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THE PREVALENCE OF BLASTOCYSTIS HOMINIS AND GASTROINTESTINAL SYSTEM PARASITES IN PATIENTS WITH NEWLY DIAGNOSED MULTIPLE MYELOMA DIAGNOSIS

Yıl 2024, Cilt: 34 Sayı: 5, 656 - 659, 30.10.2024
https://doi.org/10.54005/geneltip.1452726

Öz

ABSTRACT
Introduction
Multiple myeloma (MM) is a hematological malignancy characterized by the presence of abnormal clonal plasma cells in the bone marrow. Immunodeficiency seen in patients with multiple myeloma (MM) is a serious problem. Blastocystis sp. is found in the gastrointestinal tract and can infect humans.

Background/ Aims
In our study, we compared the prevalence of B.hominis and other parasites with the control group and patients who had recently been diagnosed with multiple myeloma.
Material-Methods
Ninety-five multiple myeloma patients from our center and 95 volunteers as a control group were included in our study. The patients did not have any symptoms when stool samples were taken. For B.hominis, three consecutive stool samples were examined by saline-lugol trichrome staining and formalin-ethyl acetate concentration. Data were recorded and analyzed using SPSS 25.0.
Results
Patients with newly diagnosed multiple myeloma and any of the patients in the control group did not have any parasites other than B.hominis. A significant difference was found between the newly diagnosed MM patients and the control group in terms of the number of B.hominis occurrences in the stool (p <0.001).
Conclusions
According to this result, parasite load in stool increased in patients with MM. This result may reflect the suppression of the immune system of patients with MM. Accordingly, B.hominis should be considered as a causative agent in the presence of gastrointestinal symptoms that may occur during treatment in patients with MM.

Etik Beyan

Dear Editor, Our unique article, THE PREVALENCE OF BLASTOCYSTIS HOMINIS AND GASTROINTESTINAL SYSTEM PARASITES IN PATIENTS WITH NEWLY DIAGNOSED MULTIPLE MYELOMA DIAGNOSIS, has never been peer-reviewed or published elsewhere. All authors have read and approved the article. There are no conflicts of interest in this article, thus nothing to disclose. In this work, we aimed to elevate the parasite burden in multiple myeloma patients. We concentrated on Blastocystis hominis because it was the only parasite found in these patients. We wanted to learn more about the causes of gastrointestinal problems that multiple myeloma patients may have, so we conducted this study to do just that. Many thanks for your concern Dr. Cem SELİM Corresponding Author

