Giardia - microbewiki (2024)

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A Microbial Biorealm page on the genus Giardia

Giardia intestinalis; image from Dr. Sorenson of Snow College.

Contents

  • 1 Classification
    • 1.1 Higher order taxa:
    • 1.2 Species:
  • 2 Description and Significance
  • 3 Genome Structure
  • 4 Cell Structure and Metabolism
  • 5 Ecology
  • 6 References

Classification

Higher order taxa:

Eukaryota; Diplomonadida group; Diplomonadida; Hexamitidae; Giardiinae; Giardia

Species:

Giardia lamblia, G. intestinalis

Description and Significance

Giardia was initially named Cercomonas intestinalis by Lambl in 1859 and renamed Giardia lamblia by Stiles in 1915, in honor of Professor A. Giard of Paris and Dr. F. Lambl of Prague. However, Giardia intestinalis is considered by many to be the correct name for this protozoan. Different species of Giardia are structurally very similar. It was customary to give each Giardia a different name when it was found in a new host, and thus Giardia in dogs was called Giardia canis; in cattle, Giardia bovis, and so on. Today scientists believe that only a few species occur, and each species can infect more than one host. However, more research is needed to identify each species and determine the hosts they can infect.

Giardia lamblia is the most commonly diagnosed intestinal parasite in public health laboratories in the United States, and is diagnosed by finding cysts or trophozoites in the feces of humans or animals (both of Giardia's life cycle stages have a characteristic appearance). The symptoms associated with giardiasis (also called "runner's diarrhea") range from none (in light infections) to severe, chronic diarrhea (in heavy infections), but not dysentery. Symptoms of giardiasis normally begin 1 to 2 weeks (average 7 days) after becoming infected. In otherwise healthy persons, symptoms of giardiasis may last 2 to 6 weeks, though occasionally symptoms last longer.

If one is diagnosed with this parasite, the drug of choice for the treatment of giardiasis is Metronidazole (Flagyl), but quinacrin hydrochloride and furazolidone are frequently used as well. However, drug resistance has been observed with each of these compounds. In addition, toxicity has restricted their use in women of child-bearing age and although less effective, furazolidone has been used preferentially for children since it can be administered as a suspension. Nevertheless, this compound has been recognized by the Food and Drug Administration (FDA) in the U.S. as both a mutagen and carcinogen and can no longer be used there. More recently a peptide antibiotic, bacitracin, stabilized with zinc, has been shown to have a high efficacy against Giardia infections. In recent clinical studies all patients responded well to this treatment with final cure rates of over 94%, and there were few side effects from this treatment.

As for the prevention of Giardia lamblia, it is known that boiling will kill Giardia cysts, and there are commercially available filters that will remove the cysts from water. Also, since Giardia is most common in daycares and in major camping grounds, when in those areas it is always a good idea to wash ones hands frequently and to take extra precaution to ensure that one's environment is sanitary.

Genome Structure

The Giardia lamblia (WB strain, clone C6) genome contains approximately 12 million base pairs distributed onto five chromosomes (chromosome polymorphism has been identified in different strains). Chromosome sizes range from 0.7 to over 3 Mb. The sequencing strategy was shotgun sequencing and DNA assembly was supported by comparison with a BAC-based physical map. The homepage for this study is Giardia DB.

Giardiavirus is a small, nonenveloped virus containing a monopartite double-stranded RNA genome, a major protein of 100 kDa, and a less abundant polypeptide of 190 kDa. It can be isolated from the culture supernatant of Giardia lamblia, a parasitic flagellate in human and other mammals, and efficiently infects other virus-free G. lamblia. A single-stranded copy of the viral RNA can be electroporated into uninfected G. lamblia cells to complete the viral replication cycle. Giardiavirus genomic cDNA of 6100 nt was constructed and its sequence revealed two large open reading frames that are separated by a -1 frameshift and share an overlap of 220 nt. The 3' open reading frame contains all consensus RNA-dependent RNA polymerase sequence motifs. A heptamer-pseudoknot structure much like those found at ribosomal slippage sites in retroviruses and yeast killer virus was identified within this overlap. Immunostudies using antisera against synthesized peptides from four regions in the two open reading frames indicated that the 100- and 190-kDa viral proteins share a common domain in the amino-terminal area. But the 190-kDa protein makes a -1 switch of its reading frame beyond the presumed slippage heptamer and is therefore a -1 frameshift fusion protein similar to the gag-pol fusion protein found in retroviruses (paraphrased from Wang reference, listed at bottom of page).

