Abstract
Entamoeba histolytica is an enteric protozoan parasite that infects up to 10% of the world’s population resulting in 100,000 deaths per year from amebic colitis and liver abscess.(1) The parasite’s distribution is worldwide. Humans are infected by two morphologically identical species of amoebae: Entamoeba histolytica Schaudinn, 1903, which is pathogenic and is capable of causing invasive amebiasis (but remains as a harmless commensal in the majority of infections), and Entamoeba dispar Brumpt, 1925, which is not pathogenic. Biochemical, immunological, genetic, and clinical characteristics support the existence of the two different and well-defined species.(2) This important finding has clarified the long-standing issue of interconverting amoebae and has explained the low percentage of individuals with clinical symptoms.
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References
Walsh, J. A., 1986, Problems in recognition and diagnosis of amebiasis: Estimation of the global magnitude of morbidity and mortality, Rev. Infect. Dis. 8:228–238.
Diamond, L. S., and Clark, C. G., 1993, A redescription of Entamoeba histolytica Schaudinn, 1903 (Emended Walker, 1911) separating it from Entamoeba dispar Brump, 1925, J. Eukaryotic Microbiol. 40:340–344.
Martinez-Palomo, A., 1988, Biology of amebiasis: Progress and perspectives, in: The Biology of Parasitism (P. T. Englund and A. Sher, eds.), Liss, New York, pp. 61–76.
Bakker-Grunwald, T., and Wöstmann, C., 1993, Entamoeba histolytica as a model for the primitive eukaryotic cell, Parasitol. Today 9:27–31.
Ravdin, J. I., 1988, Pathogenesis of amebiasis: An overview, in: Amebiasis: Human Infection by Entamoeba histolytica (J. I. Ravdin, ed.), Wiley, New York, pp. 166–176.
Prathap, K., and Gilman, R., 1970, The histopathology of acute intestinal amebiasis, Am. J. Pathol. 60:229–245.
Chadee, K., and Meerovitch, E., 1985, Entamoeba histolytica: Early progressive pathology in the cecum of the gerbil (Meriones unguiculatus), Am. J. Trop. Med. Hyg. 34:283–291.
Chadee, K., and Meerovitch, E., 1985, The pathology of experimentally-induced cecal amebiasis in gerbils, Am. J. Pathol. 119:485–494.
Tannich, E., Ebert, F., and Horstmann, R. D., 1991, Primary structure of the 170 kDa surface lectin of pathogenic Entamoeba histolytica, Proc. Natl. Acad. Sci. USA 88:1849–1853.
Mann, B. J., Torian, B. E., Vedvick, T. S., and Petri, W. A., 1991, Sequence of a cysteine-rich galactose-specific lectin of Entamoeba histolytica, Proc. Natl. Acad. Sci. USA 88:3248–3252.
Chadee, K., Petri, W. A., Innés, D.J., and Ravdin, J. I., 1987, Rat and human colonic mucins bind to and inhibit adherence lectin of Entamoeba histolytica, J. Clin. Invest. 80:1245–1254.
Meza, L., Cázares, F., Rosales-Encina, J. L., Talamás-Rohana, P., and Rojkind, M., 1987, Use of antibodies to characterize a 220-kilodalton surface protein from Entamoeba histolytica, J. Infect. Dis. 156:798–805.
Arroyo, R., and Orozco, E., 1987, Localization and identification of an Entamoeba histolytica adhesin, Mol. Biochem. Parasitol. 23:151–158.
Talamás-Rohana, P., and Meza, I., 1988, Interaction between pathogenic amebas and fibronectin: Substrate degradation and changes in cytoskeleton organization, J. Cell Biol. 106:1787–1794.
Stanley, S. L., Becker, A., Kunz-Jenkins, C., Foster, L., and Li, E., 1990, Cloning and expression of a membrane antigen of Entamoeba histolytica possessing multiple tandem repeats, Proc. Natl. Acad. Sci. USA 87:4976–4980.
Stanley, S. L., Huizenga, H., and Li, E., 1992, Isolation and partial characterization of a surface glycoconjugate of Entamoeba histolytica, Mol. Biochem. Parasitol. 50:127–138.
