Evaluation of Iron Metabolism in a Sample of Children Infected with Pinworm Disease in Anbar Province/ Iraq

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Iman Jassam Hammadi
Rashied Mohammed Rashied
Ashraf Jamal Mahmoud Zangana

Abstract

Pinworm Enterobius vermicularis is a common parasitic worm that infects humans, and its disease is widespread around the world, especially among children. Its infection occurs in areas with poor health and environmental conditions that lack personal hygiene. The study was conducted to determine pinworm infection prevalence in the several areas of Anbar Governorate and the status of some physiological indicators associated with it.


The entire children attending Fallujah Teaching Hospital ages between 4 and 15 years were part of the study, and the study period included November 2022 to November 2023. The total samples comprised 1350 samples from various locations in Anbar Governorate. The infection was diagnosed in this study by direct microscopic examinations with a Logul-iodine-stained swab, and egg concentration methods, namely flotation with salt and zinc sulphate, and ana adhesive tape method. Physiological tests i.e. iron levels, ferironportin, and iron transporters.


Analysis of the study yielded a total pinworm infection rate of 6.28% of all samples. The blood test results showed a marked reduction in hemoglobin level and an increment in eosinophils count in the infected group compared to the healthy controls. Concomitantly, total iron, ferroportin, and diaphoretic transporter levels decreased in the infected group providing an association between infection with the parasite and anemia.

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How to Cite
Jassam Hammadi, I., Rashied Mohammed Rashied, & Ashraf Jamal Mahmoud Zangana. (2024). Evaluation of Iron Metabolism in a Sample of Children Infected with Pinworm Disease in Anbar Province/ Iraq. International Journal of Pharmaceutical and Bio Medical Science, 4(4), 332–339. https://doi.org/10.47191/ijpbms/v4-i4-12
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References

I. Abreu R, Quinn F, Giri PK(2018) Role of the hepcidin-ferroportin axis in pathogen-mediated intracellular iron sequestration in human phagocytic cells. Blood Adv.;2(10):1089-1100.

II. Al-Daoody A, Al-Bazzaz EN (2020) Impact of Enterobius vermicularis infection on biochemical parameters in the blood of children in Erbil Province, Iraq. BMC Infectious Diseases. 2020; 20:336-339.

III. Al-Daoody A, Qadir FM, Tahir AA, Mahmood NH, Majeed AF (2020).Risk factors of Enterobius vermicularis infection with symptoms among children in Erbil governorate. Pak-Euro Journal of Medical and Life Sciences.3(2):50-58.

IV. Alemu G, Abossie A, Yohannes Z(2019) Current status of intestinal parasitic infections and associated factors among primary school children in Birbir town, Southern Ethiopia. BMC Infect Dis;19(270):1–8.

V. Alomashi, Ghada&Abd Al-Shabbani, Amal. (2019) Prevalence of Intestinal Parasitic Infestation in Anemic Patients Attended to Al-Diwaniyah Teaching Hospital at Al-Qadisiyah Province/Iraq. International Journal of Pharmaceutical Quality Assurance.

VI. Arosio P. (2022) New Advances in Iron Metabolism, Ferritin and Hepcidin Research. Int J Mol Sci. 23(23):14700.

VII. Bek SG, Üstüner B, Eren N, Sentürk Z, Gönüllü BK.(2020) The effect of hepcidin on components of metabolic syndrome in chronic kidney disease: a cross-sectional study. Rev Assoc Med Bras (1992;66(8):1100-1107.

VIII. Burdo JR, Menzies SL, Simpson IA, Garrick LM, Garrick MD, Dolan KG, Haile DJ, Beard JL, Connor JR. (2001) Distribution of divalent metal transporter 1 and metal transport protein 1 in the normal and Belgrade rat. J Neurosci Res;66(6):1198-207.

IX. Canonne-Hergaux F, Donovan A, Delaby C, Wang HJ, Gros P. (2006) Comparative studies of duodenal and macrophage ferroportin proteins. Am J PhysiolGastrointest Liver Physiol.290(1):G156-63.

X. Di Cicco M, Bertolucci G, Gerini C, Bruschi F, Peroni DG. (2023) Eosinophilia and potential antibody cross-reactivity between parasites in a child with pinworm and immune dysregulation: a case report. BMC Pediatr 27;23(1):200.

XI. Drakesmith H, Nemeth E, Ganz T. Ironing out Ferroportin. (2015) Cell Metab.;22(5):777-87.

XII. Fan C.K., Chuang T.W., Huang Y.C., Yin A.W., Chou C.M., Hsu Y.T., Kios R., Hsu S.L., Wang Y.T., Wu M.S., Lin J.W., Briand K., Tu C.Y. (2019) Enterobius vermicularis infection: prevalence and risk factors among preschool children in kindergarten in the capital area, Republic of the Marshall Islands. BMC Infect Dis.19(1):1–7.

