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ArticleParasitology research2025

Assessment of Lactobacillus acidophilus (L. acidophilus) therapeutic and prophylactic role in rats experimentally infected with Blastocystis subtype 3 (ST3).

Sara Fathy Hamed Alkady, Heba Mohamed Awad El Naggar, Hala Sobhy Thabet, Hoda S El-Sayed, Mona Magdy, Iman Ahmed Fahmy, Hanan Mahmoud Abou-Seri

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Article in Parasitology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Antiprotozoal Effects ofPathogens (Basel, Switzerland) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sara Fathy Hamed AlkadyMedical Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Heba Mohamed Awad El NaggarMedical Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Hala Sobhy ThabetMedical Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Hoda S El-SayedDairy Department, National Research Centre, Giza, Egypt.
Mona MagdyPathology Department, Theodor Bilharz Research Institute, Giza, Egypt.
Iman Ahmed FahmyMedical Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Hanan Mahmoud Abou-SeriMedical Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. hanan.mahmoud27@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blastocystis, an eukaryote, inhabits the intestinal tract of humans and animals worldwide. Lactobacillus acidophilus (L. acidophilus), a probiotic, has been reported to be effective against blastocystosis. The present study evaluated the therapeutic and prophylactic effectiveness of L. acidophilus compared to metronidazole (MTZ) in rats experimentally infected with Blastocystis subtype 3 (ST3). Four groups of Blastocystis ST3-infected rats received MTZ, L. acidophilus, both MTZ and L. acidophilus, or prophylactic L. acidophilus. Non-infected and infected control groups were included. The effectiveness of treatment and prevention was evaluated using parasitological monitoring, histopathological examination, immunohistochemical staining for TNF-α and IgA expression, and immunological testing for TNF-α and IL-10. In the L. acidophilus-treated group, a 76% reduction in the mean fecal parasitic count and a 67% clearance in the intestinal wash were achieved aligning closely with outcomes observed in the MTZ-treated group. An immunomodulatory impact via upregulation of the anti-inflammatory cytokine IL-10 and downregulation of the pro-inflammatory cytokine TNF-α was demonstrated as well. Combined administration of MTZ and L. acidophilus exhibited superior efficacy with a 99% decrease in the mean fecal parasitic count and a 98% decrease in the intestinal fluid parasitic count. Additionally, the lowest TNF-α and the highest IL-10 serum levels. Prophylactic use of L. acidophilus for 7 days neither prevented infection nor reduced its severity. Furthermore, no significant differences were detected in serum levels of TNF-α and IL-10 following post-prophylaxis and post-treatment with L. acidophilus. Accordingly, L. acidophilus might be recommended as an adjuvant treatment alongside MTZ for improved efficacy against blastocystosis.

Indexed as

BlastocystisBlastocystis InfectionsLactobacillus acidophilusProbioticsAnimalsAntiprotozoal AgentsDisease Models, AnimalFecesFemaleImmunoglobulin AInterleukin-10MaleMetronidazoleParasite LoadRatsTreatment OutcomeAntiprotozoal AgentsImmunoglobulin AInterleukin-10MetronidazoleTumor Necrosis Factor-alphaBlastocystisIgAIL-10ImmunohistochemistryLactobacillus acidophilusMetronidazoleSubtype 3TNF-α

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.