• 한국해양생명과학회지
• /
• 제3권2호
• /
• pp.96-100
• /
• 2018

간흡충(Clonorchis sinensis)은 우리나라에서 인체 감염율이 가장 높은 기생충이며, 이는 담수어류를 중간숙주로 삼는다. 따라서 강 유역에 서식하는 담수어류를 대상으로 간흡충의 메타세르카리아(Clonorchis sinensis metacercariae, CsMc)가 감염되어 있는지를 조사한 연구가 많이 수행되었으나 호수에 서식하는 물고기를 대상으로 한 연구는 거의 없다. 본 연구에서는 주요 인공호수인 소양호, 남양호, 안동호, 춘천호에서 2016년부터 2017년까지 잉어과어류를 채집하여 CsMc의 감염 여부를 조사하였다. 이생흡충류의 메타세르카리아는 남양호에서 채집한 치리 및 붕어와, 소양호에서 채집한 피라미와 끄리에서 관찰되었다. 간흡충에 특이적인 프라이머를 사용하여 PCR을 수행한 결과, 남양호의 치리에서 관찰된 것이 CsMc 이었음을 확인할 수 있었다. 본 연구는 주요 인공호수에 서식하는 잉어과어류에서 CsMc의 감염 실태에 대한 정보를 제공하고 있으며, 남양호의 치리에서 CsMc 감염을 처음으로 보고하고 있다는 것에 의의가 있다.

• BMB Reports
• /
• 제49권11호
• /
• pp.590-597
• /
• 2016

Parasitic diseases remain an unarguable public health problem worldwide. Liver fluke Clonorchis sinensis is a high risk pathogenic parasitic helminth which is endemic predominantly in Asian countries, including Korea, China, Taiwan, Vietnam, and the far eastern parts of Russia, and is still actively transmitted. According to the earlier $8^{th}$ National Survey on the Prevalence of Intestinal Parasitic Infections in 2012, C. sinensis was revealed as the parasite with highest prevalence of 1.86% in general population among all parasite species surveyed in Korea. This fluke is now classified under one of the definite Group 1 human biological agents (carcinogens) by International Agency of Research on Cancer (IARC) along with two other parasites, Opisthorchis viverrini and Schistosoma haematobium. C. sinensis infestation is mainly linked to liver and biliary disorders, especially cholangiocarcinoma (CCA). For the purposes of this mini-review, we will only focus on C. sinensis and review pathogenesis and carcinogenesis of clonorchiasis, disease condition by C. sinensis infestation, and association between C. sinensis infestation and CCA. In this presentation, we briefly consider the current scientific status for progression of CCA by heavy C. sinensis infestation from the food-borne trematode and development of CCA.

• 대한수의학회지
• /
• 제9권1호
• /
• pp.71-78
• /
• 1969

The present studies were undertaken to determine accurately whether Korean native fresh-water shrimps can serve as the second intermediate host of Clonorchis sinensis. The experimental results obtained were as follows; 1. Metacercaria of Clonorchis sinensis was not discovered in 36 Macrobranchium nipponensis (De Hann), 1992 Palaemon paucidens (De Hann) and Palaemon madestus Heller, and 860 Caridina leucastica Stimpson, collected in Kimhae district, which were digested in artificial gastric juice, using binocular dissecting microscope. 2. Cercariae of the Chinese liver fluke could not approach the body wall of young shrimps due to streaming caused by their motion. 3. Young Palaemon spp. of 247 were divided into two groups and placed in two different room aquariums, one is at high temperature, the other is normal. Then they were contacted with the cercariae. Only 11 degenerated metacercariae were found in 9 Palaemon spp. It was suggested that they had died immediately or within a few days after penetration. Furthermore the temperature did not affect the infective ratio. 4. At the field experimental aquarium, no metacercaria of Clonorchis sinensis was discovered tn 100 Palaemon spp. which had been brought into contact with 5000 Parafossarulus manchouricus two trials. 5. Specific changes in the cercariae mixed with the extract of shrimps meat were not observed through the dissecting microscope. 6. These results suggest that the Korean native shrimps cannot serve as the intermediate host of Clonorchis sinensis.

• Applied Microscopy
• /
• 제45권2호
• /
• pp.80-88
• /
• 2015

The structural change and distribution of mitochondrial enzyme (ATPase, cytochrome-c-oxidase), cell proliferation (proliferating cell nuclear antigen, PCNA), cell death (caspase-3) and cell growth factor (fibroblast growth factor 8, FGF-8) in the Sprague-Dawley rat bile duct during Clonorchis sinensis infection was investigated. Experimental groups were divided into C. sinensis infection, superinfection and reinfection of C. sinensis after 'praziquantel' treatment group. As a result, C. sinensis infected rat bile ducts showed the features of chronic clonorchiasis, i.e., connective tissue thickening, ductal fibrosis and epithelial tissue dilatation. PCNA for cell proliferation increased in the infection group, and decreased after praziquantel treatment. Caspase-3 was distributed in reinfection group only. FGF-8 was distributed in the rat bile duct after praziquantel treatment but not distributed in infection and reinfection group. Overall, C. sinensis infection causes physical and chemical irritations and then brings on the abnormalities of intracellular energy metabolism and cellular growth factors, which hinders bile duct tissue from functioning properly, and resultingly, fibrosis occurs and epithelial cells dilated abnormally. More intense infection makes tissue fibrosis chronical and activates apoptosis factors.

