Rats

were anaesthetized by inhalation of ether in air and

Rats

were anaesthetized by inhalation of ether in air and killed by decapitation. Skin around the lower abdomen was removed, and a small incision was made on the abdominal muscle to allow insertion of a trocar. Ten ml of lavage solution (D-Hanks) was administered through the trocar into the rat peritoneum. The rat peritoneum was massaged for 2 min, and the lavage solution was retrieved by a transfer pipette into a 15-ml conical tube. After centrifugation at 450 g for 5 min, the cell pellet was resuspended selleckchem in 5 ml PBS for staining, while the supernatant was collected and stored at −80 °C for measurement of cytokines and histamine. Typical mast cells in rat small intestine tissue or peritoneal lavage solution (RPLS) were stained with toluidine blue stain as previously described [18]. Briefly, 200 μl peritoneal

lavage fluids was dried in the air on cromolyn sodium–pretreated slides and then covered with several drops of staining solution (toluidine blue stain dissolved in 70% ethanol). After 90 s, the staining solutions were washed away quickly with the running tap water, and the stained cells were examined and counted under light microscope (Olympus, Japan). The BN rats were sacrificed after anaesthetized by inhalation of ether in air. Rat peritoneal mast cells (RPMCs) were obtained by peritoneal lavage and purified by density gradient fractionation as described previously [19, 20]. Isolated RPMCs preparations contained >98% mast cells and at least 98% of these cells were viable as checked by metachromatic staining Osimertinib in 0.05% toluidine blue. The cells were then used for the following RT-PCR, Western blot, Ca2+ image and immunofluorescence experiments of SOCs subunits. For a mechanistic study, in vitro allergic model was re-established as follows: isolated RPMCs from control group were cultured at density of 2 × 106 cells per well for 30 min in 24-well filipin tissue culture plates with

DMEM (GIBCO) supplemented with 10% fetal bovine serum, 100 units/ml penicillin, 100 μg/ml streptomycin. Then, the cells were divided into control, OVA, Wortmannin (Sigma, USA) and Ebselen (Sigma, USA) group. The cells in Wortmannin group were pretreated with 100 nm Wortmannin for 15 min, while Ebselen group were pretreated with 100 μm Ebselen for 30 min. After that, all the groups of cell, except control group, were sensitized by 30% RPLS (diluted by DMEM) from OVA-treated rats for 6 h. All the cells were then challenged by 10 μg/ml OVA for 1 h and used for the following experiments of RT-PCR, Western blot and Ca2+ imaging of SOCs subunits. Intracellular Ca2+ signal was measured as described previously with minor modification [21]. Rat peritoneal mast cells (RPMCs) were incubated with 5 μm Ca2+ fluorescent probe fluo-4 AM (Invitrogen, CA, USA) for 30 min at room temperature.

41,42 Many studies have demonstrated that complement activation c

41,42 Many studies have demonstrated that complement activation contributes to kidney MLN0128 clinical trial IRI.43–45 The mechanisms by which complement is triggered during IR and the effectors that are responsible for renal IRI remains to be fully elucidated, but loss or reduced function of complement regulators are likely to play a role. Accordingly, patients with one or more of their regulators deficient or defective may be at increased risk

of suffering from IRI. In a study of mice deficient in DAF and CD59, either alone or in combination, Yamada et al. have shown that both regulators are important in preventing catastrophic renal IRI.46 Thus, although DAF-deficient, but not CD59-deficient, mice were significantly more susceptible to renal IRI than wild-type mice, DAF/CD59 double deficiency caused a much greater degree of renal pathology

and functional impairment, suggesting that CD59 deficiency in the context of DAF deficiency exacerbated renal injury even though CD59 deficiency alone was inconsequential.46 One of the consequences of ischaemia may be cell membrane disruption, resulting in the transient find more loss of membrane regulators such as DAF and CD59. Both of these proteins attach to the cell membrane via a GPI anchor and are known to be capable of shedding from and reincorporating into the lipid bilayer of the cell membrane.47 Positional and functional disruption of transmembrane regulators may also occur as has been shown for mouse Crry during renal IR.48 It has been demonstrated that Crry, normally found on the basolateral side of