XIII. Forbes, B. A., Sahm, D. F., & Weissfeld, A. S. (2007) Diagnostic microbiology. St Louis: Mosby.‏

XIV. Ganz T. (2011) Hepcidin and iron regulation, 10 years later. Blood. 117(17):4425-33.

XV. Hung SH, Lin HC, Chung SD (2015) Association between venous thromboembolism and iron-deficiency anemia: a population-based study. Blood Coagul Fibrinolysis. 26(4):368-72.

XVI. Ingrassia, R., Garavaglia, B., & Memo, M. (2019) DMT1 Expression and Iron Levels at the Crossroads Between Aging and Neurodegeneration. Frontiers in Neuroscience, 13, 432714.

XVII. Ismail RM, Abass KS (2022) Evaluation of certain important biochemical

parameters in school-age children infected with Enterobius vermicularis. InternationalJournal of Health Sciences.6(S6):10558–10563.

XVIII. Jonker FA, Calis JC, Phiri K, Kraaijenhagen RJ, Brabin BJ, Faragher B, Wiegerinck ET, Tjalsma H, Swinkels DW, van Hensbroek MB (2013) Low hepcidin levels in severely anemic malawian children with high incidence of infectious diseases and bone marrow iron deficiency. PLoS One;8(12):e78964.

XIX. Lanier, J.B.; Park, J.J.; Callahan, R.C. (2018) Anemia in older adults. Am. Fam. Physician, 98, 437–442.

XX. Laoraksawong P, Pansuwan P, Krongchon S, Pongpanitanont P,Janwan P. (2020) Prevalence of Enterobius vermicularisinfections and associated risk factors among schoolchildren in Nakhon SiThammarat, Thailand. Tropical Medicine and Health.48(1):83-90.

XXI. Laranjeira-Silva MF, Hamza I, Pérez-Victoria JM (2020) Iron and Heme Metabolism at the Leishmania-Host Interface. Trends Parasitol;36(3):279-289.

XXII. Li SS, Wang L, Li AH. (2019) [Surveillance of soil-transmitted nematode infections in Zhenjiang City from 2006 to 2018]. ZhongguoXue Xi Chong Bing Fang ZhiZaZhi. 32(1):83-86. Chinese. PMID: 32185933

XXIII. McDowell LA, Kudaravalli P, Sticco KL. (2022) StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL Iron Overload.

XXIV. Montalbetti N, Simonin A, Kovacs G, Hediger MA (2013) Mammalian iron transporters: families SLC11 and SLC40. Mol Aspects Med;34(2-3):270-87.

XXV. Movahed R, Khara H, Ahmadnezhad M, Sayadboorani M. (2016) Hematological characteristics associated with parasitism in Pikeperch Sander lucioperca (Percidae) from Anzali Wetland. J Parasit Dis;40(4):1337-1341.

XXVI. Obaid, M. K., Islam, N., Alouffi, A., Khan, A. Z., da Silva Vaz Jr, I., Tanaka, T., & Ali, A. (2022). Acaricides resistance in ticks: selection, diagnosis, mechanisms, and mitigation. Frontiers in Cellular and Infection Microbiology, 12, 941831.

XXVII. Obaid, M. K., Islam, N., Alouffi, A., Khan, A. Z., da Silva Vaz Jr, I., Tanaka, T., & Ali, A. (2022). Acaricides resistance in ticks: selection, diagnosis, mechanisms, and mitigation. Frontiers in Cellular and Infection Microbiology, 12, 941831.

XXVIII. Obiad, H.M.; Al-Alousi, T.I.; Al-Jboori, A.H. (2012) The in vivo effect of some medicinal plant extracts on Cryptosporidium parasite. J. Univ. Anbar. Pure Sci. 6, 3.

XXIX. Pagani A, Nai A, Silvestri L, Camaschella C. (2019) Hepcidin and Anemia: A Tight Relationship. Front Physiol;10:1294.

XXX. Paul, W., & Zhu, J. (2010) How helper T cells work. Science, 27(5929), 637–638.

XXXI. Pearson, K. (1900) X. On the criterion that a given system of deviations from the probable in the case of a correlated system of variables is such that it can be reasonably supposed to have arisen from random sampling. The London, Edinburgh, and Dublin Philosophical Magazine and Journal of Science, 50(302), 157–175.

XXXII. Pietrangelo A. (2017) Ferroportin disease: pathogenesis, diagnosis and treatment. Haematologica.;102(12):1972-1984.

XXXIII. Richard F, van Lier JJ, Roubert B, Haboubi T, Göhring UM, Dürrenberger F. (2020) Oral ferroportin inhibitor VIT-2763: First-in-human, phase 1 study in healthy volunteers. Am J Hematol;95(1):68-77.