Cell Structure and Metabolism

Diagram of Giardia intestinalis life cycle from CDC.

Giardia lamblia has a characteristic tear-drop shape and measures 10-15 µm in length. It has twin nuclei and an adhesive disk which is a rigid structure reinforced by supelicular microtubules. There are two median bodies of unknown function, but their shape is important for differentiating between species. There are 4 pairs of flagella, one anterior pair, two posterior pairs and a caudal pair. These organisms have no mitochondria, endoplasmic reticulum, golgi, or lysosomes.

Giardia has a two-stage life cycle consisting of trophozoite and cyst. The life cycle begins with ingested cysts, which release trophozoites (10-20 µm x 5-15 µm) in the duodenum. These trophozoites attach to the surface of the intestinal epithelium using a ventral sucking disk and then reproduce by binary fission. The trigger for encystment is unclear, but the process results in the inactive, environmentally resistant form of Giardia -- a cyst (11-14 µm x 7-10 µm) that is excreted in feces.

Giardia reproduce by binary fission and must be attached to a surface for this to occur.

Giardia's main food source, glucose, is obtained by a process of diffusion or by pinocytosis. Like amoebae, they are aerotolerant anaerobes and require a reducing environment. Food reserves are stored in the form of glycogen. Glucose catabolism via the glycolytic pathway results in production of the end products ethanol, acetate and carbon dioxide.

Ecology

Giardia attached to the surface of the intestine, image from ThePetCenter.com.

Giardia lamblia trophozoite on left (notice characteristic Diplomonada "face-like" appearance). From [http://www.biosci.ohio-state.edu/%7Eparasite/giardia_sem.html Graphic Images of Parasites.

SEM image on right, From Graphic Images of Parasites.

Giardia is found worldwide and infects humans as well as domestic and wild animals (e.g., cats, dogs, cattle, deer, and beavers). Giardia is found in soil, food, water, or surfaces that have been contaminated with the feces from infected humans or animals. One can become infected after accidentally swallowing the parasite, but one cannot become infected through contact with blood. Giardia lamblia does not invade the tissues of the small intestine, but instead adheres closely to the lining of the small intestine, and in heavy infections much of the lining of the small intestine can be covered with trophozoites (see image below from ThePetCenter.com). The parasites swim free and rapidly in a spiral motion in the intestinal lumen but also attach, via their adhesive disc, to the intestinal epithelium.

References

CDC Division of Parasitic Diseases. "Giardiasis Fact Sheet." Last updated: 17 Sept. 2004.

Morbidity and Mortality Weekly Report. CDC Surveillance Summaries. "Giardiasis Surveillance United States, 1992–1997." August 11, 2000 / Vol. 49 / No. SS-7.

The Ohio State University College of Biological Sciences. "Parasites and Pasasitological Resources-Giardia lablia (giardiasis)."

SciLinks program selected website, a service of National ScienceTeachers Association. Copyright 2001. "Giardia."

ThePetCenter.com. "Giardia in Dogs and Cats."

Wang, A. L., H. M. Yang, K. A. Shen, and C. C. Wan. 1993. "Giardiavirus double-stranded RNA genome encodes a capsid polypeptide and a gag-pol-like fusion protein by a translation frameshift." Proc. Natl. Acad. Sci. USA: 8595-8599.

