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Iranian Journal of Public Health logoLink to Iranian Journal of Public Health
. 2022 Aug;51(8):1847–1856. doi: 10.18502/ijph.v51i8.10271

Molecular Characterization of Animal Fasciola Spp. Isolates from Lorestan Province, Western Iran

Peyman Heydarian 1, Vahid Jajarmi 2,3, Adel Spotin 4, Keyhan Ashrafi 5, Mehdi Mohebali 6, Mojgan Aryaeipour 6, Arezoo Bozorgomid 7, Elham Hajialilo 1, Mohammad Javad Abbaszadeh Afshar 6, Mandana Fadaei Tehrani 8, Mohammad Bagher Rokni 6,*
PMCID: PMC9546809  PMID: 36249111

Abstract

Background:

We aimed to detect the genetic diversity of samples identified morphologically as Fasciola spp. from sheep, cattle and goat from Lorestan Province, western Iran using PCR-RFLP method. Besides, we evaluated the genetic diversity indices, sequencing and phylogenetic analysis using mitochondrial gene (ND1 and CO1).

Methods:

PCR-RFLP analysis of ribosomal ITS1 fragment by RsaI restriction enzyme to investigate the genetic characteristics of Fasciola species obtained from different hosts (18 sheep, 21 cattle, and 17goats) was conducted. The samples were sequenced. Sequences were evaluated using BLAST software and the parasite species were identified with similarity percentage and overlap with the species registered in the gene bank. Then similarity and diversity of intra-species and intra-species diversity of Fasciola species were calculated.

Results:

In Lorestan, based on RFLP pattern, 93% (52) of the Fasciola spp. isolates had a RFLP pattern related to F. hepatica and 7% (4) were F. gigantica. No hybrid forms were detected. The CO1 gene could clarify 19 haplotypes against ND1 gene that found 22 haplotypes among livestock. Sequencing results of the mtDNA showed intra-species identity 98. 5%–100% and Intra-species-diversity: 0–1.5% compared to the GenBank sequences.

Conclusion:

Using PCR-RFLP method, two species of F. hepatica and F. gigantica, were present in Lorestan Province, but F. hepatica was more prevalent. Mitochondrial genes could better test variability indices in different hosts than ribosomal genes, consequently among mitochondrial genes, the ND1 gene could better examine differences and similarities than CO1.

Keywords: Fascioliasis, Fasciola, Polymerase chain reaction, Iran

Introduction

Fascioliasis as a neglected zoonosis is a well-known veterinary and public health problem. This disease in livestock and humans is caused by two liver fluke parasites: Fasciola hepatica and F. gigantica (1, 2).

It is estimated that 2.4 million, up to 17 million people suffer from fascioliasis worldwide with 180 million at-risk people. F. hepatica has a wide distribution in Europe, Africa, Asia, Oceania and the Americas, while F. gigantica restricted to Asia and Africa (3). The distributions of these two species overlap in many regions of Africa and Asia.

Due to different control strategies, the differentiation of Fasciola species is essential in these regions (4). Although the Fasciola species can generally be differentiated by morphometric methods, the morphological characteristics of adult worms are affected by different factors such as parasite’s age, type of the host and intensity of infection leading to considerable taxonomic confusion and are unable to differentiation accurately (5, 6). Therefore, the accurate identification of causative species seems necessary to prevent this disease.

Nowadays a variety of molecular methods based on DNA analyses have been used for the differentiation of Fasciola species (710). PCR-RFLP assay is very rapid, simple, inexpensive, easy to perform and an appropriate method for differentiation of F. hepatica from F. gigantica (1115).

The prevalence of fascioliasis in various livestock in Iran has been reported at 0.1% to 91.4% (16). To determination of the fascioliasis status in Iran in addition to genotypic and phylogenetic characterization of the parasite, the differentiation between causative species in different geographical regions and determine the distribution of each species is important.

Lorestan Province is considered as a high-risk area for fascioliasis due to, a neighborhood with Kermanshah Province as an endemic area, the prevailing rural lifestyle in this province, close contact of inhabitants with the livestock through animal husbandry, which is the occupation of most inhabitants in this area and the presence of snails as an intermediate host.

