From WikiProjectMed
Jump to navigation Jump to search

Giardia lamblia SEM 8698 lores.jpg
Giardia trophozoite, SEM
Scientific classification e
Domain: Eukaryota
Phylum: Metamonada
Order: Diplomonadida
Family: Hexamitidae
Subfamily: Giardiinae
Genus: Giardia
Künstler, 1882[1]
  • Lamblia R. Blanchard, 1888[2]

Giardia (/ˈɑːrdiə/ or /ˈɑːrdiə/) is a genus of anaerobic flagellated protozoan parasites of the phylum Metamonada that colonise and reproduce in the small intestines of several vertebrates, causing the disease giardiasis. Their life cycle alternates between a swimming trophozoite and an infective, resistant cyst. Giardia were first described by the Dutch microscopist Antonie van Leeuwenhoek in 1681.[3] The genus is named after French zoologist Alfred Mathieu Giard.[4]


Scanning electron micrograph of Giardia

Like other diplomonads, Giardia have two nuclei, each with four associated flagella, and were thought to lack both mitochondria and Golgi apparatuses. However, they are now known to possess a complex endomembrane system as well as mitochondrial remnants, called mitosomes, through mitochondrial reduction.[5] [6] [7][8] The mitosomes are not used in ATP synthesis the way mitochondria are, but are involved in the maturation of iron-sulfur proteins.[9] The synapomorphies of genus Giardia include cells with duplicate organelles, absence of cytostomes, and ventral adhesive disc.[10]


About 40 species have been described from different animals, but many of them are probably synonyms.[11] Currently, five to six morphologically distinct species are recognised.[12] Giardia lamblia (=G. intestinalis, =G. duodenalis) infect humans and other mammals, G. muris is found from other mammals, G. ardeae and G. psittaci from birds, G. agilis from amphibians and G. microti from voles.[4] Other described (but not certainly valid), species include:[13]

Many different species of Giardia exist, so to differentiate between species, very specific PCR (Polymerase Chain Reactions) have been developed to detect specific Giardia spp. Gene probe-based detection is also used to differentiate between species of Giardia. A more common and less time-consuming means of identifying different species of Giardia includes microscopy and immunofluorescence techniques.[14]

Genetic and biochemical studies have revealed the heterogeneity of Giardia lamblia, which contains probably at least eight lineages or cryptic species.[15]


The phylogeny of Giardia is unclear, but two main theories exist. Firstly, Giardia may be extremely primitive eukaryotes that branched off early from other members of their group. This theory is supported by several features: their lack of complete mitochondria (see Characteristics) and other organelles, their primitive metabolic pathways, and their position on a phylogenetic tree.[16] However, many of these differences have been refuted in recent years, and many researchers are supporting a second theory: that Giardia are highly evolved parasites, which have lost ancestral characteristics.[17]


A Giardia isolate (WB) was the first diplomonad to have its genome sequenced. Its 11.7 million basepair genome is compact in structure and content with simplified basic cellular machineries and metabolism. Currently the genomes of several other Giardia isolates and diplomonads (the fish pathogens Spironucleus vortens and S. salmonicida) are being sequenced.[18]

A second isolate (the B assemblage) from humans has been sequenced along with a species from a pig (the E assemblage).[19] There are ~5000 genes in the genome. The E assemblage is more closely related to the A assemblage than is the B. A number of chromosomal rearrangements are present.


An SEM micrograph of the small intestine of a gerbil infested with Giardia reveals a mucosa surface almost entirely obscured by attached trophozoites

Giardia lives in the intestines of infected humans or other animals, which become infected by eating contaminated foods, soil, or water tainted by the feces of an infected carrier.[20]

The symptoms begin to appear 2 days after infection, can include diarrhoea, excess gas, stomach or abdominal cramps, and nausea. Resulting dehydration and nutritional loss may need treatment. A typical infection can be slight, resolve without treatment, and last between 2 and 6 weeks, although it can sometimes last longer or be more severe. Coexistence with the parasite is possible, but an infected individual can remain a carrier and transmit it to others. Medication containing tinidazole or metronidazole decreases symptoms and time to resolution. Albendazole is also used, and has an anti-worm properties, for when duel infection is a concern.

Giardia causes a disease called giardiasis, which can result in lactose intolerance.[21]


The prevalence of the infection depends on different factors; while the prevalence is estimated around 2% in some developed countries, in countries from Asia, Africa or Latin America, rates are between 20% and 40%. In some, giardiasis can be completely asymptomatic, so many more cases are estimated.[22] Due to their lack of knowledge and overall behavioral patterns, children aged under 5 years, are the population with the most reported infections.[23]

As of 2008 cysts are commonly detected in surface water in Russia. Water treatment plants in Moscow are occasionally contaminated with the parasites and in many cities in Russia – including Saint Petersburg – the reputation of municipal water is so bad that residents preemptively boil drinking water.[24]