Bhattacharya, A., Prasad, R., and Sacks, D. L., 1992, Identification and partial characterization of a lipophosphoglycan from a pathogenic strain of Entamoeba histolytica, Mol. Biochem. Parasitol. 56:161–178.
Ravdin, J. I., and Guerrant, R. L., 1981, Role of adherence in cytopathogenic mechanisms of Entamoeba histolytica. Study with mammalian tissue culture cells and human erythrocytes, J. Clin. Invest. 68:1305–1313.
Tse, S.-K., and Chadee, K., 1991, The interaction between intestinal mucus glycoproteins and enteric infections, Parasitol Today 7:163–172.
Petri, W. A., Chapman, M. D., Snodgrass, T., Mann, B. J., Broman, J., and Ravdin, J. I., 1989, Subunit structure of the galactose and N-acetyl-D-galactosamine-inhibitable adherence lectin of Entamoeba histolytica, J. Biol Chem. 264:3007–3012.
Mann, B. J., Chung, C. Y., Dodson, J. M., Ashley, L. S., Braga, L. L., and Snodgrass, T. L., 1993, Neutralizing monoclonal antibody epitopes of the Entamoeba histolytica galactose adhesion map to the cysteine-rich extracellular domain of the 170-kilodalton subunit, Infect. Immun. 61:1772–1778.
McKerrow, J. H., Sun, E., Rosenthal, P. J., and Bouvier, J., 1993, The proteases and pathogenicity of parasitic protozoa, Annu. Rev. Microbiol. 47:821–853.
Lynch, E. C., Rosenberg, I. M., and Gitler, C., 1982, An ion-channel forming protein produced by Entamoeba histolytica, EMBOJ. 1:801–804.
Young, J. D., Young, T. M., Lu, L. P., Unkeless, J. C., and Cohn, Z. A., 1982, Characterization of a membrane pore-forming protein from Entamoeba histolytica, J. Exp. Med. 156:1677–1690.
McGowan, K., Kane, A., Asarkof, N., Wicks, J., Guerina, V., Kellum, J., Baron, S., Gintzler, A. R., and Donowitz, M., 1983, Entamoeba histolytica causes intestinal secretion: Role of serotonin, Science 221:762–764.
McGowan, K., and Donowitz, M., 1988, Secretagogues of Entamoeba histolytica: Role of diarrhea, in: Amebiasis: Human Infection by Entamoeba histolytica (J. I. Ravdin, ed.), Wiley, New York, pp. 283–296.
Said-Fernandez, S., and Löpez-Revilla, R., 1988, Free fatty acids released from phospho-lipids are the major heat-stable hemolytic factor of E. histolytica trophozoites, Infect. Immun. 56:874–879.
Belley, A., and Chadee, K., 1995, Eicosanoid production by parasites: From pathogenesis to immunomodulation, Parasitol. Today 11:327–334.
Chadee, K., Keller, K., Forstner, J., Innes, D. J., and Ravdin, J. I., 1991, Mucin and non-mucin secretagogue activity of Entamoeba histolytica and cholera toxin in rat colon, Gastroenterology 100:986–997.
Petri, W. A., and Ravdin, J. I., 1988, In vitro models of amebic pathogenesis, in: Amebiasis: Human Infection by Entamoeba histolytica (J. I. Ravdin, ed.), Wiley, New York, pp. 191–204.
Weikel, C. S., Murphy, C. F., Orozco, E., and Ravdin, J. I., 1988, Phorbol esters specifically enhance cytolytic activity of Entamoeba histolytica, Infect. Immun. 56:1485–1491.
Ravdin, J. I., Schlesinger, P. H., Murphy, C. F., Gluzman, I. Y., and Krogstad, D. J., 1986, Acid intracellular vesicles and the cytolysis of mammalian target cells by Entamoeba histolytica trophozoites, J. Protozool. 33:478–486.
Ravdin, J. I., Murphy, C. E., and Schlesinger, P. H., 1988, The effect of increased vesicle pH on the cytopathogenicity of Entamoeba histolytica, J. Protozool. 35:159–163.
