DG

Protozoology

Protozoa & Protozoology – General Overview

  • Protozoology: a sub-discipline of Parasitology that studies protists commonly called “protozoa.”

    • “the kingdom of misfit phyla”: basically everything that couldn’t be classified gets shoved into this category (thus many are not genetically related)

    • thus, classified based on behavioral or morphological traits instead of true phylogenetic relatedness.

  • Characteristics of Protozoa:

    • all: high moisture environment for active growth, unicellular eukaryotes

    • varies: habitat- most are free-living aquatic organisms, will inhabit guts of animals, found in soil

    • most have 2 life stages: both forms can be infectious just depends on the protist

      1. trophozoite: feeding & growing, multiplying

      2. cyst: dormant & infectious (lives longer in harsh cond.)

  • Classification

    • bc not related, classified by behavior (*= contains human pathogens)

    • Plant-like groups (photosynthetic, unicellular)
      • Euglenoids
      • Diatoms
      • Dinoflagellates*

    • Animal-like groups* (motile, heterotrophic)
      • Mastigophora (flagellates)
      • Amebozoa (amoebae)
      • Apicomplexa
      • Ciliophora (ciliates)

    • Fungus-like groups (switch bet. independendent unicellular life and organized multicellular behavior)
      • Slime molds
      • Water molds (Oomycetes)


Protozoan Parasites

Phylum Mastigophora
  • all have flagella

    • some perform cytoplasmic streaming… basically moving their cytoskeleton to transport nutrients w/i cell (moves ameoba)

  • they are free living! they prefer not to live w/i us but if entered there are some that can cause diseases

  • pathogens:

    • 1. Giardia lamblia

      • 🧠 Structure: 1 cell, 2 nuclei

      • Lacks mitochondria → can’t make its own energy

      • 🧪 Disease: Giardiasis (Traveler’s diarrhea)

        • Mild, often self-limited (goes away on its own)

        • If not → intestinal malabsorption → treatment needed

      • lifecycle: Giardia cysts ingested (food, water, soil) → binary fission in small intestine → new trophozoites will attach to intestinal wall → exit body in their cyst form in poop

    • 2. Trichomonas vaginalis

      • Only sexually transmitted protozoan (cannot live outside host, no cyst stage)

      • often asymptomatic → may change urinary discharge

      • Disease: Trichomoniasis (replicate in urogenital tract)

Phylum Amoeboid
  • movement: cytoplasmic streaming via pseudopodia which are basically “false feet”

  • cell structure: unicellular, no mitochondria, heterotrophic

    • will secret digestive enzymes to break food down externally and then phago their nutrients

  • habitat: normally free living in water and soil

  • Entamoeba histolytica: causes Amebiasis

    • 1. non-invasive colonization- after swallowed will become trophozoites and latch onto intestinal lining and start to feed on mucus and bacteria

    • 2. invasive colonization- penetrate into intestinal mucosa and start to dmg tissue → enter blood → travel to liver, lungs & brain (in order of severity & chance of recovery)

  • Acanthamoeba: causes Keratitis → Amoebic encephalitis

    • entry: example given was gets trapped between your contact lens and your sclera so must decides to enter through pupil

      • can worsen & enter NS causing rare and fatal death but typically have warning signs

  • Naegleria fowleri: causes Primary Amoebic Encephalitis

    • “brain eating amoeba” → from contaminated still water

    • enters thru nose → directly to the brain.

      • no warning, rapid onset, usually fatal

  • Characterized by an apical complex of organelles adapted for host cell penetration.

  • All members are obligate intracellular parasites with complex life cycles that commonly alternate between sexual and asexual stages.

Phylum Ciliophora
  • movement: cilia

  • cell structure: unicellular, no mitochondria, heterotrophic

    • will secret digestive enzymes to break food down externally and then phago their nutrients

  • habitat: free living

  • sexual reproduction: unique! keeps 2 copies of their genome at all times

    • macronucleus → actively transcribed DNA. controls day-to-day functions

    • micronucleus → transcriptionally silent “germ line” copy held in reserve (doesn’t use)

    • conjugation

      • Two genetically compatible ciliophorans est. a mating bridge → the entire macronuclear genome is exchanged (whole-genome swap, not just fragments) → Bridge dissolves → each cell now carries a foreign micronucleus alongside its original macronucleus

      • why is this so unique and important for us to understand?

        • they exchange and then undergo meiosis (vs the standard of meiosis and then exchange) → allowing for complete genetic blending (half them, half other)

Phylum Apicomplexa
  • Immotile → thus obligate parasites (so many are pathogens!)

  • b/c obligate parasite… requires a host:

    • definitive host: only one host that the organism can undergo sexual reproduction in

      • developed a commensal rlshp with their host (no symptomology for illness)

    • intermediate host: organism is restricted to asexual reproduction

      • host will show signs of illness

  • Evolutionary & ecological riddles

    • Why a species selects a definitive host and loses sexual competence elsewhere is unknown (“got comfy & never left”)

    • host specificity can narrow to single vector species

    Cryptosporidium
    • mammalian parasite

    • Unique life-history twist

      • evidence suggests their definitive host died→ thus only has asexual cycles

      • never undergoes sexual reproduction

    • Environmental resilience

      • their cysts (oocysts) are large (so can be filtered) but are very resistant to chlorination and are difficult to destroy!

