蒿甲醚对感染小鼠体内埃及血吸虫皮层的损害

目的 评价蒿甲醚对小鼠体内埃及血吸虫皮层的损害作用。 方法 8只小鼠于感染埃及血吸虫尾蚴后81 d，用单剂蒿甲醚400 mg/kg口服治疗。治疗后1、3、7和14 d各剖杀2只小鼠，用灌注法收集血吸虫，并按常规方法固定和处置虫体，作扫描电镜观察。从另2只未作治疗的感染小鼠取虫作对照。 结果 用蒿甲醚治疗后24 h，雄虫的皮层结节肿大、破溃或从皮层上剥落; 在雄虫和雌虫的体表可查见有局灶性或广泛的皮层肿胀、融合、空泡变化、糜烂和剥落，以及感觉结构的破坏。治疗后3 d，雌、雄虫的皮层损害加重，最严重的损害为口吸盘肿胀和破溃，并查见皮层褶嵴有广泛和严重的肿胀、糜烂和剥落，以及雌虫盘状感觉结构的破坏。治疗后7至14 d，有些虫仍示有中或重度皮层损害，而有些仍存活的虫则示其大部分皮层已有明显恢复。 结论 蒿甲醚对埃及血吸虫的皮层具有广泛和严重的损害作用。

Effect of Artemether on the Tegument of Adult Schistosoma haematobium Recovered from Mice

Objective To assess the effect of artemether on the tegument of adult Schistosoma haematobium harbored in mice.Methods Ten mice were infected subcutaneously with 100-120 S.haematobium cercariae each.At day 81 post-infection,8 mice were treated orally with 400 mg/kg artemether.Mice were sacrificed at 1,3,7 and 14 days post-treatment,and schistosomes were collected by the perfusion technique,fixed and examined under a scanning electron microscope.Schistosomes obtained from the 2 untreated mice served as a control.Results Twenty-four hours post-treatment,tubercles on the tegument of male worms showed lesions,characterized by enlargement,collapse and partial peeling off from the border with the tegument.In both male and female worms,the tegument showed focal or extensive swelling,fusion,vacuolization,erosion,peeling,and destruction of sensory structures.Three days post-treatment,tegumental alterations further aggravated;particularly severe damage was the swelling or collapse of the oral sucker observed in both sexes.In addition,extensive swelling,erosion and peeling of tegumental ridges and destruction of discoid-like sensory structures were seen in female worms.Seven to 14 days post-treatment,moderate-to-severe damage was still evident in some worms,whereas other worms surviving the treatment showed apparent recovery in most parts of their tegument.Conclusion Artemether causes extensive and severe tegumental damage in adult S.haematobium.