Turkiye Klinikleri Journal of Veterinary Sciences

.: ORIGINAL RESEARCH
Giardia duodenalis ile Enfekte Buzağılarda Ayuverdik Bitki Olan Kurkumin ile Enema Sağaltımı: Kohort Araştırma
Enema Treatment with the Ayuvedic Herb Curcumin in Calves Infected with Giardia duodenalis: Cohort Study
Kerem URALa, Hasan ERDOĞANa, Deniz ALIÇ URALb, Serdar PAŞAa, Songül ERDOĞANa, Adnan AYANc, Mehmet GÜLTEKİNa
aAydın Adnan Menderes Üniversitesi, Veteriner Fakültesi, İç Hastalıkları ABD, Aydın, Türkiye
bAydın Adnan Menderes Üniversitesi, Veteriner Fakültesi, Fakülte Çiftliği, Aydın, Türkiye
cVan Yüzüncü Yıl Üniversitesi, Veteriner Fakültesi, Genetik Bölümü, Van, Türkiye
Turkiye Klinikleri J Vet Sci. 2022;13(2):35-45
doi: 10.5336/vetsci.2022-92128
Article Language: TR
Full Text
ÖZET
Amaç: Farklı birçok hastalıkta giderek artan kurkumin kullanımına dair veriler göz önüne alındığında, bu saha çalışmasının amacı, giyardiyazisli buzağılarda enema (proktolizis) ile kurkuminin terapötik etkinliğinin araştırılmasıdır. Gereç ve Yöntemler: Çalışmaya her iki cinsiyette olan, 27-60 günlük yaştaki Giardia duodenalis ile doğal enfekte buzağılar dâhil edildi. Tanı: a) Hızlı ELISA test kiti, b) Mikroskobik ve öncelikli parazitolojik kontrol, c) Asemblaj tayiniyle birlikte Nested Polimeraz Zincir Reaksiyonu analiziyle yapıldı. Giyardiyazisli ve ishalli buzağılar Grup I (2 g/buzağı/gün kurkumin, rektal yolla, 10 gün süreyle) ya da Grup II (herhangi bir ilaç uygulaması yapılmayana kontrol) olmak üzere rastgele 2 gruba ayrıldı. Enema kurkuminin terapötik etkinliği 0., 3., 7. ve 10. günlerde rektal yoldan toplanan dışkı örneklerinin mikroskobik incelemesiyle belirlendi. Bulgular: Gruplar arası kontrol ve sağaltım karşılaştırması 3, 7 ve 10. günlerdeki %58,17 (p=0,125), %99,68 (p=0,001) ve %100 (p=0,001) azalma şeklinde görüldü. Kurkumin enema hiçbir yan etki olmaksızın güvenle uygulanmıştır. Sonuç: Sonuç olarak buzağılarda giyardiyazis sağaltımında enema kurkuminin kullanımının güvenli, kolay ve ekonomik (makul fiyatlanan ve ucuz) olduğu sonucuna varmak yanlış olmayacaktır. Saha uygulamasındaki bu doz rejimi (bu çalışmada model olarak enema kullanıldı) zorlayıcı olmayıp diğer doz planlaması ilerleyen çalışmamızın amacı olacaktır. Enema modeliyle kurkumin kullanımının giyardiyazisli buzağılardaki antiparazitik etkinliği ile kist saçılımında belirgin azalma sağladığı öne sürülebilinir.

Anahtar Kelimeler: Buzağı; giyardiyazis; kurkumin; zerdeçal
ABSTRACT
Objective: Given the growing cumulative evidence of curcumin usage for several diseases, the purpose of this field study was to detect the therapeutic efficacy of curcumin enema (proctolysis) in calves with giardiasis. Material and Methods: A total of 20 calves naturally infected with Giardia duodenalis at the age of 27 to 60 days, of both sexes were enrolled into the study. The diagnosis was based on a) Rapid diagnostic ELISA test kits, b) Microscopic and prior parasitological check and c) Nested Polymerase Chain Reaction analysis along with assemblage detection. Calves with diarrhea and giardiasis were randomly assigned into 2 groups (n=10), Group I (2 g/calf/day curcumin via rectal route for 10 days) and Group II (were stable as the control without any drug prescription). The therapeutic efficacy of curcumin enema was determined by microscopical examination of faecal samples collected rectally on days 0, 3, 7 and 10. Results: Intra-group comparison of control and treatment calves revealed 58.17% (p=0.125), 99.68% (p=0.001) and 100% (p=0.001) reduction on days 3, 7, and 10, respectively. Curcumin enema was safely used without any side effects. Conclusion: In conclusion, it should not be unwise to draw conclusion that curcumin enema could be safely, easily and economically (reasonably priced and cheap) used for the treatment of giardiasis among calves. At this dose regimen field application (enema used as a model in this study) was not compelling, in which other dose scheduling should be the aim of our next study. The enema model suggested that curcumin prescription caused effective reduction in cyst excretion with antiparasitic efficacy among calves giardiasis.

