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  1. Article: Phlebotomine sandflies and factors associated with their abundance in the leishmaniasis endemic area of Attiki, Greece

    Boutsini, Sofia / Labrini V. Athanasiou / Gregory Spanakos / Dimitra Ntousi / Eleni Dotsika / Marina Bisia / Elias Papadopoulos

    Parasitology research. 2018 Jan., v. 117, no. 1

    2018  

    Abstract: Leishmaniasis is a parasitic disease of animals and humans caused by several Leishmania species and transmitted by phlebotomine sandflies. The aim of the present study was to identify the species of field collected phlebotomine sandflies in the endemic ... ...

    Abstract Leishmaniasis is a parasitic disease of animals and humans caused by several Leishmania species and transmitted by phlebotomine sandflies. The aim of the present study was to identify the species of field collected phlebotomine sandflies in the endemic area of the Attiki during 4 consecutive years, to isolate the Leishmania parasites from the infected sandflies, and identify possible factors associated with sandfly abundance in the area. A total of 542 trappings were made in 46 collection sites, in purely urban areas, periurban areas, and purely rural areas in Attiki. Out of the 3254 sandflies trapped, 1448 (44.43%) were female and 241 (16.64%) of the females were blood fed while Leishmania infantum DNA was detected in the 0.41% of them. Regarding sandfly species, the most prevalent was Phlebotomus tobbi (41.52%) followed by Sergentomyia minuta (27.44%), P. neglectus (14.83%), P. simici (11.08%), P. papatasi (3.68%), P. similis (0.89%), and P. alexandri (0.56%). Periurban areas were found to have the highest density of sandfly populations.
    Keywords DNA ; Leishmania infantum ; Phlebotomus ; Sergentomyia minuta ; blood ; females ; humans ; leishmaniasis ; parasites ; rural areas ; urban areas ; Greece
    Language English
    Dates of publication 2018-01
    Size p. 107-113.
    Publishing place Springer Berlin Heidelberg
    Document type Article
    ZDB-ID 284966-5
    ISSN 1432-1955 ; 0932-0113 ; 0044-3255
    ISSN (online) 1432-1955
    ISSN 0932-0113 ; 0044-3255
    DOI 10.1007/s00436-017-5675-8
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: Genetic Spatiotemporal Anatomy of Plasmodium vivax Malaria Episodes in Greece, 2009–2013

    Gregory Spanakos / Georges Snounou / Danai Pervanidou / Michael Alifrangis / Anna Rosanas-Urgell / Agoritsa Baka / Maria Tseroni / Annita Vakali / Evdokia Vassalou / Eleni Patsoula / Herve Zeller / Wim Van Bortel / Christos Hadjichristodoulou

    Emerging Infectious Diseases, Vol 24, Iss 3, Pp 541-

    2018  Volume 548

    Abstract: An influx of immigrants is contributing to the reemergence of Plasmodium vivax malaria in Greece; 1 persistent focus of transmission is in Laconia, Pelopónnese. We genotyped archived blood samples from a substantial proportion of malaria cases recorded ... ...

    Abstract An influx of immigrants is contributing to the reemergence of Plasmodium vivax malaria in Greece; 1 persistent focus of transmission is in Laconia, Pelopónnese. We genotyped archived blood samples from a substantial proportion of malaria cases recorded in Greece in 2009–2013 using 8 microsatellite markers and a PvMSP-3α gene fragment and plotted their spatiotemporal distribution. High parasite genetic diversity with low multiplicity of infection was observed. A subset of genetically identical/related parasites was restricted to 3 areas in migrants and Greek residents, with some persisting over 2 consecutive transmission periods. We identified 2 hitherto unsuspected additional foci of local transmission: Kardhítsa and Attica. Furthermore, this analysis indicates that several cases in migrants initially classified as imported malaria were actually locally acquired. This study shows the potential for P. vivax to reestablish transmission and counsels public health authorities about the need for vigilance to achieve or maintain sustainable malaria elimination.
    Keywords malaria ; Greece ; genetic spatiotemporal anatomy ; Plasmodium vivax ; parasites ; migrants ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
    Subject code 572
    Language English
    Publishing date 2018-03-01T00:00:00Z
    Publisher Centers for Disease Control and Prevention
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: West Nile Virus Circulation in Mosquitoes in Greece (2010–2013)

    Eleni Patsoula / Annita Vakali / Georgios Balatsos / Danai Pervanidou / Stavroula Beleri / Nikolaos Tegos / Agoritsa Baka / Gregory Spanakos / Theano Georgakopoulou / Persefoni Tserkezou / Wim Van Bortel / Herve Zeller / Panagiotis Menounos / Jenny Kremastinou / Christos Hadjichristodoulou

    BioMed Research International, Vol

    2016  Volume 2016

    Abstract: Background of the Study. Following a large West Nile virus (WNV) epidemic in Northern Greece in 2010, an active mosquito surveillance system was implemented, for a 3-year period (2011, 2012, and 2013). Description of the Study Site and Methodology. Using ...

