CHAPTER 4
protozoans – over 64,000 species in 7-30 phyla (depending on system of classification); unicellular and eukaryotic
outermost layer is plasma membrane (lipid bilayer with various proteins), next is ectoplasm (gel), both enclose endoplasm (sol)
pellicle – rigid body wall of some protozoans; supported by microtubules
nucleus – all protozoans have membrane-bound nucleus; some have single, others two or more, others (ciliophorans) two different types: macronucleus & micronucleus (sexual reproduction)
endosome = nucleolus (unlike nucleoli, do not disappear during mitosis)
lysosomes – contain hydrolytic enzymes; intracellular digestion
basal body (also called kinetosome, blepharoplast); anchors flagellum in cytoplasm; 9 + 2 arrangement of microtubules (morphologically identical to centriole)
parabasal body – homologous to Golgi complex
mastigont (whip) = flagellum + parabasal body (Golgi) + basal body
mitochondria – sites of aerobic metabolism; tubular-shaped cristae; kinetoplast: giant mitochondrian in some flagellated protozoans; some parasitic protozoans (eg, Entomoeba histolytica) lack mitochondria (associated with anaerobic metabolism)
locomotor organelles
flagellate: flagella and undulating membrane
ciliate: cilia (miniature flagella)
amoeba: pseudopods – constant flow of endoplasm in direction of extension (sol/gel transformations)
lobopodia type of pseudopodia most common form among parasitic amoebae (pseudopods lack internal support structures)
protozoans excrete ammonia; contractile vacuole is absent in marine and most parasitic protozoans except
Balantidium
encystment and excystment:
trophozoites, trophs, or vegetative state - active, motile form (as opposed to resistant cyst)
(a) trophozoite (b) cyst
reproduction – asexual (binary fission, multiple fission) and sexual
CHAPTER 5
Flagellated Protozoans – move by flagella
Class Zoomastigophorea – one to many flagella; no chloroplasts
Order Kinetoplastida – one or two flagella; kinetoplast (a large specialized mitochondrion)
different morphological types of Trypanosoma and Leishmania
amastigote, promastigote, epimastigote, trypomastigote
Trypanosoma – in all vertebrate classes; usually in blood, spleen, lymph nodes, or tissue fluids;
most transmitted by blood-feeding invertebrates; usually do not enter or live in cells (exception: T. cruzi); does not produce cysts; no sexual reproduction; amastigote and trypomastigote form found in vertebrate host; amastigote, promastigote, and epimastigote form found in the invertebrate host (infective trypomastigote form also found in the invertebrate host)
African trypanosomiasis
T.
brucei – tropical Africa, transmitted by tsetse flies (
Glossina); 3 anatomically indistinguishable subspecies (
T.
b.
brucei,
T.
b.
gambiense,
T.
b.
rhodesiense); anterior station development in tsetse fly (in front/middle portion of digestive tract)
T.
b.
brucei – normal
hosts are native grazers, called “nagana”; does not infect humans; deadly to domestic livestock
life cycle:
trypomastigote enters fly in blood meal and duplicates in midgut - moves to foregut - enters
salivary glands and develops to epimastigote - duplicates as epimastigote - transforms into the infective trypomastigote form - enters vertebrate via bite of tsetse fly - duplicates in blood and lymph - invades CNS; host physiological processes are disrupted; lysis of host cells; anemia, edema, fever, watery eyes and nose; death can be in few days or recovery may occur depending on host species and susceptibility
control - removal of brush, brushless belts, reservoir elimination, night grazing (flies feed during day), insecticides
T. b. gambiense (chronic form) and T. b. rhodesiense (acute form) – African Sleeping Sickness
in blood, lymph nodes, spleen, cerebrospinal fluid; after the bite, all organs are invaded; intermittent fevers, sleepiness, coma, death in 4 months to 7 years depending on form; Winterbottom’s sign – swollen neck lymph nodes; observation diagnosis, blood tests; drug treatments of varying success
VATs (variant antigenic types) - trypanosomes use a genetic set of programmed successive antigenic types (~1000 known to exist) which cause repeated remissions until death; antigenic series sequence is predictable
American trypanosomiasis
life cycle:
T.
