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Gastroduodenitis and peptic ulcer in a rural Liberian community—an endoscopic prospective study

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LABORATORY DEMONSTRATIONS AND POSTERS 189 reduced capacity for an inert material, colloidal

carbon, and took up only 25% of the load absorbed by an untreated liver. Light microscopy revealed some focal degeneration in the blood vessels of silica-treated animals but the sinusoids remained unaffected except that the numbers of Kuppfer cells were markedly reduced. Scanning electron microscopy confirmed that the silica treatment had little effect on the structure of the capillaries and sinusoids. This evidence suggests that the silica pretreatment reduces the phagocytic properties of liver bv specifically removing Kunnfer cells.

The-uptake of sporozoites I% significantly reduced in silica-treated livers CD 0.01 Mann Whitnev) with only 59”/ of the original sporozoite load disappear- ing during the 1%min perfusion period. This finding suggests the Kuppfer cell is responsible for the clearance of sporozoites from the blood. However, it remains to be seen whether sporozoites taken up by Kuppfer cells are ultimately responsible for the production of exoerythrocytic schizonts.

Gastroduodenitis and peptic ulcer in a rural Liberian community-an endoscopic pros-

pective study

E. STAHEL; K. GYRANDP. HEITZ Swiss Trobical Institute and Uniwersitv HosPital. Basle, Swikerland; Firestone Medical Centre, H&be[

Liberia

So far endoscopic investigations into the preva- lence of oesophago-gastro-duodenal pathology in West Africa are few, and non-existent in Liberia. In a prospective study on a Liberian rubber planta- tion over 12 months, 77 patients with recurrent epigastric pain or suspicion of gastrointestinal bleeding as well as 15 controls without evidence of gastrointestinal disease were examined with an Olympus fibreoptic instrument. Biopsies were systematically taken from the antrum and the duodenum. Biopsy specimens were classified as having none, chronic superficial (SG) and atrophic gastricis (AG) and duodenitis (D) respectively (MACDONALD. W.C. & RUBIN.~. E..1967: Gastro- enterolopy, 53, 143; CHELI, k & A>TE, Ek, 1976; Duoden%). .

Pentic ulcer was found in six natients. Two of these were prepyloric and four ;n the duodenal bulb. From the symptomatic group 710; had macroscopic signs of gastritis, 140,;, of duodenitis, i.e. hyperaemia, oedema, patchy aspect and erosions compared to 27”; and none in the controls. His-

tology revealed SG in 49:/o, AG in 25% and D in 3O:h of the patients and 33’>b, 13% and 70/, respec- tively in the control group. There seemed to be a positive correlation between histological gastritis, symptoms and intake of pepper. No correlation was found with the presence of faecal parasites.

This study shows a relatively small number of peptic ulcer disease but a high prevalence of chronic gastritis in this rural population.

Toxoplasma gondii : glucose-8phosphate- dehydrogenase

ROLAND WERK AND WOLFGANG BOMMER Institut fiir Hygiene der Universitiit Giittingen,

D-3400 Giittingen, German Federal Republic Glucose-6-phosphate-dehydrogenase (G6PD) is the key enzyme that controls the glucose flow through the pentose-phosphate route. The im- portance of this route was demonstrated for a malaria parasite (SHAKESPEARE, P. G. & TRIGG, P. I., 1973; Nature, 241, 538-540). Using the quantitative microgel-gradient technique combined with a specific histochemical assay (ENDOU, H. & NEUHOFF, V., 1975; Chemie, 3561, 1381-1396) we were able to analyse some of the kinetic and regula- tory features of Toxoplasma G6PD. G6PD-activity was only found in the cytoplasm. The enzyme metabolizes not only glucose-6-phosphate (G6P) but also other substrate; The relative peak activities were 28 * 40:, for ealactose-6-nhosnhate , I, (Gal6P). 0.0245’:/, for gluco;ate-6-phosphate (Gluc6P) and 50.3:: for NAD. The Michaelis-Menten values (Km-value) were evaluated. They were 3.63 ,< 10-4 M for G6P, 4.34 x IO-4 M for Gal6P, 3.63 x 10-e M for Gluc6P and 1.01 x lo-” M for NADP. In studying regulatory properties of G6PD the effect of ATP was assaved. ATP in- hibited G6PD (l-52 x lop3 M). ATP as effector changed the hyperbolic Michaelis-Menten kinetic into a sigmoidal one in the mode of allosteric action. Kinetic features in the case of the Km-values for G6P and NADP are similar to those of Trypano- soma cruzi (see FUNAYAMA, S. et al., 1977; Expl. Parasit., 43. 376-381). However, unlike G6PD of Trypan&omh, the Toxoplasma enzyme can react with NAD as cosubstrate and exhibits allosteric features with ATP. This may indicate that the pentose-phosphate route plays a role in the glucose metabolism of Toxoplasma gondii similar to that j, Plasmodium.

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