    Abstract Background of the Study. Following a large West Nile virus (WNV) epidemic in Northern Greece in 2010, an active mosquito surveillance system was implemented, for a 3-year period (2011, 2012, and 2013). Description of the Study Site and Methodology. Using mainly CO2 mosquito traps, mosquito collections were performed. Samples were pooled by date of collection, location, and species and examined for the presence of WNV. Results. Positive pools were detected in different areas of the country. In 2010, MIR and MLE values of 1.92 (95% CI: 0.00–4.57) and 2.30 (95% CI: 0.38–7.49) were calculated for the Serres Regional Unit in Central Macedonia Region. In 2011, the highest MIR value of 3.71(95% CI: 1.52–5.91) was recorded in the Regions of Central Greece and Thessaly. In 2012, MIR and MLE values for the whole country were 2.03 (95% CI: 1.73–2.33) and 2.15 (95% CI: 1.86–2.48), respectively, for Cx. pipiens. In 2013, in the Regional Unit of Attica, the one outbreak epicenter, MIR and MLE values for Cx. pipiens were 10.75 (95% CI: 7.52–13.99) and 15.76 (95% CI: 11.66–20.65), respectively. Significance of Results/Conclusions. The contribution of a mosquito-based surveillance system targeting WNV transmission is highlighted through the obtained data, as in most regions positive mosquito pools were detected prior to the date of symptom onset of human cases. Dissemination of the results on time to Public Health Authorities resulted in planning and application of public health interventions in local level.
    Keywords Medicine ; R
    Subject code 500
    Language English
    Publishing date 2016-01-01T00:00:00Z
    Publisher Hindawi Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Complement Receptor 1 availability on red blood cell surface modulates Plasmodium vivax invasion of human reticulocytes

    Surendra Kumar Prajapati / Céline Borlon / Eduard Rovira-Vallbona / Jakub Gruszczyk / Sebastien Menant / Wai-Hong Tham / Johanna Helena Kattenberg / Elizabeth Villasis / Katlijn De Meulenaere / Dionicia Gamboa / Joseph Vinetz / Ricardo Fujita / Xa Nguyen Xuan / Marcelo Urbano Ferreira / Carlos H. Niño / Manuel A. Patarroyo / Gregory Spanakos / Luc Kestens / Jan Van Den Abbeele /
    Anna Rosanas-Urgell

    Scientific Reports, Vol 9, Iss 1, Pp 1-

    2019  Volume 13

    Abstract: Abstract Plasmodium vivax parasites preferentially invade reticulocyte cells in a multistep process that is still poorly understood. In this study, we used ex vivo invasion assays and population genetic analyses to investigate the involvement of ... ...

    Abstract Abstract Plasmodium vivax parasites preferentially invade reticulocyte cells in a multistep process that is still poorly understood. In this study, we used ex vivo invasion assays and population genetic analyses to investigate the involvement of complement receptor 1 (CR1) in P. vivax invasion. First, we observed that P. vivax invasion of reticulocytes was consistently reduced when CR1 surface expression was reduced through enzymatic cleavage, in the presence of naturally low-CR1-expressing cells compared with high-CR1-expressing cells, and with the addition of soluble CR1, a known inhibitor of P. falciparum invasion. Immuno-precipitation experiments with P. vivax Reticulocyte Binding Proteins showed no evidence of complex formation. In addition, analysis of CR1 genetic data for worldwide human populations with different exposure to malaria parasites show significantly higher frequency of CR1 alleles associated with low receptor expression on the surface of RBCs and higher linkage disequilibrium in human populations exposed to P. vivax malaria compared with unexposed populations. These results are consistent with a positive selection of low-CR1-expressing alleles in vivax-endemic areas. Collectively, our findings demonstrate that CR1 availability on the surface of RBCs modulates P. vivax invasion. The identification of new molecular interactions is crucial to guiding the rational development of new therapeutic interventions against vivax malaria.
    Keywords Medicine ; R ; Science ; Q
    Subject code 616
    Language English
    Publishing date 2019-06-01T00:00:00Z
    Publisher Nature Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Fatal human anaplasmosis associated with macrophage activation syndrome in Greece and the Public Health response