We aimed to identify and differentiate Fasciola flukes by PCR-RFLP of the ITS1 gene in Lorestan Province, western Iran and to analyze their phylogenic relationship with population from other parts of the world using mitochondrial ND1 and COX1 gene.

Material and Methods

Sample collection

A total of 56 confirmed infected livers to Fasciola species (21 cattle, 18 sheep and 17 goats) were collected from slaughterhouses of Lorestan Province, western Iran during 2016 (Fig. 1). An adult worm was isolated from each liver and washed in phosphate buffer saline (PBS) solution twice and stored in 70% ethanol for subsequent molecular methods.

Fig. 1:

Fig. 1:

Iran map: Location of Lorestan Province in Iran

Genomic DNA extraction and amplification

Genomic DNA was extracted from the collected flukes using DNGTM-plus Kit (CinnaGen, Iran) following manufacturer’s instruction. The ITS1 region was amplified using two set of primers (Table 1). PCR amplifications were performed in 25 μL reactions containing 12.5 μL Master Mix (Amplicon, Odense, Denmark), 1 μL of each primer (10 pmol of forward and reverse primers), 5 μL genomic DNA, and 5.5 μL distilled water. The reactions were performed as follows: predenaturation at 95 °C for 5 min, 25 cycles of denaturation at 94 °C for 30 sec, annealing at 62 °C for 30 sec, elongation at 72 °C for 30 sec, followed by a final extension at 72 °C for 5 min. The PCR products were run on 2% agarose gel.

Table 1:

Gens and sequences of the primers used in this study

Gene Sequence
ITS1 F: 5′- TTGCGCTGATTACGTCCCTG -3′
R: 5′- TTGGCTGCGCTCTTCATCGAC -3′
ND1 F: 5′-AAGGATGTTGCTTTGTCGTGG-3′
R: 5′-GGAGTAC GGTTACATTCACA-3′
CO1 F: 5′-ACGTTGGATCATAAGCGTGT-3′
R: 5′-CCTCATCCAACATAACCTCT-3′

ITS1= Internal transcribed spacer 1, ND1= Nicotiamide adenine dinucleotide dehydrogenase subunit I, CO1= Cytochrome oxidase subunit I

PCR-RFLP analysis

A PCR-RFLP method was used on PCR product of ITS1 gene (700 bp) for differentiation of F. hepatica and F. gigantica. The amplicons were subsequently digested using the RsaI restriction enzyme. By this method, two species of Fasciola genus will be differentiate with different bands pattern, that way F. hepatica will have fragment bands 28, 54, 59, 68, 104 and 367 bp, and in F. gigantica fragment bands 28, 54, 59, 68, 172 and 367 bp will be evident. To confirm the results of PCRRFLP, a fragment of 700 bp from the ITS1 gene was sequenced for seven cases. Sequencing was performed in forward direction using Sanger sequencing (Macrogen Inc. Korea, ABI3730XL).

Genetic Diversity Indices, Sequencing and phylogenetic analysis

The PCR products of ND1 and CO1 were amplified using the primers (Table 1) and sequenced by Sanger sequencing method (Macrogen Inc. Korea, ABI3730XL). Sequences were aligned using Bioedit Sequence Alignment Editor (https://bioedit.software.informer.com/7.2/), version 7.0.9 (17). Then obtained sequences were analyzed and compared with those of available in GenBank using BLAST 2.0 (http://www.ncbi.nlm.nih.gov/) to find out the closest entries related to Fasciola species. Phylo-genetic analysis based on ND1 and CO1 sequence data were conducted by Maximum Likelihood (ML) algorithm using the Tamura 3-parameter model by sequences recovered from this study along with GenBank reference sequences using the MEGA 7.0 software (18).

Bootstrap analysis was performed using 1000 replicates. Genetic variability for mitochondrial marker was evaluated by the number of haplotypes (Hn), haplotype diversity (Hd), nucleotide diversity (π) and number of polymorphic sites, using DnaSP v.5.0 (19). Finally, the similarity and difference rates of sequences determined with DNA Star Laser MegAlign program (DNASTAR, Madison, WI, USA).

Ethics approval

This research has been registered with the ethics code IR.TUMS.REC.1395.2404 by the Ethics Committee of Tehran University of Medical Sciences.