cruzi – Chagas’ Disease; South and Central America
transmitted by kissing bug, Triatoma; posterior station development in kissing bugs (in hindgut); bugs bite at night; infective forms in bug feces, usually scratched into bite site or eyes; trypomastigotes in blood, transform into amastigotes in host macrophages, muscle and other tissue cells, duplicate in amastigote form - pseudocysts rupture - nearby nerve cells are destroyed; favorite site is cardiac muscle, but also in cells of other muscles (smooth and skeletal), spleen, liver, and lymphatics; many wild and domestic animals (dogs and cats) are reservoirs; organism can cross the placenta
diagnosis - find blood forms, lab tests, culture in clean bugs (xenodiagnosis)
there is no effective treatment
disease - edema of eyelids and face, megacolon, megaesophagus; death in 3 to 4 weeks from heart failure
prevention - bug control, modern housing, do not scratch bites
T. lewisi – cosmopolitan in blood of rats; intermediate is rat flea, Nosopsyllus fasciatus; posterior
station development; rat is infected by ingesting flea feces or the flea itself; ablastin - a rat-
produced antibody that inhibits parasite reproduction
Leishmania – leishmaniasis; in tissue cells; anterior station development in sand fly (Phlebotomus and Lutzomyia) intermediate; duplicate in amastigote form in vertebrates (human, dog, rodent); duplicate in promastigote form in sand flies; promastigotes inoculated via “throat clearing” as sand fly feeds; disease may be visceral, cutaneous, or mucocutaneous depending on species; no cysts; no sexual reproduction; diagnosis is by finding the flagellates; antimony compounds used as treatment (antimonials are toxic and dangerous)
Leishmaniasis is presently a big problem for our troops serving in Iraq
L.
tropica &
L.
major – Oriental Sore; Jericho boil; cutaneous; Africa, Middle East, Asia, India
invades the reticuloendothelial system and skin; secondary infections are common
Phlebotomus intermediate; only symptom is sore; self-healing, provides immunity
L.
donovani – kala-azar; visceral; Mediterranean, India, Africa, Central and South America
in cells of reticuloendothelial system (spleen, liver, lymph nodes)
slowly destroys body’s defense system; liver and spleen enlarge; death in 6 mo. to 3 yrs.
Phlebotomus intermediate; dogs and cats are reservoirs
diagnosis - spleen puncture, blood tests; prevention is reservoir and vector control
treatment not always successful; inadequate treatment - post-kala-azar dermal leishmanoid
L. braziliensis – espundia; uta; chiclero ulcer(?); mucocutaneous; Northern Argentina to Central Mexico
secondary lesion up to 30 years later ulcerates and destroys lips, palate, pharynx, tongue
Lutzomyia intermediate; primarily sylvatic - little chance for control
L.
mexicana – almost always cutaneous;
Central America, Mexico, Texas
Lutzomyia intermediate; a zoonose - main reservoirs are rodents
(recent research – parasite that causes chiclero ulcer is probably L. mexicana)
Classification of this group in flux
CHAPTER 6
Order Diplomonadida – two nuclei
Giardia lamblia (=
intestinalis =
duodenalis) – giardiasis; cosmopolitan; inhabits small intestine
most common flagellate of human digestive tract
dorsoventrally flattened; ventral surface is a bilobed adhesive disc
4 pair of flagella; trophozoite has 2 nuclei, fully developed cyst has 4 nuclei
interferes with fat absorption in small intestine; many symptomless cases
if pathogenic - diarrhea, weight loss, abdominal pain, flatulence
many reservoirs including dogs, rats, rabbits, others
observation diagnosis - stool exam; drug treatment is Flagyl (=metronidazole)
prevention is sanitation and water treatment
Order Trichomonadida – 4 to 6 flagella, axostyle, no cysts
in reproductive and intestinal tracts of hosts
Trichomonas – undulating membrane, 4 anterior flagella, asexual fission only
T. tenax - cosmopolitan; commensal in mouth of humans, dogs, probably many others
T. vaginalis - cosmopolitan in vagina, prostate, urethra of humans; normally spread by sexual
contact, also in hot tubs; pathogenicity varies; observation diagnosis; drug treatment is
Flagyl (Flagyl + alcohol = violent nausea); this parasite survives in frozen semen
Pentatrichomonas hominis – cosmopolitan; commensal in humans
5 anterior flagella; inhabits large intestine and caecum
Tritrichomonas foetus – abortion disease in cattle; reproductive tract of cattle; cosmopolitan
3 anterior flagella; observation diagnosis; very difficult to treat successfully
cow recovery provides immunity; survives in frozen semen
Histomonas meleagridis – blackhead disease of turkeys; cosmopolitan
H. meleagridis transmitted between birds within eggs of nematode
inhabits ceca and liver of turkeys, chickens and related birds; uses cecal nematode as an intermediate host; this flagellate parasitizes the bird and the nematode (Heterakis) in the bird; H. meleagridis develops in the nematode and multiplies, eventually entering ovaries of the adult worm - invades the nematode embryo within the eggs - eggs containing juvenile worms parasitized by these protozoans are shed in the bird feces - eggs hatch when eaten by another bird, which releases H. meleagridis
earthworms also accidentally ingest these eggs and become paratenic hosts; in the earthworm the nematode eggs hatch and the juveniles released become dormant in the tissues of the earthworm; birds eat these earthworms
survival provides immunity; millions are lost annually to blackhead disease
CHAPTER 7
Amoeboid Protozoans – move by pseudopodia
Entamoeba – in many hosts; asexual multiple fission in cysts; binary fission in trophozoites
young cysts contain chromatoidal bars (packaged RNA) which disappear in older cysts
E.
