• 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.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권18호
• /
• pp.8391-8396
• /
• 2016

Thailand is becoming an aging society, this presenting as a serious problem situation especially regarding health. Chronic diseases found frequently in the elderly may be related to dietary intake and life style. Surin province has been reported as a risk area for liver fluke with a high incidence of cholangiocarcinma especially in the elderly. Therefore, this study aimed to determine the nutritional status and associated factors among elderly in Surin province, northeast of Thailand. A community-based cross-sectional study was conducted among 405 people aged 60 years and above, between September 2012 and July 2014. The participants were selected through a randomized systematic sampling method and completed a pre-designed questionnaire with general information, food recorded, weight, height, waist circumference, and behavior regarding to food consume related to liver fluke infection. The data were analyzed using descriptive statistics and Spearman's rank correlation coefficients. The majority of participants was female (63.5%), age between 60-70 years old (75.6%), with elementary school education (96.6%), living with their (78.9%), and having underlying diseases (38.3%). Carbohydrate (95.3%) was need to improve the consumption. The participants demonstrated under-nutrition (24.4%), over-nutrition (16.4%), and obesity (15.4%). Elderly had a waist circumference as the higher than normal level (34.0%). Gender, female, age 71-80 years old, elementary school and underlying diseases were significantly associated with poor nutritional status. The majority of them had a high knowledge (43.0%), moderate attitude (44.4%), and moderate practice (46.2%) regarding food consumption related to liver fluke infection. In conclusion, these findings data indicated that elderly age group often have an under- or over-nutritional status. Carbohydrate consumption needs to be improved. Some elderly show behavior regarding food consumption that is related to liver fluke infection hat needs to be improved, so that health education pertaining good nutrition is required.

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권6호
• /
• pp.2889-2894
• /
• 2016

This study aimed to modify behavior regarding liver fluke and cholangiocarcinoma prevention in Chumphuang district, Nakhon Ratchasima province, Thailand through integrated learning. A total of 180 participants were included through purposive selection of high-risk scores on verbal screening. Participants attended the health education program which applied the health belief model included family based, knowledge station based, academic merit based and community based learning. Data were collected using a questionnaire composed of 4 parts: 1) personal information, 2) knowledge, 3) perceived susceptibility, severity, benefits, and barriers, 4) practice regarding liver fluke and cholangiocarcinoma prevention. The result revealed that the majority were female (79.9%), age ${\geq}60$ years old (33.2%), primary school educational level (76.1%), and agricultural occupation (70.1%). The mean scores of knowledge, perception, and practice to liver fluke and cholangiocarcinoma prevention, before participated the integrative learning were low, moderate, and low, respectively. Meanwhile, the mean score of knowledge, perceived susceptibility, severity, benefits, and barriers, and practice regarding liver fluke and cholangiocarcinoma prevention, were higher with statistical significance after participation in the integrated learning. This finding indicates that health education programs may successfully modify health behavior in the rural communities. Therefore they may useful for further work behavior modification in other epidemic areas.

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권4호
• /
• pp.1713-1716
• /
• 2016

Background: Liver fluke infection is associated with cholangiocarcinoma; the bile duct cancer found frequently in the northeast and north of Thailand. Prevention and control particularly requires health education and behavior change. Objective: This study aimed to improve health behavior among village health volunteers (VHV) regarding liver fluke exposure in an epidemic area. Materials and Methods: A quasi-experimental study was performed during July 2015 to January 2016 in Sang Kha district of Surin province, Thailand. A total of 67 VHVs underwent a health education program (HEP) and data were collected on knowledge, attitude, and practice (KAP) before and after participation for HEP 3 months with a pre-designed questionnaire. The Students paired T-test was used for comparisons of mean KAP levels before/after the intervention. Results: The results revealed that knowledge (P-value=0.004), attitude (P-value=0.004), and practice level (P-value=0.000) were significantly improved after participation in the HBP. Attitude was significantly associated with knowledge (r=0.266, p<0.05), and practice (r=0.348, p<0.01). Conclusions: The implementation of health education among VHVs is feasible and increases their KAP. This improvement should have potential in liver fluke prevention and control in local communities in rural Thailand.

• Parasites, Hosts and Diseases
• /
• 제38권3호
• /
• pp.201-206
• /
• 2000

A karyological study was carried out in order to compared the chromosome numbers, chromosome morphologies and karyotypes of the oriental liver fluke, Clonorchis sinensis (Trematoda: Opisthorchiidae), collected from Korea and China. Chromosome preparations were made by means of air-drying method. The chromosome number was 2n=56 in both Korean and Chinese flukes, and chromosomes were divided into two groups based on this size; consisting of 8 pairs of large and 20 pairs of small chromosomes. However, the karyotypes showed some differences between Korean and Chinese flukes. The karyotype of liver flukes from Korea consisted of three metacentric pairs, one meta-/submetacentric pair, 16 submetacentric pairs and eight subtelocentric pairs of chromosomes. On the other hand, liver flukes from China consisted of two metacentric pairs, two meta-/submetacentric pairs, 16 submetacentric pairs and eight subtelocentric pairs of chromosomes.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권5호
• /
• pp.1751-1758
• /
• 2015

