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in vitro culture and isoenzyme analysis of giardia lamblia

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together with yeasts on the right arm <strong>of</strong> the tube. The motile trophozoites migrated<br />

across its base <strong>and</strong> were isolated, free <strong>of</strong> yeast, on the left arm <strong>of</strong> the tube.<br />

In 1976, Meyer developed a <strong>culture</strong> medium (Hanks, Serum, Phytone-1) (HSP-1)<br />

for axenic cultivation <strong>of</strong> human isolates. One <strong>of</strong> the major components <strong>of</strong> Meyer's<br />

medium was human serum (15-20%). Visvesvara (1980) highlighted the limitations<br />

<strong>of</strong> us<strong>in</strong>g this product as batches <strong>of</strong> human serum varied <strong>in</strong> their ability to support<br />

good growth <strong>of</strong> G.<strong>lamblia</strong>; some even <strong>in</strong>hibited growth <strong>and</strong> caused <strong>culture</strong>s to be<br />

lost. He also recognised that G.<strong>lamblia</strong> grown <strong>in</strong> media conta<strong>in</strong><strong>in</strong>g human serum<br />

(HSP-1) were unsuitable for use as antigens <strong>in</strong> serological tests because <strong>of</strong> nonspecific<br />

sta<strong>in</strong><strong>in</strong>g reactions. To circumvent this, he gradually adapted the human<br />

Giardia to grow <strong>in</strong> Diamond's Trypticase-Panmede-Serum (TPS-1) medium, which<br />

is supplemented with bov<strong>in</strong>e or rabbit sera.<br />

A new medium, Trypticase-Yeast-lron-Serum-33 (TYI-S-33) was developed for<br />

axenic <strong>culture</strong> <strong>of</strong> Entamoeba spp by Diamond et al. (1978) to replace the TPS-1<br />

medium, which was at that time the most widely used for these organisms. One <strong>of</strong><br />

the essential <strong>in</strong>gredients <strong>of</strong> TPS-1 medium was Panmede (Pa<strong>in</strong>es <strong>and</strong> Byrne,<br />

Ltd.,Greenford, Middlesex, Engl<strong>and</strong>), a papa<strong>in</strong> digest <strong>of</strong> ox liver. In time it became<br />

<strong>in</strong>creas<strong>in</strong>gly difficult to obta<strong>in</strong> batches which supported good growth, hence TYI-S-<br />

33, which is based on Trypticase, a case<strong>in</strong> digest (BBL, Cockeysville, USA) <strong>and</strong><br />

yeast, was developed.<br />

Keister (1983) modified TYI-S-33 for cultivation <strong>of</strong> Giardia organisms by add<strong>in</strong>g<br />

bile <strong>and</strong> <strong>in</strong>creas<strong>in</strong>g the concentration <strong>of</strong> L-cyste<strong>in</strong>e to the orig<strong>in</strong>al formulation <strong>of</strong><br />

103

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