XXXIV. Roellig DM, Salzer JS, Carroll DS, Ritter JM, Drew C, Gallardo-Romero N, Keckler MS, Langham G, Hutson CL, Karem KL, Gillespie TR, Visvesvara GS, Metcalfe MG, Damon IK, Xiao L. (2015) Identification of Giardia duodenalis and Enterocytozoon bieneusi in an epizoological investigation of a laboratory colony of prairie dogs, Cynomys ludovicianus. Veterinary parasitology, 210(1-2), 91-97

XXXV. Rosato, B.E.; Marra, R.; D’Onofrio, V.; Del Giudice, F.; Della Monica, S.; Iolascon, A.; Andolfo, I.; Russo, R. (2022) SEC23B Loss-of-Function Suppresses Hepcidin Expression by Impairing Glycosylation Pathway in Human Hepatic Cells. Int. J. Mol. Sci. 23, 1304.

XXXVI. Salem, K. N. Q., Soroor, H. A. M. (2022) PREVALENCE AND EFFECT OF ASCARIS LUMBRICOIDES, ENTEROBIUS VERMICULARIS AND HYMENOLEPIS NANA ON THE ACCOMPANYING BLOOD PICTURE IN IBEN KOLDOON HOSPITAL, LAHAJ- YEMEN. Electronic Journal of University of Aden for Basic and Applied Sciences, 3(3), 222-233.

XXXVII. Schaer DJ, Vinchi F, Ingoglia G, Tolosano E, Buehler PW. (2014) Haptoglobin, hemopexin, and related defense pathways-basic science, clinical perspectives, and drug development. Front Physiol. 5:415.

XXXVIII. Schroeder JC, Jones D, Maranich A. (2019) Peripheral Eosinophilia Found in Pediatric Enterobius vermicularis Infections. Clinical Pediatrics;58(1):13-16.

XXXIX. Schwartz AJ, Das NK, Ramakrishnan SK, Jain C, Jurkovic MT, Wu J, Nemeth E, Lakhal-Littleton S, Colacino JA, Shah YM. (2019) Hepatic hepcidin/intestinal HIF-2α axis maintains iron absorption during iron deficiency and overload. J Clin Invest. 129(1):336-348.

XL. Skjorringe T, Burkhart A, Johnsen KB, Moos T. (2015) Divalent metal transporter 1 (DMT1) in the brain: implications for a role in iron transport at the blood-brain barrier, and neuronal and glial pathology. Front Mol Neurosci;8:19.

XLI. Song, P., Zha, M., Yang, Q., Zhang, Y., Li, X., & Rudan, I. (2021). The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis. Journal of global health, 11.

XLII. Tigabu A, Solomon T, Aynalem M, KasawAdane (2019) Prevalence and associated factors ofintestinal parasitic infections among patients attending Shahura Health Center, Northwest Ethiopia. BMC Res Notes.12:333.

XLIII. Truman-Rosentsvit M, Berenbaum D, Spektor L, Cohen LA, Belizowsky- Moshe S, Lifshitz L. et al., (2018) Ferritin is secreted via 2 distinct nonclassical vesicular pathways. Blood. 131:342– 52.

XLIV. Tsuyuoka R, Bailey JW, Nery Guimarães AM, Gurgel RQ, Cuevas LE. (1999) Anemia and intestinal parasitic infections in primary school students in Aracaju, Sergipe, Brazil. Cad SaudePublica. 15(2):413-21.

XLV. Vogt AS, Arsiwala T, Mohsen M, Vogel M, Manolova V, Bachmann MF. (2021) On Iron Metabolism and Its Regulation. Int J Mol Sci. 22(9):4591.

XLVI. Wang CY, Babitt JL. (2016) Hepcidin regulation in the anemia of inflammation. CurrOpin Hematol.23(3):189-97.

XLVII. Ward, R. J., Dexter, D. T., & Crichton, R. R. (2022). Iron, neuroinflammation and neurodegeneration. International Journal of Molecular Sciences, 23(13), 7267.

XLVIII. Wendt S, Trawinski H, Schubert S, Rodloff AC, Mössner J, Lübbert C. (2019) The Diagnosis and Treatment of Pinworm Infection. Dtsch Arztebl Int 29;116(13):213-219.

XLIX. Wendt S, Trawinski H, Schubert S, Rodloff AC, Mössner J, Lübbert C. (2019) The Diagnosis and Treatment of Pinworm Infection. Dtsch Arztebl Int 29;116(13):213-219.

L. Yanatori I, Kishi F. (2019) DMT1 and iron transport. Free RadicBiol Med. 133:55-63.

LI. Zeki, IsraaNaif, and Harith Saeed Al-Warid. (2019) “The Prevalence of Anemia Among Children Infected With EntamoebaHistolytica in Baghdad”. Iraqi Journal of Science 60 (12):2590-99.

LII. Zhang DL, Ghosh MC, Ollivierre H, Li Y, Rouault TA. (2018) Ferroportin deficiency in erythroid cells causes serum iron deficiency and promotes hemolysis due to oxidative stress. Blood.132(19):2078-2087.