Results

PCR-RFLP findings

Based on RFLP pattern, 93% (52) of the Fasciola spp. isolates had a RFLP pattern related to F. hepatica and 7% (4) of them were F. gigantica (Fig. 2). ND1 fragments (approximately 1074 bp) and CO1 fragments (approximately 974 bp) were amplified for several specimens. Partial sequences of CO1 and ND1 showed 26 and 11 variable sites, respectively, and yielded eight haplotypes in both genes and high diversity indices in ND1 gene (Table 2). The nucleotide sequences for every haplotype were deposited in GenBank under following accession numbers: KX021280-KX021299. Phylogenic analyses based on ND1 and CO1 sequence data were conducted by neighbor-joining (NJ) using MEGA 7.0 with Fascioloides magna designated as an outgroup showed in Figs. 2,3 and 4 respectively. Pairwise fixation index (Fst values) between different F. hepatica populations calculated from the nucleotide data group.

Fig. 2:

Fig. 2:

The pattern of amplified ITS gene after digestion with RsaI: Lane M 100-bp DNA marker, Lane C: intact amplified ITS1 gene as control, Lanes 1–3 and 5 are F. hepatica, Lanes 4 and 6–8 are F. gigantica

Table 2:

Diversity and neutrality indices of Fasciola hepatica isolated from various hosts based on nucleotide sequences of the COX1 and ND 1genes

Gene Host n Hn Hd± SD No. of polymorphic sites Nd (π) ± SD
Cox1 Cattle 17 7 0.652±0.01583 7 0.00368± 0.00339
Goat 14 7 0.657±0.138 7 0.01567± 0.01306
Sheep 16 5 0.450±0.151 6 0.00286±0.00314
ND1 Cattle 17 6 0.588±0.135 8 0.00359± 0.00250
Goat 14 9 0.912±0.059 7 0.00486± 0.00231
Sheep 13 7 0.795±0.795 19 0.00443±0.00304

n: number of isolates; Hn: number of haplotypes; Hd: haplotype diversity; Nd: nucleotide diversity

Fig. 3:

Fig. 3:

Phylogenetic trees based on NDI gene sequences of isolated Fasciola spp. obtained by using MEGA 7.0 (Tamura 3- parameter model) with bootstrap values of 1000 replicates set for neighbor-joining. Fascioloides magna was used as outgroup

Fig. 4:

Fig. 4:

Phylogenetic trees based on Co1 gene sequences of isolated Fasciola Spp. obtained by using Mega 7.0 (Tamura 3- Parameter Model) with bootstrap values of 1000 replicates Set for neighbor-joining. Fascioloides Magna was used as out group

According to the haplotype analysis in CO1 gene, the most haplotypes diversity and number of haplotypes were detected in cattle and goat, therefore the most nucleotid diversity was found in goat (0.01567). The most haplotypes diversity observed in goat and cattle, 0.657±0.138 and 0.652±0.01583 respectively. The number of polymorphic sites in cattle and goat found 7 sites, while in sheep detected 6 sites. The results of haplotype analysis in ND1 gene was clarified the most haplotypes diversity observed in goat (0.912±0.059), meanwhile the least haplotypes diversity shown in cattle (0.588±0.135). The number of polymorphic sites in cattle and goat showed 8 and 7 sites respectively, while in sheep was 19 sites. The CO1 gene could clarified 19 haplotypes against ND1 gene that found 22 haplotypes among livestock (Table 2). Sequencing results of the mtDNA showed intra-species identity 98. 5%–100% and Intra-species-diversity: 0–1.5% compared to the GenBank sequences.

Discussion

The differentiation of Fasciola species and epidemiology patterns of the parasites is crucial for prevention of disease in the country. Both species of the F. hepatica and F. gigantica are reported in different parts of Iran (5, 15, 20), so accurate survey is necessary to distinguish the species in the country.

Differentiation of Fasciola species based on morphometric methods has some pitfalls such as morphological changes of the parasite by parasite age, type of host or intensity of the infection (5, 6). Therefore, differentiation of the fascioliasis causative agents using molecular methods, especially in the regions where both F. hepatica and F. gigantica are present, are suitable methods to determine the dominant species in the region.

