Everything about Trichomonas totally explained
Trichomonas vaginalis, an
anaerobic,
parasitic flagellated
protozoan, is the causative agent of
trichomoniasis, and is the most common
pathogenic protozoan infection of humans in industrialized countries. The
WHO has estimated that 180 million infections are acquired annually worldwide. The estimates for
North America alone are between 5 and 8 million new infections each year, with an estimated rate of
asymptomatic cases as high as 50%.
Protein function
T. vaginalis also has many
enzymes that catalyze a number of reactions making the organism relevant to the study of protein function.
T. vaginalis lacks mitochondria and other necessary enzymes and cytochromes to conduct
oxidative phosphorylation.
T. vaginalis obtains nutrients by transport through the
cell membrane and by
phagocytosis. The organism is able to maintain energy requirements by the use of a small amount of enzymes to provide energy via
glycolysis of
glucose to
glycerol and
succinate in the
cytoplasm, followed by further conversion of pyruvate and
malate to hydrogen and acetate in an organelle called the
hydrogenosome.
Morphology
The
T. vaginalis trophozoite is oval as well as
flagellated. Five flagella arise near the cytosome; four of these immediately extend outside the cell together, while the fifth flagellum wraps backwards along the surface of the organism. The functionality of the fifth flagellum isn't known. In addition, a conspicuous barb-like
axostyle projects opposite the four-flagella bundle; the axostyle may be used for attachment to surfaces and may also cause the tissue damage noted in trichomoniasis infections.
While
T. vaginalis doesn't have a
cyst form, organisms can survive for up to 24 hours in urine, semen, or even water samples. Combined with an ability to persist on
fomites with a moist surface for 1 to 2 hours,
T. vaginalis is among the most durable protozoan trophozites.
Clinical
Trichomonias is a sexually transmitted disease which can occur in females (males rarely exhibit symptoms of a
T. vaginalis infection) if the normal acidity of the vagina is shifted from a healthy, semi-acidic
pH (3.8 - 4.2) to a much more basic one (5 - 6) that's conducive to
T. vaginalis growth. Some of the symptoms of T. vaginalis include:
preterm delivery, low birth weight, and increased mortality as well as predisposing to
HIV infection,
AIDS, and
cervical cancer.
T. vaginalis has also been reported in the
urinary tract,
fallopian tubes, and pelvis and can cause
pneumonia,
bronchitis, and oral lesions. Other symptoms include inflammation with increasing number of organisms, greenish-yellow frothy vaginal secretions and itching.
These days,
T. vaginalis is no longer detected by studying discharge or with a
pap smear and culturing. With a pap smear, infected individuals would have a transparent "halo" around their superficial cell nucleus.
T. vaginalis is diagnosed via a wet mount, in which "corkscrew" motility can be observed.
Condoms are effective at preventing infection.
The presence of
T. vaginalis is detected by
PCR, using the primers L23861 Fw and Rev.
Metronidazole or
tinidazole can treat an infection in progress, and should be prescribed to
sexual partners as well..
Genome Sequencing
Jane Carlton led a project to sequence the
Trichomonas vaginalis genome which found that the genome was much larger than was expected.
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