Background:Candida albicans complex species are the main cause of candidiasis. Objectives: The purpose of this study was to report the prevalence and genetic diversity of C. albicans complex using hyphal wall protein 1 (HWP1) gene size polymorphism, as well as the susceptibility patterns to fluconazole and voriconazole. Methods: A total of 170 yeast isolates were obtained from vulvovaginal samples, and phenotypic and proteomic identification was performed. Results: Most clinical isolates were C. albicans complex (n = 153) followed by C. glabrata (n = 13), C. parapsilosis complex (n = 2), and Pichia kudriavzevii (n = 2). Among C. albicans complexes, all isolates were C. albicans sensu stricto and 2.61% and 4.58% were resistant to fluconazole and voriconazole, respectively. Conclusions: The presence of different alleles was confirmed, heterozygosity was more common than homozygosity (71.03% vs. 28.97%), and some isolates showed a homozygosis pattern not previously described. Despite these genetic diversities, no specific genotype was linked to azole resistance.
{"title":"HWP1 Gene Sequence Diversity and Antifungal Susceptibility Patterns in Colombian Vulvovaginal Isolates of the <i>Candida albicans</i> Species Complex.","authors":"Soraya Morales-López, Yeneiris Villero Wolf, Yulibeth Torres, Deyner Lechuga, Luis Caicedo, Guillermo García-Effron","doi":"10.1155/ijm/8507361","DOIUrl":"10.1155/ijm/8507361","url":null,"abstract":"<p><p><b>Background:</b> <i>Candida albicans</i> complex species are the main cause of candidiasis. <b>Objectives:</b> The purpose of this study was to report the prevalence and genetic diversity of <i>C. albicans</i> complex using hyphal wall protein 1 (HWP1) gene size polymorphism, as well as the susceptibility patterns to fluconazole and voriconazole. <b>Methods:</b> A total of 170 yeast isolates were obtained from vulvovaginal samples, and phenotypic and proteomic identification was performed. <b>Results:</b> Most clinical isolates were <i>C. albicans</i> complex (<i>n</i> = 153) followed by <i>C. glabrata</i> (<i>n</i> = 13), <i>C. parapsilosis</i> complex (<i>n</i> = 2), and <i>Pichia kudriavzevii</i> (<i>n</i> = 2). Among <i>C. albicans</i> complexes, all isolates were <i>C. albicans sensu stricto</i> and 2.61% and 4.58% were resistant to fluconazole and voriconazole, respectively. <b>Conclusions:</b> The presence of different alleles was confirmed, heterozygosity was more common than homozygosity (71.03% vs. 28.97%), and some isolates showed a homozygosis pattern not previously described. Despite these genetic diversities, no specific genotype was linked to azole resistance.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"8507361"},"PeriodicalIF":3.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12393925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-20eCollection Date: 2025-01-01DOI: 10.1155/ijm/7325430
Charles Ayodeji Osunla, Ayorinde Akinbobola, Arif Elshafea, Esther Eyram Asare Yeboah, Olayemi Stephen Bakare, Aderonke Fayanju, Dorcas Oladayo Fatoba, Bright Boamah, Daniel Gyamfi Amoako
Enterococcus faecalis is a commensal and opportunistic pathogen increasingly recognized for its antimicrobial resistance (AMR) and zoonotic potential. This study employs whole-genome sequencing (WGS) to characterize E. faecalis isolates from retail meat samples, focusing on antimicrobial resistance genes (ARGs), virulence determinants, mobile genetic elements, and phylogenomic relationships. Fifty raw meat samples, including chicken (n = 18), beef (n = 17), and turkey (n = 15), were collected from retail markets in Akungba-Akoko, Nigeria. Confirmed isolates underwent antimicrobial susceptibility testing and WGS-based genomic analysis. Ten E. faecalis isolates were recovered, predominantly from chicken. All exhibited resistance to clindamycin, erythromycin, and tetracycline. Dominant AMR genes included aac(6')-aph(2″), ant(6)-Ia, lsa(A), erm(B), tet(M), and tet(L). Plasmid replicons rep9c and repUS43 were associated with sequence types ST477 and ST16, respectively. MGEs such as IS3, IS6, IS256, and IS1380 colocalized with resistance and virulence genes. Phylogenomic analysis revealed two major lineages (ST477 and ST16) and indicated geographic clustering across African isolates. The co-occurrence of multidrug resistance, virulence factors, and MGEs in foodborne E. faecalis poses a public health concern due to the risk of horizontal gene transfer and zoonotic spread. These findings support the need for strengthened genomic surveillance and AMR control strategies in food systems, particularly within low- and middle-income countries.
