@article{hedgespeth_stauffer_robertson_gookin_2020, title={Association of fecal sample collection technique and treatment history with Tritrichomonas foetus polymerase chain reaction test results in 1717 cats}, volume={34}, ISSN={["1939-1676"]}, url={http://dx.doi.org/10.1111/jvim.15727}, DOI={10.1111/jvim.15727}, abstractNote={Abstract}, number={2}, journal={JOURNAL OF VETERINARY INTERNAL MEDICINE}, author={Hedgespeth, Barry A. and Stauffer, Stephen H. and Robertson, James B. and Gookin, Jody L.}, year={2020}, month={Mar}, pages={734–741} }
 @article{tolbert_stauffer_brand_gookin_2014, title={Cysteine Protease Activity of Feline Tritrichomonas foetus Promotes Adhesion-Dependent Cytotoxicity to Intestinal Epithelial Cells}, volume={82}, ISSN={["1098-5522"]}, DOI={10.1128/iai.01671-14}, abstractNote={ABSTRACT}, number={7}, journal={INFECTION AND IMMUNITY}, author={Tolbert, M. K. and Stauffer, S. H. and Brand, M. D. and Gookin, J. L.}, year={2014}, month={Jul}, pages={2851–2859} }
 @article{tolbert_stauffer_gookin_2013, title={Feline Tritichomonas foetus adhere to the intestinal epithelium by receptor-ligand-dependent mechanisms}, volume={192}, ISSN={["1873-2550"]}, DOI={10.1016/j.vetpar.2012.10.019}, abstractNote={Tritrichomonas foetus (TF) is a protozoan that infects the feline ileum and colon resulting in chronic diarrhea. Up to 30% of young purebred cats are infected with TF and the infection is recognized as pandemic. Only a single drug, characterized by a narrow margin of safety and emerging development of resistance, is effective for treatment. While the venereal pathogenicity of bovine TF is attributed to adherence to uterovaginal epithelium, the pathogenesis of diarrhea in feline TF infection is unknown. The aim of this study was to establish an in vitro model of feline TF adhesion to intestinal epithelium. Confluent monolayers of porcine intestinal epithelial cells (IPEC-J2) were infected with axenic cultures of feline TF that were labeled with [(3)H] thymidine or CFSE and harvested at log-phase. The effect of multiplicity and duration of infection, viability of TF, binding competition, formalin fixation and cytoskeletal inhibitors on adherence of feline TF to IPEC-J2 monolayers was quantified by liquid scintillation counting and immunofluorescence. [(3)H] thymidine and CFSE-labeled TF reproducibly adhered to IPEC-J2 monolayers. Clinical isolates of feline TF adhered to the intestinal epithelium in significantly greater numbers than Pentatrichomonas hominis, the latter of which is a presumably nonpathogenic trichomonad. Adhesion of TF required viable trophozoites but was independent of cytoskeletal activity. Based on saturation and competition binding experiments, adherence of feline TF to the epithelium occurred via specific receptor-ligand interactions. The developed model provides a valuable resource for assessing pathogenic mechanisms of feline TF and developing novel pharmacologic therapies for blocking the adhesion of feline TF to the intestinal epithelium.}, number={1-3}, journal={Veterinary Parasitology}, author={Tolbert, M.K. and Stauffer, S.H. and Gookin, J.L.}, year={2013}, month={Feb}, pages={75–82} }
 @article{ghosh_borst_stauffer_suyemoto_moisan_zurek_gookin_2013, title={Mortality in Kittens Is Associated with a Shift in Ileum Mucosa-Associated Enterococci from Enterococcus hirae to Biofilm-Forming Enterococcus faecalis and Adherent Escherichia coli}, volume={51}, ISSN={["1098-660X"]}, DOI={10.1128/jcm.00481-13}, abstractNote={ABSTRACT}, number={11}, journal={JOURNAL OF CLINICAL MICROBIOLOGY}, author={Ghosh, Anuradha and Borst, Luke and Stauffer, Stephen H. and Suyemoto, Mitsu and Moisan, Peter and Zurek, Ludek and Gookin, Jody L.}, year={2013}, month={Nov}, pages={3567–3578} }
 @article{gookin_stauffer_dybas_cannon_2010, title={Documentation of In Vivo and In Vitro Aerobic Resistance of Feline Tritrichomonas foetus Isolates to Ronidazole}, volume={24}, ISSN={["1939-1676"]}, DOI={10.1111/j.1939-1676.2010.0534.x}, abstractNote={BACKGROUND
The mainstays of treatment for clinically important trichomonad infections are the 5-nitroimidazoles. Metronidazole resistance of feline Tritrichomonas foetus is presumed because of common treatment failure, and tinidazole does not consistently eradicate infection. To date, ronidazole is the only drug demonstrated as effective for treatment of cats infected with T. foetus.