Rosenberg, I., Bach, D., Loew, L. M., and Gitler, C., 1989, Isolation, characterization and partial purification of a transferable membrane channel (amebapore) produced by Entamoeba histolytica, Mol. Biochem. Parasitol. 33:237–248.
Leippe, M., Ebel, S., Schoenberger, O. L., Horstmann, R. D., and Müller-Eberhard, H. J., 1991, Pore-forming peptide of pathogenic Entamoeba histolytica, Proc. Natl. Acad. Sci. USA 88:7659–7663.
Leippe, M., Tannich, E., Nickel, R., van der Goot, G., Pattus, F., Horstmann, R. D., and Müller-Eberhard, H. J., 1992, Primary and secondary structure of the pore-forming peptide of pathogenic Entamoeba histolytica, EMBO J. 11:3501–3506.
Long-Krug, S. A., Fischer, K.J., Hysmith, R. M., and Ravdin, J. I., 1985, Phospholipase A enzymes of E. histolytica: Description and subcellular localization, J. Infect. Dis. 152:536–541.
Ravdin, J. I., Murphy, C. E., Guerrant, R. L., and Long-Krug, S. A., 1985, Effect of antagonists of calcium and phospholipase A on the cytopathogenicity of E. histolytica, J. Infect. Dis. 152: 542–549.
Keene, W. E., Petit, M. G., Allen, S., and McKerrow, J. H., 1986, The major neutral proteinase of Entamoeba histolytica, J. Exp. Med. 163:536–549.
McLaughlin, J., and Faubert, G., 1976, Partial purification and some properties of a neutral sulfhydryl and an acid proteinase from Entamoeba histolytica, Can. J. Microbiol 23:420–425.
Munoz, M. L., Calderon, J., and Rojkind, M., 1982, The collagenase of Entamoeba histolytica, J. Exp. Med. 155:42–51.
Scholze, H., and Werries, E., 1984, A weakly acid protease has a powerful proteolytic activity in Entamoeba histolytica, Mol. Biochem. Parasitol. 11:293–300.
Avila, E. E., and Calderón, J., 1993, Entamoeba histolytica: A surface-associated cysteine protease, Exp. Parasitol 76:232–241.
Keene, W. E., Hidalgo, M. E., Orozco, E., and McKerrow, J. H., 1990, Correlation of the cytopathic effect of virulent trophozoites with secretion of a cysteine proteinase, Exp. Parasitol. 71:199–206.
Chadee, K., and Meerovitch, E., 1984, The pathogenesis of experimentally-induced amebic liver abscess in the gerbil (Meriones unguiculatus), Am. J. Pathol. 117:71–80.
Tsutsumi, V., Mena-López, R., Anaya-Velázquez, F., and Martínez-Palomo, A., 1984, Cellular bases of experimental liver abscess formation, Am. J. Pathol. 117:81–91.
Chadee, K., Moreau, F., and Meerovitch, E., 1987, Entamoeba histolytica: Chemoattractant activity for gerbil neutrophils in vivo and in vitro, Exp. Parasitol. 64:12–23.
Salata, R. A., and Ravdin, J. I., 1986, The interaction of human neutrophils and Entamoeba histolytica increases cytopathogenicity for liver cell monolayers, J. Infect. Dis. 154:19–26.
Meerovitch, E., and Chadee, K., 1988, In vivo models of immunity of amebiasis, in: Amebiasis: Human Infection by Entamoeba histolytica (J. I. Ravdin, ed.), Wiley, New York, pp. 425–437.
Trissl, D., 1982, Immunology of Entamoeba histolytica in humans and animal hosts, Rev. Infect. Dis. 4:1154–1184.
Joyce, M. P., and Ravdin, J. I., 1988, Antigens of Entamoeba histolytica recognized by immune sera from liver abscess patients, Am. J. Trop. Med. Hyg. 38:74–80.
Schulz, T. F., Kollaritsch, H., Hengster, P., Stemberger, H., Scheiner, O., Wiedemann, G., and Dierich, M. P., 1987, Molecular weight analysis of Entamoeba histolytica antigens recognized by IgG and IgM antibodies in the sera of patients with amebiasis, Trop. Med. Parasitol. 38:149–152.
