Molecular analysis of Giardia lamblia using small subunit ribosomal RNA gene isolated from food handlers’ people in Erbil city

Cheman Hasan Hamid
Department of Medical Microbiology, College of Health Science, Hawler Medical University, Kurdistan Region, Iraq.
Hawri Mustafa Bakr
Department of Physiology and Microbiology, College of Medicine, Hawler Medical University, Kurdistan Region, Iraq.
Share:

Abstract

Background and objective: Giardia lamblia is the intestinal flagellated protozoan parasite causes giardiasis, a gastrointestinal illness, by living and multiplying in the small intestine of humans and other mammals. Giardiasis is most commonly transmitted in underdeveloped nations due to a lack of infrastructure for sanitation and hygiene education, as well as the fact that affected individuals often consume tainted food and drink that has mature cysts. The purpose of this research was to identify human giardiasis among food handlers as well as to perform sequencing, and phylogenetic analysis of small subunit ribosomal RNA (ssurRNA) gene.

Methods: A total of 540 fecal samples from food handlers were screened at the central laboratory in Erbil City, including both symptoms and asymptomatic individuals. General stool microscopy is the gold standard for primary diagnosis using saline and iodine wet mount technique. Molecular testing was carried out for samples that tested positive for Giardia lamblia, nucleic acid extracted from stool samples using specialize kit for that purpose. A 550 bp fragment of the ssu rRNA gene was amplified by PCR analysis targeted through a specific primer set. The amplified PCR products were sent to a sequencing facility in South Korea to determine the sequence of the ssu rRNA gene in Giardia lamblia.

Results: The study did not find any correlations between infection rates and socioeconomic status or demographic variables. Microscopic examination identified (50) positive cases, of which (21) were also confirmed as positive through PCR. The ssu rRNA gene reported variation, and (21) different sequences of the gene show changing in one nucleotide which changes one amino acid. Following aligning of ssu rRNA gene sequences using NCBI-BLAST homology analysis, the samples showed the following percentages of identity with Giardia lamblia isolates from various countries: 99.59% and 100% with isolates from Australia, 100% with those from USA, 99.38% from Iraq, 99.59% from Sweden, and 99.59% from Spain.

Conclusion: Polymerase Chain Reaction (PCR) is a very dependable tool for identifying Giardia lamblia. The pathogenicity of Giardia lamblia may be impacted by the variations in sequencing alignment of ssu rRNA documented through bioinformatics and single nucleotide mutations.

Metrics

Metrics Loading ...