OBJECTIVE
To document in vivo treatment failure and identify underlying causes and in vitro conditions of resistance of feline T. foetus to ronidazole.


ANIMALS
Two intact male Abyssinians failing>or=5 courses of treatment with increasing doses of 5-nitroimidazole drugs. An intact male Abyssinian documented to clear infection after treatment with a single course of ronidazole.


METHODS
T. foetus isolates were cultured from feces and tested in vitro for susceptibility to ronidazole under aerobic and anaerobic culture conditions. A urogenital nidus of T. foetus infection was investigated by culture, polymerase chain reaction, or immunohistochemical testing of urogenital specimens.


RESULTS
Resistance to ronidazole under aerobic conditions was uniquely identified in T. foetus isolated from cats with well-documented treatment failure. Treatment failure could not be attributed to reinfection, inappropriate treatment protocol, or presence of a urogenital nidus of infection.


CONCLUSIONS AND CLINICAL IMPORTANCE
Clinical resistance to metronidazole, low efficacy of tinidazole, and present documentation of in vivo and in vitro resistance to ronidazole in some cats are consistent with a high level of cross resistance of feline T. foetus to 5-nitroimidazole drugs. Current lack of alternative drugs with clinical efficacy against feline T. foetus suggests that active investigation of other treatment approaches is warranted.}, number={4}, journal={JOURNAL OF VETERINARY INTERNAL MEDICINE}, author={Gookin, J. L. and Stauffer, S. H. and Dybas, D. and Cannon, D. H.}, year={2010}, pages={1003–1007} }
 @article{stauffer_birkenheuer_levy_marr_gookin_2008, title={Evaluation of four DNA extraction methods for the detection of Tritrichomonas foetus in feline stool specimens by polymerase chain reaction}, volume={20}, ISSN={["1943-4936"]}, DOI={10.1177/104063870802000518}, abstractNote={ Feces are increasingly valued as practical samples for molecular diagnosis of infectious disease. However, extraction of polymerase chain reaction (PCR) quality DNA from fecal samples can be challenging because of coextraction of PCR inhibitors. Because the type and quantity of PCR inhibitors is influenced by diet, endogenous flora, and concurrent disease, it is unlikely that extraction method performance with human feces can be directly extrapolated to that of domestic cats. In the present study, 4 commercially available DNA extraction methods were examined for their influence on the sensitivity of PCR for the detection of Tritrichomonas foetus in feline stool. DNA was extracted from serially diluted feline-origin T. foetus trophozoites in the absence or presence of feline feces. The ZR Fecal DNA kit was identified as affording the greatest analytical sensitivity and reproducibility and was able to detect ≥10 T. foetus organisms per 100 mg feces in 100% of PCR reactions. Further, the identified extraction method could be completed in the shortest time of all kits tested. }, number={5}, journal={JOURNAL OF VETERINARY DIAGNOSTIC INVESTIGATION}, author={Stauffer, Stephen H. and Birkenheuer, Adam J. and Levy, Michael G. and Marr, Henry and Gookin, Jody L.}, year={2008}, month={Sep}, pages={639–641} }
 @article{gookin_stauffer_stone_2008, title={Induction of arginase II by intestinal epithelium promotes the uptake of L-arginine from the lumen of Cryptosporidium parvum-infected porcine ileum}, volume={47}, ISSN={["0277-2116"]}, DOI={10.1097/MPG.0b013e31816f6c02}, abstractNote={ABSTRACT}, number={4}, journal={JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION}, author={Gookin, Jody L. and Stauffer, Stephen H. and Stone, Maria R.}, year={2008}, month={Oct}, pages={417–427} }
 @article{gookin_foster_coccaro_stauffer_2008, title={Oral Delivery of L-arginine Stimulates Prostaglandin-dependent Secretory Diarrhea in Cryptosporidium parvum–infected Neonatal Piglets}, volume={46}, ISSN={0277-2116}, url={http://dx.doi.org/10.1097/mpg.0b013e31815c0480}, DOI={10.1097/MPG.0b013e31815c0480}, abstractNote={ABSTRACT}, number={2}, journal={Journal of Pediatric Gastroenterology and Nutrition}, publisher={Ovid Technologies (Wolters Kluwer Health)}, author={Gookin, Jody L and Foster, Derek M and Coccaro, Maria R and Stauffer, Stephen H}, year={2008}, month={Feb}, pages={139–146} }