histolytica – amoebic dysentery; third most common parasite cause of death in the world
cosmopolitan, but most prevalent in the tropics and subtropics; inhabits large intestine
trophozoites are 20 to 30 micrometers; cysts are 10 to 20 micrometers
trophs have central endosome and commonly contain ingested RBCs and intestinal cells
normal fully formed stool contains cysts, but not trophozoites
loose stool contains trophs, but cysts are rare
early cyst has cigar shaped chromatoid bodies; mature cyst 4 nuclei, no chromatoid bodies; pathogenic and non-pathogenic strains related to host diet and intestinal bacterial composition; ulcers erode intestinal wall, blood carries trophs to other body parts causing abscesses; cysts are not produced in abscesses outside of the large intestine
proteolytic enzymes cause ulceration, secondary bacterial invasion, colon perforation
cyst viability is 12 days if moist and cool, up to 30 days if in water
cysts are resistant to usual levels of chlorine used in water treatment facilities
symptoms - bloody stool, abdominal pain, nausea, flatulence, headache, fatigue
carriers are non-dysenteric
diagnosis is by observation of trophs and/or cysts in stool
treatment - first stop dysentery, then treat intestine, then treat parenterally
control - sewage and water treatment; fix defective plumbing; stop use of night soil;
prevent carriers from working in food handling jobs; control reservoirs (dogs, pigs, monkeys, others)
also spread by flies, cockroaches, colonic irrigation
E. hartmanni – commensal; identical to E. histolytica, but smaller
trophozoites are 12 to 15 micrometers; cysts are 5 to 9 micrometers
E.
coli – cosmopolitan commensal
in large intestine of humans; 100% rate in some areas
eccentric endosome; 8 nuclei in cysts; chromatoidal bodies with splintered ends;
trophs contain intestinal contents; E. coli is easily confused with E. histolytica
E. gingivalis – cosmopolitan commensal in mouth of humans, dogs, cats, primates
75% rate in some areas in people over 40; does not produce cysts
trophs contain WBCs and host cells
Order Schizopyrenida – uninucleate; amoeboid; most have temporary flagellate stages
Naegleria fowleri – facultative in humans; meningoencephalitis; almost always fatal
enters nose from swimming pools, lakes, thermal springs - follows olfactory nerve to brain
death can be in just a few days; seldom diagnosed before death
Acanthamoeba spp. – facultative in various human tissues; treatment is difficult
most common amoeba in soil and freshwater
usually enters eye in contaminated contact lens saline solution; corneal ulcers
CHAPTER 8
Phylum Apicomplexa
protozoans possessing structures known collectively as the apical complex
apical complex found in sporozoite and merozoite stages of life cycle
all parasitic
schizogony (=merogony) - asexual multiple fission - produces merozoites
gametogony - merozoites become gametocytes - gametocytes produce microgametocyte and macrogametocyte which become or produce gametes
sporogony - multiple fission of a zygote - produces sporozoites
Class Gregarinea - spores (=oocyst) simple; contain sporozoites;
Order Eugregarinida – gametogony, sporogony, schizogony absent
parasites of annelids and arthropods
Monocystis lumbrici - life cycle in earthworm seminal vesicle
Class Coccidea, Order Eimerida - schizogony, gametogony, sporogony
called coccidians; disease is coccidiosis; treated with anticoccidials
usually a one host life cycle; self limiting; alternate sexual and asexual phases
coccidiosis is the greatest protozoan loss to domestic and game animals
Eimeria - oocyst has 4 sporocysts each with 2 sporozoites; probably 45,000 species; pathogenicity depends on number of oocysts ingested, number of generations, immunity of host, toxicity of the parasite; highly host specific
E. tenella - in ceca of chickens
E. stiedai - in liver of rabbits
E. bovis - cattle intestine; one schizont has 100,000 merozoites
Isospora -oocyst has 2 sporocysts each with 4 sporozoites
most are parasites of birds
I.
