<i>Dientamoeba fragilis</i> in Ulcerative Colitis: Analysis of Clinical Findings and Biochemical Parameters

Although <i>Dientamoeba fragilis</i> is a common protozoan in humans, its pathogenicity and clinical significance in human diseases remain poorly understood. This study aimed to determine the frequency of <i>D. fragilis</i> in adult ulcerative colitis patients and to assess i...

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Main Authors: Ismail Taskiran, Erdogan Malatyali, Ibrahim Yildiz, Levent Durmus Guler, Evren Tileklioglu, Hatice Ertabaklar, Sema Ertug
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Pathogens
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Online Access:https://www.mdpi.com/2076-0817/14/7/674
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author Ismail Taskiran
Erdogan Malatyali
Ibrahim Yildiz
Levent Durmus Guler
Evren Tileklioglu
Hatice Ertabaklar
Sema Ertug
author_facet Ismail Taskiran
Erdogan Malatyali
Ibrahim Yildiz
Levent Durmus Guler
Evren Tileklioglu
Hatice Ertabaklar
Sema Ertug
author_sort Ismail Taskiran
collection DOAJ
description Although <i>Dientamoeba fragilis</i> is a common protozoan in humans, its pathogenicity and clinical significance in human diseases remain poorly understood. This study aimed to determine the frequency of <i>D. fragilis</i> in adult ulcerative colitis patients and to assess its relationship with clinical findings, disease characteristics, and biochemical parameters. Patient data were analysed in a prospective, single-centre, cross-sectional design. Faecal samples were consecutively collected from June to December 2024 and screened for <i>D. fragilis</i> positivity using polymerase chain reaction. Of the 110 patients, 33 (30%) were in the active stage of the disease, while 77 (70%) were in remission. The overall frequency of <i>D. fragilis</i> was 10.9% (<i>n</i> = 12), with all isolates classified as genotype 1 according to SSU rRNA sequence analysis. Other protozoa identified were <i>Blastocystis</i> sp. (<i>n</i> = 5, 4.5%), <i>Entamoeba coli</i> (<i>n</i> = 1, 0.9%), and <i>Iodamoeba bütschlii</i> (<i>n</i> = 1, 0.9%). Two patients were co-infected with <i>D. fragilis</i> and <i>Blastocystis</i>. No significant associations were found between <i>D. fragilis</i> positivity and the disease stage, gastrointestinal symptoms, treatment response, or biochemical findings. In conclusion, despite the relatively small sample size, these findings highlight a limited clinical role of <i>D. fragilis</i> in adult ulcerative colitis patients.
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spelling doaj-art-a1cde681ac924d49805d549e9c66f9c22025-08-20T03:56:45ZengMDPI AGPathogens2076-08172025-07-0114767410.3390/pathogens14070674<i>Dientamoeba fragilis</i> in Ulcerative Colitis: Analysis of Clinical Findings and Biochemical ParametersIsmail Taskiran0Erdogan Malatyali1Ibrahim Yildiz2Levent Durmus Guler3Evren Tileklioglu4Hatice Ertabaklar5Sema Ertug6Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, Aydin Adnan Menderes University, 09010 Aydin, TurkeyDepartment of Parasitology, Faculty of Medicine, Aydin Adnan Menderes University, 09010 Aydin, TurkeyDepartment of Parasitology, Faculty of Medicine, Aydin Adnan Menderes University, 09010 Aydin, TurkeyDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, Aydin Adnan Menderes University, 09010 Aydin, TurkeyDepartment of Parasitology, Faculty of Medicine, Aydin Adnan Menderes University, 09010 Aydin, TurkeyDepartment of Parasitology, Faculty of Medicine, Aydin Adnan Menderes University, 09010 Aydin, TurkeyDepartment of Parasitology, Faculty of Medicine, Aydin Adnan Menderes University, 09010 Aydin, TurkeyAlthough <i>Dientamoeba fragilis</i> is a common protozoan in humans, its pathogenicity and clinical significance in human diseases remain poorly understood. This study aimed to determine the frequency of <i>D. fragilis</i> in adult ulcerative colitis patients and to assess its relationship with clinical findings, disease characteristics, and biochemical parameters. Patient data were analysed in a prospective, single-centre, cross-sectional design. Faecal samples were consecutively collected from June to December 2024 and screened for <i>D. fragilis</i> positivity using polymerase chain reaction. Of the 110 patients, 33 (30%) were in the active stage of the disease, while 77 (70%) were in remission. The overall frequency of <i>D. fragilis</i> was 10.9% (<i>n</i> = 12), with all isolates classified as genotype 1 according to SSU rRNA sequence analysis. Other protozoa identified were <i>Blastocystis</i> sp. (<i>n</i> = 5, 4.5%), <i>Entamoeba coli</i> (<i>n</i> = 1, 0.9%), and <i>Iodamoeba bütschlii</i> (<i>n</i> = 1, 0.9%). Two patients were co-infected with <i>D. fragilis</i> and <i>Blastocystis</i>. No significant associations were found between <i>D. fragilis</i> positivity and the disease stage, gastrointestinal symptoms, treatment response, or biochemical findings. In conclusion, despite the relatively small sample size, these findings highlight a limited clinical role of <i>D. fragilis</i> in adult ulcerative colitis patients.https://www.mdpi.com/2076-0817/14/7/674<i>Dientamoeba fragilis</i>ulcerative colitisfrequencypolymerase chain reactiongenotypebiochemical parameters
spellingShingle Ismail Taskiran
Erdogan Malatyali
Ibrahim Yildiz
Levent Durmus Guler
Evren Tileklioglu
Hatice Ertabaklar
Sema Ertug
<i>Dientamoeba fragilis</i> in Ulcerative Colitis: Analysis of Clinical Findings and Biochemical Parameters
Pathogens
<i>Dientamoeba fragilis</i>
ulcerative colitis
frequency
polymerase chain reaction
genotype
biochemical parameters
title <i>Dientamoeba fragilis</i> in Ulcerative Colitis: Analysis of Clinical Findings and Biochemical Parameters
title_full <i>Dientamoeba fragilis</i> in Ulcerative Colitis: Analysis of Clinical Findings and Biochemical Parameters
title_fullStr <i>Dientamoeba fragilis</i> in Ulcerative Colitis: Analysis of Clinical Findings and Biochemical Parameters
title_full_unstemmed <i>Dientamoeba fragilis</i> in Ulcerative Colitis: Analysis of Clinical Findings and Biochemical Parameters
title_short <i>Dientamoeba fragilis</i> in Ulcerative Colitis: Analysis of Clinical Findings and Biochemical Parameters
title_sort i dientamoeba fragilis i in ulcerative colitis analysis of clinical findings and biochemical parameters
topic <i>Dientamoeba fragilis</i>
ulcerative colitis
frequency
polymerase chain reaction
genotype
biochemical parameters
url https://www.mdpi.com/2076-0817/14/7/674
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