Evidence map›Paper›PMID 42560945›Full record

ArticlePLoS neglected tropical diseases2026

Evaluation of intestinal immune responses to Entamoeba dispar using the first domestic clinical isolate in Japan.

Yumiko Saito-Nakano, Akira Kawashima, Seiki Kobayashi, Koji Watanabe, Tetsuro Kawano-Sugaya, Shinji Izumiyama, Kumiko Nakada-Tsukui

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yumiko Saito-NakanoDepartment of Parasitology, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.
Akira KawashimaAIDS Clinical Center, National Center for Global Health and Medicine, Japan Institute for Health Security, Tokyo, Japan.
Seiki KobayashiDepartment of Parasitology, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.
Koji WatanabeDepartment of Parasitology, Tokai University School of Medicine, Isehara, Japan.
Tetsuro Kawano-SugayaDepartment of Biomedical Chemistry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Shinji IzumiyamaDepartment of Parasitology, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.
Kumiko Nakada-TsukuiDepartment of Parasitology, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9832-916X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEntamoeba dispar is a non-pathogenic sibling species of Entamoeba histolytica, yet the mechanisms that enable E. dispar to persist in the intestine without causing disease remain poorly understood. Experimental models for dissecting intestinal immune responses to E. dispar have been limited. In Japan and other East Asian countries, E. histolytica infection is relatively common among men who have sex with men, whereas E. dispar infection has rarely been identified. METHODOLOGY/PRINCIPAL

findingsWe report the first domestically acquired and culture-established E. dispar infection in Japan. A clinical strain, NA442, was isolated from fecal cysts of an HIV-positive patient without gastrointestinal symptoms and was maintained in stable monoxenic culture with Pseudomonas putida. Phylogenetic and tRNA-linked STR analyses confirmed the species identity and revealed genetic similarity to a Thailand-derived genotype. Using NA442, we established a murine cecal infection model to characterize host immune responses. Infection induced detectable secretion of lipocalin-2 in stool, indicating epithelial stress; however, CXCL-1 and myeloperoxidase levels in cecal tissue remained at baseline, and no neutrophil infiltration or tissue destruction was observed. NA442 colonized the murine cecum for up to three weeks but elicited only mild epithelial thickening without the hallmark inflammatory signatures associated with E. histolytica. CONCLUSIONS/SIGNIFICANCE: This study provides the first in vivo evidence that E. dispar colonization triggers limited mucosal inflammation despite successful short-term persistence in the intestine. The identification of NA442 as the first domestic E. dispar case in Japan suggests the parasite may circulate unnoticed within the population. The NA442 strain establishes a valuable experimental tool for comparative studies of pathogenic versus non-pathogenic Entamoeba species and contributes to understanding the determinants of intestinal virulence and host immune modulation.

Indexed as

EntamoebaEntamoebiasisAnimalsCecumDisease Models, AnimalFecesHumansJapanMaleMicePhylogeny

Identifiers

PMID42560945
PMCPMC13446667

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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.