 @article{gookin_stauffer_coccaro_poore_levy_papich_2007, title={Efficacy of tinidazole for treatment of cats experimentally infected with Tritrichomonas foetus}, volume={68}, ISSN={["1943-5681"]}, DOI={10.2460/ajvr.68.10.1085}, abstractNote={Abstract}, number={10}, journal={AMERICAN JOURNAL OF VETERINARY RESEARCH}, author={Gookin, Jody L. and Stauffer, Stephen H. and Coccaro, Maria R. and Poore, Matthew F. and Levy, Michael G. and Papich, Mark G.}, year={2007}, month={Oct}, pages={1085–1088} }
 @article{gookin_stauffer_levy_2007, title={Identification of Pentatrichomonas hominis in feline fecal samples by polymerase chain reaction assay}, volume={145}, ISSN={["1873-2550"]}, DOI={10.1016/j.vetpar.2006.10.020}, abstractNote={Pentatrichomonas hominis is considered to be a commensal protozoan of the vertebrate digestive tract. On the basis of light microscopic examination of feces, some investigators presumptively identified P. hominis as a causative agent of feline diarrhea. However, molecular identification of P. hominis infection in the cat has not been reported. Another trichomonad, Tritrichomonas foetus, is recognized as an intestinal pathogen in cats and often presumptively diagnosed on the basis of the presence of trichomonads in diarrheic feces. It is of importance to determine if cats are natural hosts for P. hominis, as the presence of this organism could result in inaccurate assumption of T. foetus infection. In this study, we used a species-specific PCR assay to identify P. hominis 18S rRNA genes in fecal samples collected from a convenience population of cats in which a high prevalence of T. foetus infection had been previously identified (cat show) or suspected (submitted for T. foetus diagnostic testing). The prevalence of T. foetus infection in these samples was 31% and 28.6%, respectively. P. hominis infection was identified by PCR of DNA extracted from feces of five cats (1.9% and 2.1% of fecal samples, respectively). All cats in which P. hominis was identified were also infected with T. foetus. PCR identification of P. hominis infection in the cat should facilitate future studies to determine the pathogenicity of this species and enable differentiation of P. hominis from other known or as-yet unidentified species of trichomonads that may infect cats.}, number={1-2}, journal={VETERINARY PARASITOLOGY}, author={Gookin, Jody L. and Stauffer, Stephen H. and Levy, Michael G.}, year={2007}, month={Apr}, pages={11–15} }
 @article{gookin_stauffer_coccaro_marcotte_levy_2007, title={Optimization of a species-specific polymerase chain reaction assay for identification of Pentatrichomonas hominis in canine fecal specimens}, volume={68}, ISSN={["1943-5681"]}, DOI={10.2460/ajvr.68.7.783}, abstractNote={Abstract}, number={7}, journal={AMERICAN JOURNAL OF VETERINARY RESEARCH}, author={Gookin, Jody L. and Stauffer, Stephen H. and Coccaro, Maria R. and Marcotte, Miriam J. and Levy, Michael G.}, year={2007}, month={Jul}, pages={783–787} }
 @article{gookin_copple_papich_poore_stauffer_birkenheuer_twedt_levy_2006, title={Efficacy of ronidazole for treatment of feline Tritrichomonas foetus infection}, volume={20}, ISSN={["1939-1676"]}, DOI={10.1892/0891-6640(2006)20[536:EORFTO]2.0.CO;2}, abstractNote={Objectives: To determine the efficacy of ronidazole (RDZ), tinidazole (TDZ), and metronidazole (MDZ) against Tritrichomonas foetus in vitro and of RDZ for treatment of feline naturally occurring or experimentally induced T foetus infection. Animals: A cat naturally infected with T foetus infection and diarrhea. Ten specific-pathogen-free (SPF) kittens. Procedure: RDZ, TDZ, and MDZ were tested for activity against 3 different feline isolates of T foetus in vitro. RDZ then was administered to a naturally infected cat at 10 mg/kg PO q24h for 10 days. SPF kittens were infected orogastrically with feline T foetus and treated with either placebo or RDZ (10 mg/kg PO q12h for 14 