2011
A Metronidazole-Resistant Isolate of Blastocystis spp. Is Susceptible to Nitric Oxide and Downregulates Intestinal Epithelial Inducible Nitric Oxide Synthase by a Novel Parasite Survival Mechanism
Mirza H, Wu Z, Kidwai F, Tan KS. A Metronidazole-Resistant Isolate of Blastocystis spp. Is Susceptible to Nitric Oxide and Downregulates Intestinal Epithelial Inducible Nitric Oxide Synthase by a Novel Parasite Survival Mechanism. Infection And Immunity 2011, 79: 5019-5026. PMID: 21930763, PMCID: PMC3232666, DOI: 10.1128/iai.05632-11.Peer-Reviewed Original ResearchConceptsInducible nitric oxide synthaseMetronidazole-resistant isolatesNitric oxide synthaseNitric oxideOxide synthaseBlastocystis infectionEpithelial inducible nitric oxide synthaseST-7Dose-dependent inhibitionHost innate responseHuman intestinal epitheliumHost defense mechanismsIntestinal epithelial cellsLuminal pathogensAbdominal painIntestinal symptomsImmunocompetent patientsST-4Caco-2 modelChronic infectionControversial pathogenesisInnate responseNO productionBlastocystis sppIntestinal epithelium
2010
A Rapid, High-Throughput Viability Assay for Blastocystis spp. Reveals Metronidazole Resistance and Extensive Subtype-Dependent Variations in Drug Susceptibilities
Mirza H, Teo JD, Upcroft J, Tan KS. A Rapid, High-Throughput Viability Assay for Blastocystis spp. Reveals Metronidazole Resistance and Extensive Subtype-Dependent Variations in Drug Susceptibilities. Antimicrobial Agents And Chemotherapy 2010, 55: 637-648. PMID: 21098237, PMCID: PMC3028762, DOI: 10.1128/aac.00900-10.Peer-Reviewed Original ResearchConceptsTreatment failureBlastocystis infectionBlastocystis sppNew treatment optionsDrug-resistant isolatesStandard therapyTreatment regimensTreatment optionsMetronidazole resistanceControversial pathogenesisSubtype 4Drug susceptibilityImportant subtypeDrug sensitivitySubtypesStandard antimicrobialsInfectionZoonotic subtypesViability assaysPresent studyParasitesFirst studyCotrimoxazoleRegimensFailureCurrent Views on the Clinical Relevance of Blastocystis spp.
Tan KS, Mirza H, Teo JD, Wu B, MacAry PA. Current Views on the Clinical Relevance of Blastocystis spp. Current Infectious Disease Reports 2010, 12: 28-35. PMID: 21308496, DOI: 10.1007/s11908-009-0073-8.Peer-Reviewed Original ResearchClinical relevancePolymerase chain reaction testingUncertain clinical relevanceAbdominal painExtraintestinal manifestationsClinical outcomesStool culturesClinical signsControversial pathogenesisPrevalence studyReaction testingSubtype 1Trichrome stainingAnimal studiesSubtype 3Laboratory diagnosisBlastocystis sppDirect smearDiagnostic approachBlastocystis subtypesSubtype variationBlastocystisSubtype informationRecent studiesCurrent study