Perfil genético por sequenciamento e genotipagem de cepas multirresistentes do Mycobacterium tuberculosis provenientes de diversos estados brasileiros

A tuberculose multirresistente (MR) a drogas é uma séria ameaça à saúde pública devido à maiores complexidade, custo e efeitos colaterais do tratamento. Poucos estudos descreveram a epidemiologia molecular de isolados de Mycobacterium tuberculosis MR no Brasil. Neste trabalho foi investigada a diversidade genética e mutações associadas à resistência a drogas de 99 isolados MR e 7 não MR coletados em um período de 8 anos e provenientes de 12 estados brasileiros. Esta investigação foi feita através da análise do polimorfismo de fragmentos de restrição do elemento de inserção IS6110 (IS6110-RFLP), spoligotyping e sequenciamento de regiões dos genes rpoB e katG que conferem resistência aos antibióticos rifampicina e isoniazida, respectivamente. Mutações nos genes katG e rpoB foram encontradas em 90,9% e 93% dos isolados MR analisados, respectivamente. Para o gene rpoB, 91,9% das mutações estavam contidas na região RRDR de 81-pb. Um total de 51 (51.5%), 23 (23.3%) e 11 (11.1%) isolados MR apresentaram mutações nos códons 531, 526 e 516, respectivamente. Com relação ao gene katG, foram encontradas mutações em 93% dos isolados MR analisados, sendo que 7 apresentaram mutações apenas na primeira região analisada (katG1). O codon 315 da segunda região analisada do gene katG (katG2) apresentou mutações em 82.8% dos isolados MR, sendo a maioria Ser315Thr. A região katG1 apresentou mutações em 30.3% dos isolados MR sendo a maioria deleção do códon 4. Pelo spoligotyping foi possível determinar que os isolados MR deste estudo pertencem a 5 diferentes famílias (com suas subfamílias) de M. tuberculosis circulantes no Brasil, onde as mais frequentemente encontradas foram: LAM (46%), T (17%) e H (12%). Nós observamos que uma das famílias, a EAI5, carrega mutações no códon 463 do gene katG, o que não ocorre para as demais. Além disso, entre nossos isolados foi identificada um isolado pertencente à cepa Beijing (extremamente virulenta), mas este fato não é alarmante já que se tratou de apenas um caso. Através de nossos dados foram descritos novos alelos mutados para os genes rpoB e katG. Com exceção da família X2, foi identificada uma região inicial do gene katG com alta frequência de mutações nos isolados MR. A análise por IS6110-RFLP revelou que 25 isolados formaram 11 grupos genotípicos enquanto 74 mostraram um padrão único de bandas. Esta alta taxa de polimorfismo indica aquisição independente de resistência entre nossos isolados. Para a família H, foi identificada uma inversão na freqüência de ocorrência de mutações no gene rpoB, sendo o códon 516 o mais mutado, seguido pelo 526 e 531. Os resultados deste estudo fornecem informações úteis para um melhor entendimento do espectro de mutações dos isolados MR de pacientes no Brasil. Nossos resultados também se tornam úteis no desenvolvimento de testes diagnósticos de tuberculose MR e para auxiliar no rastreamento da transmissão global desta doença.

Enterococcus faecium: caracterização molecular de amostras isoladas no período anterior e posterior a emergência da resistência à vancomicina no Estado do Rio de Janeiro

