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in vitro culture and isoenzyme analysis of giardia lamblia

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Chapter 3<br />

IN VITRO EXCYSTMENT<br />

3.1 INTRODUCTION<br />

Research on excystation <strong>of</strong> Giardia began as early as 1925 (Hegner, 1925). In his<br />

later report on <strong>in</strong> <strong>vitro</strong> excystation <strong>of</strong> human <strong>in</strong>test<strong>in</strong>al protozoa, he recognised<br />

moisture <strong>and</strong> a temperature <strong>of</strong> about 37°C as the only factors necessary for<br />

excystation (Hegner, 1927). It was only <strong>in</strong> 1979 that all conditions responsible for<br />

<strong>in</strong>duction <strong>of</strong> this process were def<strong>in</strong>ed by B<strong>in</strong>gham <strong>and</strong> Meyer (1979). These<br />

authors demonstrated that Giardia excystation is pH dependant, be<strong>in</strong>g <strong>in</strong>itiated by<br />

acidic conditions. The process is only completed successfully if the acid exposure<br />

is promptly followed by <strong>in</strong>cubation <strong>in</strong> an alkal<strong>in</strong>e medium. This process was<br />

described as analogous to passage <strong>of</strong> cysts through an acidic stomach followed<br />

by the alkal<strong>in</strong>e environment encountered <strong>in</strong> the duodenum. They illustrated that<br />

the hydrogeh ion was responsiQle for <strong>in</strong>duction <strong>of</strong> excystation. In this experiment,<br />

cysts were successfully excysted after be<strong>in</strong>g exposed to synthetic gastric juice<br />

conta<strong>in</strong><strong>in</strong>g <strong>in</strong>organic salts <strong>and</strong> peps<strong>in</strong> at acid pH.<br />

Most excystation methods subsequently published have been based on these<br />

workers' f<strong>in</strong>d<strong>in</strong>gs, some with slight modifications. Various comb<strong>in</strong>ations <strong>of</strong> salts,<br />

bicarbonate <strong>and</strong> peps<strong>in</strong> or tryps<strong>in</strong> were ma<strong>in</strong>ly used <strong>in</strong> the modified versions<br />

(B<strong>in</strong>gham et al., 1979; Rice & Schaeffer, 1981; Cogg<strong>in</strong>s & Schaefer, 1986; Buchel<br />

et al., 1987; Hamilton & Jackson, 1990). In recent years, several workers have<br />

reported successful excystation <strong>of</strong> Giardia from humans <strong>and</strong> subsequent<br />

65

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