictive values of Dot-Blot using the adult worm regurge were 80%, 90%, 94.1%, and 69.2% respectively, while those using 27-KDa were 100% which confirms the diagnostic potential of this antigen. All patients infected with Fasciola were positive, with cross reactivity reported with Schistosoma mansoni serum samples. This 27-KDa Dot-Blot assay showed to be a promising test which can be used for serodiagnosis of fascioliasis in Egyptian patients especially, those presenting with hepatic disease. It is specific, sensitive and easy to perform method for the rapid diagnosis particularly when more complex laboratory tests are unavailable.

Citations

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  • Crucial role of biosensors in the detection of helminth biomarkers in public health programmes
    Maria Cambra-Pellejà, Lisette van Lieshout, Luis Baptista-Pires, Miguel Vilaplana, José Muñoz, Javier Gandasegui, Claudio Parolo
    The Lancet Microbe.2025; 6(2): 100964.     CrossRef
  • Recent Developments in Recombinant Proteins for Diagnosis of Human Fascioliasis
    Abolfazl Mirzadeh, Farid Jafarihaghighi, Elham Kazemirad, Shokouh Shahrokhi Sabzevar, Mohammad Hossein Tanipour, Mehdi Ardjmand
    Acta Parasitologica.2021; 66(1): 13.     CrossRef
  • Glutathione-S-transferase: an important diagnostic antigen of liver amphistome Gigantocotyle explanatum, infecting the Indian water buffalo
    Abdur Rehman, Rizwan Ullah, M.A. Hannan Khan, S.M.A. Abidi
    Acta Tropica.2020; 205: 105400.     CrossRef
  • Serum coiled‑coil domain containing 25 protein as a potential screening/diagnostic biomarker for cholangiocarcinoma
    Ravinnipa Chanakankun, Tanakorn Proungvitaya, Daraporn Chua‑On, Temduang Limpaiboon, Sittiruk Roytrakul, Apinya Jusakul, Attapol Titapun, Apiwat Jarearnrat, Siriporn Proungvitaya
    Oncology Letters.2019;[Epub]     CrossRef
  • Molecular characterization and Immunodiagnostic potential of various antigenic proteins of Fasciola gigantica species isolated from sheep of North West Himalayan Region
    J. S. Dar, B. A. Ganai, R. A. Shahardar, U. R. Zargar
    Helminthologia.2019; 56(2): 93.     CrossRef
  • Comparative Serodiagnostic Evaluation of Tegumental Antigen and its 16.5 KDa Subunit to Crude Antigens in Human Fascioliasis
    I.M. Abdelsalam, R.M. Sarhan, A.F. Badawy, G.H. Shinkar
    Research Journal of Parasitology.2018; 13(2): 47.     CrossRef
  • Immunolocalization and immunodetection of the excretory/secretory (ES) antigens of Fasciola gigantica
    M. A. Hannan Khan, Rizwan Ullah, Abdur Rehman, Lubna Rehman, Ahammed Shareef P. A., S. M. A. Abidi, Travis Beddoe
    PLOS ONE.2017; 12(10): e0185870.     CrossRef
  • Detection of Fasciola hepatica and Fasciola gigantica common and uncommon antigens, using rabbit hyper immune serum raised against their excretory–secretory and somatic antigens
    S. Abdolahi Khabisi, B. Sarkari
    Journal of Parasitic Diseases.2016; 40(4): 1552.     CrossRef
  • Diagnosis ofFasciolainfection by SDS–PAGE eluted excretory secretory (ES) protein fractions using dot-ELISA
    M.A. Sabry, E.S. Taher, N. Farag Allah, A.M. Mahgoub
    International Journal of Veterinary Science and Medicine.2014; 2(2): 130.     CrossRef
  • Development of Two Antibody Detection Enzyme-Linked Immunosorbent Assays for Serodiagnosis of Human Chronic Fascioliasis
    Kimberly Cabán-Hernández, José F. Gaudier, Caleb Ruiz-Jiménez, Ana M. Espino, M. J. Loeffelholz
    Journal of Clinical Microbiology.2014; 52(3): 766.     CrossRef
  • 11,497 View
  • 74 Download
  • Crossref
Protective Role of Purified Cysteine Proteinases against Fasciola gigantica Infection in Experimental Animals
Eman EL-Ahwany, Ibrahim Rabia, Faten Nagy, Mona Zoheiry, Tarek Diab, Suher Zada
Korean J Parasitol 2012;50(1):45-51.
Published online March 6, 2012
DOI: https://doi.org/10.3347/kjp.2012.50.1.45