Shaalan, M., and Baker, R. P., 1970, Detection of coproantibodies in amebiasis of the colon: A preliminary report, Am. J. Clin. Pathol. 54:615–617.
Mahajan, R. C., Agarwal, S. C., Chhuttani, P. N., and Chitkara, N. L., 1972, Coproantibodies in intestinal amebiasis, Indian J. Med. Res. 60:547–550.
Petri, W. A., Jr., Joyce, M. P., Broman, J., Smith, R. D., Murphy, C. E., and Ravdin, J. I., 1987, Recognition of the galactose-or N-acetylgalactosamine-binding lectin of Entamoeba histolytica by human immune sera, Infect. Immun. 55:2327–2331.
Abd-Alla, M. D., El-Hawey, A. M., and Ravdin, J. I., 1992, Use of an enzyme-linked immuno-sorbent assay to detect anti-adherence protein antibodies in sera of patients with invasive amebiasis in Cairo, Egypt, Am. J. Trop. Med. Hyg. 47:800–804.
Carrero, J. C., Díaz, M. Y., Viveros, M., Espinoza, B., Acosta, E., and Ortiz-Ortiz, L., 1994, Human secretory immunoglobulin A anti-Entamoeba histolytica antibodies inhibit adherence of amebae to MDCK cells, Infect. Immun. 62:764–767.
Petri, W. A., and Ravdin, J. I., 1991, Protection of gerbils from amebic liver abscess by immunization with the galactose-specific adherence lectin of Entamoeba histolytica, Infect. Immun. 59:97–101.
Zhang, T., and Stanley, S. L., 1994, Protection of gerbils from amebic liver abscess by immunization with a recombinant protein derived from the 170-kilodalton surface adhesin of Entamoeba histolytica, Infect. Immun. 62:2605–2608.
Zhang, T., Cieslak, P. R., and Stanley, S. L., 1994, Protection of gerbils from amebic liver abscess by immunization with a recombinant Entamoeba histolytica antigen, Infect. Immun. 62:1166–1170.
Zhang, T., Cieslak, P. R., Foster, L., Kunz-Jenkins, C., and Stanley, S. L., 1994, Antibodies to the serine rich Entamoeba histolytica protein (SREHP) prevent amoebic liver abscess formation in severe combined immunodeficient (SCID) mice, Parasite Immunol. 16:225–230.
Calderon, J., Munoz, M. L., and Acosta, H. M., 1980, Surface redistribution and release of antibody induced caps in Entamoeba, J. Exp. Med. 151:184–193.
Reed, S. L., Sargeaunt, P. G., and Braude, A. I., 1983, Resistance to lysis by human serum of pathogenic Entamoeba histolytica, Trans. R. Soc. Trop. Med. Hyg. 77:248–253.
Calderón, J., and Schreiber, R. D., 1985, Activation of the alternative and classical complement pathways by Entamoeba histolytica, Infect. Immun. 50:560–565.
Braga, L. L., Ninomiya, H., McCoy, J. J., Eacker, S., Wiedmer, T., Pham, C., Wood, S., Sims, P. J., and Pétri, W. A., 1992, Inhibition of the complement membrane attack complex by the galactose-specific adhesin of Entamoeba histolytica, J. Clin. Invest. 90:1131–1137.
Denis, M., and Chadee, K., 1989, Human neutrophils activated by interferon-7 and tumor necrosis factor-α kill Entamoeba histolytica trophozoites in vitro, J. Leuk. Biol. 46:270–274.
Salata, R. A., Cox, J. G., and Ravdin, J. I., 1987, The interaction of human T-lymphocytes and Entamoeba histolytica: Killing of virulent amoebae by lectin-dependent lymphocytes, Parasite Immunol. 9:249–261.
Salata, R. A., Martínez-Palomo, A., Murray, H. W., Canales, L., Trevino, N., Segovia, E., Murphy, C. E., and Ravdin, J. I., 1986, Patients treated for amebic liver abscess develop cell-mediated immune response effective in vitro against Entamoeba histolytica, J. Immunol. 136:2633–2639.
Schain, D. C., Salata, R. A., and Ravdin, J. I., 1992, Human T-lymphocyte proliferation, lymphokine production and amebicidal activity elicited by the galactose-inhibitable adherence protein of Entamoeba histolytica, Infect. Immun. 60:2143–2146.
