دراسة بعض الجوانب المناعية والجزيئية في المرضى المصابين بداء المقوسات العيني == Study of some Immunological and Molecular Aspects in Ocular Toxoplasmosis Patients
Author name:
علي نزار ياسين
Supervisor name:
اسراء قاسم العبيدي | وحيدة رشيد علي
General topic:
Biology
Specific topic:
Microbiology - Parasites
Degree:
Doctorate
University:
University of Baghdad - Ibn Al-Haytham College Of Education For Pure Sciences - Department Of Biology
Language:
Arabic
University location:
Baghdad
First pages:
24T3391 - p.pdf
Abstract:
The current study was conducted on 179 patients who attended the Retina Unit in Ibn Al - Haitham Teaching Eye Hospital in Baghdad from the beginning of March to the end of September 2014. The patients were divided a according to the clinical diagnosis to 3 roups; the first included 50 patients infected with ocular toxoplasmosis(OT) while 45 patients with uveitis ; In addition a control group was of 84 apparently healthy individuals (they don’t have any infection in their eyes.) was included. The sera patients were initially diagnosed by immune Latex test. The results showed that all the ocular toxoplasmosis patients (100%) were positive while none of the uveitis patients gave positive result, In control group,30 cases were infected with toxoplasmosis(35.7%) with a significant differences between the three groups (p<0.01). ELISA test results for specific T. gondii IgG and IgM antibodies for were 84% positive to ocular toxoplasmosis as 42 patients versus 16% as 8 cases with negative test, while the positive rate in uveitis patients was 31.1% and considered as positive uveitis group, versus 31 negative case with rate 68.9%.The control group was reevaluated showed 35 positive case from 84 and formed a group called Asymptomatic toxoplasmosis. The levels of specific IgG and IgM were measured by international unit / ml.for all groups. The IgG level was 1.661 ± 0.187 IU/ml. in O.T. group followed by positive uveitis group 1.596 ± 0.157 and Asymptomatic toxoplasmosis group 1.501± 0.257 while negative uveitis group and control were recorded 0.389± 0.190 and 0.350 ± 0.167 respectively.IgM levels were increase in O.T. group 1.922 ±0.510 followed by positive uveitis group 1.867 ± 0.061 then asymptomatic toxoplasmosis came 1.744 ± 0.070. Finally the negative uveitis and control groups were registered 0.632 ± 0.166 and 0.618 ± 0.236 respectively.The study of some properties, coupled with ocular toxoplasmosis, including the sex and age for positive IgG antibody groups as it reflected the probability of female to male rate of 74.28% and 25.72%, respectively for OT group, while positive uveitis 58.33% and 41.67% respectively. Asymptomatic toxoplasmosis group has recorded 53.33% and 46.67%, respectively, with no significant differences between the three groups. The age variable has the results of the current study showed no significant differences between positive IgG antibody groups, as OT group focused within the age range 40 - 49 years and 60 - 70 years and similar rate of 22.88%, while positive uveitis and asymptomatic toxoplasmosis groups focused within at the age range 20 - 29 years and 33.33% and 30% respectively. As for positive IgM antibody groups and sex differences, with no significant differences recorded as OT group of males 71.43% and females 28.57%, while asymptomatic toxoplasmosis group 60% for males and 40% for females recorded. The positive uveitisgroup was limited to females only 100%. As well as not significant differences between positive IgM antibody groups were recorded for variable of age as it was OT group within the age range 30 - 39 years and 50 - 59 years with a similar rate 28.57% and 40 - 49 years by 42.86%. As positive uveitis group was within the age range 20 - 29 years and 30 - 39 years, with a similar rate 50%, while asymptomatic toxoplasmosis group within the age range 20 - 29 years and 30 - 39 years, with a similar rate of 40% and 40 - 49 years by 20%.Investigation of a specific part of B1 gene in size 469 base pair for positive cases to ELISA test was done by conventional PCR test. O.T. group recorded 10 positive results from 42 patients in 23.8% percent, while positive uveitis group that has 14 patients in which only 3 positive cases in 21.4 percent. Three positive cases was recorded also in asymptomatic toxoplasmosis group in 8.6% percent. No significant differences for this test between studied groups in probability (p.0.05). Real - time PCR was applied also on a positive studied groups to ELISA test also.O.T. group recorded 14 positive case in 33.3% percent, positive uveitis and asymptomatic toxoplasmosis registered only 7 case in rate 50% and 20% respectively, No significant differences for real - time PCR in probability (p.0.05) between the three groups.The present study included als o that contain measuring changes in thelevels of some cytokines that estimated by pg. /ml. for all studied groups.The level of IL - 4 in positive uveitis group reached to 28.22 ± 7.74 followed by asymptomatic toxoplasmosis group 26.72 ± 3.72.then O.T.group 21.39 ± 5.03 while negative uveitis group reached a concentration 16.17 ± 5.66,control group came finally and reached lowest concentration 5.08 ± 2.8.High level of IL - 6 was in O.T. group 33.09 ± 19.57 and positive uveitis group 22.26 ± 9.74 then asymptomatic toxoplasmosis 16.83± 6.06, negative uveitis registered 15.94 ± 6.11,control group came to record the lowest concentration 11.70 ± 5.44. An increase in IL - 10 was record in O.T.gruop 24.24 ± 6.27 followed by negative uveitis group 21.35 ±7.64 then asymptomatic toxoplasmosis group 19.15± 3.95 while positive uveitis showed a level 17.65 ± 2.75,the lowest level was in control group 14.28 ± 2.79. High level of Interferon - gamma Inducible Protein - 10 ( IP - 10 ) was got in O.T. group in a concentration 22.66 ± 3.48followed by positive uveitis group 17.09 ± 1.97, then negative uveitis group 16.91± 3.02. Asymptomatic toxoplasmosis group reached 16.89 ± 2.46 and lowest concentration in control group 14.78 ± 2.26.Granulocytes - macrophages colonies stimulating ( GM - CSF) registered a highest level in positive uveitis 47.44 ± 15.04 followed by O.T. group 45.14 ±10.05 the negative uveitis group 43.12± 9.35 and Asymptomatic toxoplasmosis record 39.26± 12.03 while control group the lowest concentration 29.44± 5.29.There were no significant differences between the studied groups (p.0.05). in the levels of Vascular Endothelial Growth Factor (VEGF).
