EU Funded Research Project Partner Search Form Date:20-7-2008 Deadline: November 2008 Contacts Organization Contact person Faculty of Medicine Benha University Department Medical Parasitology Dr Amany Farouk El Fakahany, M.D., Ph.D., Professor and Head of Parasitology Dept., Faculty of Medicine,Benha University Dr Rabab Fawzy, M.D., Lecturer of Parasitology, Faculty of Medicine, Benha University. Email aelfakahany@gmail.com rababselem70@yahoo.com Address Parasitology Department, Faculty of Medicine, Benha University, Benha, Egypt. Postcode 13111 Country Egypt Telephone 002 013 3225491 Website City Benha Fax 002 013 3227518 www.Bfom.edu.eg Familiar with the European Framework Programme? x YES NO PROJECT Title: Human immune responses to co-infection of tuberculosis as one of the poverty related diseases and amoebiasis Small or medium-scale focused research collaborative project Project type * Status Call references Acronym: HIRTB-PRDA Coordination and Support Action SICA : Collaborative Project *Planned for submission * FP7-HEALTH-2009-A Running project FP7-HEALTH-2008-B Priorities’ Main Research Areas (Topics from Work programme) HEALTH-2009-4.3.1-3: Human Immune Responses to coinfections of Poverty-Related (HIV, malaria, TB) and Neglected Infectious Diseases. (SICA) Idea of the project Many protozoal, viral, bacterial and helminthic infections are prevalent in developing countries. At present there is lack of thorough understanding of the human immune responses to co-infections by combinations of these agents. Moreover, the influence of such coinfections on the severity of the pathogenesis and accurate diagnosis of the involved diseases remains to be determined. In the specific case of bacterial infections this lack of knowledge has hampered the efficient use of antimicrobial agents as well as the development of potent prophylactic vaccines. Thus, the goal of the proposed project is to identify immune surrogates of protection and elucidate the role of the immune system in triggering an efficient immune response in individuals affected by two infectious diseases and study the molecular mechanisms of pathogenesis of coinfection by the two organisms . . Tuberculosis (TB) has been a cause of significant morbidity and mortality for humans throughout history. There are currently 20 million cases of tuberculosis worldwide with 8 million new cases each year. Three million deaths annually are directly attributable to tuberculosis. Egypt is considered one of the high-burden countries in the WHO’s Eastern Mediterranean region. Egypt has achieved success rates of treatment of TB higher than the WHO-recommended target of 85 percent. However, the case detection rate of about 50 percent remains below the 70 percent target set by the WHO. Invasive Amoebiasis caused by the enteric protozoan Entamoeba histolytica, manifests most commonly as amoebic colitis, liver or lung abscess. E. histolytica infection is highly endemic in the most populated areas of the world and is the third leading parasitic cause of death worldwide. Both TB and Amoebiasis are quite prevalent in rural regions of Egypt, exemplified in Benha, (Governate of Kalyoubeya), which is the area we have selected for our study. Simple homes in the villages lack adequate air circulation and villagers often share drinking vessels. Moreover, TB is transferred through the use of hookah. The high rate of Amoebiasis infection, on the other hand, is mainly related to the lack of purified tap water. Most villagers drink river or underground water highly contaminated with amoeba. There is also lack of sanitation. Taken together, TB and Amoebiasis represent the most common infections in rural areas of Egypt. Surprisingly, the mutual effects of each of the two agents on the severity of infection by the other has not been studied. Such knowledge is of paramount relevance for determining the severity of infection, accurate diagnosis and proper treatment. This premise underlies the specific goals of the proposed research project. Keywords Tuberculosis - Amoebiasis - immune response - human S&T Publications Prevalence of Parasitic infections among patients attending Benha University Hospital. By staff members of Parasitology Department, Benha faculty of Medicine. Entamoeba histolytica positive cases 35.5%. A study of intestinal parasitic infections in children with bronchial asthma. By staff members of Parasitology Department, Benha faculty of Medicine. Non significant results. A study on some parasitic infections in rural areas in Qualyobia Governorate, Egypt. By staff members of Parasitology Department, Benha faculty of Medicine. Entamoeba histolytica positive cases 30.3%. Four methods in diagnosing protozoal parasites in stool. By staff members of Parasitology Department, Benha faculty of Medicine. Correlation between Clinical sages in Entamoeba histolytica and sensitivity and specificity of some serological tests. By staff members of Parasitology Department, Benha faculty of Medicine Study of some health problems among glass workers at Shubra El-Khemia factories By staff members of Parasitology Department, Benha faculty of Medicine. . Entamoeba histolytica positive cases 15.93%. Commitment/Work to be offered The following groups of individuals will be recruited for our studies: a. Control healthy individuals b. Individuals with active TB infection c. Individuals with active Amoebiasis infection d. Individuals with combined active TB - Amoebiasis infections The work to be offered will cover the following Research questions : Experimental part: a. What are the effects of a new superimposed TB infection on the severity of an active experimental Amoebiasis infection and what is the immunological basis for that effect? b. What are the effects of a new superimposed Amoebiasis infection on the severity of an active TB infection and what is the immunological basis for that effect ? Human part a. What is the basic immune status of Egyptian TB patients? b. What is the basic immune status of Egyptian Amoebiasis patients? c. Is there an alteration in the immune status of Egyptian patients confected with both TB and Amoebiasis ? Proposed actions will be done through group of experts includes (but not limited to), the following researchers: Parasitologists. Infectious diseases experts. Chest and internal medicine experts. Statistics and data analyzers. Technical assistants stuff Partners already involved Profile of Partner Sought Role * technology development * research dissemination If another role expected, please specify it here Country /region All Countries demonstration * training other Start of partnership Expertise required * start-up phase mid-term end-phase Experts in the laboratory and clinical evaluation of molecular diagnostic and therapeutic monitoring assays. I agree with the publication of my data Please fill-in and return it to: Egyptian National Scientific & Technical Information Network (ENSTINET) RDIN-Focal Point Health National Contact Point By email to: fp7@sti.sci.eg By fax. To: (+202) 27947807