Document 0628 DOCN M9550628 TI Polyclonal and monoclonal antibody and PCR-amplified small-subunit rRNA identification of a microsporidian, Encephalitozoon hellem, isolated from an AIDS patient with disseminated infection. DT 9505 AU Visvesvara GS; Leitch GJ; da Silva AJ; Croppo GP; Moura H; Wallace S; Slemenda SB; Schwartz DA; Moss D; Bryan RT; et al; Division of Parasitic Diseases, Centers for Disease Control and; Prevention, Atlanta, Georgia 30341-3724. SO J Clin Microbiol. 1994 Nov;32(11):2760-8. Unique Identifier : AIDSLINE GENBANK/L19070 AB Microsporidia are primitive, spore-forming, mitochondria-lacking, eukaryotic protozoa that are obligate intracellular parasites. They are known to parasitize almost every group of animals including humans. Recently, microsporidia have increasingly been found to infect patients with AIDS. Five genera (Encephalitozoon, Enterocytozoon, Nosema, Septata, and Pleistophora) of microsporidia are known to infect humans. Enterocytozoon organisms cause gastrointestinal disease in a majority of AIDS patients with microsporidiosis. However, a smaller, but an expanding, number of patients with AIDS are being diagnosed with ocular and disseminated infection with Encephalitozoon hellem. Although microsporidial spores can be identified in clinical samples by a staining technique such as one with Weber's chromotrope stain, identification to the species level is dependent on cumbersome and time-consuming electron microscopy. We have recently isolated and established in continuous culture several strains of E. hellem from urine, bronchoalveolar lavage, and sputum samples from AIDS patients with disseminated microsporidiosis. We developed polyclonal and monoclonal antibodies and PCR primers to a strain of E. hellem that can be used successfully to identify E. hellem from other species of microsporidia either in clinical specimens or in cultures established from clinical specimens. Since patients infected with Encephalitozoon spp. are known to respond favorably to albendazole, identification of the parasite to the species level would be invaluable in the treatment of disseminated microsporidiosis. DE Acquired Immunodeficiency Syndrome/*PARASITOLOGY Animal Antibodies, Monoclonal/*IMMUNOLOGY Antigens, Protozoan/*ANALYSIS Base Sequence DNA, Protozoan/*ANALYSIS Encephalitozoon/GENETICS/IMMUNOLOGY/*ISOLATION & PURIF Female Human Immunoblotting Mice Mice, Inbred BALB C Molecular Sequence Data *Polymerase Chain Reaction Rabbits RNA, Ribosomal/*GENETICS Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).