Keywords: Calves; giardiasis; curcumin; turmeric
REFERENCES:
  1. Allain T, Amat CB, Motta JP, Manko A, Buret AG. Interactions of Giardia sp. with the intestinal barrier: epithelium, mucus, and microbiota. Tissue Barriers. 2017;5(1):e1274354. [Crossref]  [PubMed]  [PMC] 
  2. Camkerten G, Erdoğan H, Alıç Ural D, Çamkerten İ, Erdoğan S, Ural K. Giardia duodenalis ile doğal enfekte kuzularda serum 25 (OH) D3 seviyeleri [Levels of serum 25 (OH) D3 in naturally infected lambs with giardia duodenalis]. Kocatepe Vet J. 2019;12(1):71-4. [Crossref] 
  3. Gutiérrez-Gutiérrez F, Palomo-Ligas L, Hernández-Hernández JM, Pérez-Rangel A, Aguayo-Ortiz R, Hernández-Campos A, et al. Curcumin alters the cytoskeleton and microtubule organization on trophozoites of Giardia lamblia. Acta Trop. 2017;172:113-21. [Crossref]  [PubMed] 
  4. Alıç Ural D, Erdoğan H, Toplu S, Ayan A. Oğlaklarda giardiazis kontrolüne yönelik oral klinoptilolit uygulaması [Application of oral clinoptilolite intended for prevention of giardiasis in goat kids]. Kocatepe Vet J. 2017;10(3):158-63. [Link] 
  5. Gultekin M, Ural K, Aysul N, Ayan A, Balikci C, Toplu S, et al. Prevalence and molecular characterization of Giardia duodenalis in calves in Turkey. Acta Sci Vet. 2017;45(1):6. [Crossref] 
  6. Gazyağcı S, Gazyağcı AN, Ayan A, Orunç Kılıç Ö. Kırıkkale'de bulunan kuzuların dışkılarının giardia duodenalis yönünden araştırılması [Investigation of giardia duodenalis in lambs feces in Kırıkkale province]. Turkiye Klinikleri J Vet Sci. 2020;11(2):60-3. [Crossref] 
  7. Ural K, Aysul N, Voyvoda H, Ulutas B, Aldemir OS, Eren H. Tratamiento con dosis única con secnidazol en corderos naturalmente infectados con Giardia duodenalis [Single dose of secnidazole treatment against naturally occuring Giardia duodenalis infection in Sakiz lambs]. Rev MVZ Córdoba. 2014;19(1):4023-32. [Crossref] 
  8. Ayan A, Alıç Ural D, Pasa S, Erdoğan S, Erdoğan H. Klinoptilolit kuzularda giardiazis sağaltımına yönelik alternatif ve doğal bir çözüm olabilir mi [May clinoptilolite be an alternative and natural solution for the treatment of giardiasis in lambs]? J VetBio Sci Tech. 2018;3(2):16-20. [Crossref] 
  9. Ayan A, Alic Ural D, Erdogan H, Orunc Kilinc O, Gültekin M, Ural K. Prevalance and molecular characterization of Giardia duodenalis in livestock in Van, Turkey. Int J Ecosyst Ecol Sci. 2019;9(2):289-96. [Crossref] 
  10. Erdoğan S, Alıç Ural D, Erdoğan H, Ayan A, Ural K, Özalp T, et al. Evaluation of serum 25-hydroxy vitamin d3 levels in goat kids naturally infected with giardia duodenalis. J VetBio Sci Tech. 2020;5(2):43-7. [Crossref] 
  11. Geurden T, Vandenhoute E, Pohle H, Casaert S, De Wilde N, Vercruysse J, et al. The effect of a fenbendazole treatment on cyst excretion and weight gain in calves experimentally infected with Giardia duodenalis. Vet Parasitol. 2010;169(1-2):18-23. [Crossref]  [PubMed] 
  12. Cacciò SM, De Giacomo M, Pozio E. Sequence analysis of the beta-giardin gene and development of a polymerase chain reaction-restriction fragment length polymorphism assay to genotype Giardia duodenalis cysts from human faecal samples. Int J Parasitol. 2002;32(8):1023-30. [Crossref]  [PubMed] 
  13. Lalle M, Pozio E, Capelli G, Bruschi F, Crotti D, Cacciò SM. Genetic heterogeneity at the beta-giardin locus among human and animal isolates of Giardiaduodenalis and identification of potentially zoonotic subgenotypes. Int J Parasitol. 2005;35(2):207-13. [Crossref]  [PubMed] 
  14. Varady M, Konigova A, Corba J. A field study to evaluate the efficacy of fenbendazole on 9 stud farms. Vet Med. 2004;49(2):42-6. [Crossref] 
  15. Ural K, Alic Ural D, Gultekin M, Erdoğan S, Erdogan H. Combatting against naturally occuring Giardia duodenalis assemblage a infections in goat kids. XVII. Middle European Buiatrics Congress; 2017 May 3-6; High Tatras, Slovekia; 2017. [Link] 
  16. Alıç Ural D, Aysul N, Gültekin M. Buzağılarda oral yolla klinoptilolit uygulamasının doğal yolla oluşan giardiazis'e karşı etkinliği [The efficacy of oral administration of clinoptilolite against naturally occuring giardiasis in calves]. Kocatepe Vet J. 2016;9(4):288-93. [Link] 