tubular cells along the basement membrane, was sequestered in the tubular lumen upon ischaemic insult, allowing increased complement deposition and injury on these cells.48 Additionally, changes in the cell membrane structural integrity and exposure of neoepitopes may alter the binding kinetics of the fluid-phase complement regulator fH, which can also impact on complement activation and renal IRI.49,50 Although both classical and lectin pathways have been implicated in IRI of other organs, likely through binding of natural antibodies and MBL to neoepitopes exposed on ischaemic cells, most animal modelling Ribose-5-phosphate isomerase studies in mice have suggested that renal IRI is mediated by the AP.43 Nevertheless, there is evidence that CP and MBL activation may be important contributors to IRI in some cases of transplant rejection as renal biopsies from these patients showed numerous deposits of C3d and C4d.51,52 Clinical studies have also shown that while injury can decrease complement regulation in some cells, there are cases where inhibitor expression actually increases in response to injury, which can offer enhanced protection from complement-mediated injury.53–56 A recent study with patients experiencing allograft rejection presented evidence that increased DAF expression correlated with increased allograft survival.

18,19 The PK/PD studies complete dose titration studies aimed to

18,19 The PK/PD studies complete dose titration studies aimed to select rational dosage regimens. Drug levels are measured on undiluted samples, diluted samples, in tissue and on individual cells. For the measurement of intracellular levels good quality standardized cell samples are required. Finally, cervical and rectal biopsies are used to determine anti-HIV activity of microbicides in explant models.20 As OSI-906 nmr yet, samples from clinical trials have not been used for this. Quantification of soluble mucosal immune factors and HIV specific

responses is possible in undiluted samples and samples diluted in a standard volume. In contrast, the dilution effect of a CVL interferes with the exact quantification and values are usually expressed as percentages. For example, a CVL performed with 10 mL saline results in a diluted sample volume ranging from 9.7 to 10.1 mL. Therefore it is important to be able to quantify the volume of cervicovaginal secretions collected and accurately approximate the dilution GSI-IX factor of a soluble component introduced by the washing. Lithium chloride, an inert substance, can be used to measure

the dilution factor when added to CVL21; however, the analysis can be cumbersome and requires the use of flame atomic absorption spectrophotometer.11 Alternatively, one could measure total protein or IgA.11 Furthermore, the collection of the same type of samples at multiple time points in clinical trials allows for comparisons of soluble markers within the same individual. The mean volumes collected with undiluted sampling methods are often small; Weck-Cell 50 μL, swab 200 μL, vaginal cup 500 μL, aspirator 500 μL. This disadvantage has to be taken into account when designing the objectives of a trial and the trials laboratory assays to measure the endpoints. From the start of protocol discussions, a team of clinicians, epidemiologists

and laboratory scientists should agree on sampling methodology linked to Interleukin-3 receptor laboratory assays and study the volumes needed for each assay. If the recovered volumes are thought to be insufficient, alternatives will need to be explored. For example, one could take multiple samples and pool them, dilute the sample or suspend the sample device in a standard volume, or perform a CVL. The multiplex cytokine assays were not originally validated for genital tract secretions; nevertheless, performance and experience with the multiplex is mounting and standardization efforts are ongoing.22 The multiplex kits can be custom made to fit the panel of cytokines selected for any study design.

Background: Listeria monocytogenes is a rare cause of peritonitis

Background: Listeria monocytogenes is a rare cause of peritonitis, usually occurring in the setting of cirrhosis or immunosuppression. check details There are 12 published cases of Listeria monocytogenes peritoneal

dialysis peritonitis in the literature. The 10 patients on continuous ambulatory peritoneal dialysis and 2 with unknown method of peritoneal dialysis were all treated with intravenous or intraperitoneal antibiotics. We report a case occurring in an automated peritoneal dialysis patient, successfully treated with oral antibiotics. Methods: An 87 year old, non-immunosuppressed end-stage renal failure patient on automated peritoneal dialysis, presented with abdominal pain, bloating and diarrhoea after consuming a meal of sushi. She was systemically well and commenced

on empiric outpatient antimicrobial therapy with intraperitoneal vancomycin 2 g and gentamicin 80 mg. Peritoneal dialysate gram stain demonstrated gram positive rods, subsequently culture positive for Listeria monocytogenes. Her antibiotic therapy was changed to amoxicillin 1 g every eight hours orally and she completed total of 22 days of therapy. Her abdominal discomfort resolved and her peritoneal dialysate Afatinib clinical trial cleared. Results: Repeat dialysate culture one week following completion of antibiotic therapy confirmed resolution of peritonitis. Conclusions: Oral antimicrobial therapy may be effective in treatment of Listeria monocytogenes peritoneal dialysis peritonitis in the systemically well patient. 292 UNUSUAL BLEEDING