Chadee, K., Meerovitch, E., and Moreau, F., 1985, In vitro and in vivo interaction between trophozoites of Entamoeba histolytica and gerbil lymphoid cells, Infect. Immun. 49: 828–832.
Chadee, K., Denis, M., and Keller, K., 1991, Down-regulation of murine lymphocytes responsiveness to mitogens after treatments with antigens of Entamoeba histolytica, Parasitol. Res. 77:572–576.
Salata, R. A., Martinez-Palomo, A., Canales, L., Murray, H. W., Trevino, N., and Ravdin, J. I., 1990, Suppression of T-lymphocyte responses to Entamoeba histolytica antigen by immune sera, Infect. Immun. 58:3941–3946.
Denis, M., and Chadee, K., 1989, Cytokine activation of murine macrophages for in vitro killing of Entamoeba histolytica trophozoites, Infect. Immun. 57:1750–1756.
Salata, R. A., Murray, H. W., Rubin, B. Y., and Ravdin J. I., 1987, The role of gamma inter-feron in the generation of human macrophages cytotoxic for Entamoeba histolytica trophozoites, Am. J. Trop. Med. Hyg. 37:72–78.
Murray, H. W., Aley, S. B., and Scott, W. A., 1981, Susceptibility of Entamoeba histolytica to oxygen intermediates, Mol. Biochem. Parasitol. 3:381–391.
Lin, J. L., and Chadee, K., 1992, Macrophage cytotoxicity against Entamoeba histolytica trophozoites is mediated by nitric oxide from L-arginine, J. Immunol. 148:3999–4005.
Lin, J.-Y., Seguin, R., Keller, K., and Chadee, K., 1994, Tumor necrosis factor alpha augments nitric oxide-dependent macrophage cytotoxicity against Entamoeba histolytica by enhanced expression of the nitric oxide synthase gene, Infect. Immun. 62:1534–1541.
Diamanstein, T., Klos, M., Gold, D., and Hahn, H., 1981, Interaction between Entamoeba histolytica and the immune system. I. Mitogenicity of Entamoeba histolytica extracts for human peripheral T lymphocytes, J. Immunol. 126:2084–2086.
Diamanstein, T., Trissl, D., Klos, M., Gold, D., and Hahn, H., 1980, Mitogenicity of Entamoeba histolytica extracts for murine lymphocytes, Immunology 41:347–352.
Denis, M., and Chadee, K., 1988, In vitro and in vivo studies of macrophage functions in amebiasis Infect. Immun. 56:3126–3131.
Wang, W., Keller, K., and Chadee, K., 1994, Entamoeba histolytica modulates the nitric oxide synthase gene and nitric oxide production by macrophages for cytotoxicity against amoebae and tumor cells, Immunology 83:601–610.
Wang, W., Keller, K., and Chadee, K., 1992, Modulation of tumor necrosis factor production by macrophages in Entamoeba histolytica infection, Infect. Immun. 60:3169–3174.
Wang, W., and Chadee, K., 1992, Entamoeba histolytica alters arachidonic acid metabolism in macrophages in vitro and in vivo, Immunology 76:242–250.
Wang, W., and Chadee, K., 1995, Entamoeba histolytica suppresses gamma interferon-induced macrophage class II major histocompatibility complex Ia molecule and I-Aβ mRNA expression by a prostaglandin E2-dependent mechanism, Infect. Immun. 63:1089–1094.
Lin, J.-Y., Keller, K., and Chadee, K., 1993, Entamoeba histolytica proteins modulate the respiratory burst potential by murine macrophages, Immunology 78:291–297.
Seguin, R., and Chadee, K., 1992, Entamoeba histolytica modulates TNF-α, IL-lα/β and c-fos gene expression in macrophages, Arch. Med. Res. 23:147–149.
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Arias-Negrete, S., Chadee, K. (1996). Immunopathogenesis of Entamoeba histolytica . In: Paradise, L.J., Bendinelli, M., Friedman, H. (eds) Enteric Infections and Immunity. Infectious Agents and Pathogenesis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0313-6_11
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