  17. Amat CB, Motta J-P, Chadee K, Buret AG. Giardia duodenalis directly depletes mucins in intestinal goblet cells. The FASEB. 2016;30(1):162. [Link] 
  18. Halliez MC, Buret AG. Extra-intestinal and long term consequences of Giardia duodenalis infections. World J Gastroenterol. 2013;19(47):8974-85. [Crossref]  [PubMed]  [PMC] 
  19. Glombowsky P, Volpato A, Campigotto G, Soldá NM, dos-Santos D, Bottari NB, et al. Dietary addition of curcumin favors weight gain and has antioxidant, anti-inflammatory and anticoccidial action in dairy calves. Rev Colomb Cienc Pecu. 2020;33(1):16-31. [Crossref] 
  20. Gunes H, Gulen D, Mutlu R, Gumus A, Tas T, Topkaya AE. Antibacterial effects of curcumin: an in vitro minimum inhibitory concentration study. Toxicol Ind Health. 2016;32(2):246-50. [Crossref]  [PubMed] 
  21. Vorlaphim T, Phonvisay M, Khotsakdee JJ, Vasupen K, Bureenok S, Wongsuthavas S, et al. Influence of dietary curcumin on rumen fermentation, macronutrient digestion and nitrogen balance in beef cattle. Am J Agr Biol Sci. 2011;6(1):7-11. [Crossref] 
  22. Dempe JS, Scheerle RK, Pfeiffer E, Metzler M. Metabolism and permeability of curcumin in cultured Caco-2 cells. Mol Nutr Food Res. 2013;57(9):1543-9. [Crossref]  [PubMed] 
  23. Artursson P, Karlsson J. Correlation between oral drug absorption in humans and apparent drug permeability coefficients in human intestinal epithelial (Caco-2) cells. Biochem Biophys Res Commun. 1991;175(3):880-5. [Crossref]  [PubMed] 
  24. Wortelboer HM, Usta M, van der Velde AE, Boersma MG, Spenkelink B, van Zanden JJ, et al. Interplay between MRP inhibition and metabolism of MRP inhibitors: the case of curcumin. Chem Res Toxicol. 2003;16(12):1642-51. [Crossref]  [PubMed] 
  25. Ravindranath V, Chandrasekhara N. In vitro studies on the intestinal absorption of curcumin in rats. Toxicology. 1981;20(2-3):251-7. [Crossref]  [PubMed] 
  26. Holder GM, Plummer JL, Ryan AJ. The metabolism and excretion of curcumin (1,7-bis-(4-hydroxy-3-methoxyphenyl)-1,6-heptadiene-3,5-dione) in the rat. Xenobiotica. 1978;8(12):761-8. [Crossref]  [PubMed] 
  27. Zhang Z, Chen Y, Xiang L, Wang Z, Xiao GG, Hu J. Effect of curcumin on the diversity of gut microbiota in ovariectomized rats. Nutrients. 2017;9(10):1146. [Crossref]  [PubMed]  [PMC] 
  28. Ohno M, Nishida A, Sugitani Y, Nishino K, Inatomi O, Sugimoto M, et al. Nanoparticle curcumin ameliorates experimental colitis via modulation of gut microbiota and induction of regulatory T cells. PLoS One. 2017;12(10):e0185999. [Crossref]  [PubMed]  [PMC] 
  29. Law IK, Bakirtzi K, Polytarchou C, Oikonomopoulos A, Hommes D, Iliopoulos D, et al. Neurotensin--regulated miR-133α is involved in proinflammatory signalling in human colonic epithelial cells and in experimental colitis. Gut. 2015;64(7):1095-104. [Crossref]  [PubMed]  [PMC] 
  30. Narushima S, Sugiura Y, Oshima K, Atarashi K, Hattori M, Suematsu M, et al. Characterization of the 17 strains of regulatory T cell-inducing human-derived Clostridia. Gut Microbes. 2014;5(3):333-9. [Crossref]  [PubMed]  [PMC] 
  31. Singla V, Pratap Mouli V, Garg SK, Rai T, Choudhury BN, Verma P, et al. Induction with NCB-02 (curcumin) enema for mild-to-moderate distal ulcerative colitis - a randomized, placebo-controlled, pilot study. J Crohns Colitis. 2014;8(3):208-14. [Crossref]  [PubMed] 
  32. Martinez CAR, Oliveira VPD, Campos FG, Kanno DT, Fernandez OOA, Kadri CJ, et al. Influence of the application of enemas with oily extract of curcumin (Curcuma longa) on the tissue content of neutral and acidic mucins in the colonic mucosa without fecal stream. J Coloproctology. 2017;37(4):312-9. [Crossref] 
  33. Simadibrata M, Halimkesuma CC, Suwita BM. Efficacy of curcumin as adjuvant therapy to ınduce or maintain remission in ulcerative colitis patients: an evidence-based clinical review. Acta Med Indones. 2017;49(4):363-8. [PubMed] 

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