One of the most appropriate molecular methods for the differentiation of Fasciola spp. is PCRRFLP (6, 12, 13, 15, 2124). The results of this study using PCR-RFLP method on ITS1 nuclear gene revealed that two species of F. hepatica and F. gigantica are present in Lorestan Province and F. hepatica is more prevalent than F. gigantica. This finding is consistent with the studies carried out in other parts of Iran and the world (12, 2529), although in some parts, F. gigantica have been reported as dominant species (10, 3032). These results also confirm previous reports that F. hepatica is found mainly in temperate regions while F. gigantica mainly observed in tropical regions (11).

The result of the present study showed a sheep isolate had simultaneous infection of F. hepatica and F. gigantica, aligned with foundlings in other parts of Iran and different parts of world such as Egypt, Japan, South Korea countries (3336). The phylogenetic analysis performed in the present study based on COI and ND1 gene sequences, clarified that all F. hepatica and F. gigantica isolates were placed in two branches with other specimens of different parts of the world. Our study was designed based on the RsaI enzyme to ITS1 gene for differentiation of the two species. Three bands of 59, 172 and 367 bp fragments to F. gigantica and 59, 104 and 360bp fragments to F. hepatica were observed. Based on our results the enzyme could identify two species of Fasciola easily in the region, also the similar outcome obtained from Myanmar, Egypt and Thailand (22, 3739). In Turkey, the enzyme CO1 gene had no effect on F. hepatica (40).

According to the findings, the enzyme in ribosomal gene region, specific ITS1 gene is exclusive, while in the mitochondrial genes may be non-specific. Therefore, it probably that PCRRFLP on nuclear genes could be used as beneficial and effective method in rapid diagnosis or even primary detection of the Facsiola species. Since the host specificity, drug resistance or sensitive, differences in parasitic virulence could be manifested in molecular variations (41), in the present study, genetic indices including the number of haplotypes, haplotype diversity, nucleotide diversity and the number of polymorphic sites were surveyed for ribosomal gene (ITS1) and mitochondrial genes (ND1 and CO1) in livestock to determine the appropriate gene as for analysis of the genetic indicators.

Mitochondrial genes compare to ribosomal genes are better to study genetic diversity indices in different hosts and result of our study is consistent with other studies (27, 37, 4245). Moreover, among mitochondrial genes, ND1 gene compared to CO1 gene, with minor difference could be appropriate to determined genetic diversity and nucleotide mutation. This result also was consistent with the results of similar studies (35, 46, 47). Therefore, ND1 gene can be used for inter-species and intra-species of Fasciola spp. genetic differences and similarities.

Conclusion

Using PCR-RFLP method and the ITS-1 nuclear gene, two species, F. hepatica and F. gigantica, are present in the current study. F. hepatica is more prevalent in Lorestan Province. The current study confirms that those mitochondrial genes can better test variability indices in different hosts than ribosomal genes, and that among mitochondrial genes, the ND1 gene can better examine differences and similarities than CO1. Therefore, this gene can be used in inter-species and intra-species diversity of Fasciola species.

Ethics Journalism considerations

Ethical issues (Including plagiarism, informed consent, misconduct, data fabrication and/or falsification, double publication and/or submission, redundancy, etc.) have been completely observed by the authors.

Acknowledgements

This study was part of a PhD thesis, financially supported by the Tehran University of Medical Sciences. The authors would like to Special thanks to Dr. Mohammad Zeinali (Center for Disease Control and Prevention, Ministry of Health) and Dr. Mahdieh Shirzad for their valuable supports.

Footnotes

Conflict of Interest

The authors declare there is no conflict of interest.