days). Cats with relapsing infection or those receiving placebo were treated subsequently with RDZ (either 30 or 50 mg/kg PO q12h for 14 days). Feces were examined for T foetus by direct microscopy, culture, and polymerase chain reaction (PCR) testing weekly. Results: Both RDZ and TDZ killed T foetus at concentrations .0.1 mg/mL in vitro. In the naturally infected cat, RDZ abolished diarrhea and T foetus infection for 85 days after treatment, at which time infection and diarrhea relapsed. Retreatment with RDZ eradicated diarrhea and T foetus infection for over 407 days. In experimentally induced infection, RDZ at 10 mg/kg caused initial improvement, but infection relapsed in all 5 cats 2 to 20 weeks after treatment. At 30 or 50 mg/kg, 10/10 cats were negative for T foetus infection for follow-up durations of 21 to 30 weeks after treatment. Conclusions and Clinical Relevance: Oral administration of RDZ at 30 to 50 mg/kg q12h for 14 days resolved diarrhea and eradicated infection (on the basis of polymerase chain reaction [PCR] testing) in 1 naturally infected cat and 10 experimentally inoculated cats receiving a different isolate of T foetus.}, number={3}, journal={JOURNAL OF VETERINARY INTERNAL MEDICINE}, author={Gookin, Jody L. and Copple, Christina N. and Papich, Mark G. and Poore, Matthew F. and Stauffer, Stephen H. and Birkenheuer, Adam J. and Twedt, David C. and Levy, Michael G.}, year={2006}, pages={536–543} }
 @article{gookin_chiang_allen_armstrong_stauffer_finnegan_murtaugh_2006, title={NF-kappa B-mediated expression of iNOS promotes epithelial defense against infection by Cryptosporidium parvum in neonatal piglets}, volume={290}, ISSN={["1522-1547"]}, DOI={10.1152/ajpgi.00460.2004}, abstractNote={Cryptosporidium sp. parasitizes intestinal epithelium, resulting in enterocyte loss, villous atrophy, and malabsorptive diarrhea. We have shown that mucosal expression of inducible nitric oxide (NO) synthase (iNOS) is increased in infected piglets and that inhibition of iNOS in vitro has no short-term effect on barrier function. NO exerts inhibitory effects on a variety of pathogens; nevertheless, the specific sites of iNOS expression, pathways of iNOS induction, and mechanism of NO action in cryptosporidiosis remain unclear. Using an in vivo model of Cryptosporidium parvum infection, we have examined the location, mechanism of induction, specificity, and consequence of iNOS expression in neonatal piglets. In acute C. parvum infection, iNOS expression predominated in the villous epithelium, was NF-κB dependent, and was not restricted to infected enterocytes. Ongoing treatment of infected piglets with a selective iNOS inhibitor resulted in significant increases in villous epithelial parasitism and oocyst excretion but was not detrimental to maintenance of mucosal barrier function. Intensified parasitism could not be attributed to attenuated fluid loss or changes in epithelial proliferation or replacement rate, inasmuch as iNOS inhibition did not alter severity of diarrhea, piglet hydration, Cl−secretion, or kinetics of bromodeoxyuridine-labeled enterocytes. These findings suggest that induction of iNOS represents a nonspecific response of the epithelium that mediates enterocyte defense against C. parvum infection. iNOS did not contribute to the pathogenic sequelae of C. parvum infection.}, number={1}, journal={AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY}, author={Gookin, JL and Chiang, S and Allen, J and Armstrong, MU and Stauffer, SH and Finnegan, C and Murtaugh, MP}, year={2006}, month={Jan}, pages={G164–G174} }
 @article{zadrozny_stauffer_armstrong_jones_gookin_2006, title={Neutrophils do not mediate the pathophysiological sequelae of Cryptosporidium parvum infection in neonatal piglets}, volume={74}, ISSN={["1098-5522"]}, url={http://europepmc.org/abstract/med/16988224}, DOI={10.1128/IAI.00153-06}, abstractNote={ABSTRACT}, number={10}, journal={INFECTION AND IMMUNITY}, author={Zadrozny, Leah M. and Stauffer, Stephen H. and Armstrong, Martha U. and Jones, Samuel L. and Gookin, Jody L.}, year={2006}, month={Oct}, pages={5497–5505} }