BEIJING, Jan. 26 (Xinhuanet) -- The genes of a tiny
parasite recently mapped by scientists that causes one of the world's most
common, arguably least recognized, sexually transmitted infections is becoming
well known as a player in the spread of the AIDS virus.
Researchers hope the work will
bring new attention to a parasite named trichomoniasis, which is estimated to
infect 170 million people a year worldwide, including 8 million in North
America.
"There are a huge number of people infected out
there, but they don't know it so you don't know it," warned Dr. Jane Carlton, a
parasite specialist who led the four-year effort by The Institute for Genomic
Research in Rockville, Maryland, to crack the bug's genome.
Most sexually transmitted infections are caused by
viruses or bacteria. A microscopic, single-celled protozoan named Trichomonas
vaginalis causes this one.
"It is a bad actor," said Dr. Anthony Fauci, director
of the National Institute of Allergy and Infectious Diseases, which funded the
genome work.
The genetic mapping "is a very strong step in the
right direction with regard to a parasite we still have not fully appreciated,"
he added.
"Trich" is easily curable, with a drug called
Flagyl. But many people go undiagnosed and continue spreading trich, plus
the parasite is starting to develop resistance to the drug.
Both men and women can be infected, although trich is
more common in women. But men usually suffer no symptoms, while about half of
women do, reporting such problems as vaginal itching and a fishy-smelling frothy
discharge.
During pregnancy, trich can cause premature birth or
low-weight babies. It's also linked to pelvic inflammatory disease.
But trich's real threat is it increases
women's vulnerability to HIV by altering the lining of the vagina so it's
easier for the AIDS virus to sneak in. Trich also seems to increase the chances
that people who already have HIV spread it, enhancing that virus in different
ways.
The genome, which turned out to be 10-fold larger
than researchers had predicted, highlights this parasite's predatory nature,
says Carlton, now at New York University School of Medicine.
First, it shifts from the shape of a pear to flatten
and cover as much of the vaginal surface as possible. Then it sends tendrils
under that surface to latch on. And then it gobbles up the vagina's good,
anti-infective bacteria even as it secretes proteins that can erode holes in
cells in the vaginal lining.
"We think it's a very voracious parasite," Carlton
said.
(Agencies)