Destekleyen Kurum

none

Kaynakça

  • Robak P, Drozdz I, Szemraj J, Robak T. Drug resistance in multiple myeloma. Cancer Treat Rev 2018; 70: 199–208.
  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin 2018; 68: 7–30.
  • Palumbo A, Anderson K. Multiple myeloma. N Engl J Med. 2011; 364: 1046-1060.
  • Blimark C, Holmberg E, Mellqvist U-H, Landgren, O, Björkholm M, Hultcrantz M, et al. Multiple myeloma and infections: a population-based study on 9253 multiple myeloma patients. Haematologica 2015; 100: 107–113.
  • Suresh K, Smith H. Comparison of methods for detecting Blastocystis hominis. Eur J Clin Microbiol Infect Dis 2004; 23: 509-11.
  • Taamasri P, Mungthin M, Rangsin R, Tongupprakarn B, Areekul W, Leelayoova S. Transmission of intestinal blastocystosis related to the quality of drinking water. Southeast Asian J Trop Med Public Health 2000; 31: 112–117.
  • Tan KS. New insights on classification, identification, and Clinical relevance of Blastocystis spp. Clin Microbiol Rev 2008; 21 :639-65.
  • Nagel R, Cuttell L, Stensvold CR, Mills PC, Bielefeldt‐Ohmann H, Traub RJ. Blastocystis subtypes in symptomatic and asymptomatic family members and pets and response to therapy. J Intern Med 2012; 42: 1187–1195.
  • Yavasoglu I, Kadikoylu G, Uysal H, Ertug S, Bolaman AZ. Is Blastocystis hominis a new etiologic factor or a coincidence in iron deficiency anemia? Eur J Haematol 2008; 8 :47–50.
  • Yersal O, Malatyali E, Ertabaklar S, Oktay E, Barutca S, Ertug S. Blastocystis subtypes in cancer patients: analysis of possible risk factors and clinical characteristics. Parasitol Int 2016; 65: 792–796.
  • Ozyurt, O. Kurt, K. Molbak, Nielsen HV, Haznedaroglu T, Stensvold CR. Molecular epidemiology of Blastocystis infections in Turkey, Parasitol Int 2008; 57: 300–306.
  • Pratt G, Goodyear O, Moss P. Immunodeficiency and immunotherapy in multiple myeloma. Br J Haematol 2007; 138: 563–579.
  • Cook G, Campbell JD, Carr CE, Boyd KS, Franklin IM. Transforming growth factor beta from multiple myeloma cells inhibits proliferation and IL-2 responsiveness in T lymphocytes. J Leukoc Biol 1999; 66: 981–988.
  • Ratta M, Fagnoni F, Curti A, Vescovini R, Sansoni P, Oliviero B, et al. Dendritic cells are functionally defective in multiple myeloma: the role of interleukin-6. Blood. 2002; 100: 230–237.
  • Rawstron AC, Davies FE, Owen RG, Pratt G, Child JA, Morgan GJ, et al. B-lymphocyte suppression in multiple myeloma is a reversible phenomenon specific to normal B-cell progenitors and plasma cell precursors. Br J Haematol 1998; 100: 176–183.
  • Tasova Y, Sahin B, Koltas S, Paydas S. Clinical significance and frequency of Blastocystis hominis in Turkish patients with hematological malignancy, Acta Med Okayama 2000; 54: 133-136.
  • Laodim P, Intapan PM, Sawanyawisuth K, Laummaunwai P, Maleewong W. A hospital-based study of epidemiological and clinical data on Blastocystis hominis infection. Foodborne Pathog Dis 2012; 9: 1077–1082.
  • Holbro A, Ahmad I, Cohen S, Jean Roy, Silvy L, Miguel C, et al. Safety and cost-effectiveness of outpatient autologous stem cell transplantation in patients with multiple myeloma. Biol Blood Marrow Transplant 2013; 19: 547–551.
  • Poirier P, Wawrzyniak I, Albert A, Alaoui H El, Delbac F, Livrelli V. Development and evaluation of a real-time PCR assay for detection and quantification of Blastocystis parasites in human stool samples: prospective study of patients with hematological malignancies. Journal of clinical microbiology, 2011; 49(3), 975-983.
Yıl 2024, Cilt: 34 Sayı: 5, 656 - 659, 30.10.2024
https://doi.org/10.54005/geneltip.1452726