• Parasites, Hosts and Diseases
• /
• 제40권4호
• /
• pp.191-193
• /
• 2002

Oriental liver fluke (Clonorchis sinensis) infection was surveyed among residents of Hamyang-gun, Gyeongsangnam-do, Korea during the period of January 2001 to March 2002. Total 1,041 stool samples were collected from residents who visited Public Health Center and its branches in Hamyang-gun and examined using formalin-ether sedimentation method. The overall egg positive rate was 16%, male showing higher positive rate (21%) than female (10%). The age group of 30 to 50 years had the highest egg positive rate of C. sinensis from 20% to 22%. The positive examinees were treated with praziquantel and educated individually to prevent reinfection . Egg positive rate in this area was decreased when compared with results recorded in the past, however, still remained more than 10%. This study suggests that periodic examination, treatment as well as education of residents should be continued and systematized.

• Parasites, Hosts and Diseases
• /
• 제42권3호
• /
• pp.145-148
• /
• 2004

We compared the DNA sequence difference of isolates of Clonorchis sinensis from one Korean (Kimhae) and two Chinese areas (Guangxi and Shenyang), The sequences of nuclear rDNA (18S, internal transcribed spacer 1 and 2: ITS1 and ITS2) and mitochondrial DNA (cytochrome c oxidase subunit 1: cox1) were compared. A very few intraspecific nucleotide substitution of the 18S, ITS1, ITS2 and cox1 was found among three isolates of C. sinensis and a few nucleotide insertion and deletion of ITS1 were detected. The 18S, ITS1, ITS2 and cox1 sequences were highly conserved among three isolates. These findings indicated that the Korean and two Chinese isolates are similar at the DNA sequence level.

• 한국보건간호학회지
• /
• 제2권2호
• /
• pp.45-61
• /
• 1988

Clonorchiasis should be realized as an important public health problems in Korea by their wide distribution, high prevalence rate and heavy infection intensity. This study was designed to obtain the infection rate, contributing factors as well as the behavior of infected persons among the factory workers in Pohang area where that parasite still remains as a problem. Study was undertaken from September '86 to October '87. Clonorchiasis skin test was performed for 3180 factory workers, and stools of skin test positive reactors were examined. Praziquantel was prescribed to stool examination positive persons for clonorchis sinensis ova. After one year. stool examination was repeated for them who received medicine. At the same time. a structured questionnaire was given and the results were analyzed and compared with control group. The results of this study are summarized as follows; 1. The infection rate of Clonorchis sinensis. 1) Clonorchiassis skin test positive rate was $26.2\%$ (834/3180). 2) Stool(Clonorchis sinensis ova) positive rate among skin test positive reactors was $21.6\%$ (129/598) All 129 infected persons were male. 2. Contributing factors of Clonorchis sinensis infection. 1) The chance of infection was higher in low-educated peple(p<0.01) 2) Stool(Clonorchis sinensis ova)positive rate was higher among the persons who reside near the riverside now(p<0.01), or among the persons who long history of riverside residence(p<0.01) 3) The infection rate was higher in thoes who like sliced raw fresh water fishes than in those who like cooked fishes(p<0.05). 4) Correct answering rate for questions about the cause and route of Clonorchis sinensis infection was low in infected persons. 5) The infection rate was lower among those who had experience of previous clonorchiasis test(p<0.01). 6) Family members of infected persons show higher rates of infection(p <0.01). 3. Treatment effect and compliance of infected person to treatment. 1) After one year, negative stool conversion rate was $85.4\%$. 2) $70.8\%$ of infected persons took the medicine; Only $3.1\%$ of them consulted to physician to know the medication effect; As many as $29.4\%$ of them continued to consume raw fresh water fishes. As a conclusion, City of Pohang area, Hyung San River in the center, is an endemic area of clonorchiasis. Current clonorchiasis control system seemed to be ineffective; many of the skin test positive group did not submitted their stool for examination; only $70.8\%$ of infected persons took the medicine even though the drugs were given free of charge; $29.4\%$ continued to consume raw fresh water fishes after taking medicine. Therefore. proper education program should be provided to improve the compliance to treatment. Follow-up for infected cases is mandatory to prevent waste of restricted budget.

