Share
تقييم الاستجابة المناعية عند المرضى المصابين بالجرب في محافظة النجف == Evaluation of Immune Response In Scabietic Patients In Najaf Governorate
Author name:
ملاك ماجد عبد الامير الموسوي
Supervisor name:
هادي رسول حسن | ازر هادي ملوكي
General topic:
Biology
Specific topic:
Microbiology - Parasites
Degree:
Doctorate
University:
University of Kufa - College Of Science - Department Of Biology
Language:
English
University location:
Najaf
First pages:
24T2970 - p.pdf
Abstract:
اجريت الدراسة الحالية في محافظة النجف في الفترة الممتدة مابين شباط 2012 لغاية تشرين الثاني 2013 في العيادة الاستشارية للجلدية في مدينة الصدر الطبية وكليتي العلوم والتربية للبنات في جامعة الكوفة. كان عدد المصابين بالجرب الذين ارتادوا العيادة الاستشارية لل | The present study was carried out in Najaf governorate, during the period from February 2012 till November 2013 in Dermatology Outpatient Clinic in Al - Sader Medical City, College of Science and College of Education for Girls in Kufa University. The number of scabietic patients who attended the outpatient clinic during February to November 2012 were 300 (168 males and 132 females). Their ages ranged from 10 to 65 years. They were included to show the prevalence of scabies. Sixty scabietic patients (out of 300 patients) who did not have allergic diseases, helminthic infections, previous attack with scabies, and/or getting any antihistamines drugs were included for human IL - 1?, TNF - ?, IL - 4, IL - 5 and total IgE assays using ELISA technique; superoxide dismutase (SOD) activity assay and eosinophils(%). These assays were applied on scabietic patients (who were divided according to onset of symptoms or duration of scabies symptoms into early and late scabietic patients) as well as healthy controls.Also Sarcoptes scabiei mite proteins were extracted. Then heat stable mite proteins concentration was determined by Bradford’s method. SDS - Polyacrylamide Gel Electrophoresis (SDS - PAGE) analysis was used. The activity of mite allergens was assayed by skin prick test (SPT) in 10 scabietic patients and 5 controls with 1.2 ?g/ml and 2.4 ?g/ml. House dust mite (HDM) antigens were skin prick tested in patients with scabies and controls.The prevalence of scabies in current study constituted 6.54% from all the dermatoses which attended the clinic. The males represented 56% and females were 44%. The age group (10 - 19) years was the highest prevalence of scabies (41.7%). Early scabietic patients represented 72% versus late scabietic patients were 28%. The results revealed that a highly significant elevation (p< 0.001) in serum cytokines (IL - 1?, TNF - ?, IL - 4 and IL - 5) as well as IgE, SOD and eosinophils (%) in the two groups of scabietic patients in comparison to the controls.Results of correlation demonstrated that IgE, SOD and eosinophils (%) were positively and significantly correlated (p< 0.001) with the studied cytokines in early, late scabietic and control groups. IgE was positively correlated with IL - 1?, TNF - ?, IL - 4 and IL - 5 in early scabietic patients, whereas, it had negative correlation with IL - 1?, TNF - ?, and positive correlation with IL - 4 and IL - 5 in late ones. SOD showed negative correlation with IL - 1? and TNF - ?, and positive correlation appeared with IL - 4 and IL - 5 in both scabietic patients. Eosinophils (%) were positively correlated with all the studied cytokines in two groups of scabietic patients.The results also revealed that SDS - PAGE profile of the parasite heat stable proteins consisted of protein bands with molecular weights ranged from less than 10 to over than 100 kDa. Skin test demonstrated that (7/10, 70%) and (8/10, 80%) of scabietic patients had a positivity against 1.2 ?g/ml and 2.4 ?g/ml of sarcoptic mite extracts, respectively when prick tested. HDM extract was found to be positive in (4/10, 40%) of scabietic patients; while controls revealed negative result.It can be concluded that scabies affect TH1 and TH2 immune response as well as SOD activity and eosinophils. Sarcoptic proteins contain heat stable allergens which able to cause immediate type - 1 hypersensitivity when 1.2?g/ml of mite protein is skin prick tested, and there is a cross reactivity between Sarcoptes scabiei and HDM allergens
