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Neurohumoral alterations and their role in amoebiasis

机译:神经体液改变及其在阿米巴病中的作用

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Amoebiasis is world wide in distribution and continues to be an important Public health problem. Intestinal amoebiasis may be present as dysentery, diarrhea or may stimulate other intra abdominal conditions. Clinical symptoms may not be seen in majority of patients, while amebic cysts are passed in the stool. This single-celled parasite is transmitted to humans via contaminated water and food. Amoebic dysentery can be accompanied by amebic infection of the liver and other organs. The present study was carried out to evaluate the changes in the circulating levels of neurohumors, their metabolizing enzymes and cortisol in these patients both before and after one month of chemotherapy. In the patients of amoebiasis the circulating acetylcholine (ACh), histamine, histaminase, cortisol, 5-Hydroxy tryptamine (serotonin) levels were significnatly enhanced with no change in the Dopamine-beta-hydroxylase (DBH) activity, while the activities of erythrocyte aceytylcholinesterase (AChE) and plasma Monoamine oxidase (MAO) were found decreased in comparison to normal healthy controls. After one month of treatment all the parameters reverted towards their control values, while the level of plasma histaminase remained still significantly high. The normal DBH activity reflects that there is no alteration in the circulating catecholamine levels. while the alteration in the levels of histamine, serotonin and cortisol may be due to the nonspecific response of the body to the stress of the disease and the parasitic infestation.
机译:阿米巴病在世界范围内分布,并且仍然是重要的公共卫生问题。肠阿米巴病可能以痢疾,腹泻或可能刺激其他腹腔内疾病的形式出现。大多数患者可能看不到临床症状,而阿米巴囊肿则在粪便中通过。这种单细胞寄生虫通过被污染的水和食物传播给人类。阿米巴痢疾可伴有肝脏和其他器官的阿米巴感染。本研究旨在评估化疗一个月前后的这些患者的神经体液循环水平,其代谢酶和皮质醇的变化。在阿米巴病患者中,循环乙酰胆碱(ACh),组胺,组胺酶,皮质醇,5-羟色胺(5-羟色胺)水平显着提高,而多巴胺-β-羟化酶(DBH)活性没有变化,而红细胞乙酰胆碱酯酶的活性(AChE)和血浆单胺氧化酶(MAO)与正常健康对照组相比有所降低。治疗一个月后,所有参数均恢复为对照值,而血浆组胺酶水平仍显着较高。正常的DBH活性反映循环儿茶酚胺水平没有改变。而组胺,5-羟色胺和皮质醇水平的变化可能是由于人体对疾病压力和寄生虫侵袭的非特异性反应所致。

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