The role of Phlebotomus alexandri Sinton, 1928 in the transmission of kala-azar

Since 1968, kala-azar has been occurring sporadically in Meiyaogou, Turfan County, Xinjiang-Uygur Autonomous Region, where four species of sandflies are known to exist. The present study of sandflies collected in this area from May to August 1983 shows that Phlebotomus alexandri is the only anthropophilic and predominant species, accounting for 81.1% (7716/8843) of the sandfly population. After having been fed on cotton rats or hamsters infected with Leishmania donovani, 93.9% (230/245) of P. alexandri were infected, the promastigotes not only developing in the stomach but also invading the pharynx, buccal cavity and proboscis. Of the 643 female P. alexandri collected in the wild and in house, 13 (2.0%) were found to be naturally infected, with a distribution of promastigotes similar to that in the experimental infection. All the Chinese hamsters and golden hamsters that had been inoculated with 7 isolates of promastigotes from naturally infected sandflies developed visceral leishmaniasis. In addition, golden hamsters could be infected experimentally by the bite of P. alexandri which had an infection of promastigotes of L. donovani. This is the first demonstration of a species of Paraphlebotomus playing a role in the transmission of kala-azar in the Old World; studies for confirmation by biochemical identification of parasite isolates from naturally infected P. alexandri are now in progress.

Immunoperoxidase evaluation of lymph nodes from acquired immune deficiency patients

Immunoperoxidase evaluation of cryostat sections from acquired immune deficiency syndrome (AIDS) or prodromal nodes indicated that the majority (75%) had T8 dominance as contrasted to reactive hyperplasia nodes of unknown origin which had 80% T4 dominance. The cells in the AIDS nodes in the interfollicular and medullary sinuses areas marked intensely for Ia as opposed to sparse scattering in the comparative group. Finally, the follicles in the study group as opposed to the comparative group demonstrated hypervariability both in size and shape as outlined by a thin mantle zone of BA-1 positive cells. On the basis of the above three immunological criteria it is considered as highly likely that an AIDS node can be distinguished as such as opposed to the conventional characterization of 'reactive hyperplasia'.