{"title":"Genomic and Bioinformatic Insights Into <i>Enterococcus faecalis</i> From Retail Meats in Nigeria.","authors":"Charles Ayodeji Osunla, Ayorinde Akinbobola, Arif Elshafea, Esther Eyram Asare Yeboah, Olayemi Stephen Bakare, Aderonke Fayanju, Dorcas Oladayo Fatoba, Bright Boamah, Daniel Gyamfi Amoako","doi":"10.1155/ijm/7325430","DOIUrl":"10.1155/ijm/7325430","url":null,"abstract":"<p><p><i>Enterococcus faecalis</i> is a commensal and opportunistic pathogen increasingly recognized for its antimicrobial resistance (AMR) and zoonotic potential. This study employs whole-genome sequencing (WGS) to characterize <i>E. faecalis</i> isolates from retail meat samples, focusing on antimicrobial resistance genes (ARGs), virulence determinants, mobile genetic elements, and phylogenomic relationships. Fifty raw meat samples, including chicken (<i>n</i> = 18), beef (<i>n</i> = 17), and turkey (<i>n</i> = 15), were collected from retail markets in Akungba-Akoko, Nigeria. Confirmed isolates underwent antimicrobial susceptibility testing and WGS-based genomic analysis. Ten <i>E. faecalis</i> isolates were recovered, predominantly from chicken. All exhibited resistance to clindamycin, erythromycin, and tetracycline. Dominant AMR genes included <i>aac(6</i>'<i>)-aph(2</i><sup>″</sup>), <i>ant(6)-Ia</i>, <i>lsa(A)</i>, <i>erm(B)</i>, <i>tet(M)</i>, and <i>tet(L)</i>. Plasmid replicons <i>rep9c</i> and <i>repUS43</i> were associated with sequence types ST477 and ST16, respectively. MGEs such as IS3, IS6, IS256, and IS1380 colocalized with resistance and virulence genes. Phylogenomic analysis revealed two major lineages (ST477 and ST16) and indicated geographic clustering across African isolates. The co-occurrence of multidrug resistance, virulence factors, and MGEs in foodborne <i>E. faecalis</i> poses a public health concern due to the risk of horizontal gene transfer and zoonotic spread. These findings support the need for strengthened genomic surveillance and AMR control strategies in food systems, particularly within low- and middle-income countries.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"7325430"},"PeriodicalIF":3.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12390423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-13eCollection Date: 2025-01-01DOI: 10.1155/ijm/7563096
Carmen Hoffbeck, Danielle M R L Middleton, Nicola J Nelson, Michael W Taylor
Research investigating the microbial community of an ecosystem or animal can involve a range of methodologies, including sequencing technology, bioinformatic software and taxonomy database. Researchers may utilise short-read sequencing on Illumina MiSeq or long-read sequencing on platforms like Oxford Nanopore to obtain different research outcomes, for example, enhanced identification of microbes at species or strain level with Nanopore. However, replicability across these techniques is not well studied, while the technique used to process reads into microbial taxa may also result in different taxonomy assignments. In this study, we analyse an existing, real-world dataset which had low genus-level identification with Illumina sequencing and analysis with the SILVA database and compare sequencing with Nanopore on the same samples. We pair this with multiple bioinformatic approaches and taxonomy databases for each sequencing technique to compare phylum- and genus-level assignments and use mock communities to identify which combination of sequencing technique, bioinformatic approach and taxonomy database provides the most accurate taxonomy. We found that Nanopore reads processed with either utilised bioinformatic approach or taxonomy database provided higher accuracy in the assignment of a mock community than any technique combination with Illumina. We also found that the Top 10 genera assigned to a real-world database were substantially different across technique combinations and varied more by taxonomy database than either bioinformatic approach or sequencing technology.