• Applied Microscopy
• /
• 제34권2호
• /
• pp.121-130
• /
• 2004

동물의 결합조직에 분포하고 있는 섬유모세포 (fibroblast)는 결합조직을 구성하는 세포의 한 종류로서 세포질 돌기들이 잘 발달된 형태적 특징이 있는 것으로 실험쥐 담관의 경우 간흡충 등의 기생충에 의하여 물리, 화학적 상해를 받았을 때 세포변이가 유발될 뿐만 아니라, 담관 암세포로 전이되기도 하는 것으로 알려져 있다. 따라서 저자 등은 실험쥐의 담관이 기생충에 의한 상해를 받았을 때 섬유모세포의 세포 표면과 세포질의 변화를 알아보고자 실험쥐 담관에서 섬유모세포를 분리하여 전자현미경으로 확인하고 다음과 같은 결과를 얻었다. 대조군 실험쥐 담관의 섬유모세포들은 일반적인 형태로 세포돌기, 세포표면 및 세포질을 구성하고 있었으나 간흡충 감염군 실험쥐 담관의 섬유모세포는 미세소관에 의한 세포질 돌기들이 다수 발달하고 다양한 종류의 포낭형 조면소포체 그리고 세포질에 전자밀도가 높은 다양한 액포, 높은 밀도의 리보좀을 포함하는 조면소포체, 다양한 형태의 과립 및 많은 수의 미세섬유가 관찰되는 형태적 변화가 관찰되었다. 간흡충에 감염된 담관의 섬유모세포는 간흡충에 의하여 상해 받은 세포가 물리화학적 자극에 의한 적응으로 단백질 합성이 증가하며 multi-vesicular 형태의 Golgi복합체가 생성되고, 세포질돌기 형성하는 것으로 확인되었다. 세포질에 광범위하게 분포하는 multi-vesicle은 당말단인 sialic acid를 포함하고 세포내에서 세포표면의 미세융모에 이르기까지 이동하는 것으로 확인되었다. 이상의 결과로 간흡충 감염 실험쥐로부터 분리된 섬유모세포는 actin단백으로 구성된 세포돌기가 잘 발달하고, 세포내 조면소포체에서 형성된 단백질이 Golgi복합체에서 당말단인 sialic acid로 전환되어 세포표면에 분포하게 된다. 이는 간흡충 감염으로 물리 화학적 자극 자극받은 섬유세포가 미세구조적 변화를 유발하는 것으로 확인되었다.

• Parasites, Hosts and Diseases
• /
• 제21권1호
• /
• pp.11-18
• /
• 1983

As a part of observation on the suitability as a second intermediate host of Clonorchis sinensis, various infection experiments were tried to Cyprinus carpio nodus. The results obtained were summarized as follows: 1. The cercariae which attempted to contact with Cyprinus carpio nodus in the water were observed under the stereomicroscope. After contact, cercariae began to separate its tails from the bodies at 4 minutes increasingly, and then the numbers ranged to 80% at 13 minutes after the encounter. But very few cercariae could actually invade into the epidermis of the fish. 2. When Cyprinus carpio nudes were exposed to a number of cercariae in the beaker, only a few cercariae could invade through the epidermis. Most of the invaded cercariae were killed before forming the cyst. Also rare encysted cercariae were found to be dead within 48 hours. 3. Cyprinus carpio nudes were reared with Parafossarulus manchouricus shedding numerous cercariae in the indoor aquarium. When observed after 12 days, to determine the susceptibility, no metacercaria was found infected. 4. Cyprinus carpio nudum were reared with Parafossarulus manchouricus shedding numerous cercariae in Kimhae lake for 2 months in summer of 1982, in order to check the natural infection. No metacercaria of Clonorchis sinensis was found from the fish. 5. In the cases of control fish, Pseudoraibora larva, numerous cercariae were inspected on the course of invasion through epidermis of the fish under the stereomicroscope. And many metacercariae were also found from the Ssh whenever they were kept in beaker, indoor aquarium, or the lake for natural infection. The results suggested that Cyprinus carpio kudus might not be proper intermediate host of Clonorchis sinensis.

• Parasites, Hosts and Diseases
• /
• 제41권1호
• /
• pp.35-39
• /
• 2003

Although stool examination is the standard diagnostic method of clonorchiasis, serodiagnosis by ELISA using crude antigen is now widely used because of its convenience. However, ELISA diagnosis still suffers from cross-reactions, and therefore there is a need to improve the present conventional ELISA. The present study was undertaken to evaluate the diagnostic value of ELISA using excretory-secretory antigen (ESA) instead of crude antigen (CA) of Clonorchis sinensis. The diagnostic sensitivity of ELISA using excretory-secretory antigen was 92.5%, which was higher than that of ELISA using crude Clonorchis sinensis antigen (88.2%). In addition, the specificity of excretory-secretory antigen was found 93.1% while that of crude antigen was 87.8%. In summary, Clonorchis sinensis ESA was found to be a better serodiagnostic antigen than CA for ELISA.