Researchers find better way to treat hookworm infections

US researchers have reported preliminary success using genetically engineered probiotics against hookworms, an intestinal parasite which infects millions of people, particularly pregnant women and children in the developing world.

Hookworms are found in soil that has been contaminated with human feces. People get infection by walking bare-foot. These worms can linger inside the intestines for years, where they feed on blood and tissue, robbing people of iron, protein, and interfering with absorption of nutrients. They frequently cause stunting and cognitive delays in infected children, reports Xinhua.

Currently, the only drugs available to treat hookworms in humans were originally developed to combat parasites which infect farm animals. According to researchers from the University of California, San Diego, they are now insufficiently effective, and resistance is rising.

"We need to find a safe, affordable and effective way against hookworms and other intestinal parasites that currently infect more than 1.5 billion people," Yan Hu of the university said.

Hu and colleagues presented the latest research on probiotics treatment in Washington at the annual meeting of the American Society of Tropical Medicine and Hygiene.

In the study, the researchers deliberately infected hamsters with human hookworms, which were later divided into two groups.

One group received a common strain of the bacteria Bacillus subtilis, which is often marketed as a "probiotic", a dietary supplement consumed as a pill or added to food that is intended to promote digestive health, they said.

The other group received the same probiotic, except that the researchers modified it to express a protein derived from a closely related bacterium, Bacillus thuringiensis or Bt, which is known to be safe for humans but potentially lethal for the intestinal worms.

"Five days after we administered the bacteria, we examined the animals' intestines," Hu said. "We found no worms in the animals that received the modified probiotic, while those that did not receive the modified probiotic remained infected."

Hu said the next step will be to conduct tests in different types of animals and against different types of parasitic worms. If, the probiotic continues to perform well against multiple intestinal parasites and is proved to be safe, then researchers would consider testing it in humans, she added.

"This probiotic is a food-grade bacterial product that can be easily produced in large quantities in a simple fermenter, and it can be manufactured in a form that has a long shelf-life," said Raffi Aroian, principal investigator of the study.