Öz

Kaynakça

  • Robak P, Drozdz I, Szemraj J, Robak T. Drug resistance in multiple myeloma. Cancer Treat Rev 2018; 70: 199–208.
  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin 2018; 68: 7–30.
  • Palumbo A, Anderson K. Multiple myeloma. N Engl J Med. 2011; 364: 1046-1060.
  • Blimark C, Holmberg E, Mellqvist U-H, Landgren, O, Björkholm M, Hultcrantz M, et al. Multiple myeloma and infections: a population-based study on 9253 multiple myeloma patients. Haematologica 2015; 100: 107–113.
  • Suresh K, Smith H. Comparison of methods for detecting Blastocystis hominis. Eur J Clin Microbiol Infect Dis 2004; 23: 509-11.
  • Taamasri P, Mungthin M, Rangsin R, Tongupprakarn B, Areekul W, Leelayoova S. Transmission of intestinal blastocystosis related to the quality of drinking water. Southeast Asian J Trop Med Public Health 2000; 31: 112–117.
  • Tan KS. New insights on classification, identification, and Clinical relevance of Blastocystis spp. Clin Microbiol Rev 2008; 21 :639-65.
  • Nagel R, Cuttell L, Stensvold CR, Mills PC, Bielefeldt‐Ohmann H, Traub RJ. Blastocystis subtypes in symptomatic and asymptomatic family members and pets and response to therapy. J Intern Med 2012; 42: 1187–1195.
  • Yavasoglu I, Kadikoylu G, Uysal H, Ertug S, Bolaman AZ. Is Blastocystis hominis a new etiologic factor or a coincidence in iron deficiency anemia? Eur J Haematol 2008; 8 :47–50.
  • Yersal O, Malatyali E, Ertabaklar S, Oktay E, Barutca S, Ertug S. Blastocystis subtypes in cancer patients: analysis of possible risk factors and clinical characteristics. Parasitol Int 2016; 65: 792–796.
  • Ozyurt, O. Kurt, K. Molbak, Nielsen HV, Haznedaroglu T, Stensvold CR. Molecular epidemiology of Blastocystis infections in Turkey, Parasitol Int 2008; 57: 300–306.
  • Pratt G, Goodyear O, Moss P. Immunodeficiency and immunotherapy in multiple myeloma. Br J Haematol 2007; 138: 563–579.
  • Cook G, Campbell JD, Carr CE, Boyd KS, Franklin IM. Transforming growth factor beta from multiple myeloma cells inhibits proliferation and IL-2 responsiveness in T lymphocytes. J Leukoc Biol 1999; 66: 981–988.
  • Ratta M, Fagnoni F, Curti A, Vescovini R, Sansoni P, Oliviero B, et al. Dendritic cells are functionally defective in multiple myeloma: the role of interleukin-6. Blood. 2002; 100: 230–237.
  • Rawstron AC, Davies FE, Owen RG, Pratt G, Child JA, Morgan GJ, et al. B-lymphocyte suppression in multiple myeloma is a reversible phenomenon specific to normal B-cell progenitors and plasma cell precursors. Br J Haematol 1998; 100: 176–183.
  • Tasova Y, Sahin B, Koltas S, Paydas S. Clinical significance and frequency of Blastocystis hominis in Turkish patients with hematological malignancy, Acta Med Okayama 2000; 54: 133-136.
  • Laodim P, Intapan PM, Sawanyawisuth K, Laummaunwai P, Maleewong W. A hospital-based study of epidemiological and clinical data on Blastocystis hominis infection. Foodborne Pathog Dis 2012; 9: 1077–1082.
  • Holbro A, Ahmad I, Cohen S, Jean Roy, Silvy L, Miguel C, et al. Safety and cost-effectiveness of outpatient autologous stem cell transplantation in patients with multiple myeloma. Biol Blood Marrow Transplant 2013; 19: 547–551.
  • Poirier P, Wawrzyniak I, Albert A, Alaoui H El, Delbac F, Livrelli V. Development and evaluation of a real-time PCR assay for detection and quantification of Blastocystis parasites in human stool samples: prospective study of patients with hematological malignancies. Journal of clinical microbiology, 2011; 49(3), 975-983.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Onkoloji
Bölüm Original Article
Yazarlar

Cem Selim 0000-0002-2717-8306

İrfan Yavaş 0000-0003-1703-2175

Rafiye Ciftciler 0000-0001-5687-8531

Erken Görünüm Tarihi 27 Ekim 2024
Yayımlanma Tarihi 30 Ekim 2024
Gönderilme Tarihi 14 Mart 2024
Kabul Tarihi 25 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 34 Sayı: 5

Kaynak Göster

Vancouver Selim C, Yavaş İ, Ciftciler R. THE PREVALENCE OF BLASTOCYSTIS HOMINIS AND GASTROINTESTINAL SYSTEM PARASITES IN PATIENTS WITH NEWLY DIAGNOSED MULTIPLE MYELOMA DIAGNOSIS. Genel Tıp Derg. 2024;34(5):656-9.