References

  • 1.Mas-Coma S, Valero MA, Bargues MD. (2019). Fascioliasis. In: Digenetic Trematodes. Ed(s): Springer, pp. 71–103. [Google Scholar]
  • 2.WHO (2013). Sustaining the drive to overcome the global impact of neglected tropical diseases: second WHO report on neglected diseases. ed. World Health Organization. [Google Scholar]
  • 3.Torgerson PR, de Silva NR, Fèvre EM, et al. (2014). The global burden of foodborne parasitic diseases: an update. Trends Parasitol, 30:20–26. [DOI] [PubMed] [Google Scholar]
  • 4.Mas-Coma S, Bargues MD, Valero M. (2005). Fascioliasis and other plant-borne trematode zoonoses. Int J Parasitol, 35:1255–1278. [DOI] [PubMed] [Google Scholar]
  • 5.Ashrafi K, Valero M, Panova M, Periago M, Massoud J, Mas-Coma S. (2006). Phenotypic analysis of adults of Fasciola hepatica, Fasciola gigantica and intermediate forms from the endemic region of Gilan, Iran. Parasitol Int, 55:249–260. [DOI] [PubMed] [Google Scholar]
  • 6.Aryaeipour M, Bozorgomid A, Kazemi B, Behnia M, Azizi H, Rokni MB. (2017). Molecular and morphometrical characterization of Fasciola species isolated from domestic ruminants in Ardabil Province, Northwestern Iran. Iran J Public Health, 46:318–325. [PMC free article] [PubMed] [Google Scholar]
  • 7.Alasaad S, Soriguer RC, Abu-Madi M, et al. (2011). A TaqMan real-time PCR-based assay for the identification of Fasciola spp. Vet Parasitol, 179:266–271. [DOI] [PubMed] [Google Scholar]
  • 8.Ali H, Ai L, Song H, Ali S, Lin R, Seyni B, Issa G, Zhu X. (2008). Genetic characterisation of Fasciola samples from different host species and geographical localities revealed the existence of F. hepatica and F. gigantica in Niger. Parasitol Res, 102:1021–1024. [DOI] [PubMed] [Google Scholar]
  • 9.Hosseini-Safa A, Rokni MB, Mosawi SH, Heydarian P, Azizi H, Davari A, Aryaiepour M. (2019). High-resolution melting analysis as an appropriate method to differentiate between Fasciola hepatica and F. gigantica. Iran J Public Health, 48:501–507. [PMC free article] [PubMed] [Google Scholar]
  • 10.Itagaki T, Tsutsumi K-I, Ito K, Tsutsumi Y. (1998). Taxonomic status of the Japanese triploid forms of Fasciola: comparison of mitochondrial ND1 and COI sequences with F. hepatica and F. gigantica. J Parasitol:445–448. [PubMed] [Google Scholar]
  • 11.Aryaeipour M, Rouhani S, Bandehpour M, Mirahmadi H, Kazemi B, Rokni MB. (2014). Genotyping and phylogenetic analysis of Fasciola spp. isolated from sheep and cattle using PCR-RFLP in Ardabil province, northwestern Iran. Iran J Public Health, 43:1364–1371. [PMC free article] [PubMed] [Google Scholar]
  • 12.Bozorgomid A, Nazari N, Rahimi H, et al. (2016). Molecular characterization of animal Fasciola spp. isolates from Kermanshah, Western Iran. Iran J Public Health, 45:1315–21. [PMC free article] [PubMed] [Google Scholar]
  • 13.Hasanpour H, Falak R, Naddaf SR, et al. (2020). Molecular characterization of Fasciola spp. From some parts of Iran. Iran J Public Health, 49:157–166. [PMC free article] [PubMed] [Google Scholar]
  • 14.Mahami-Oskouei M, Dalimi A, Forouzandeh-Moghadam M, Rokni M. (2011). Molecular identification and differentiation of Fasciola isolates using PCR-RFLP method based on internal transcribed spacer (ITS1, 5.8 S rDNA, ITS2). Iran J Parasitol, 6:35–42. [PMC free article] [PubMed] [Google Scholar]
  • 15.Rokni MB, Mirhendi H, Mizani A, et al. (2010). Identification and differentiation of Fasciola hepatica and Fasciola gigantica using a simple PCR-restriction enzyme method. Exp Parasitol, 124:209–213. [DOI] [PubMed] [Google Scholar]
  • 16.Ashrafi K. (2015). The status of human and animal fascioliasis in Iran: a narrative review article. Iran J Parasitol, 10:306–328. [PMC free article] [PubMed] [Google Scholar]