Nas últimas décadas, Enterococcus resistentes à vancomicina tem se destacado no cenário hospitalar em todo mundo. A emergência da resistência à vancomicina no Estado do Rio de Janeiro foi registrada em 2000, na espécie Enterococcus faecalis. Em seguida, Enterococcus faecium passou a ser prevalente. O objetivo deste estudo foi avaliar a diversidade genética das amostras de E. faecium sensíveis (VSEfm) e resistentes (VREfm) à vancomicina, isoladas em diferentes instituições de saúde do Estado do Rio de Janeiro no período de 1993 a 2008. As amostras bacterianas foram avaliadas por metodologia de eletroforese em campo pulsado (PFGE), após restrição com Smal, análise do polimorfismo numérico de segmentos repetitivos (MLVA) e tipagem por sequenciamento de múltiplos loci (MLST); além da detecção de marcadores fenotípicos, como a resistência à ampicilina e à ciprofloxacina, e genotípicos, como determinantes genéticos de virulência, que estão vinculados a um complexo clonal globalmente disperso (CC17). A diversidade de Tn1546 (que alberga o conjunto gênico vanA) foi determinada por amplificação e restrição com ClaI. Um grupo clonal prevalente foi observado pela metodologia de PFGE e agrupou amostras isoladas, principalmente, no período de 2004 a 2006, estando disseminado por diversas instituições de saúde do Estado, indicando transmissão inter- e intra-hospitalar. A avaliação por MLVA identificou dois MTs prevalentes dentre as amostras VREfm: MT12 relacionado à maioria das amostras dos principais grupos clonais identificados por PFGE e, o MT159 que apresentou frequência aumentada no ano de 2008. A análise por MLST destacou o ST78 associado aos principais grupos clonais definidos por PFGE, bem como, ao MT12. Também foi observada correlação entre o ST412 associado ao grupo clonal formado por apenas amostras de 2008 e o MT159. Foi notório por MLST que as amostras VREfm do Estado do Rio de Janeiro, no período do estudo, estiveram relacionadas CC17, juntamente com algumas amostras VSEfm. Entretanto, os principais marcadores de resistência e de virulência, característicos de CC17, estiveram mais relacionados as amostras VREfm do que as VSEfm, como resistência à ampicilina e à ciprofloxacina; e a presença do gene esp e do alelo purK1. A identificação de VSEfm pertencentes ao CC17 sugerem que amostras já adaptadas ao ambiente hospitalar, podem ter adquirdo o determinante de resistência vanA, facilitando a emergência de amostras de VREfm. Adicionalmente, nossos dados sugerem uma modificação no cenário de amostras VREfm no Rio de Janeiro. Pois a dominância de um grupo clonal prevalente (PFGE- X; MT12; ST78) pode estar sendo substituída pela possível emergência de um novo grupo clonal, que foi característico de amostras mais recentes (PFGE-XV; MT159; ST412), apontando assim, para um novo curso na epidemiologia dos E. faecium no Estado. Um perfil de restrição prevalente de Tn1546 idêntico ao protótipo foi observado, apontando que a disseminação da resistência à vancomicina ocorreu por também por transferência horizontal. Entretanto, alterações do tipo deleção e presença de elementos de inserção com aproximadamente 2 kb foram observadas em um número reduzido das amostras. A incongruência no genótipo vanA, em relação ao fenótipo, foi observado para uma amostra. Considera-se fundamental o acompanhamento da disseminação de VREfm, particularmente diante da elevada frequência de amostras pertencentes a um complexo clonal que conjuga multirresistência com virulência, com elevado potencial de adaptabilidade e disseminação.

Achromobacter xylosoxidans na fibrose cística: infecção crônica e disseminação clonal

A mortalidade na Fibrose Cística (FC) é decorrente de infecções pulmonares causadas comumente por: Pseudomonas aeruginosa, Staphylococcus aureus e espécies do Complexo Burkholderia cepacia (CBc). Mais recentemente, tem sido observada a emergência de BGN-NF raros, como Achromobacter xylosoxidans, porém, sua prevalência, potencial de transmissão e significado clínico são desconhecidos. O objetivo deste trabalho foi verificar a ocorrência de colonização crônica por A. xylosoxidans e avaliar a possibilidade de transmissão cruzada entre os pacientes acompanhados em dois centros de referência na cidade do Rio de Janeiro. Foram incluídos 39 pacientes com FC, com pelo menos uma cultura positiva para o gênero Achromobacter spp., em um total de 897 analisadas, do período de janeiro de 2003 a dezembro de 2008. A frequência de isolamento de Achromobacter spp. nas culturas analisadas foi de 14,5% (130 em 897 culturas). A maioria (n=122; 93,8%) foi identificada como A. xylosoxidans por testes fenotípicos e pelo sequenciamento do gene rrs que codifica o 16S rRNA. A análise do polimorfismo genético dos isolados de A. xylosoxidans pela técnica de PFGE, mostrou 22 grupos clonais. Destes, sete foram compartilhados entre pacientes distintos sugerindo transmissão cruzada. Apenas o clone G foi amplamente disseminado entre 56,4% dos pacientes estudados, sugerindo a possibilidade de um surto. Os 15 clones restantes constituíram-se em clones exclusivos por pacientes. Os cinco pacientes colonizados cronicamente por A. xylosoxidans mostraram a prevalência de clones únicos. Até o momento, este é o primeiro caso da ocorrência de surto por A. xylosoxidans em pacientes com Fibrose Cística. A. xylosoxidans é um microrganismo que vem se destacando em frequência e como um possível patógeno pulmonar nesses pacientes. Entretanto, até o momento os dados são insuficientes para avaliar a sua contribuição para a evolução da doença pulmonar. Estudos que busquem elucidar as características de A. xylosoxidans que o permitem colonizar persistentemente o pulmão dos pacientes com FC, bem como seu potencial de virulência, são necessários.