IN THIN GLOMERULAR BASEMENT MEMBRANE DISEASE A LEE, J SEVASTOS St Vincent’s Hospital, Sydney, NSW, Australia Aim: We present a case of thin glomerular basement membrane (GBM) disease with unusual manifestations of haematuria, haemoptysis and peritoneal bleeding. Background: Thin GBM disease is caused by a defect of collagen, occasionally Adenosine associated with loin pain haematuria syndrome. It is considered a disease affecting only the renal tract. There are only few case reports of haemoptysis associated with this condition but there is no literature suggesting bleeding elsewhere. Methods: A young patient presented age 16 with recurrent severe abdominal pain over many months. Laparoscopy for appendicectomy demonstrated no appendicitis but a small amount of blood was found in the pelvis. She subsequently developed intermittent macroscopic haematuria. Cystoscopy showed mild to moderate mucosal bladder erythema and trabeculation, possibly interstitial cystitis. Repeat laparoscopy again noted the presence of free blood in the pelvis. There was no endometriosis and sexually transmitted infection screen was negative. Endoscopy revealed moderate chronic fundal gastritis and colonoscopy to investigate rectal bleeding found a rectal hyperplastic polyp.

Clinical manifestations included venous and/or arterial thrombosi

Clinical manifestations included venous and/or arterial thrombosis and pregnancy morbidity, as stated in the

classification criteria for definite APS [1]. Sera were collected at several times and stored at −20°C until use. Moreover, all patients showed normal screening for other causes of thrombophilia, such as anti-thrombin III, protein C and protein S deficiency, hyperhomocysteinaemia, Factor V Leiden and prothrombin mutations. For each patient two serum samples were studied far apart for at least 12 weeks. Thirty-seven consecutive out-patients, attending the Rheumatology Fulvestrant Division of Sapienza University of Rome, were also studied. Nineteen patients had APS, diagnosed according to the Sapporo criteria [1], primary (n = 8) or associated to SLE (n = 11); 18 patients had SLE fulfilling the ACR revised criteria for the classification of SLE [10]. Finally, 20 patients with chronic hepatitis C virus (HCV) infection and 32 healthy subjects (normal blood donors) matched for age and sex were studied as controls. This study was approved by the local ethic committees and participants gave written informed consent. Cardiolipin (CL) (bovine heart) was

obtained from Sigma Chemical Co. (St Louis, MO, USA). Lyso(bis)phosphatidic acid (LBPA), phosphatidylethanolamine (PE), phosphatidylinositol (PI) and phosphatidylcholine (PC) were obtained from Avanti Polar Lipids (Alabaster, AL, USA). TLC immunostaining was

performed as described previously, with slight modification [8,11,12]. Briefly, this assay was DMXAA manufacturer performed using 2 µg of each phospholipid. Notably, all TLC immunostaining assays were performed on all the phospholipids. Phospholipids Resminostat were run on aluminium-backed silica gel 60 (20 × 20) high-performance thin-layer chromatography (HPTLC) plates (Merck Co, Inc., Darmastdt, Germany) preincubated with 1% potassium oxalate in methanol/water (2:3, v/v) for 1 h at room temperature, dried and then activated at 100°C for 5 min. Chromatography was performed in chloroform : acetone : methanol :  acetic acid : water (40:15:13:12:8) (v/v/v/v/v). The dried chromatograms were soaked for 90 s in a 0·5% (w/v) solution of poly(isobutyl methacrylate) beads (Polysciences, Inc., Eppelheim, Germany) dissolved in hexane. After air-drying, the chromatograms were incubated at room temperature for 1 h with 1% [bovine serum albumin (BSA)] in phosphate-buffered saline (PBS) to eliminate non-specific binding. The blocking solution was removed and replaced by a washing buffer (PBS). The chromatograms were then incubated for 1 h at room temperature with sera, diluted 1:100 in the blocking solution. Sera were removed and chromatograms were washed three times for 10 min with PBS.