  • 17.Hall TA. (1999). BioEdit: a user-friendly biological sequence alignment editor and analysis program for Windows 95/98/NT. Nucleic acids symposium series. [London]: Information Retrieval Ltd., c1979–c2000., pp. 95–98. [Google Scholar]
  • 18.Tamura K, Peterson D, Peterson N, Stecher G, Nei M, Kumar S. (2011). MEGA5: molecular evolutionary genetics analysis using maximum likelihood, evolutionary distance, and maximum parsimony methods. Mol Biol Evol, 28:2731–39. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Librado P, Rozas J. (2009). DnaSP v5: a software for comprehensive analysis of DNA polymorphism data. Bioinformatics, 25:1451–52. [DOI] [PubMed] [Google Scholar]
  • 20.Shahnazi M, Ebadi M, Abbaspoor Z, Hajialilo E, Javadi A, Heydarian P, Saraei M, Alizadeh S. (2020). Molecular characterization of Fasciola and Dicrocoelium species isolated from ruminant livestock in Qazvin, Iran. Infectious Disorders Drug Targets, 20(5):737–742. [DOI] [PubMed] [Google Scholar]
  • 21.Anh DN, Anh LT, Tuan LQ, et al. (2018). Identification of Fasciola species isolates from Nghe An province, Vietnam, based on ITS1 Sequence of ribosomal DNA using a simple PCR-RFLP method. J Parasitol Res, 2018: 2958026. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Ichikawa M, Itagaki T. (2010). Discrimination of the ITS1 types of Fasciola spp. based on a PCR–RFLP method. Parasitol Res, 106:757–761. [DOI] [PubMed] [Google Scholar]
  • 23.Sedighe M, Dabirzadeh M, Rokni MB, Aryaeipour M, Shahraki MK, Azizi H. (2019). Identification and Phylogenetic Classification of Fasciola species Isolated from Sheep and Cattle by PCR-RFLP in Zabol, in Sistan and Baluchistan Province, Southeast Iran. Iran J Public Health, 48:934–942. [PMC free article] [PubMed] [Google Scholar]
  • 24.Siribat P, Dekumyoy P, Komalamisra C, Sumruayphol S, Thaenkham U. (2018). Molecular identification of Fasiola spp. representative samples from Thailand based on PCR-RFLP. J Trop Med Parasitol, 41:1–7. [Google Scholar]
  • 25.Farjallah S, Sanna D, Amor N, et al. (2009). Genetic characterization of Fasciola hepatica from Tunisia and Algeria based on mitochondrial and nuclear DNA sequences. Parasitol Res, 105:1617. [DOI] [PubMed] [Google Scholar]
  • 26.Rahimi P, Ghavami M, Haniloo A, Nourian A, Biglari A. (2009). Identification of Fasciola Species by PCR-RFLP Assay. ZUMS Journal, 16:41–48. [Google Scholar]
  • 27.Shafiei R, Sarkari B, Sadjjadi SM, Mowlavi GR, Moshfe A. (2014). Molecular and morphological characterization of Fasciola spp. isolated from different host species in a newly emerging focus of human fascioliasis in Iran. Vet Med Int, 2014:405740. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Shahbazi A, Akbarimoghaddam M, Izadi S, Ghazanchaii A, Jalali N, Bazmani A. (2011). Identification and genetic variation of Fasciola species from Tabriz, North-Western Iran. Iran J Parasitol, 6:52–59. [PMC free article] [PubMed] [Google Scholar]
  • 29.Sharifiyazdi H, Moazeni M, Rabbani F. (2012). Molecular characterization of human Fasciola samples in Gilan province, Northern Iran on the basis of DNA sequences of ribosomal and mitochondrial DNA genes. Comp Clin Path, 21:889–894. [Google Scholar]
  • 30.Agatsuma T, Arakawa Y, Iwagami M, et al. (2000). Molecular evidence of natural hybridization between Fasciola hepatica and F. gigantica. Parasitol Int, 49:231–238. [DOI] [PubMed] [Google Scholar]
  • 31.Amor N, Farjallah S, Salem M, Lamine DM, Merella P, Said K, Slimane BB. (2011). Molecular characterization of Fasciola gigantica from Mauritania based on mitochondrial and nuclear ribosomal DNA sequences. Exp Parasitol, 129:127–136. [DOI] [PubMed] [Google Scholar]
