Background and Aims: The factors that determine the severity of giardi
asis are poorly understood. Host factors are important, but parasite v
irulence may also play a role. The aim of this study was to compare th
e apparent virulence of three genotypically different Giardia isolates
(PO1, VNB3, and WB). Methods: infection rates, parasite loads, struct
ural damage, disaccharidase activity, and water and electrolyte absorp
tion were observed at 10 days after inoculation in a neonatal rat mode
l of infection. Results: DNA fingerprinting showed differences between
isolates studied. The infective rate varied between 67% and 100%. The
m were no differences in intestinal parasite toad. infection with stra
ins PO1 and WE, but not with VNB3, was associated with a reduction in
villus height. There was precocious expression of sucrase at 10 days a
fter inoculation in all infected groups. Water absorption of a plasma
electrolyte solution was decreased in VNB3-infected animals when compa
red with PO1- and WB-infected animals and controls. Water absorption a
nd lactose hydrolysis were impaired during perfusion with a lactose-co
ntaining solution in all infected groups. Conclusions: Three genotypic
ally different Giardia isolates that infect neonatal rats with the sam
e trophozoite load differ in their ability to cause functional mucosal
damage. Infection with Giardia lamblia induced precocious expression
of sucrase activity and impaired mucosal absorption.