Interestingly, drugs that interfere with NF-κB activation signifi

Interestingly, drugs that interfere with NF-κB activation significantly antagonise the immunoregulatory effect of MSCs, which could have important implications for www.selleckchem.com/products/ulixertinib-bvd-523-vrt752271.html immunosuppression regimens in the clinic. “
“Mature naive CD4 T-cells possess the potential for an array of highly specialized functions, from inflammatory to potently suppressive. This potential is encoded in regulatory DNA elements and is fulfilled through modification of chromatin and selective

activation by the collaborative function of diverse transcription factors in response to environmental cues. The mechanisms and strategies employed by transcription factors for the programming of CD4 T-cell subsets will be discussed. In particular, the focus will be on co-operative activity of environmental response factors in the initial activation of regulatory

DNA elements and chromatin alteration, and the subsequent role of ‘master regulator’ transcription factors in defining the fidelity and environmental responsiveness of different CD4 T-cell subsets. Mature naive CD4 T-cells, when poised for effector differentiation, are near their final destination following a long developmental journey. Mesoderm-derived haemangioblasts – the selleck multipotent progenitors of both endothelial cells and haematopoietic cells – develop into the embryonic haemogenic endothelial cells of the dorsal aorta. Definitive haematopoietic stem cells derived from this diminutive PFKL tissue go on to seed the fetal liver and eventually

the adult bone marrow. These self-renewing haematopoietic stem cells differentiate into the common myeloid and common lymphoid progenitor cells that form the basis for the plethora of devoted immune cell lineages, including CD4 T-cells. Along this broad spectrum of differentiation – from germ layers to T-cell subsets – a number of mechanistic strategies are employed to access new developmental potential while restricting alternative fates. Conrad Waddington (1905–1975) considerably progressed thinking on cellular differentiation by proposing that genes (and mutations) can affect differentiation potential. He visualized this concept as a marble rolling through an ‘epigenetic landscape’, shaped by the action of genes, with ridges and valleys representing irreversible developmental commitment and future potential (Fig. 2, reviewed in ref. [1]). Spatial and temporal control of gene expression creates this ‘epigenetic landscape’ and instructs diverse cellular differentiation from a single common genome. Mechanisms controlling varied gene expression can include instructive morphogen gradients, asymmetric cell division, and natural distributions or stochastic action of signalling, nuclear, or chromatin-associated factors (gene expression noise[2]) together with feedback and ‘feedforward’ transcriptional networks.

Anti-CD3 mAb-induced redirected cytotoxicity against B7-H3/P815

Anti-CD3 mAb-induced redirected cytotoxicity against B7-H3/P815

cells was higher than that against P815 in both CD4+ and CD8+ T cells (Fig. 1c). We examined OVA-specific cytotoxicity against E.G7 cells that express peptide antigens derived from OVA protein, using OT-I-derived CD8+ T cells to check details investigate whether B7-H3 on target cells up-regulated antigen-specific cytotoxicity of CD8+ T cells. B7-H3 expression on parental E.G7 and B7-H3/E.G7 cells is shown in Fig. S1. Cytotoxicity against B7-H3/E.G7 cells by freshly isolated OT-I CD8+ T cells was consistently higher than that against parental E.G7 cells (Fig. 2a). When the in vitro-sensitized OT-I CD8+ T cells were used as effectors, cytotoxicity against B7-H3/E.G7 was seen

even at lower effector : target (E : T) ratios (E : T = 1 and E : T = 5) and consistently showed higher cytotoxicity than that against parental E.G7 cells (Fig. 2b). These results indicate that tumour-associated B7-H3 enhanced antigen-specific cytotoxicity of CD8+ T cells. To investigate whether CD8+ T cells selectively lyse tumour cells that express B7-H3, different fluorochrome-labelled parental E.G7 and/or B7-H3/E.G7 cell combinations were injected into the peritoneal cavity of OT-I mice, and PEC were analysed after 24 hr by flow cytometry. In the mix of CMTMR-labelled E.G7 and CFSE-labelled E.G7 (1 : 2) (A-mix; i) cells, the ratio of recovered CFSE-labelled cells : CMTMR-labelled cells was approximately 2 (Fig. 2c). ZD1839 This was similar to the injected cell ratio, suggesting that the respective fluorochrome-labelled E.G7 cells were lysed equally. In contrast, for the mix of CMTMR-labelled Selleck GDC-0068 E.G7 and CFSE-labelled B7-H3/E.G7 (1 : 2) (B-mix; ii), the ratio of CFSE-labelled B7-H3/E.G7 to CMTMR-labelled WT E.G7 was dramatically reduced (Fig. 2c; centre and right panels), suggesting a selective deletion of B7-H3/E.G7 cells. Similar experiments with different fluorescent protein-expressing J588L and B7-H3/J558L cells injected into syngeneic mice also showed the selective elimination of B7-H3/J558L at 14 days (data not shown). The