Ⅰ应用高通量技术筛选松树抗微生物分子的研究;Ⅱ向日葵种质资源相关基础研究

一．应用高通量技术筛选松树抗微生物分子的研究 我们提出一种对纯化组分的抗菌活力进行高通量技术筛选的比色方法。该方法利用一种新型四氮唑盐MTS（methyl tetrazolium salt）在电子偶联剂PMS( phenazine methosulfate)的辅助下对供试样品进行比色分析，其原理是MTS能穿透进完整活性细胞，在接受电子偶联剂PMS提供的电子后，被其中细胞器膜或质膜上的脱氢酶还原成一种水溶性的显色甲替（formazan）化合物。甲替在490nm波长的吸收值能直接用96孔酶标板读取，无须通过额外的溶解步骤。甲替的产生量（吸收值）和基质中的活细胞数成正比。因此，抗菌成分作用于供试细菌后，其抗菌活力大小可通过对照孔（未加抗菌成分）和试验孔吸收值的差异反映出来。借助该技术和对影响MTS转化的各种因素标准化，定量研究6种细菌菌株包括革兰氏阴性菌和革兰氏阳性菌的生长。通过反相C18柱浓缩、凝胶过滤层析和亲和层等技术，从受马尾松毛虫危害的马尾松针内分离和纯化出几种增强的抗微生物活力，证实了。该方法对临床供试菌株的可行性和应用潜力;同时，对植物宿主受害后的诱导生理和功能意义亦进行了探讨。 二．向日葵种质资源相关基础研究中文摘要 1) 维生素E的天然产物有八种类型，分别为α、β、γ、δ一生育酚( tocopherol)和α、β、γ、δ一生育三烯酚( tocotrienol)，对植物、动物和人类都具有十分重要的生理作用。绿色植物是人类和动物VE的基本来源。本文对有关植物中VE生物合成途径和相关酶基因克隆研究现状，以及VE在植物体内的作用和功能研究进展进行了综述，以期为VE的机理探寻和功能开发提供进一步的思路。 2) 以20份向日葵种质资源为实验材料，通过对维生素E含量、含油率、皮壳率以及百粒重的测定及统计分析，试图了解向日葵种质资源中维生素E含量变异及相关数据。结果表明，在20份向日葵种质资源中，油葵的维生素E含量和含油率明显高于食葵：含油率与维生素E含量在0.01水平呈极显著正相关，含油率与百粒重在0,05水平呈显著负相关;百粒重与皮壳率在0.01水平呈极显著负相关。通过初步评价，发现3份富含天然维生素E的向日葵种质。 3) 由自由基介导的脂过氧化、酶失活或蛋白降解、胞膜破裂和遗传完整性（核酸）的损害是种子衰老的主要原因。种子在高温和高含水量情况下曝露数天诱发的加速衰老比一般衰老引起更多的生化分解;另一方面，在长期贮存条件下的低温贮存环境和种子低含水量可能使种子处于玻璃态。种子胞质的极高粘度和低分子运动能够阻止或抑制很多有害过程。尽管种子衰老的生理机制已有大量研究，但衰老过程中的主要过程和相互作用仍未完全清楚。本文报道向日葵种子在宽范围的含水量和温度条件下的脂过氧化、非酶蛋白糖基化对种子衰老的影响;同时，对种子玻璃态在长期贮存中对生化分解的阻滞作用并由此延长种子存活力也进行了探讨。

Salt-tolerance in mangrove soil bacteria

A total of sixteen bacterial species were isolated from mangrove soils of Karachi, Pakistan. Twelve of the isolates were gram positive while four were gram negative. All sixteen species showed resistance to high concentration of streptomycin, however, resistance to chloramphenicol and tetracycline was variable. The isolates tolerated up to 110‰ salinity and accumulated sodium form the media.

