Correlation between Assemblages A and B Giardia lamblia infection with melatonin, ghrelin, Hsp70 and TFF3 biomarkers in patients

Background: Giardiasis is considered one of the parasitic diseases affecting humans, caused by a flagellate protozoan known as Giardia lamblia. It is a common gastrointestinal pathogen that can lead to various clinical and other complications. Objective: Study aimed to diagnose infection with the G. lamblia in children aged (1-12 years) using a direct wet mount, and to determine Assemblages A and B Giardia lamblia by targeting the TPI gene using Nested-PCR, in addition to evaluating the relationship of infection of assemblages with (melatonin, ghrelin, Hsp70 and TFF3) using ELISA assay. Method: By examining 238 stool samples for children suffering from diarrhea and some intestinal symptoms visiting some hospitals in Salah al-Din Governorate. Results: 34 (14.2%) positive samples were recorded by microscopic examination. 100 fecal samples using the Nested-PCR, showed 60 (60%) positive samples for the G. lamblia, including 18 (30%) for the assemblage B, 31 (51.66%) samples for assemblage A, as well as 11 (18.33%) mixed infections of A+B. The study of biomarkers revealed a highly significant increase in the levels of (melatonin, ghrelin, Hsp70 and TFF3) in the serum of patients with mixed A + B infection, while the lowest average concentrations of biomarkers were recorded in children infected with group A. Conclusion: Direct microscopic examination of stool samples It has good sensitivity for detecting G. lamblia parasite, and the TPI gene targeted in Nested-PCR technology has high sensitivity and specificity for genotyping detection of the parasite. Group A is the most common among patient samples. Mixed infections (A+B) have the greatest effect.