    Sotirios Tsiodras / Nikos Spanakis / Gregory Spanakos / Danai Pervanidou / Theano Georgakopoulou / Elsa Campos / Theofania Petra / Petros Kanellopoulos / George Georgiadis / Emmanouil Antalis / Vassileios Kontos / Lambros A. Giannopoulos / Yiannis Tselentis / Anna Papa / Athanassios Tsakris / George Saroglou

    Journal of Infection and Public Health, Vol 10, Iss 6, Pp 819-

    2017  Volume 823

    Abstract: Human granulocytic anaplasmosis (HGA) is a tick-borne disease caused by Anaplasma phagocytophilum that has the potential to spread in new geographical areas. The first fatal case of HGA in Greece is presented. Fever of unknown origin, renal and ... ...

    Abstract Human granulocytic anaplasmosis (HGA) is a tick-borne disease caused by Anaplasma phagocytophilum that has the potential to spread in new geographical areas. The first fatal case of HGA in Greece is presented. Fever of unknown origin, renal and respiratory insufficiency and development of macrophage activation syndrome characterized the clinical presentation. Amplification and sequencing of a fragment of the groEL gene revealed the presence of A. phagocytophilum. The epidemiological and clinical features were collected during an epidemiological investigation. Public health measures were instituted by the Hellenic Centre for Disease Control and Prevention. The Public Health intervention required the collaboration of epidemiologists, veterinarians and microbiologists. Emphasis was given to communication activities and misconceptions concerning canines and their role in the disease. The emergence of human anaplasmosis in a new geographical area highlights the importance of disease awareness and of the need for continued support for tick and tick-borne disease surveillance networks. Keywords: Anaplasma, Granulocytic anaplasmosis, Greece, Anaplasma phagocytophilum
    Keywords Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
    Subject code 630
    Language English
    Publishing date 2017-11-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Oh my aching gut: irritable bowel syndrome, Blastocystis, and asymptomatic infection

    Boorom, Kenneth F / Huw Smith / Laila Nimri / Eric Viscogliosi / Gregory Spanakos / Unaiza Parkar / Lan-Hua Li / Xiao-Nong Zhou / Ülgen Z Ok / Saovanee Leelayoova / Morris S Jones

    Parasites & vectors. 2008 Dec., v. 1, no. 1

    2008  

    Abstract: Blastocystis is a prevalent enteric protozoan that infects a variety of vertebrates. Infection with Blastocystis in humans has been associated with abdominal pain, diarrhea, constipation, fatigue, skin rash, and other symptoms. Researchers using ... ...

    Abstract Blastocystis is a prevalent enteric protozoan that infects a variety of vertebrates. Infection with Blastocystis in humans has been associated with abdominal pain, diarrhea, constipation, fatigue, skin rash, and other symptoms. Researchers using different methods and examining different patient groups have reported asymptomatic infection, acute symptomatic infection, and chronic symptomatic infection. The variation in accounts has lead to disagreements concerning the role of Blastocystis in human disease, and the importance of treating it. A better understanding of the number of species of Blastocystis that can infect humans, along with realization of the limitations of the existing clinical laboratory diagnostic techniques may account for much of the disagreement. The possibility that disagreement was caused by the emergence of particular pathogenic variants of Blastocystis is discussed, along with the potential role of Blastocystis infection in irritable bowel syndrome (IBS). Findings are discussed concerning the role of protease-activated receptor-2 in enteric disease which may account for the presence of abdominal pain and diffuse symptoms in Blastocystis infection, even in the absence of fever and endoscopic findings. The availability of better diagnostic techniques and treatments for Blastocystis infection may be of value in understanding chronic gastrointestinal illness of unknown etiology.
    Keywords Blastocystis ; Protozoa ; constipation ; diagnostic techniques ; diarrhea ; digestive system ; etiology ; fever ; human diseases ; humans ; irritable bowel syndrome ; pain ; patients ; researchers
    Language English
    Dates of publication 2008-12
    Size p. 40.
    Publishing place BioMed Central
    Document type Article
    Note Review
    ZDB-ID 2409480-8
    ISSN 1756-3305
    ISSN 1756-3305
    DOI 10.1186/1756-3305-1-40
    Database NAL-Catalogue (AGRICOLA)

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