Fascioliasis is one of the public health problems in the world. Cysteine proteinases (CP) released by Fasciola gigantica play a key role in parasite feeding, migration through host tissues, and in immune evasion. There has been some evidence from several parasite systems that proteinases might have potential as protective antigens against parasitic infections. Cysteine proteinases were purified and tested in vaccine trials of sheep infected with the liver fluke. Multiple doses (2 mg of CP in Freund's adjuvant followed by 3 booster doses 1 mg each at 4 week intervals) were injected intramuscularly into sheep 1 week prior to infect orally with 300 F. gigantica metacercariae. All the sheep were humanely slaughtered 12 weeks after the first immunization. Changes in the worm burden, ova count, and humoral and cellular responses were evaluated. Significant reduction was observed in the worm burden (56.9%), bile egg count (70.7%), and fecel egg count (75.2%). Immunization with CP was also found to be associated with increases of total IgG, IgG1, and IgG2 (P<0.05). Data showed that the serum cytokine levels of pro-inflammatory cytokines, IL-12, IFN-γ, and TNF-α, revealed significant decreases (P<0.05). However, the anti-inflammatory cytokine levels, IL-10, TGF-β, and IL-6, showed significant increases (P<0.05). In conclusion, it has been found that CP released by F. gigantica are highly important candidates for a vaccine antigen because of their role in the fluke biology and host-parasite relationships.

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    Scientific Reports.2025;[Epub]     CrossRef
  • Serodiagnosis of Fasciola gigantica Infection in Buffaloes with Native Cathepsin-L Proteases and Recombinant Cathepsin L1-D
    Andleeb Aftab, Rohit Lall, Savita Bisen, Arun Anandanarayanan, Ajayta Rialch, Jayanta K. Chamuah, Shobha Yadav, M. Silamparasan, O. K. Raina
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    Hakim Azizi, Hadi Mirzaeei, Amin Bagheri, Ali Bazi, Ali Khamesipour, Hajar Yaghoobi, Aliyar Mirzapour, Mehrdad Khatami, Samira Elikaee
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    Hayley Toet, David M. Piedrafita, Terry W. Spithill
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Fasciola gigantica Fatty Acid Binding Protein (FABP) as a Prophylactic Agent against Schistosoma mansoni Infection in CD1 Mice
Ibrahim Rabia Aly, M. Diab, A. M. El-Amir, M. Hendawy, S. Kadry
Korean J Parasitol 2012;50(1):37-43.
Published online March 6, 2012
DOI: https://doi.org/10.3347/kjp.2012.50.1.37

Although schistosomicidal drugs and other control measures exist, the advent of an efficacious vaccine remains the most potentially powerful means for controlling this disease. In this study, native fatty acid binding protein (FABP) from Fasciola gigantica was purified from the adult worm's crude extract by saturation with ammonium sulphate followed by separation on DEAE-Sephadex A-50 anion exchange chromatography and gel filtration using Sephacryl HR-100, respectively. CD1 mice were immunized with the purified, native F. gigantica FABP in Freund's adjuvant and challenged subcutaneously with 120 Schistosoma mansoni cercariae. Immunization of CD1 mice with F. gigantica FABP has induced heterologous protection against S. mansoni, evidenced by the significant reduction in mean worm burden (72.3%), liver and intestinal egg counts (81.3% and 80.8%, respectively), and hepatic granuloma counts (42%). Also, it elicited mixed IgG1/IgG2b immune responses with predominant IgG1 isotype, suggesting that native F. gigantica FABP is mediated by a mixed Th1/Th2 response. However, it failed to induce any significant differences in the oogram pattern or in the mean granuloma diameter. This indicated that native F. gigantica FABP could be a promising vaccine candidate against S. mansoni infection.

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Case Report
A Case of Biliary Fascioliasis by Fasciola gigantica in Turkey
Vedat Goral, Senem Senturk, Omer Mete, Mutallib Cicek, Berat Ebik, Be?ir Kaya
Korean J Parasitol 2011;49(1):65-68.
Published online March 18, 2011
DOI: https://doi.org/10.3347/kjp.2011.49.1.65

A case of Fasciola gigantica-induced biliary obstruction and cholestasis is reported in Turkey. The patient was a 37- year-old woman, and suffered from icterus, ascites, and pain in her right upper abdominal region. A total of 7 living adult flukes were recovered during endoscopic retrograde cholangiopancreatography (ERCP). A single dose of triclabendazole was administered to treat possible remaining worms. She was living in a village of southeast of Anatolia region and had sheeps and cows. She had the history of eating lettuce, mallow, dill, and parsley without washing. This is the first case of fascioliasis which was treated via endoscopic biliary extraction during ERCP in Turkey.

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