Study on the intestinal bacteria of Labeo rohita (Ham.)

The quantitative and qualitative aspects of intestinal bacteria of rohu fish (Labeo rohita) showed that total viable count of bacteria ranged from 9.9 x 106 to 1.4 x 107 CFU/g of intestine in different age groups of fish. The bacterial load was highest in the month of July and lowest in January. The genera of the isolates from intestine included Coryneform, Micrococcus, Flavobacterium, Cytophaga, Achromobacter, Aeromonas Enterobacteriaceae and Vibrio. Coryneform was the dominant group throughout the study period followed by Micrococcus and Enterobacteriaceae. Marked variations in the bacterial load and generic composition of intestinal bacteria were evident during the study period in different age groups of rohu fish.

Pathogenicity of Aeromonas sobria to Thai silver barb (Barbodes gonionotus Bleeker) and its sensitivity to some antibiotic agents

Five isolates of Aeromonas sobria, collected from the diseased fish were selected for detection the pathogenicity following water-born infection method on silver barbs (Barbodes gonionotus) at the selected exposure dose 2.5x10⁸ CFU/ml which was standardized by preliminary test. In the experimental condition lesion and mortality were found in fishes. Among the isolate, Ass17 Ass19, Ass31 and Ass36 were successfully infected 20-60% fishes. Another isolate Ass20 was found non-pathogenic. Drug sensitivity test was performed by six antibiotics viz. Oxytetracycline, Oxolinic acid, Chloramphenicol, Stilphamethozazole, Streptomycin, Erythromycin. All the isolates showed variable reaction patterns to antibiotics. Most of the isolates were found sensitive to Oxytetracycline (OT), Oxolinic acid (OA) and Chloramphenicol (C) but resistance to Erythromycin and Sulphamethoxazole (SXT). Isolate Ass31 found resistant to Oxolinic acid.

The nature of the aerobic gastrointestinal bacteria of cichlid fish Sarotherodon mossambicus (Peters) and Tilapia nilotica (Linnaeus) grown under captivity

Bacteriological examination of the gastrointestinal microflora of 2 freshwater cichlid fish species (Sarotherodon mossambicus and Tilapia nilotica ) was performed, resulting in the bacteria enumeration of total viable counts of 1.06x10⁷/g and 7.75x10⁷/g of gastro-bacteria intestinal tract plus contents (wet weight) respectively, by aerobic incubation at 30+1°C. The majority (78%) of the total gut isolates from both fish species was Gram positive mesophilic which is characteristic of the higher ambient temperature in the tropics. These isolates were fastidious in their nutritional requirements and together with the rest are isogenous to bacteria autochthonous to soil and water. The occurrence of such organisms is attributed to the feeding habits of these fish. The gastrointestinal bacteria isolated in this study are transient residents but not "indigenous" in these cichlid fish.

Bacterial flora associated with diseased fish and their antibiogram

Bacterial flora associated with tail rot/fin rot of Carassius auratus, Xiphophorus helleri and hemorrhagic ulcers of Clarias spp were studied. Sensitivity pattern of 33 isolates comprising Aeromonas spp, Pseudomonas spp and Gram-positive rods from diseased C. auratus, X. helleri and Clarias spp were screened against six broad-spectrum antibiotics viz. ciprofloxacin, chloramphenicol, co-trimoxazole, gentamycin, nitro-furantoin and oxytetracycline. Ciprofloxacin was the most effective in inhibiting bacteria at 0.05-0.10 µg/ml level. About 44% of Pseudomonas spp. was resistant to nitrofurantoin. Resistance to oxytetracycline was seen in 27% of Aeromonas spp Gram-positive rods were comparatively more resistant to antibiotics. The multiple antibiotic resistances were seen in 21% of the bacterial isolates of diseased fish.

Distribution of drug resistant luminous bacteria in penaeid shrimp grow-out ponds

Distribution of luminous bacteria (LB) in penaeid shrimp grow-out pond water in semiintensive seawater farming system and their resistance to 15 antibacterials were investigated. Total viable counts and luminous bacterial counts in pond water ranged from 2.00xl03 to 1.35xl04/ml and l.OOxl01 to 8.00Xl02/ml, respectively. The percentage composition of LB in the total viable population increased significantly with period of culture. Five species of LB such as Vibrio fischeri, V. harveyi, V. orientalis, V. splendidus 1 and Photobacterium leiognathi were encountered. V. harveyi was the dominant species, constituting >80% of the total LB. Multiple antibiotic resistance was more common in these LB. Pond water isolates showed resistance to at least four antibacterial agents.