Giardia - microbewiki (2024)

FAQs

Giardia - microbewiki? ›

Giardia has a two-stage life cycle consisting of trophozoite

trophozoite
A trophozoite (G. trope, nourishment + zoon, animal) is the activated, feeding stage in the life cycle of certain protozoa such as malaria-causing Plasmodium falciparum and those of the Giardia group.
https://en.wikipedia.org › wiki › Trophozoite
and cyst. The life cycle begins with ingested cysts, which release trophozoites (10-20 µm x 5-15 µm) in the duodenum. These trophozoites attach to the surface of the intestinal epithelium using a ventral sucking disk and then reproduce by binary fission.

Why is Giardia hard to get rid of? ›

Thus, drug resistance in Giardia is the ability of this parasite to survive in the presence of an antimicrobial drug dose that would normally kill it or limit its growth.

What are 3 symptoms of Giardia? ›

People exposed to Giardia may experience mild or severe diarrhea (loose stool/poop), gas, stomach cramps, nausea (a feeling of upset in the stomach), or dehydration (loss of water in the body causing weakness of dizziness). Some people experience no symptoms at all. Fever is rarely present.

How long does Giardia last in humans without treatment? ›

If your symptoms are mild, you generally won't need treatment for giardiasis. Mild infections can go away on their own in a few weeks. If symptoms are severe or aren't going away, medicine can be used. Infected people who work at a daycare or nursing home may also be treated with medicine.

Can Giardia parasite be cured? ›

Many people who do have problems often get better on their own in a few weeks. When signs and symptoms are severe or the infection persists, doctors usually treat giardia infection with medications such as: Metronidazole (Flagyl). Metronidazole is the most commonly used antibiotic for giardia infection.

What does Giardia poop look like? ›

Symptoms of giardiasis may include: Explosive, watery, foul-smelling stools. Greasy stools that tend to float. Bloating.

Can the body rid itself of Giardia? ›

Signs and Symptoms

They include: Abdominal cramps, diarrhea, increased gas, bloating, fatigue, and sometimes weight loss due to nausea and loss of appetite. These symptoms last for several days only and the body can naturally rid itself of the parasite in one to two months.

What foods not to eat with Giardia? ›

Eat slowly and avoid foods that are hard to digest or may irritate your stomach, such as foods with acid (like tomatoes or oranges), spicy or fatty food, meats, and raw vegetables. You may be able to go back to your normal diet in a few days.

Why do the symptoms sometimes never stop Giardia? ›

Symptom recurrence, including abdominal symptoms and fatigue, can result from re-infection, treatment failure, disturbances in the gut mucosa or post-infection syndromes.

Can you beat Giardia without antibiotics? ›

The infection typically clears by itself after a few weeks, but people with weaker immune systems may have a harder time clearing it. A healthcare provider can prescribe antiparasitic medications for giardiasis if you need them.

What kills Giardia cysts? ›

Common household disinfectants and steam-cleaning are the most effective ways for killing Giardia cysts. Remove and dispose of all feces promptly. Giardia cysts on the lawn can only be killed by direct sunlight drying them.

How many people in the US get Giardia every year? ›

In the United States, more people get sick from Giardia than from any other parasite that lives in the gut. Every year, more than 1 million people get sick from Giardia. Giardia is found in every region of the United States and around the world.

Can your immune system fight off Giardia? ›

Human Innate Immunity

In some patients, giardiasis resolves within a few days, while in others the symptoms last for years, even in the presence of circulating antibodies in serum or secretory antibodies at mucosal sites and the cell-mediated immunity.

Why won't my dog's Giardia go away? ›

Dogs may become reinfected if their surrounding environment is not properly managed. Additionally, if the Giardia is resistant to the medication used or if the medication was not dosed properly, then refractory infections may also occur.

Why does Giardia keep coming back? ›

Recurrence of symptoms — After being treated for Giardia and seeing symptoms improve, some people experience a relapse. This can happen because people are still infected with Giardia or because of changes in the intestine that cause heightened sensitivity to certain foods.

Can you have Giardia for years? ›

Occasionally, Giardia infection causes long-term symptoms that can last for years. Complications and long-term symptoms can include: Reactive arthritis (joint pain) Irritable bowel syndrome, which causes stomach pain and other symptoms.

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