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Ahead-of-print

Articles in E-pub version are posted online ahead of regular printed publication.

Original Articles

The therapeutic potential of green synthesized zinc oxide nanoparticles in murine schistosomiasis
Asmaa M. El-kady, Majed H. Wakid, Khalil Mohamed, Abdullah Alhazmi, Wafa Abdullah Al-Megrin, Hayam Elshazly, Eman Sayed, Matthew W. Spears, Hatem A. Elshabrawy, Eman Fathy Fadel, Marawan Khodary, Somia Mohammed El Hassan
Received January 7, 2026  Accepted March 29, 2026  Published online June 25, 2026  
DOI: https://doi.org/10.3347/PHD.26003    [Epub ahead of print]
Schistosomiasis remains a major neglected tropical disease, affecting approximately 600 million individuals worldwide and accounting for nearly 500,000 deaths annually. The principal causative species—Schistosoma haematobium, S. mansoni, and S. japonicum—drive significant morbidity through hepatomegaly, splenomegaly, and progressive hepatic fibrosis. Praziquantel (PZQ) remains the cornerstone of treatment; however, its limited efficacy against immature worms and eggs, combined with concerns over emerging drug resistance, underscores the urgent need for novel therapeutic alternatives. This study investigated the anti-schistosomal potential of green-synthesized zinc oxide (ZnO) nanoparticles (NPs) in a murine model of S. mansoni infection, benchmarked against PZQ. ZnO NPs were fabricated using ginger extract via an eco-friendly green synthesis approach. Fifty male BALB/c mice were randomly assigned to five groups (n=10): normal control, infected untreated control, infected treated with PZQ alone, infected treated with ZnO NPs alone, and infected treated with a PZQ–ZnO NP combination. Parasitological, histopathological, and fibrosis assessments were subsequently performed. All treatment groups demonstrated significant reductions in worm burden and tissue egg counts relative to infected untreated controls. Histopathological examination of untreated infected mice revealed extensive chronic granulomatous inflammation, concentric perioval fibrosis, fibroblast proliferation, hepatocellular necrosis, hydropic degeneration, marked collagen deposition, and portal-to-portal fibrous bridging. Treated groups, by contrast, exhibited marked hepatic improvement characterized by reduced granuloma size, diminished fibrosis, and decreased collagen deposition. Collectively, these findings indicate that green-synthesized ZnO NPs possess promising anti-schistosomal and antifibrotic properties, warranting further investigation as a potential adjunct or alternative therapeutic strategy for schistosomiasis management.
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Acanthamoeba profilin as a novel airway allergen with diverse sensitization patterns including pollen cross-reactivity
Mi-Kyung Park, Hye-Kyung Park, Hak Sun Yu
Received March 12, 2026  Accepted April 30, 2026  Published online June 22, 2026  
DOI: https://doi.org/10.3347/PHD.26021    [Epub ahead of print]
Profilins are ubiquitous pan-allergens responsible for cross-reactivity between pollens and plant foods. While we previously demonstrated that recombinant Acanthamoeba profilin (rAc-PF) drives allergic airway inflammation via Th2/Th17 pathways in murine models, its clinical relevance in human allergic disease remains unclear. This study investigated rAc-PF as a novel inhalant allergen and its immunological impact on patients with allergic airway diseases. A total of 176 patients with allergic airway diseases underwent skin prick tests with rAc-PF and a standard panel of 55 common aeroallergens. Acanthamoeba-specific and rAc-PF–specific serum IgE levels were quantified using ELISA. To elucidate immune mechanisms, peripheral blood mononuclear cells from atopic asthma patients were stimulated with rAc-PF, and Th2/Th17 cytokine production was analyzed. Thirteen patients (7.4%) showed positive skin prick tests reactions to rAc-PF. This sensitization was significantly associated with tree, grass, and weed pollens, indicating a pan-allergen characteristic due to high cross-reactivity. Notably, one patient sensitized to rAc-PF reacted to no other common inhalants, suggesting rAc-PF as a unique causative agent. Patients exhibited significantly elevated levels of serum Acanthamoeba-specific and rAc-PF–specific IgE compared to healthy controls. Furthermore, rAc-PF stimulation of peripheral blood mononuclear cells from asthmatic patients induced robust production of IL-4, IL-5, IL-13, and IL-17A in humans. rAc-PF is identified as a novel allergen capable of inducing IgE-mediated sensitization and mixed Th2/Th17 responses. The strong association with pollen sensitization supports its role as an environmental pan-allergen. Therefore, rAc-PF should be considered a clinically relevant diagnostic target, especially in patients with polysensitization or unidentified triggers.
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Brief Communications