belli - a severe disease in humans
diarrhea; self limiting
Toxoplasma gondii - toxoplasmosis; cosmopolitan in birds and mammals
rate in humans is about 13%; most human cases are without symptoms
symptoms - swollen lymph nodes and/or lesions in the eye, lung, liver, heart, brain
intracellular - schizogony produces “tissue cysts” or pseudocysts (=zoitocysts) that may persist for years; tissue cyst rupture causes flare up of symptoms
cats are the only final host, all others are intermediates; cats show few symptoms
gametogony, schizogony, and oocyst formation are in cat small intestinal cells
only schizogony occurs in non-cat hosts; oocyst like that of Isospora
prenatal infections are a major cause of birth defects; anyone who eats rare meat and/or
has a pet cat should read the text material on toxoplasmosis
transmission is via oocysts from cats and uncooked flesh containing the “tissue cysts”
also transmitted by fecal contamination, nursing, placental crossing, flies, earthworm pilings
lab test diagnosis; drug treatments
Cryptosporidium and
Pneumocystis – opportunistic coccidians
Cryptosporidium – infects microvilli of small intestine; unlike other coccidians, lack host specificity; transmission by ingestion of oocyst, usually in contaminated drinking water; AIDS patients develop cholera-like symptoms
Pneumocystis – extracellular parasite in alveoli of the lungs; of the opportunistic diseases associated with AIDS, PCP (
Pneumocystis carinii pneumonia) is the most common cause of death; asymptomatic in immunocompetent individuals
CHAPTER 9
Order Haemosporida – no sporocysts, motile zygote (ookinete)
malaria is one of the most important human diseases in the world today
127 species of Plasmodium cause malaria in vertebrates (humans and many others)
four species in humans are spread by 390 species of female Anopheles mosquitoes
malaria as a disease has been known since antiquity
1902 Nobel Prize in Medicine went to Ronald Ross for his work on malaria
the liver cycle part of the overall life cycle was not worked out until 1948
symptoms occur when RBCs rupture releasing contents
acute - chills, fever (104o to 106o F), sweating, headache; lasts 8 to 12 hours
chronic - anemia, enlarged spleen and lymph nodes; hemozoin buildup
malaria RBC stages break down hemoglobin producing a pigment called hemozoin
diagnosis is by finding RBC stages in blood smears (see Plates 1 - 7)
malaria life cycle: mosquito bite injects sporozoites into blood stream - sporozoites
flow to liver and enter liver cells - schizogony - schizont - cell rupture releases merozoites
whether they can enter other liver cells is uncertain - merozoites enter RBCs - schizogony (ring stage, schizont, merozoites) in RBCs - RBC rupture releases merozoites which enter other RBCs - schizogony - RBC cycle can go on and on - eventually some merozoites become gametocytes in RBCs - RBCs containing gametocytes taken in blood meal by mosquito - male microgametocyte produces 6 to 8 microgametes by exflagellation - female macrogametocyte becomes a single macrogamete - gamete formation and fertilization occur in mosquito stomach - zygote in stomach becomes motile ookinete which penetrates to outer stomach wall - develops cyst wall, now called an oocyst - nuclear divisions in the oocyst produce sporoblasts - sporozoites form from sporoblasts – sporoblasts produce thousands of sporozoites which fill the oocyst - rupture of the oocyst wall releases the sporozoites which enter the salivary glands of the mosquito; the mosquito is infective for life
some sporozoites of relapsing species (P. vivax, P. ovale) become dormant in liver cells and are
called hypnozoites (a true relapse is due to hypnozoites becoming reactivated)
immunity develops in vertebrate hosts
Plasmodium - while life cycles of species that infect humans are basically similar, there are a number of differences:
P.
malariae - 72 hour cycle; 7% of the world’s malaria; widespread; continuous blood cycle up to 53 years; blood forms do not re-invade fixed cells;
no true relapses, just recrudescence
P.