See also


  1. Künstler, J. (1882). "Sur cinq protozoaires parasites nouveaux". C. R. Acad. Sci. Paris. 95: 347–349. Archived from the original on 24 May 2023. Retrieved 13 June 2023.
  2. Blanchard, R. (1888). "Remarques sur le megastome intestinal". Bull. Soc. Zool. Fr. 30: 18–19. Archived from the original on 13 April 2023. Retrieved 13 June 2023.
  3. Stanley L. Erlandsen; Ernest A. Meyer (1 March 1984). Giardia and Giardiasis: Biology, Pathogenesis, and Epidemiology. Springer. pp. 131–. ISBN 978-0-306-41539-5.
  4. 4.0 4.1 Adam RD (July 2001). "Biology of Giardia lamblia". Clin. Microbiol. Rev. 14 (3): 447–75. doi:10.1128/CMR.14.3.447-475.2001. PMC 88984. PMID 11432808.
  5. Tovar, Jorge; León-Avila, Gloria; Sánchez, Lidya; Sutak, Robert; Tachezy, Jan; van der Giezen, Mark; Hernández, Manuel; Müller, Miklós; Lucocq, John (2003). "Mitochondrial remnant organelles of Giardia function in iron-sulphur protein maturation". Nature. 426 (6963): 172–176. Bibcode:2003Natur.426..172T. doi:10.1038/nature01945. PMID 14614504. S2CID 4402808.
  6. Anna Karnkowska; et al. (May 2016). "A Eukaryote without a Mitochondrial Organelle". Current Biology. 26 (10): 1274–1284. doi:10.1016/j.cub.2016.03.053. PMID 27185558.
  7. Soltys BJ, Falah M, Gupta RS (July 1996). "Identification of endoplasmic reticulum in the primitive eukaryote Giardia lamblia using cryoelectron microscopy and antibody to Bip". J. Cell Sci. 109 (Pt 7): 1909–17. doi:10.1242/jcs.109.7.1909. PMID 8832413. Archived from the original on 30 May 2020. Retrieved 13 June 2023.
  8. Dolezal P; Smíd O; Rada P; et al. (August 2005). "Giardia mitosomes and trichomonad hydrogenosomes share a common mode of protein targeting". Proc. Natl. Acad. Sci. U.S.A. 102 (31): 10924–9. Bibcode:2005PNAS..10210924D. doi:10.1073/pnas.0500349102. PMC 1182405. PMID 16040811.
  9. Tovar J, et al. (2003). "Mitochondrial remnant organelles of Giardia function in iron-sulphur protein maturation". Nature. 426 (6963): 172–6. Bibcode:2003Natur.426..172T. doi:10.1038/nature01945. PMID 14614504. S2CID 4402808.
  10. Cepicka, Ivan (September 2008). "Fornicata". Tree of Life Web Project. Archived from the original on 28 April 2021. Retrieved 13 June 2023.
  11. Meyer E.A.; Radulescu S. (1979). "Giardia and Giardiasis". Advances in Parasitology. 17: 1–47. doi:10.1016/S0065-308X(08)60548-5. ISBN 9780120317172. PMID 395833. no
  12. Brusca, R.C.; Brusca, G.J. (2003). Invertebrates (2nd ed.). Sinauer Associates. ISBN 0878930973.
  13. "Giardia Kunstler". Tree of Life Web Project. September 2008. Archived from the original on 30 May 2020. Retrieved 13 June 2023.
  14. Mahbubani 1992
  15. Thompson RC, Monis PT (2004). "Variation in Giardia: implications for taxonomy and epidemiology". Adv. Parasitol. Advances in Parasitology. 58: 69–137. doi:10.1016/S0065-308X(04)58002-8. ISBN 9780120317585. PMID 15603762.
  16. Ye, Qingqing; Tian, Haifeng; Chen, Bing; Shao, Jingru; Qin, Yan; Wen, Jianfan (25 August 2017). "Giardia's primitive GPL biosynthesis pathways with parasitic adaptation 'patches': implications for Giardia's evolutionary history and for finding targets against Giardiasis". Scientific Reports. 7 (1): 9507. Bibcode:2017NatSR...7.9507Y. doi:10.1038/s41598-017-10054-1. ISSN 2045-2322. PMC 5573378. PMID 28842650.
  17. Lloyd, David; Harris, Janine C (1 March 2002). "Giardia: highly evolved parasite or early branching eukaryote?". Trends in Microbiology. 10 (3): 122–127. doi:10.1016/S0966-842X(02)02306-5. ISSN 0966-842X. PMID 11864821. Archived from the original on 22 October 2023. Retrieved 13 June 2023.
  18. Andersson, JO; et al. (2010). "The Genome of Giardia and Other Diplomonads". Anaerobic Parasitic Protozoa: Genomics and Molecular Biology. Caister Academic Press. ISBN 978-1-904455-61-5.
  19. Jerlström-Hultqvist J, Ankarklev J, Svärd SG (2010). "Is human giardiasis caused by two different Giardia species?". Gut Microbes. 1 (6): 379–82. doi:10.4161/gmic.1.6.13608. PMC 3056102. PMID 21468219. Archived from the original on 30 May 2020. Retrieved 13 June 2023.
  20. Filice, F.P. (1952). "Studies on the cytology and life history of a Giardia from the laboratory rat". U. C. Publications in Zoology. Berkeley CA: University of California Press. 5sex7 (2).
  21. LaCour 2003
  22. Hörman, A.; Korpela, H.; Wedel, H.; Sutinen, J.; Hanninen, ML. (2004). "Meta-analysis in assessment of the prevalence and annual incidence of Giardia spp. and Cryptosporidium spp. infections in humnas in the Nordic countries". Int J Parasitol. 34 (12): 1337–1346. doi:10.1016/j.ijpara.2004.08.009. PMID 15542094.
  23. Savioli, L.; Smith, H.; Thompson, A. (2006). "Giardia and Cryptosporidium join the "Neglected Diseases Initiative"". Trends Parasitol. 22 (5): 160–167. doi:10.1016/ PMID 16545611.
  24. Henry, Laura A.; Douhovnikoff, Vladimir (2008). "Environmental issues in Russia". Annual Review of Environment and Resources. Annual Reviews. 33 (1): 437–460. doi:10.1146/annurev.environ.33.051007.082437. ISSN 1543-5938.

External links