PHYLUM-RHIZOPODA

Overview of Rhizopoda

  • Previously known as Sarcomastigophora.

  • Contains ~200 species, including amoebas.

  • Most are free-living or commensal; includes important parasites (e.g., Entamoeba histolytica).

  • "Rhizopoda" means "root-like foot," referring to cytoplasmic flow forming pseudopodia (false feet).

  • Used for movement and capturing food via phagocytosis, trapping food in vacuoles.

  • Some amoebas exhibit complexity beyond primitive structures.

Entamoeba histolytica

  • Human parasite with uncertain transmission in primates.

  • Causes amoebic dysentery—a serious inflammatory disorder of the intestines.

  • Symptoms include severe diarrhea, abdominal pain, and fever.

  • Historical significance: referred to as the "handmaiden of war," impacting greater casualties than warfare.

  • Commonly found in unsanitary living conditions, often during conflicts and migrations.

Entamoebae and Amoebic Dysentery

  • E. histolytica infects ~10% of the global population, often asymptomatically.

  • Includes three species: E. histolytica (pathogenic), E. dispar (usually harmless), and E. moshkovskii (pathogenicity unclear).

  • Variability in E. histolytica strains affects pathogenicity.

  • Virulent strains show over-expression of genes like KERP1, linked to disease severity.

  • Infections lead to millions of cases and 40,000-110,000 annual deaths worldwide.

Life Cycle of E. histolytica

  • Key Characteristics:

    • Lacks contractile vacuole and mitochondria but has mitochondrial genes.

    • Presence of mitosomes—remnants of mitochondria.

  • Two main stages:

    • Trophozoite Stage: Actively growing and feeding.

    • Cyst Stage: Transmission stage, essential for survival and spread.

Trophozoite Characteristics

  • Size: 12-60 µm.

  • Structure:

    • Clear, granular outer cytoplasm; densely granular inner cytoplasm.

    • Centrally located karyosome indicating aggregated chromatin.

  • Reproduces asexually through cell division.

  • Cyst transformation stimuli are uncertain.

  • Can cause flask-shaped ulcers in intestines during virulence.

Cyst Characteristics

  • Size: 10-15 µm in diameter.

  • Structure includes:

    • Four nuclei in mature cysts.

    • Chromatoidal bodies serve as nucleoprotein storage.

    • Chitin cell wall allows survival in the environment.

  • Transmission:

    • Fecal-oral route via flies, fingers, food, water, and possibly contact with dogs.

    • Infective cysts turn into eight trophozoites in the small intestine.

Pathogenesis and Symptoms

  • Avirulent strains: Remain in the intestinal lumen without harm.

  • Virulent strains:

    • Invade gut wall, creating flask-shaped ulcers.

    • Symptoms include gastric pain, mucus, blood in stools, dehydration.

    • Ulcer formations may lead to severe complications, including potential death.

Systemic Effects

  • Can damage blood vessels, affecting various organs.

  • Commonly impacted: liver (hepatic amoebiasis), lungs, brain.

  • Abscesses may form in the liver and lungs, leading to further complications.

Other Important Entamoeba Species

  • Entamoeba dispar:

    • Morphologically identical to E. histolytica but typically non-pathogenic.

    • Important for accurate diagnosis to avoid unnecessary treatment.

  • Entamoeba moshkovskii:

    • Free-living amoeba; may infect humans but often misconceived in reports.

    • Likely leads to under-reporting of cases due to diagnostic challenges.

  • Entamoeba gingivalis:

    • Found in the mouth; transmitted through kissing and sharing utensils.

    • Linked to periodontitis and infections across various body parts.

Naegleria fowleri

  • Habitat: Free-living in warm water bodies.

  • Life Cycle:

    • Trophozoite Stage: Infective stage through the nasal cavity.

    • Flagellate Form: Formed under stress (non-infective).

    • Cyst Form: Dormant stage; not infective.

Balamuthia mandrillaris

  • Known for causing fatal encephalitis.

  • Can enter through skin wounds or organ transplants.

  • Causes chronic disease with high mortality; potentially accesses the brain via the choroid plexus.

Acanthamoeba Species

  • Exists in soil and freshwater; opportunistic pathogens.

  • Infections occur via skin wounds or inhalation of cysts, particularly in immunocompromised hosts.

  • Associated with keratitis from contaminated contact lenses.

Conclusion

  • Understanding these amoebae's life cycles, pathogenicity, and transmission routes is crucial for prevention and management of infections.