vivax - 48 hour cycle; 43% of the world’s malaria; Asia, North Africa; continuous liver cycle up to 8 years; blood forms can re-invade fixed cells; true relapses occur
P.
falciparum - 48 hour cycle; 50% of the world’s malaria; tropics; blood forms do not re-invade
fixed cells; no true relapses, just recrudescence; most virulent of the human malarias
brain, spleen, and bone marrow cells are also attacked; blackwater fever
P. ovale - 48 hour cycle; rare; mostly in tropics; blood forms re-invade fixed cells; true relapses
control - destroy mosquito breeding places; biological controls; DDT
treatment - quinine, used since 1640
chloroquine - effective on blood forms
primaquine - effective on liver forms including hypnozoites
Babesia bigemina - Texas cattle fever, or red-water fever; in cattle
larval tick (called a seed tick), Boophilus annulatus, injects sporozoites while sucking blood -
indefinite schizogony cycles destroy up to 75% of RBCs (in fatal cases) - red urine is excess
hemoglobin from RBC destruction - when uninfected larval seed ticks feed on infected cattle,
gametocytes are taken in the blood meal and resulting sporozoites enter all cells of the tick -
ticks develop to adults and mate, females fall off - all eggs laid by female are infected (called
transovarial transmission) - all hatching seed tick larvae are infected
B. annulatus is a one-host tick; infected seed ticks transmit the disease
sporogony and gametogony occur in the tick, schizogony occurs in cattle
control - cattle quarantine; cattle dips in tickicides
Babesia microti - voles, rodents, pets and Ixodes scapularis ticks
hundreds of human cases in northeast US - transmitted by nymph stage of Ixodes scapularis
adults of I. scapularis feed on deer
CHAPTER 11
Phylum Myxozoa (probably cnidarians) - over 1200 species; mostly parasites of fishes
spores of multicellular origin containing sporoplasms and one or more polar capsules enclosing
polar filaments which explode punching an anchoring hole into intestinal epithelium through
which the sporoplasm enters the cell
Myxobolus cerebralis - in head and spine cartilage of salmonids (trout) causing whirling disease
high mortality in young fish, permanent deformities if fish survives
no effective treatment exists
spore (called triactinomyxon) exsporulates in fish epidermis - sporoplasm migrates to head and
spine cartilage - growth, division, spore production - spores released when fish is eaten or
dies, and enter tubifex oligochaetes - duplication and development in tubifex worms -
production and release of triactinomyxon spores
Phylum Microspora - less than 1000 species
spores of unicellular origin without polar capsules
Class Microsporea - spores with polar filaments
spore ingested - polar filament discharges penetrating host cell membrane - sporoplasm enters
cell through hollow polar filament - schizogony and sporogony - spores
Nosema apis - nosema disease of bees
midgut epithelium; spores in feces; parasitic castration of queen bee
N.
bombycis - disease of silkworm larvae
in all host tissues; transovarial transmission
four genera reported in AIDS patients - no effective treatment
Phylum Haplosporidia - parasites of invertebrates
spores of multicellular origin, no polar capsules, no polar filaments
Haplosporidium nelsoni (named after Julius Nelson and son, Thurlow)
Captain John Smith enters Chesapeake Bay in 1607 - amazed at oyster abundance
at peak of oyster industry - 15 million bushels worth $112 million per year
disaster starts in Delaware Bay in 1957 - east coast oyster industry ruined
MSX (multinucleate sphere X) - eventually named H. nelsoni
method by which oysters become infected is still unknown
30 years of oyster breeding has produced strains with some resistance
CHAPTER 10
Phylum Ciliophora - cilia; two types of nuclei (macronucleus and micronucleus)
Class Litostomatea - body cilia similar to mouth cilia
Balantidium coli - largest protozoan parasite of humans; causes balantidiasis
cosmopolitan in large intestine of humans (parasitic) and pigs (commensal)
trophozoite and cyst stages; cytostome and cytopyge (cellular anus)
invades, digests, and spreads like Entamoeba histolytica in humans
intestinal perforation (in humans) is usually fatal
Class Oligohymenophorea - body cilia different than mouth cilia
Ichthyophthirius multifiliis - “ick” pustules form in skin of freshwater fishes’ skin
causes excessive mucus production from skin of host
pustules rupture releasing trophozoites - settle to bottom - encyst - many internal divisions -
infective trophozoites released - bore into skin or attack gill filaments