Incidence of ulcer type of disease in wild fishes of Bangladesh

Disease occurred in wild fish species investigated in different water bodies like canals, ditches, beel, haor, flood plain in 17 districts of Dhaka division. Haemorrhagic lesions were observed on the body surface of affected fishes. Incidence of the disease in the investigated water bodies ranged from 0 to 100%. In total 19 fish species were found to be affected and prevalence of infection ranged from 0.0 to 100.0%. Channa punctatus and Puntius ticto were severely affected in all locations. Percentage of infection in these fishes ranged from 0.0 to 100.0. The highest infection was observed in Netrokona, Kishoreganj, and Mymensingh districts. Bacterial genera isolated from the lesions of these affected fishes were Aeromonas, Pseudomonas, Flavobacterium, Micrococcus, and Staphylococcus. Among these isolates Aeromonas was the dominant. Abundance of Aeromonas in the lesions among the investigated bacteria ranged from 75 to 90%. Five identified Aero monas lrydrophila were examined for their pathogenicity and were able to infect the experimental fish, silver barb (Puntius gonionotus). The pathogen Aeromonas hydrophila was thus considered to have an association with the outbreak of ulcer type of disease in the investigated fish species.

Enteropathogenic E. coli and other coliforms in marine fish

One hundred and twenty six samples of marine fish (96 from landing centre and 30 from retail market) and swabs from deck surfaces of 34 fishing boats were examined for coliforms including enteropathogenic E. Coli. Forty out of 96 fish samples from landing centre, 24 out of 30 from retail market and 11 out of 34 fishing boats revealed coliforms. On further tests, 5, 7 and 4 coliform isolates from the three groups respectively were found to be E. coli. Two of the E. coli. isolated, one from sciaenids and one from cat fish, were found to be enteropathogenic serotypes 055 and 0111. Enteropathogenic serotypes of E. coli are reported from sciaenids and cat fish for the first time in this country.

Improved handling and preservation of freshwater giant prawn, Macrobrachium rosenbergii for producing safe and wholesome products

Studies were undertaken to evaluate the quality changes in freshwater giant prawn, Macrobrachium rosenbergii during various storage conditions of handling and preservation and producing safe and quality products. The samples kept in ice immediately after catch with head-on and head-less condition were found to be acceptable for 6 days and 7 days, respectively. Delaying of icing considerably shortened the shelf-life. The pH value increased from 6.36 to 8.0 after 10 days in ice. The initial average TVB-N value of sample increased from below 10 mg/100 g to 25 mg/100 g with the lapse of storage period. The Ca++ ATPase activity in presence of 0.1M KCl slightly decreased at the end of 10 days of ice storage. Immediately after harvest, initial aerobic plate count (APC) was 2.88x10^6 CFU/g which gradually increased to 1.12x10^8 CFU/g after 6 days in ice storage and showed early signs of spoilage. Initial bacterial genera in the prawn iced at 0 hours were comprised of Coryneform (22.21 %), Bacillus (7.40%), Micrococcus (11.11 %), Achromobacter (48.14%), Flavobacterium/Cytophaga (7.40%), Pseudomonas (3.70%) and Aeromonas (3.70%). During ice storage Coryneforms and Bacillus were always dominating along with less prominent ones - Micrococcus, Achromobacter and Flavobacterium. Studies were conducted on the stability of myofibrillar protein of M. rosenbergii under different storage and pH conditions. The influence of a wide range of pH on the remaining Ca++ ATPase activity of M. rosenbergii muscle myofibrils after storage at -20°C for 2 days, at 0°C for 2 days and at 35°C for 30 minutes demonstrated that ATPase activities were lower in acidic and alkaline pH regions and the activity remained relatively high. Mg++ ATPase activities both in presence and absence of Ca++ remained high at neutral pH compared to those of acidic and alkaline region. The solubility of myofibrillar protein decreased gradually both in acidic and alkaline pH regions. The study also examined the bacteriological quality of freshly harvested M. rosenbergii, pond sediment and pond water from four commercial freshwater prawn farms at Fulpur and Tarakanda upazilas in the district of Mymensingh. The study included aerobic plate count (APC), total coliform count, detection, isolation and identification of suspected public health hazard bacteria and their seasonal variation, salt tolerance test, antibiotic sensitivity test of the isolates and washing effect of chlorinated water on the bacterial load in the prawn samples. APC in sediment soil and water of the farm and gill and hepatopancreas of freshly harvested prawns varied considerably among the farms and between summer and winter season. The range of coliform count in water, gill and hepatopancreas ranged between 6 - 2.8x10^2 CFU/ml, 1.2x10^2 - 3.32x10^2 CFU/g and 1.43x10^2 - 3.89 x10^3 CFU/g, respectively. No coliform was detected in pond sediment sample. Suspected health hazard bacteria isolated and identified from pond sediment, water, gill and hepatopancreas included Streptococcus, Bacillus, Escherichia coli, Klebsialla, Salmonella, Staphylococcus, Pseudomonas and Aeromonas. Bacillus, Salmonella and Staphyloccus [sic], and were found to be highly salt tolerant and capable of growing at 10% NaCl. The antibiotic discs with different concentration of antibiotics were used for the sensitivity test. The organisms were found to be most sensitive against Tetracyclin and Gentamycin.