  • 32.Chaudhry U, Van Paridon B, Shabbir M, Shafee M, Ashraf K, Yaqub T, Gilleard J. (2016). Molecular evidence shows that the liver fluke Fasciola gigantica is the predominant Fasciola species in ruminants from Pakistan. J Helminthol, 90:206–213. [DOI] [PubMed] [Google Scholar]
  • 33.Amer S, ElKhatam A, Zidan S, Feng Y, Xiao L. (2016). Identity of Fasciola spp. in sheep in Egypt. Parasites & Vectors, 9:623. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Ashrafi K, Massoud J, Holakouei K, et al. (2004). Evidence suggesting that Fasciola gigantica might be the most prevalent causal agent of fascioliasis in northern Iran. Iran J Public Health, 33:31–37. [Google Scholar]
  • 35.Itagaki T, Kikawa M, Terasaki K, Shibahara T, Fukuda K. (2005). Molecular characterization of parthenogenic Fasciola sp. in Korea on the basis of DNA sequences of ribosomal ITS1 and mitochondrial NDI gene. J Vet Med Sci, 67:1115–1118. [DOI] [PubMed] [Google Scholar]
  • 36.Terasaki K, Moriyama-Gonda N, Noda Y. (1998). Abnormal spermatogenesis in the common liver fluke (Fasciola sp.) from Japan and Korea. J Vet Med Sci, 60:1305–1309. [DOI] [PubMed] [Google Scholar]
  • 37.Chaichanasak P, Ichikawa M, Sobhon P, Itagaki T. (2012). Identification of Fasciola flukes in Thailand based on their spermatogenesis and nuclear ribosomal DNA, and their intraspecific relationships based on mitochondrial DNA. Parasitol Int, 61:545–549. [DOI] [PubMed] [Google Scholar]
  • 38.Dar Y, Amer S, Mercier A, Courtioux B, Dreyfuss G. (2012). Molecular identification of Fasciola spp.(digenea: Fasciolidae) in Egypt. Parasite, 19:177–82. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Ichikawa M, Bawn S, Maw NN, et al. (2011). Characterization of Fasciola spp. in Myanmar on the basis of spermatogenesis status and nuclear and mitochondrial DNA markers. Parasitol Int, 60:474–479. [DOI] [PubMed] [Google Scholar]
  • 40.Simsek S, Utuk A, Balkaya I. (2011). Molecular differentiation of Turkey cattle isolates of Fasciola hepatica and Fasciola gigantica. Helminthologia, 48:3–7. [Google Scholar]
  • 41.Constantine CC. (2003). Importance and pitfalls of molecular analysis to parasite epidemiology. Trends Parasitol, 19:346–348. [DOI] [PubMed] [Google Scholar]
  • 42.Ichikawa-Seki M, Ortiz P, Cabrera M, Hobán C, Itagaki T. (2016). Molecular characterization and phylogenetic analysis of Fasciola hepatica from Peru. Parasitol Int, 65:171–174. [DOI] [PubMed] [Google Scholar]
  • 43.Ichikawa-Seki M, Tokashiki M, Opara MN, et al. (2017). Molecular characterization and phylogenetic analysis of Fasciola gigantica from Nigeria. Parasitol Int, 66:893–897. [DOI] [PubMed] [Google Scholar]
  • 44.Itagaki T, Kikawa M, Sakaguchi K, Shimo J, Terasaki K, Shibahara T, Fukuda K. (2005). Genetic characterization of parthenogenic Fasciola sp. in Japan on the basis of the sequences of ribosomal and mitochondrial DNA. Parasitology, 131:679–685. [DOI] [PubMed] [Google Scholar]
  • 45.Reaghi S, Haghighi A, Harandi MF, Spotin A, Arzamani K, Rouhani S. (2016). Molecular characterization of Fasciola hepatica and phylogenetic analysis based on mitochondrial (nicotiamide adenine dinucleotide dehydrogenase subunit I and cytochrome oxidase subunit I) genes from the North-East of Iran. Vet World, 9:1034–38. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46.Carnevale S, Malandrini JB, Pantano ML, et al. (2017). First genetic characterization of Fasciola hepatica in Argentina by nuclear and mitochondrial gene markers. Vet Parasitol, 245:34–38. [DOI] [PubMed] [Google Scholar]
  • 47.Rouhani S, Raeghi S, Mirahmadi H, Harandi MF, Haghighi A, Spotin A. (2017). Identification of Fasciola spp. in the east of Iran, based on the spermatogenesis and nuclear ribosomal DNA (ITS1) and mitochondrial (ND1) genes. Arch Clin Infect Dis, 12:e57283. [Google Scholar]

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