References

  1. Hashemi-Hafshejani S, Meamar AR, Moradi M, Hemmati N, Solaymani-Mohammadi S, Razmjou E. Multilocus sequence typing of Giardia duodenalis genotypes circulating in humans in a major metropolitan area. Frontiers in Medicine, 2022;9:976956. https://doi.org/10.3389/j.fmed.2022.976956
  2. Rafiei A, Baghlaninezhad R, Köster PC, Bailo B, Hernández de Mingo M, Carmena D, et al. Multilocus genotyping of Giardia duodenalis in Southwestern Iran. Acommunity survey. PLoSOne. 2020;15(2):e0228317. https://doi.org/10.1371/journal.pone.0228317
  3. Pouryousef A, Fararouei M, Sarkari B. Antigen-based diagnosis of human giardiasis: a systematic review and Meta-analysis. IJP. 2023;18(2):140. https://doi.org/10.18502/ijparasit.v18i2.13180
  4. Mahdavi F, Sadrebazzaz A, Chahardehi AM, Badali R, Omidian M, Hassanipour S, et al. Global epidemiology of Giardia duodenalis infection in cancer patients: a systematic review and meta-analysis. International Health. 2022;14(1):5-17.https://doi.org/10.1093/J. inthealth/ihab026
  5. Asghari A, Mahdavi F, Shamsi L, Motazedian MH, Asgari Q, Shahabi S, et al. Prevalence and molecular characterization of Giardia duodenalis in small ruminants of Shiraz, southwestern Iran: A zoonotic concern. Comp Immunol Microbiol Infect Dis. 2022;86:101819. https://doi.org/10.1016/j.cimid.2022.101819
  6. Dan J, Zhang X, Ren Z, Wang L, Cao S, Shen L, et al. Occurrence and multilocus genotyping of Giardia duodenalis from post-weaned dairy calves in Sichuan province, China. PLoSOne. 2019;14(11):e0224627. https://doi.org/10.1371/j.pone.0224627
  7. Rodríguez-Tobón E, Fierro R, González-Márquez H, García-Vázquez FA, Arenas-Ríos E. Boar sperm incubation with reduced glutathione (GSH) differentially modulates protein tyrosine phosphorylation patterns and reorganization of calcium in sperm, in vitro fertilization, and embryo development depending on concentrations. Res Vet Sci. 2021;135:386-96. https://doi.org/10.1016/j.rvsc.2020.10.020
  8. Fu Y, Dong H, Bian X, Qin Z, Han H, Lang J, et al. Molecular characterizations of Giardia duodenalis based on multilocus genotyping in sheep, goats, and beef cattle in Southwest Inner Mongolia, China. Parasite. 2022;29:33. https://doi.org/10.1051/j.parasite/2022036
  9. Seabolt MH, Roellig DM, Konstantinidis KT. Genomic comparisons confirm Giardia duodenalis sub-assemblage AII as a unique species. Front Cell Infect Microbiol. 2022;12:1010244. https://doi.org/10.3389/j.fcimb.2022.1010244
  10. Costache C, Kalmár Z, Colosi HA, Baciu AM, Opriş RV, Györke A, et al. First multilocus sequence typing (MLST) of Giardia duodenalis isolates from humans in Romania. Parasites & Vectors. Pathogenes. 2020;13:1-11. https://doi.org/10.1186/s13071j. pathogen-020-04248-2
  11. Köster PC, Malheiros AF, Shaw JJ, Balasegaram S, Prendergast A, Lucaccioni H, et al. Multilocus genotyping of Giardia duodenalis in mostly asymptomatic indigenous people from the Tapirapé tribe, Brazilian Amazon. Pathogens. 2021;10(2):206. https://doi.org/10.3390/j.pathogens10020206
  12. Asghari A, Motazedian MH, Asgari Q, Shamsi L, Shahabi S, Shirani M, et al. Frequency and Molecular Identification of Giardia Duodenalis Assemblages in Domestic Animals (Dogs, Cats, and Cattle): Possible Zoonotic Transmission and Public Health Importance. SSRN. 2024. https://doi.org/10.2139/j.ssrn.4549578
  13. Saber HF, Bakr HM. Molecular detection of glutamate dehydrogenase gene of Giardia lamblia isolated from food handlers in Erbil city. Zanco J Med Sci. 2021;25(1):431-7. https://doi.org/10.1155/j. zjms.2017/1234567
  14. Khodabakhsh Arbat S, Hooshyar H, Arbabi M, Eslami M, Abani B, Poor Movayed R. Prevalence of intestinal parasites among food handlers in Kashan, central Iran, 2017–2018. J Parasit Dis. 2018;42:577-81. https://doi.org/10.1007/j.parasic.s12639-018-1037-4
  15. Inawaty I, Sari IP, Susanto L, Kartikasari DP, Oswari H, Kurniawan A. Occult amebiasis among pediatric with enterocolitis in national referral hospital in Indonesia. Infect Chemother. 2024;56(2):230. DOI: 10.3947/jic.2023.0099