Health and disease status of Thai pangas, Pangasius hypophthalmus cultured in rural ponds of Mymensingh, Bangladesh

Thai pangas, Pangasius hypophthalmus is one of the important aquaculture species in Bangladesh. Over the last few years spectacular development has been taking place in Thai pangas farming in Mymensingh district. Due to availability of easy breeding and culture techniques as well as quick return, more and more people are converting their rice fields into pangas farms overnight. The present study was carried out to examine health and disease status of Thai pangas mainly through clinical, histopathological and bacteriological techniques. In addition, for collecting primary data on disease and health status of Thai pangas and the resultant socioeconomic impacts on rural households, questionnaire interview and participatory rural appraisal tools were used with selected farming households in three upazilas of Mymensingh district. The most prevalent diseases as reported by the farmers were red spot, followed by anal protrusion, tail and fin rot, pop eye, dropsy and gill rot. Other conditions like cotton wool type lesion, ulceration and white spot were reported but with lower incidence. Four isolates of Aeromonas hydrophila were recovered from kidney and lesion of diseased fish. Hemorrhage over the body especially near mouth and caudal region was noticed in the fishes associated with aeromonad infection. Internally, kidney, liver and spleen became swollen and enlarged. The isolates varied with their pathogenicity. All the four isolates were sensitive to Nitrofurantoin, Cotrimoxazole and Tetracycline but were resistant to Amoxycilline. An attempt was made to treat diseased fish with extracts from neem leaf, garlic and turmeric. Recovery of infection was monitored through mortality and histopathology. General histopathological changes of different organs were also studied. Extract from neem (Azadirachta indica) leaf gave better result. Telangiectasis, lamellar hypertrophy and hyperplasia hemorrhage, lamellar fusion, necrosis of lamellar epithelial cells, presence of parasites and their cysts were the major pathology of gills. Hemorrhagic lesion, pyknotic nuclei and melanomacrophage centers (MMC) were found in the liver of fish. Major pathologies in kidney of fish included presence of MMC, necrotic and ruptured kidney tubules, severe haemopoietic necrosis, and hemorrhage. The economic loss due to disease in Thai pangas farming was estimated from the difference between expected production and actual production. On an average, Thai pangas farmers of Mymensingh incur a loss of Tk. 23,104/ha/cycle due to fish disease (3.6% of expected total production). The loss, however, varied with location and size of farms, type of farmers and management practices. The study also highlighted fish health management related problems and recommended further work for the development of user-friendly farmer-oriented fish health management packages.

Identification of Sarcocystis hominis-like (Protozoa : Sarcocystidae) cyst in water buffalo (Bubalus bubalis) based on 18S rRNA gene sequences

DNA templates were extracted from isolates of Sarcocystis hominis-like cysts collected from cattle and water buffalo, as well as from Sarcocystis fusiformis cysts and Sarcocystis suihominis cysts. The 18S rRNA genes were amplified using DNA from a single