{"title":"Benchmarking 16S rRNA Gene-Based Approaches to Bacterial Taxonomy Assignment Based on Amplicon Sequencing With Illumina and Oxford Nanopore.","authors":"Carmen Hoffbeck, Danielle M R L Middleton, Nicola J Nelson, Michael W Taylor","doi":"10.1155/ijm/7563096","DOIUrl":"10.1155/ijm/7563096","url":null,"abstract":"<p><p>Research investigating the microbial community of an ecosystem or animal can involve a range of methodologies, including sequencing technology, bioinformatic software and taxonomy database. Researchers may utilise short-read sequencing on Illumina MiSeq or long-read sequencing on platforms like Oxford Nanopore to obtain different research outcomes, for example, enhanced identification of microbes at species or strain level with Nanopore. However, replicability across these techniques is not well studied, while the technique used to process reads into microbial taxa may also result in different taxonomy assignments. In this study, we analyse an existing, real-world dataset which had low genus-level identification with Illumina sequencing and analysis with the SILVA database and compare sequencing with Nanopore on the same samples. We pair this with multiple bioinformatic approaches and taxonomy databases for each sequencing technique to compare phylum- and genus-level assignments and use mock communities to identify which combination of sequencing technique, bioinformatic approach and taxonomy database provides the most accurate taxonomy. We found that Nanopore reads processed with either utilised bioinformatic approach or taxonomy database provided higher accuracy in the assignment of a mock community than any technique combination with Illumina. We also found that the Top 10 genera assigned to a real-world database were substantially different across technique combinations and varied more by taxonomy database than either bioinformatic approach or sequencing technology.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"7563096"},"PeriodicalIF":3.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Some members of the lactic acid bacteria (LAB) have been used as probiotics. Ethiopian honey wine, Tej, may be a useful source of potential probiotic bacteria. However, LABs from this source have not yet been evaluated for their probiotic properties. This study was conducted to evaluate the in vitro probiotic properties of LAB isolated from Ethiopian honey wine, Tej. For this purpose, 30 samples were collected from Southwest Ethiopia. LAB isolates were first tested for their antimicrobial activity and those with this property were evaluated for probiotic properties, such as tolerance to acid, salt, and bile, adherence properties, anticholesterol activity, antioxidant activity, and antibiotic susceptibility. The antibacterial activity of the LAB isolates against test organisms was assessed by the agar well diffusion method. Acid, salt, and bile tolerance were evaluated by the plate count method. Adhesion properties were assessed by the determination of bacterial hydrophobicity to the nonpolar solvent p-xylene. Anticholesterol was determined by measuring the remaining cholesterol in the spent broth. The antioxidant capacity was assessed by the 1,1-diphenyl-2-picrylhydrazyl free radical-scavenging capacity, and the antibiotic susceptibility of isolates was tested by the disk diffusion method. A total of 143 LABs were isolated from Tej samples. The LAB count was ranged between 7.4 and 6.5 log cfu/mL. Of the 143 LAB isolates, 37 exhibited different levels of antimicrobial activity. Eight of these were identified to species level by 16S ribosomal genes sequence analysis. The greatest inhibition was against Shigella boydii ATCC 25931 with 19 ± 4.2 mm, and the least inhibitory activity was against Escherichia coli ATTC 25922 and Staphylococcus aureus ATTC 25913 with 8.0 ± 1.4. All except two isolates survived at pH 2 and pH 3 (18.4%-89.6%). Then, 37 isolates survived in more than 50% bile and 54%-67% adhesion capacity. The cholesterol-lowering and 1,1-diphenyl-2-picrylhydrazyl free radical-scavenging capacities ranged from 8% to 54% and 13% to 33%, respectively. Most isolates were susceptible to antibiotics, except for one isolate that resisted all tested antibiotics. This study shows that many LABs isolated from Ethiopian honey wine, Tej have probiotic properties and they can be considered as probiotic candidates. We recommend evaluation of in vivo probiotic properties of the LAB isolates to provide strong supporting evidence.
{"title":"Biotechnological Potential of Lactic Acid Bacteria Isolated From Ethiopian Honey Wine, <i>Tej</i>.","authors":"Minyilal Sisay, Asnake Desalegn, Fitsum Tigu, Mogessie Ashenafi, Feng-Yan Bai, Dagim Jirata Birri","doi":"10.1155/ijm/4014096","DOIUrl":"10.1155/ijm/4014096","url":null,"abstract":"<p><p>Some members of the lactic acid bacteria (LAB) have been used as probiotics. Ethiopian honey wine, <i>Tej</i>, may be a useful source of potential probiotic bacteria. However, LABs from this source have not yet been evaluated for their probiotic properties. This study was conducted to evaluate the <i>in vitro</i> probiotic properties of LAB isolated from Ethiopian honey wine, <i>Tej</i>. For this purpose, 30 samples were collected from Southwest Ethiopia. LAB isolates were first tested for their antimicrobial