There has been a strong, positive correlation between opisthorchiasis-associated cholangiocarcinoma and infection with Helicobacter. Here a rodent model of human infection with Opisthorchis viverrini was utilized to further investigate relationships of apparent co-infections with O. viverrini and H. pylori. A total of 150 hamsters were assigned to five groups: i) Control hamsters not infected with O. viverrini; ii) O. viverrini-infected hamsters; iii) non-O. viverrini infected hamsters treated with antibiotics (ABx); iv) O. viverrini-infected hamsters treated with ABx; and v) O. viverrini-infected hamsters treated both with ABx and praziquantel (PZQ). Stomach, gallbladder, liver, colonic tissue, colorectal feces and O. viverrini worms were collected and the presence of species of Helicobacter determined by PCR-based approaches. In addition, O. viverrini worms were cultured in vitro with and without ABx for four weeks, after which the presence of Helicobacter spp. was determined. In situ localization of H. pylori and Helicobacter-like species was performed using a combination of histochemistry and immunohistochemistry. The prevalence of H. pylori infection in O. viverrini-infected hamsters was significantly higher than that of O. viverrini-uninfected hamsters ($p{\leq}0.001$). Interestingly, O. viverrini-infected hamsters treated with ABx and PZQ (to remove the flukes) had a significantly lower frequency of H. pylori than either O. viverr-iniinfected hamsters treated only with ABx or O. viverrini-infected hamsters, respectively ($p{\leq}0.001$). Quantitative RT-PCR strongly confirmed the correlation between intensity H. pylori infection and the presence of liver fluke infection. In vitro, H. pylori could be detected in the O. viverrini worms cultured with ABx over four weeks. In situ localization revealed H. pylori and other Helicobacter-like bacteria in worm gut. The findings indicate that the liver fluke O. viverrini in the biliary tree of the hamsters harbors H. pylori and Helicobacter-like bacteria. Accordingly, the association between O. viverrini and H. pylori may be an obligatory mutualism.

• 농업과학연구
• /
• 제6권1호
• /
• pp.33-44
• /
• 1979

간질(肝蛭)의 기생(寄生)이 재래산양(在來山羊)의 번식장해(繁殖障害) 및 유육생산(乳肉生産)에 미치는 영향(影響)에 대(對)하여 구명(究明)할 목적(目的)으로 충남(忠南) 일원(一圓)에서 사육중(飼育中)인 재래산양(在來山羊) 474두(頭)를 임의(任意)로 선정(選定)하여 감염실태(感染實態)를 조사(調査)하였으며, 임상관찰(臨床觀察), 간질충체성분(肝蛭蟲體成分) 추출물(抽出物)에 의한 번식장해(繁殖障害) 발생시험(發生試驗), 양성산양(陽性山羊)에 대(對)한 유(乳) 육생산성(肉生産性) 조사(調査) 및 경제성조사(經濟性調査)를 실시(實施)하여 얻은 결과(結果)를 다음과 같이 보고(報告)한다. 1. 감염실태(感染實態) 조사(調査)에서 피내반응법(皮內反應法)에 의한 양성율(陽性率)은 71.3%였으며 년령별(年齡別)로는 3~4세(歲)에서 81.4%로서 가장 높았었다. 2. 추출물(抽出物)에 의하여 발육(發育)과 증체(增體)가 정상(停上) 내지 감퇴(減退)되었고, 번식장해(繁殖障害)를 야기(惹起)할 수 있었으며 임신양(姙娠羊)에서는 임신유지(姙娠維持)에 적응성(適應性)을 인정(認定)할 수 있었다. 3. 추출물(抽出物)에 의한 혈액상(血液像)의 변화(變化)는 특(特)히 호산구(好酸球)의 증다(增多)를 인정(認定)할 수 있었다. 4. 추출물(抽出物)은 중독성(中毒性), 간기능장해성(肝機能障害性) 및 번식장해(繁殖障害)의 병원성(病原性)을 인정(認定)할 수 있었다. 5. 양성산양(陽性山羊)은 유육생산성(乳肉生産性)과 품질(品質)이 현저(顯著)하게 저하(低下)되었는 경향(傾向)을 보였다. 6. 양성산양(陽性山羊)은 소득면(所得面)에서 1/2정도(程度)의 저하(低下)를 보였고 순이익면(純利益面)에서는 더 큰 손실(損失)을 보였다.

• 한국식품위생안전성학회지
• /
• 제12권4호
• /
• pp.300-303
• /
• 1997

The present study was carried out to know the distribution of freshwater mollusk on the chinese liver fluke in the middle of August, 1997 at the upper area of Kyungan stream located in Yongin Kun, Kyungki province. The snails were collected from the shallow and irrigation route in a rural area located along the upper area of Kyungan stream. The snails collected by hand were brought to the laboratory and cercariae naturally shed from the snails, Parafossarulus manchouricus were examined. Parafossarulus manchouricus is medically important intermediated host of the transmission of digenetic trematoda to human. Each snail was placed in aerated tap water for the detection of ceracariae and examined for expelled cercariae. Infection rate of the cercariae of Clonorchis sinensis was 3 (1.5%) among 195 individuals collected in the habitat. The identification of the cercaria of Clonorchis sinensis was performed as described by Komiya and Tajimi.

• 한국임상수의학회:학술대회논문집
• /
• 한국임상수의학회 2008년도 추계학술대회
• /
• pp.145-145
• /
• 2008

• 대한수의학회지
• /
• 제33권3호
• /
• pp.555-565
• /
• 1993

The studies on the liver fluke of Korea have been reviewed. The fluke is Fasciola hepatica. Its intermediate host is Lymnaea biridis, whose principal habitats are rice paddies. The first fascioliasis of Korean native(beef) cattle was reported in 1915. Bovine fascioliasis is present throughout the conuntry, including north Korea, with the average prevalence of 30%. The prevalence of the disease is about the same in dairy cattle, which have been imported from other countries since 1960s. The disease was also found in Korea in other species of animals such as sheep, goats, deer of zoo and farms, and guinea pigs of a laboratory. Human fascioliasis was reported ; 35 cases by fecal examination and 11 by both parasitology and pathology. Of the latter 11 cases, 5 were ectopic parasitism. Economic loss due to the reduced carcass weight and milk production, and liver condemnation was great. Almost all flukicides developed in other countries are commercially available in Korea.