      • Filtration usually removes them, but filter failure causes outbreaks (pooped in pool)

      • outbreaks typically → many people will come in with diarrhea, leading to significant public health concerns and potential strain on healthcare resources.

    • Outbreak archetype described

      • Recreational water (public pool, FDR Park) contaminated by child or wildlife feces → filter broken → mass exposure event

      • Clinical picture: sudden cluster (≈100–125 cases) of explosive watery diarrhea; ERs rapidly overwhelmed (run out of bedpans)

      • Infection control quandary: large-scale containment without infringing human rights (no “hose-down in parking lot” allowed)

    Plasmodium (causes Malaria)
  • most relevant pathogen → 50% pop. at risk based on equatorial belt so affects worldwide. 400k deaths/year. disease of the RBC

  • Anopheles mosquitoes- Definitive host

    • all warm, coastal areas stretching from the Indian sub-continent to the Philippines (Himalayan highlands excluded → vector cannot survive altitude/temperature) and extends to the southern US

      • Sporogonic Cycle:

        • mosquito bites human → trophozoite enters → senses their back in definitive host → break into gametes → move to mosquito gut for sexual reproduction → move to their saliva glands

        • the only way mosquito get malaria is if they bite someone with maraia… “no vertical transfer”

      • plasmodium will sexually reproduce in salivary glands of mosquito → 1st nose blow has analgesic → pierce skin and feast blood →2nd nose blow while inserted allows for the plasmodium to enter blood stream and evade normal immune defenses/surface barriers

      • Exo-erythrocytic: starts by attacking liver

        • sporozoite enters hepatocyte (liver cells) → it is undetectable and can even go dormant in this phase

        • the parasite asexually reproduces and creates a bunch of nuclei within the cell → as leaving the liver when matured … schizogony: forcing the host liver cell to help form cell membranes, proteins, etc and begins sectioning themselves into a bunch of functional plasmodiums → cell shatters →

      • Erythrocytic Cycle

        • Synchronous invasion of RBCs.

          • Detectable stages
            • “Ring stage” (early trophozoite) — tiny chromatin “dot” inside RBCs; asymptomatic
            • “Schizont stage” (mature, multi-nucleated) — looks like “chocolate-chip cookie” RBCs; symptomatic cold phase.

        • Paroxysm: Cyclic Symptomatology that repeats every 24–72 h in accordance the stages of the plasmodium infection; severity amplifies each round.

          1. Cold Phase - Infected RBCs lose hemoglobin bc the schnizont phase ⇒ ↓ O_2 delivery to muscles/skin (so spasm and shake/ chills)

          2. Hot Phase - Mass rupture of schizont-loaded RBCs → massive immune response → cytokine storm (high fever, headache, myalgias, nausea, vomiting all trying to fight)

          3. Wet Phase - Body attempts to cool from hot phase + trying to get rid of excess hemoglobin fluids from their rupture (profuse sweating, exhaustion)

          4. Asymptomatic Interval - New ring-stage; patient feels briefly normal before next cold phase repeats and worsens

  • Treatments / Prevention

    • prophylaxis: dates back to 1800’s… now we have pills too

      • quinine slightly toxifies blood so makes u not ‘tasty’

      • not good at treating, great at preventing

    • Mosquirix: first vaccine for fungal and protists… only 50% efficacy and life for 12mths… best option we have for treatment rn even tho it’s shit (hard to make vaccine for non-virus)

  • Aedes ("aegis") mosquitoes instead transmit many arboviruses (dengue, yellow fever, West Nile); Aedes range is narrower ⇒ explains why viral diseases do not spread as widely as malaria.

“Toxo” (Toxoplasma Gondii)
  • Cat = definitive host; present on all 7 continents ⇒ worldwide distribution.

  • \approx 50\% of humans have been exposed/seroconverted.

  • will target the epithelial cells in humans

  • asymptomatic unless:
    • Severely immunocompromised (AIDS, leukemia) → flu, joint pain, aches
    • Pregnant women (asymptomatic BUT)➜ trans-placental infection causes congenital toxoplasmosis (birth deformities!!!)

  • in rats or other animals will cause them to get very angry and will attack cat → cat eats mouse → toxoplasmosis is back in the original host


Phylum Mastigophora
  • adult ≠ microscopic (1mm-25m), but larva and eggs are

  • NOT annelids (earthworms)! all helminths are obligate parasitic

  • Round worms: extremely pathogenic and life threatening

    • ex: nematodes (lung worms, 🖤 worms.. mainly infects animals)

  • Flat worms: almost exclusively gut pathogens → not pathogenic / infectious

    • ex: tapeworm (use to lose weight), flukes