selective elimination of the B7-H3-expressing target cells suggests preferential activation of CD8+ T cells in the interactions with CD8+ T cells and B7-H3-expressing tumour cells. We next examined whether B7-H3 on tumour cells enhances CD8+ T-cell activation at either the induction or effector phases using two different models. B6 and OT-I mice were sensitized in vivo with P815 or B7-H3/P815 cells as alloantigen-expressing cells and E.G7 or B7-H3/E.G7 cells as OVA-peptide-expressing cells, respectively, and then cytotoxicity against parental tumour cells was analysed. The in vivo sensitization with either alloantigen or OVA antigen by B7-H3-expressing tumour cells did not affect the induced cytotoxicity (Fig. 3a). These results suggest that B7-H3 expressed on tumour cells did not enhance antigen-specific priming of CD8+ T cells in the induction phase.

heilmannii-infected WT mice (Fig 2a lower right and

2b)

heilmannii-infected WT mice (Fig. 2a lower right and

2b). Lymphoid follicles were observed dominantly at the corpus of both H. heilmannii-infected WT and PP null mice, and gastritis, which is characterized by the diffuse pattern of infiltration of inflammatory cells and atrophy of mucosa, was not found in both H. heilmannii-infected WT and PP null mice at 1 and 3 months (Fig. 2a). These results suggest that PP are not essential for the induction of gastric lymphoid follicles by H. heilmannii infection, although they are involved in the speed of gastric lymphoid follicle formation. PP are the major induction sites of immune responses to microorganisms and pathogens in the gastrointestinal GS-1101 datasheet Maraviroc order tract (Newberry & Lorenz, 2005). To examine which kinds of inflammatory cells were present in the gastric mucosa of WT and PP null mice infected with H. heilmannii, an immunohistological examination was carried

out using anti-B220, CD11c, and CD4 antibodies (Fig. 3a and b). In the WT mice 1 month after H. heilmannii infection, many B220-positive cells; i.e. B cells, were observed (Fig. 3a middle left). Most of them clustered together, mainly at the lamina propria of the gastric mucosa, and B cells seemed to be the main components of lymphoid follicles. Many CD11c-positive cells; i.e. dendritic cells (DC), and CD4-positive cells; i.e. helper T cells, were also PD184352 (CI-1040) detected in the lymphoid

follicles and the surrounding sites (Fig. 3a and b middle left). On the contrary, the spread pattern of these infiltrated cells was relatively mild. In the WT mice 3 months after H. heilmannii infection, more B cells and helper T cells gathered and formed larger lymphoid follicles (Fig. 3a and b middle right). In the PP null mice 1 month after H. heilmannii infection, some cell clusters containing B cells, DC, and helper T cells were observed, and the location of these cells and their proportion in and around cell clusters were similar to those of WT mice (Fig. 3a and b lower left). However, the number of these cell clusters, which is considered as a more sensitive and accurate severity index of the cell infiltration than its number determined by H&E staining, was significantly lower in the PP null mice than in the WT mice (Fig. 3c). Three months after infection, similar results were observed between the H. heilmannii-infected WT mice and PP null mice (Fig. 3a,b, Fig 3c lower right). From these results, it was suggested that H. heilmannii infection causes the infiltration of DC, B cells, and helper T cells into the gastric mucosa and that they are the main components of the lymphoid follicles formed by H. heilmannii infection. In addition, these results indicate that the mucosal immune responses triggered at H. heilmannii infection sites are not completely inhibited even in the absence of PP.

A CLP polymicrobial sepsis model was applied to the rats All gro

A CLP polymicrobial sepsis model was applied to the rats. All groups were killed 16 h later, and lung, kidney and blood samples were analysed histopathologically and biochemically. Sildenafil increased glutathione (GSH) and decreased the activation of myeloperoxidase (MPO) and of lipid peroxidase (LPO) and levels of superoxide dismutase (SOD) in the septic rats. We observed a significant decrease in LPO and MPO and a decrease in SOD activity in the Metformin sildenafil-treated CLP rats compared with the sham group. In addition, 20 mg/kg sildenafil treatment in

