Entamoeba histolytica trophozoites can induce host cell apoptosis, which correlates with the virulence of the parasite. This phenomenon has been seen during the resolution of an inflammatory response and the survival of the parasites. Other studies have shown that E. histolytica trophozoites undergo programmed cell death (PCD) in vitro, but how this process occurs within the mammalian host cell remains unclear. Here, we studied the PCD of E. histolytica trophozoites as part of an in vivo event related to the inflammatory reaction and the host-parasite interaction. Morphological study of amoebic liver abscesses showed only a few E. histolytica trophozoites with peroxidase-positive nuclei identified by terminal deoxynucleotidyltransferase enzymemediated dUTP nick end labelling (TUNEL). To better understand PCD following the interaction between amoebae and inflammatory cells, we designed a novel in vivo model using a dialysis bag containing E. histolytica trophozoites, which was surgically placed inside the peritoneal cavity of a hamster and left to interact with the host's exudate components. Amoebae collected from bags were then examined by TUNEL assay, fluorescence-activated cell sorting (FACS) and transmission electron microscopy. Nuclear condensation and DNA fragmentation of E. histolytica trophozoites were observed after exposure to peritoneal exudates, which were mainly composed of neutrophils and macrophages. Our results suggest that production of nitric oxide by inflammatory cells could be involved in PCD of trophozoites. In this modified in vivo system, PCD appears to play a prominent role in the host-parasite interaction and parasite cell death.
INTRODUCTIONEntamoeba histolytica is the aetiological agent of amoebic dysentery and its main extra-intestinal complication, amoebic liver abscess (ALA). The infection constitutes an important public health problem worldwide, especially in developing countries. The mechanisms by which this parasite causes intestinal and liver tissue damage have been largely defined using various methods, which have been facilitated by the development of different in vivo experimental models of amoebiasis (Tsutsumi & Shibayama, 2006). In the last two decades, multiple studies have been conducted to understand the molecular basis of host-parasite interactions (Ravdin et al., 1989;Leippe et al., 1991;Que & Reed, 2000). The virulence of E. histolytica trophozoites has been considered a multifactorial process governed by specific interactions at the cellular and molecular levels. These host-parasite interactions take place in a series of sequential steps, including adherence (Petri et al., 1987), contact-dependent cytolysis (Huston et al., 2000) and phagocytosis (Orozco et al., 1983). These steps allow the parasite to invade and damage host tissues, as well as to evade detection by the immune system.Programmed cell death (PCD), or apoptosis, has been reported in all multicellular invertebrate and vertebrate lineages; however, various forms of regulated PCD have now been described in u...