Prohemistomum vivax metacercariae in experimentally infected rats: Molecular characterization, pathophysiological, and immunopathogenic implications.
Attia Marwa M, Abdelkhalek Shimaa, Ibrahim Marwa A, Abdel-Moneam Dalia A, Korany Reda M S, Abdelsalam Mohamed
Abstract
BACKGROUND: Prohemistomum vivax is an emerging fish-borne trematode transmitted to definitive hosts through consumption of raw or undercooked fish. Despite its zoonotic potential, the pathophysiological effects of infection in mammalian hosts remain poorly characterized. Wild rodents inhabiting aquatic and peri-aquatic environments have been suggested as potential participants in the transmission cycle. OBJECTIVES: This study established a Swiss albino rat model of experimental P. vivax infection following oral administration of metacercariae isolated from naturally infected Nile tilapia. Pathophysiological impacts were investigated through molecular characterization using internal transcribed spacer (ITS) sequencing, assessment of host inflammatory responses via interleukin-1 beta (IL-1β) and tumor necrosis factor-alpha (TNF-α) gene expression, evaluation of oxidative stress regulation through nuclear factor erythroid 2-related factor 2 (Nrf2), and comprehensive histopathological analysis for intestine; liver and spleen over a 14-day infection period were studied. RESULTS: All 8 rats were infected with peak adult worm recovery (33%) was recorded at day 14 post-infection, with mature flukes predominantly localized in the duodenum and jejunum. ITS sequencing confirmed 100% genetic identity between metacercariae and recovered adults (GenBank: PV583359, PV590592). Infected rats showed significant up-regulation of pro-inflammatory cytokines (IL-1β and TNF-α) in hepatic and muscle tissues (p < 0.05), accompanied by marked down-regulation of Nrf2, indicating impaired antioxidant defenses. Histopathological examination revealed intestinal villous atrophy and epithelial necrosis with eosinophilic infiltration, hepatocellular degeneration, and splenic lymphoid depletion. CONCLUSIONS: P. vivax induces pronounced inflammatory and oxidative stress-associated pathology in rats. These findings highlight the zoonotic relevance of P. vivax and support integrated One Health surveillance strategies.
Key Findings
- Infected rats showed significant up-regulation of pro-inflammatory cytokines IL-1β and TNF-α in hepatic and muscle tissues.
- There was marked down-regulation of Nrf2, indicating impaired antioxidant defenses during P. vivax infection.
- Histopathological analysis revealed intestinal villous atrophy, epithelial necrosis with eosinophilic infiltration, hepatocellular degeneration, and splenic lymphoid depletion.
Clinical Significance
The study demonstrates that P. vivax infection induces significant inflammatory and oxidative stress-related pathology, highlighting its zoonotic potential and the importance of monitoring oxidative stress responses in infected hosts for better disease management.
Citation
Attia Marwa M, Abdelkhalek Shimaa, Ibrahim Marwa Aet al.. Prohemistomum vivax metacercariae in experimentally infected rats: Molecular characterization, pathophysiological, and immunopathogenic implications. Parasitology international. 2026-Jul-11.