the sham-operated rats improved the biochemical status of lungs and kidneys. Histopathological analysis revealed significant differences Selleck Proteasome inhibitor in inflammation scores between the sepsis group and the other groups, except the CLP + sildenafil 10 mg/kg group. The CLP + sildenafil 20 mg/kg group had the lowest inflammation score. Sildenafil treatment decreased the serum tumour necrosis factor (TNF)-α

level when compared to the CLP group. Our results indicate that sildenafil is a highly protective agent in preventing lung and kidney damage caused by CLP-induced sepsis via maintenance of the oxidant–anti-oxidant status and decrease in the level of TNF-α. Sepsis is a systemic inflammatory response to infection and a major cause of morbidity and mortality worldwide. Sepsis may result in hypotension and organ dysfunction called septic shock [1]. Sepsis/septic shock is characterized by profound hypotension, progressive metabolic acidosis, systemic inflammatory response syndrome (SIRS), tissue damage and multiple Amino acid organ dysfunction syndrome (MODS), acute respiratory distress syndrome (ARDS) and/or acute lung injury (ALI), or even death. Although its pathophysiology is not well defined, monocytes orchestrate the innate immunity response to Gram-positive and Gram-negative bacteria by expressing a variety of inflammatory cytokines, including tumour necrosis factor (TNF)-α and interleukin (IL)-6, which are considered to play an essential role in the pathogenesis

of sepsis [2–6]. These mediators extend the inflammatory response and can lead to multiple organ dysfunction syndrome [7] and, ultimately, death [8]. Some of these oxidants are known to modulate the expression of various genes that are involved in immune and inflammatory responses [9]. Sepsis and endotoxaemia lead to the production of reactive oxygen species (ROS) [10,11], which have been assumed to play a role in the induction of many proinflammatory cytokines and mediators important in producing the acute inflammatory responses associated with sepsis [12]. Endotoxaemia and sepsis are associated with a reduced endogenous antioxidant capacity, and may therefore result in an oxidant–anti-oxidant imbalance [13].

Cryptosporidium was identified as a “neglected pathogen” by the W

Cryptosporidium was identified as a “neglected pathogen” by the WHO in 2004 (3). The disease it causes ranges in seriousness from mild to severe and the signs and symptoms depend on the site of infection and nutritional and immune status of the host. In patients with intact immune systems, cryptosporidiosis is self limiting; however, infection in immunocompromised patients, particularly those infected

by HIV and those who have developed AIDS, can be fatal (4, 5). There Veliparib purchase is no effective and specific medication for cryptosporidiosis. It is clear that an intact immune system is the main factor that limits this infection (6). Evidence is also emerging that the clinical picture may vary with the infecting species. At least eight of the currently identified 20 Cryptosporidium species and seven of the more than 40 genotypes have been detected in humans; however, some of these may have been incidental findings (7). Those currently considered human pathogens include C. hominis, C. parvum, C. meleagridis, C. felis,

C. canis and the Cryptosporidium rabbit genotype (8). C. parvum and C. hominis are the major species of Cryptosporidium that affect humans. However, unusual species and genotypes can induce infection in specific groups, including both immune-competent and immune-compromised populations (9). It is now well known that people with compromised immune systems have a higher risk of Cryptosporidium infection and that carriage of this parasite is associated with diarrheal diseases in most cases.(9) Furthermore, the disease is much more severe and prolonged in patients with diarrhea FK506 manufacturer than in otherwise healthy individuals. There is good evidence that risk of fecal carriage, severity of illness and development of unusual complications of cryptosporidiosis are directly related to T-cell immune deficiency, particularly decreased CD4 + lymphocyte counts (4). Cryptosporidiosis can

affect all segments of the gastrointestinal tract (10, 11). Since microscopic examination cannot accurately identify Cryptosporidium genotypes, molecular tools are essential for detecting and differentiating Cryptosporidium Spp. Such identification in turn informs our understanding of transmission routes and the health-related implications Lonafarnib of various species and genotypes (8, 12). A number of factors prompted us to carry out the present study. They included the increasing use of immunosuppressive agents in solid organ transplant recipients and cancer patients, the overwhelming number of HIV/AIDS patients in Iran (a United Nations Joint Project on HIV/AIDS/WHO report estimated the number of individuals living with HIV as 86,000 in 2007, which is approximately double that in 2001) (13), the limited knowledge about the prevalence of Cryptosporidium species in immunocompromised patients and the risk factors for infection in this group.