  16. Hooshyar H, Rostamkhani P, Arbabi M, Delavari M. Giardia lamblia infection: review of current diagnostic strategies. GHFBB. 2019;12(1):3. https://doi.org/10.22037/j.ghfbb.v0i0.1414
  17. Chen J, Zhou L, Cao W, Xu J, Yu K, Zhang T, et al. Prevalence and assemblage identified of Giardia duodenalis in zoo and farmed Asiatic black bears (Ursus thibetanus) from the Heilongjiang and Fujian Provinces of China. Parasite. 2024;31:50. https://doi.org/10.1051/j.parasite/2024048
  18. Moreno Y, Moreno-Mesonero L, Amorós I, Pérez R, Morillo J, Alonso J. Multiple identification of most important waterborne protozoa in surface water used for irrigation purposes by 18S rRNA amplicon-based metagenomics. Int J Hyg Environ Health. 2018;221(1):102-11. https://doi.org/10.1016/j.ijheh.2017.10.008
  19. Hussein SR, Alliebawi A. Prevalence of Diarrhea Caused by Intestinal Parasites in Children in AL-Kufa City, Iraq. EJHM. 2022;89(1):4723-7. DOI:10.21608/ejhm.2022.260585
  20. Hasan HK, Eassa SH, Khalid HM. Prevalence of Entamoeba Histolytica and Giardia Lamblia in Children Visiting to Heevi Pediatric Hospital in Dohuk City, Kurdistan Region, Iraq. J Med Chem Sci. 2023. DOI: 10.26655/JMCHEMSCI.2023.10.4
  21. Brožová K, Jirků M, Lhotská Z, Květoňová D, Kadlecová O, Stensvold CR, et al. The opportunistic protist, Giardia intestinalis, occurs in gut-healthy humans in a high-income country. Emerg Microbes Infect. 2023;12(2):2270077. DOI: 10.1080/22221751.2023.2270077
  22. Mthethwa-Hlongwa NP, Amoah ID, Gomez A, Davison S, Reddy P, Bux F, et al. Profiling pathogenic protozoan and their functional pathways in wastewater using 18S rRNA and shotgun metagenomics. Sci Total Environ. 2024;912:169602. https://doi.org/10.1016/j.scitotenv.2023.169602
  23. Hoeve-Bakker B, Van der Giessen J, Franssen F. Molecular identification targeting cox1 and 18S genes confirms the high prevalence of Sarcocystis spp. in cattle in the Netherlands. Int J Parasitol. 2019;49(11):859-66. https://doi.10.1016/j.ijpara.2019.05.008
  24. Samie A, Tanih NF, Seisa I, Seheri M, Mphahlele J, ElBakri A, et al. Prevalence and genetic characterization of Giardia lamblia in relation to diarrhea in Limpopo and Gauteng provinces, South Africa. Parasite Epidemiol. Control. 2020;9:e00140. http://doi.10.1016/j.parepi.c.2020.e00140.
  25. Seguí R, Muñoz-Antoli C, Klisiowicz DR, Oishi CY, Köster PC, de Lucio A, et al. Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey. Parasit Vectors. 2018;11:1-19. DOI: 10.1186/s13071-018-3054-7
  26. Jalallou N, Iravani S, Rezaeian M, Alinaghizade A, Mirjalali H. Subtypes distribution and frequency of Blastocystis sp. isolated from diarrheic and non-diarrheic patients. Iran J parasitol. 2017;12(1):63. PMCID: PMC5522700
  27. Klotz C, Radam E, Rausch S, Gosten-Heinrich P, Aebischer T. Real-Time PCR for molecular detection of zoonotic and non-zoonotic Giardia spp. in wild rodents. Microorganisms. 2021;9(8):1610. DOI: 10.3390/j.microorganisms9081610
  28. Molina-Gonzalez SJ, Bhattacharyya T, AlShehri HR, Poulton K, Allen S, Miles MA, et al. Application of a recombinase polymerase amplification (RPA) assay and pilot field testing for Giardia duodenalis at Lake Albert, Uganda. Parasit Vectors. 2020;13:1-9. DOI: 10.1186/s13071-020-04168-1
  29. Weinreich F, Hahn A, Eberhardt KA, Kann S, Feldt T, Sarfo FS, et al. Comparative Evaluation of Real-Time Screening PCR Assays for Giardia duodenalis and of Assays Discriminating the Assemblages A and B. Microorganisms. 2022;10(7):1310. https://doi.org/10.3390/j.microorganisms10071310
  30. Jothikumar N, Murphy JL, Hill VR. Detection and identification of Giardia species using real-time PCR and sequencing. J Microbiol Methods. 2021;189:106279. https://doi.org/10.1016/j.mimeth.2021.106279
How to Cite
Hasan Hamid, C. ., & Mustafa Bakr, H. (2026). Molecular analysis of Giardia lamblia using small subunit ribosomal RNA gene isolated from food handlers’ people in Erbil city. Zanco Journal of Medical Sciences (ZJMS), 30(1), 135–152. https://doi.org/10.15218/zjms.2026.010

Send mail to Author


Send Cancel