Detection of Blastocystis species in immunocompromised patients (cancer, diabetes mellitus, and chronic renal diseases) by restriction fragment length polymorphism (RFLP)

Abstract Background Blastocystis spp. is an anaerobic protozoan intestinal parasite, it comprises multiple subtypes (STs), with ST1 to ST9 being isolated from humans worldwide. Using polymerase chain reaction-restriction fragment length polymorphism (PCR–RFLP), these subtypes are classified into fou...

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Main Authors: Manal Z. M. Abdellatif, Ekhlas H. Abdel-Hafeez, Usama S. Belal, Noha H. Abdelgelil, Heba Marey, Manar M. S. A. Nasr, Mohamed Mahmoud Abdel-Fatah
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Language:English
Published: SpringerOpen 2025-04-01
Series:Beni-Suef University Journal of Basic and Applied Sciences
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Online Access:https://doi.org/10.1186/s43088-025-00631-z
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author Manal Z. M. Abdellatif
Ekhlas H. Abdel-Hafeez
Usama S. Belal
Noha H. Abdelgelil
Heba Marey
Manar M. S. A. Nasr
Mohamed Mahmoud Abdel-Fatah
author_facet Manal Z. M. Abdellatif
Ekhlas H. Abdel-Hafeez
Usama S. Belal
Noha H. Abdelgelil
Heba Marey
Manar M. S. A. Nasr
Mohamed Mahmoud Abdel-Fatah
author_sort Manal Z. M. Abdellatif
collection DOAJ
description Abstract Background Blastocystis spp. is an anaerobic protozoan intestinal parasite, it comprises multiple subtypes (STs), with ST1 to ST9 being isolated from humans worldwide. Using polymerase chain reaction-restriction fragment length polymorphism (PCR–RFLP), these subtypes are classified into four groups (A to D). This study aimed to detect Blastocystis spp. groups in immunocompromised patients and evaluate their correlation with clinical presentations. Materials and methods A cross-sectional study was conducted on 150 immunocompromised patients and 50 immunocompetent individuals. All subjects were evaluated for socio-demographic data, clinical features, and parasitic infections. RFLP analysis of the SSU rRNA gene was performed for Blastocystis spp. grouping. Results Among 150 immunocompromised patients, Blastocystis spp. was detected in 83.3% by direct wet mount and 94.7% by PCR, showing significant difference (P = 0.003) compared to immunocompetent individuals (40% and 50%, respectively). Of the PCR-positive immunocompromised patients, 86.7% were symptomatic, with diarrhea being the most common symptom (66%). In immunocompromised patients, group B of Blastocystis spp. subtypes (ST3, ST4, and ST8) dominated (86.7%). On the other hand, just 12% of immunocompetent people had symptoms, with group A subtypes (ST1 and ST2) accounting for 38% of the study cases. Conclusion Blastocystis spp. group B (ST3, ST4, and ST8) showed higher prevalence than group A (ST1 and ST2) in immunocompromised patients, with diarrhea being the most common clinical manifestation.
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spelling doaj-art-074d7f4c014e4e098231393eba5156572025-08-20T02:11:23ZengSpringerOpenBeni-Suef University Journal of Basic and Applied Sciences2314-85432025-04-011411810.1186/s43088-025-00631-zDetection of Blastocystis species in immunocompromised patients (cancer, diabetes mellitus, and chronic renal diseases) by restriction fragment length polymorphism (RFLP)Manal Z. M. Abdellatif0Ekhlas H. Abdel-Hafeez1Usama S. Belal2Noha H. Abdelgelil3Heba Marey4Manar M. S. A. Nasr5Mohamed Mahmoud Abdel-Fatah6Minia UniversityMinia UniversityMinia UniversityMinia UniversityMinia UniversityMinia UniversityMinia UniversityAbstract Background Blastocystis spp. is an anaerobic protozoan intestinal parasite, it comprises multiple subtypes (STs), with ST1 to ST9 being isolated from humans worldwide. Using polymerase chain reaction-restriction fragment length polymorphism (PCR–RFLP), these subtypes are classified into four groups (A to D). This study aimed to detect Blastocystis spp. groups in immunocompromised patients and evaluate their correlation with clinical presentations. Materials and methods A cross-sectional study was conducted on 150 immunocompromised patients and 50 immunocompetent individuals. All subjects were evaluated for socio-demographic data, clinical features, and parasitic infections. RFLP analysis of the SSU rRNA gene was performed for Blastocystis spp. grouping. Results Among 150 immunocompromised patients, Blastocystis spp. was detected in 83.3% by direct wet mount and 94.7% by PCR, showing significant difference (P = 0.003) compared to immunocompetent individuals (40% and 50%, respectively). Of the PCR-positive immunocompromised patients, 86.7% were symptomatic, with diarrhea being the most common symptom (66%). In immunocompromised patients, group B of Blastocystis spp. subtypes (ST3, ST4, and ST8) dominated (86.7%). On the other hand, just 12% of immunocompetent people had symptoms, with group A subtypes (ST1 and ST2) accounting for 38% of the study cases. Conclusion Blastocystis spp. group B (ST3, ST4, and ST8) showed higher prevalence than group A (ST1 and ST2) in immunocompromised patients, with diarrhea being the most common clinical manifestation.https://doi.org/10.1186/s43088-025-00631-zBlastocystis spp.GroupingImmuno-compromisedPCR–RFLP
spellingShingle Manal Z. M. Abdellatif
Ekhlas H. Abdel-Hafeez
Usama S. Belal
Noha H. Abdelgelil
Heba Marey
Manar M. S. A. Nasr
Mohamed Mahmoud Abdel-Fatah
Detection of Blastocystis species in immunocompromised patients (cancer, diabetes mellitus, and chronic renal diseases) by restriction fragment length polymorphism (RFLP)
Beni-Suef University Journal of Basic and Applied Sciences
Blastocystis spp.
Grouping
Immuno-compromised
PCR–RFLP
title Detection of Blastocystis species in immunocompromised patients (cancer, diabetes mellitus, and chronic renal diseases) by restriction fragment length polymorphism (RFLP)
title_full Detection of Blastocystis species in immunocompromised patients (cancer, diabetes mellitus, and chronic renal diseases) by restriction fragment length polymorphism (RFLP)
title_fullStr Detection of Blastocystis species in immunocompromised patients (cancer, diabetes mellitus, and chronic renal diseases) by restriction fragment length polymorphism (RFLP)
title_full_unstemmed Detection of Blastocystis species in immunocompromised patients (cancer, diabetes mellitus, and chronic renal diseases) by restriction fragment length polymorphism (RFLP)
title_short Detection of Blastocystis species in immunocompromised patients (cancer, diabetes mellitus, and chronic renal diseases) by restriction fragment length polymorphism (RFLP)
title_sort detection of blastocystis species in immunocompromised patients cancer diabetes mellitus and chronic renal diseases by restriction fragment length polymorphism rflp
topic Blastocystis spp.
Grouping
Immuno-compromised
PCR–RFLP
url https://doi.org/10.1186/s43088-025-00631-z
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