Infections of digenetic trematode metacercariae in freshwater fish from Banbyeon-cheon (stream) in Yeongyang-gun, Gyeongsangbuk-do, Korea
Emmanuel Opara, Ha-Eun Lee, Heon Woo Lee, Mohammed Mebarek Bia, Myoung-Ro Lee, Sunmin Kim, Seongjun Choe
Received December 15, 2025  Accepted March 9, 2026  Published online June 19, 2026  
DOI: https://doi.org/10.3347/PHD.25002    [Epub ahead of print]
The present study investigated the infection status of digenetic trematode metacercariae (DTM) in freshwater fish from Banbyeon-cheon in Yeongyang-gun, Gyeongsangbuk-do, Korea. A total of 211 freshwater fish representing 11 species were examined using the artificial digestion method in October 2023. Six taxa of DTM, including Clonorchis sinensis, Metagonimus spp., Centrocestus armatus, echinostomes, Exorchis oviformis, and Metacercaria hasegawai, were detected. The overall prevalence of DTM was 92.4% among the fish examined. The prevalence of C. armatus was the highest (52.8%), followed by E. oviformis (51.6%), M. hasegawai (35.6%), echinostomes (31.0%), C. sinensis (16.1%), and Metagonimus spp. (6.9%) in positive fish species. The infection intensity of C. armatus was 126 metacercariae per infected fish, whereas those of C. sinensis and Metagonimus spp. were 20 and 5.8 per infected fish, respectively. These findings indicate that at least 6 taxa of DTM, including C. sinensis and Metagonimus spp., are prevalent to varying degrees in fish from Banbyeon-cheon in Yeongyang-gun, Gyeongsangbuk-do, Korea. However, the potential risk of fishborne zoonotic trematodes, particularly C. sinensis, appears to be markedly lower than that reported in previous studies.
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Three-year survey of Enterobius vermicularis infection among preschool children in Jeollanam-do, Korea (2023–2025)
Ji-Yoon Jeon, Yeon-Ju Lee, Hye-Rin Kim, Hye-Lin Yang, Yun-Ji Park, Hye-Jin Kim, Tae-Man Ha, Jin-Yeong Kim, Gwi-Nim Park, Sook Park, Yang-Joon An, Yeongjin Hong
Received January 14, 2026  Accepted April 1, 2026  Published online June 19, 2026  
DOI: https://doi.org/10.3347/PHD.26006    [Epub ahead of print]
The purpose of this study was to ascertain the status and patterns of pinworm Enterobius vermicularis infection among preschool children in Jeollanam-do from 2023 to 2025. Further, it aimed to assess changes in infection rates during the implementation of the test-and-treatment strategy. Cellophane tape swabs were collected from 12,608 children aged 0–6 years enrolled in daycare or kindergarten facilities in 8 cities and counties of Jeollanam-do. The samples were examined under a light microscope to diagnose pinworm infection. The overall infection rate over the 3-year period was 0.22% (28/12,608). The annual infection rate declined continuously from 0.35% in 2023 to 0.06% in 2025 (trend P<0.05). The infection rate did not vary significantly with sex (P>0.05), but was significantly higher in the 4–6 year age group (P<0.05), and was highest in Jangheung-gun (0.65%) and Goheung-gun (0.37%). The overall infection rate in this study was substantially lower than previously reported. However, this may represent a transient phenomenon reflecting environmental or behavioral factors associated with this specific period. Therefore, continuous monitoring is necessary.
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Original Article
Influence of livestock keeping on feeding behavior, host choice, and spatial distribution of malaria vectors in rural northwestern Tanzania
Diana Zakayo, Deokary J. Matiya, Winifrida Kidima, Jaeyul Kwon, Bo-In Kwon, Ernest Mazigo
Received December 18, 2025  Accepted February 19, 2026  Published online February 27, 2026  
DOI: https://doi.org/10.3347/PHD.25003    [Epub ahead of print]
Malaria transmission remains high in rural Tanzania despite widespread use of insecticide-treated nets and indoor residual spraying. Outdoor biting and flexible host-feeding behavior of Anopheles mosquitoes reduce the effectiveness of these interventions. Livestock near households may influence vector behavior, but evidence from high-transmission rural settings is limited. A cross-sectional study was conducted from November 2022 to February 2023 in 5 villages of Misungwi District, involving 44 households (22 livestock-keeping and 22 non-livestock-keeping). Adult Anopheles mosquitoes were collected indoors and outdoors using Center for Disease Control light traps, identified morphologically and by PCR, and blood-meal sources were determined by ELISA. Host-feeding patterns were assessed using the human blood index, bovine blood index, and foraging ratios. A total of 611 female mosquitoes were collected, dominated by An. gambiae s.l. (96.1%) and An. funestus s.l. (3.9%). Livestock households had more mosquitoes (61.5%) and higher outdoor activity (67.3%), while non-livestock households had higher indoor collections (73.6%). Among 231 blood-fed mosquitoes, 150 (64.9%) were from livestock households and 81 (35.1%) from non-livestock households. In livestock households, 108 (72.0%) had animal blood only, 27 (18.0%) mixed blood, and 15 (10.0%) human blood only. In non-livestock households, 44 (54.3%) had human blood only, 24 (29.6%) mixed blood, and 13 (16.0%) animal blood only. An. arabiensis was opportunistic, while An. gambiae s.s. and An. funestus s.s. remained strongly anthropophilic. Livestock shifts feeding toward animals and increases outdoor activity but does not eliminate human feeding, highlighting the need for integrated malaria control strategies.
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