Covers the genus Trichomonas, its anaerobic pear-shaped flagellated trophozoites, and the oral and intestinal species T. tenax and T. hominis, including habitat, size, transmission and commensal status. Then turns to Giardia lamblia, describing its trophozoite and cyst forms, the life cycle from cyst ingestion to excretion, and four mnemonics for remembering the species and forms, followed by recap questions on morphology, clinical features and treatment.
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Topic 43 of 64 in the MU Sofia syllabus for Biology (Dental Medicine, Year 1). The free AceMed note covers it in 1 section, about 1,054 words (8 min of reading).
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Genus Trichomonas. Giardia lamblia (Lamblia intestinalis).
Genus Trichomonas. Giardia lamblia (Lamblia intestinalis).
The genus Trichomonas belongs to the phylum Parabasala, which includes flagellated protozoa.
These organisms are anaerobic, meaning they thrive in oxygen-poor environments like mucosal linings.
They are found in human mucosal surfaces such as:
The oral cavity
The gastrointestinal tract
The urogenital tract
They are pear-shaped, with a central axostyle and multiple anterior flagella that help with motility.
Morphological Features
Axostyle: A rod-like internal cytoskeletal structure running along the body length; supports cell shape and sometimes protrudes from the rear end.
Flagella: Vary in number (typically four or more); provide locomotion.
Undulating membrane: Present in some species (e.g., T. vaginalis); aids in movement in viscous environments.
No cyst form: Trichomonas species exist only as trophozoites, which is unusual among protozoan parasites.
Reproduce asexually through binary fission.
Genomic Insights
Genome studies have revealed the presence of meiosis-specific genes, suggesting potential for genetic recombination, even though no sexual cycle has been directly observed.
Genes similar to those involved in homologous recombination and crossing-over in eukaryotes have been detected.
Important Human Species
Trichomonas tenax
Habitat: Found in the oral cavity, especially around dental calculus, periodontal pockets, or cavities.
Size: Typically measures 6 to 10 micrometers in length.
Nature: Considered a commensal organism; it survives in the mouth without causing active disease but may be opportunistic in poor hygiene.
Association:
Found more frequently in individuals with poor oral hygiene
Associated with advanced periodontal disease
Transmission:
Occurs via saliva exchange, such as kissing
Through droplet spray while speaking or sneezing
Via shared utensils, contaminated drinking glasses, or water
Trichomonas hominis (Pentatrichomonas hominis)
Habitat: Found in the large intestine (colon) of humans.
Size: Ranges from 5 to 15 micrometers.
Nature: Also a commensal, generally considered non-pathogenic
Controversy: Occasionally found in diarrheal stools, but its role as a pathogen remains uncertain.
Morphological Features:
Has five flagella and a long undulating membrane that extends nearly the entire body length.
Transmission:
Occurs through fecal-oral route
Ingestion of contaminated water, food, or utensils
Cyst Form: Absent; transmission depends on the survival of trophozoites in favorable environments.
Giardia lamblia (also known as Lamblia intestinalis)
General Characteristics
Giardia lamblia is a flagellated protozoan parasite that infects the small intestine of humans and various animals.
Belongs to the phylum Metamonada, class Diplomonadida.
It is a significant cause of protozoal diarrhea worldwide, especially in areas with poor sanitation.
Infection by Giardia is referred to as giardiasis.
Morphological Forms
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