activity and those with this property were evaluated for probiotic properties, such as tolerance to acid, salt, and bile, adherence properties, anticholesterol activity, antioxidant activity, and antibiotic susceptibility. The antibacterial activity of the LAB isolates against test organisms was assessed by the agar well diffusion method. Acid, salt, and bile tolerance were evaluated by the plate count method. Adhesion properties were assessed by the determination of bacterial hydrophobicity to the nonpolar solvent p-xylene. Anticholesterol was determined by measuring the remaining cholesterol in the spent broth. The antioxidant capacity was assessed by the 1,1-diphenyl-2-picrylhydrazyl free radical-scavenging capacity, and the antibiotic susceptibility of isolates was tested by the disk diffusion method. A total of 143 LABs were isolated from <i>Tej</i> samples. The LAB count was ranged between 7.4 and 6.5 log cfu/mL. Of the 143 LAB isolates, 37 exhibited different levels of antimicrobial activity. Eight of these were identified to species level by 16S ribosomal genes sequence analysis. The greatest inhibition was against <i>Shigella boydii</i> ATCC 25931 with 19 ± 4.2 mm, and the least inhibitory activity was against <i>Escherichia coli</i> ATTC 25922 and <i>Staphylococcus aureus</i> ATTC 25913 with 8.0 ± 1.4. All except two isolates survived at pH 2 and pH 3 (18.4%-89.6%). Then, 37 isolates survived in more than 50% bile and 54%-67% adhesion capacity. The cholesterol-lowering and 1,1-diphenyl-2-picrylhydrazyl free radical-scavenging capacities ranged from 8% to 54% and 13% to 33%, respectively. Most isolates were susceptible to antibiotics, except for one isolate that resisted all tested antibiotics. This study shows that many LABs isolated from Ethiopian honey wine, <i>Tej</i> have probiotic properties and they can be considered as probiotic candidates. We recommend evaluation of <i>in vivo</i> probiotic properties of the LAB isolates to provide strong supporting evidence.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"4014096"},"PeriodicalIF":3.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-09eCollection Date: 2025-01-01DOI: 10.1155/ijm/4694690
Sara Naseri, Maryam Sadeh, Mehdi Fatahi-Bafghi, Mahmood Vakili
Introduction: Bacterial infection is a considerable problem in hospitals. Thus, this study was executed to appraise the rampancy of bacterial infections, antimicrobial susceptibility patterns, and molecular characterization of isolates among patients in Bafgh Hospital in Yazd, Iran, in 2020. Methods: In the current study, we surveyed 103 isolates of 400 clinical specimens from early March 2020 to September 2020 in Bafgh Hospital. We assessed phenotypic traits and antibiotic resistance with standard microbiological methods. Phenotypic methods were also performed to identify extended-spectrum beta-lactamases (ESBLs) in Gram-negative bacilli, inducible clindamycin resistance, and methicillin resistance in Staphylococcus according to CLSI guidelines. Molecular identification of isolates was done by conventional PCR 16S rRNA gene sequencing. Furthermore, we investigated the prevalence of resistant genes including blaTEM, blaPER-2, blaCTX-M, blaSHV, and blaVEB-1 in Gram-negative bacteria and the mecA gene in staphylococcal species. Results: From 400 different clinical specimens, 103 isolates of Gram-positive and Gram-negative bacteria were isolated. Based on phenotypic and molecular methods, most common isolates were Escherichia coli (53 isolates), followed by Klebsiella spp. (18 isolates), and Staphylococcus aureus (16 isolates). The highest resistance was found in Gram-positive bacteria to erythromycin (66.67%) and penicillin (55.56%), while considering Gram-negative bacteria, the most resistant was cefixime (49.41%) and trimethoprim-sulfamethoxazole (47.05%). In addition, out of 16 S. aureus isolates, 62.5% and 17.65% were resistant to methicillin and clindamycin, respectively. Among 83 Gram-negative isolates, 22.89% were ESBL-positive. The prevalence of blaSHV, blaPER2, blaTEM, blaCTX-M, and blaVEB-1 genes was 78.31%, 59.03%, 40.96%, 30.12%, and 0%, respectively. Conclusions: The outbreak of bacterial infections is relatively high in hospitals. Recognizing risk agents for bacterial infections and restricting the administration of multidrug-resistant antibiotics is a substantial measure that must be taken to prevent patient mortality.
{"title":"Investigation of Bacterial Infections and Antibiotic Resistance Patterns Among Clinical Isolates in the Center of Iran.","authors":"Sara Naseri, Maryam Sadeh, Mehdi Fatahi-Bafghi, Mahmood Vakili","doi":"10.1155/ijm/4694690","DOIUrl":"10.1155/ijm/4694690","url":null,"abstract":"<p><p><b>Introduction:</b> Bacterial infection is a considerable problem in hospitals. Thus, this study was executed to appraise the rampancy of bacterial infections, antimicrobial susceptibility patterns, and molecular characterization of isolates among patients in Bafgh Hospital in Yazd, Iran, in 2020. <b>Methods:</b> In the current study, we surveyed 103 isolates of 400 clinical specimens from early March 2020 to September 2020 in Bafgh Hospital. We assessed phenotypic traits and antibiotic resistance with standard microbiological methods. Phenotypic methods were also performed to identify extended-spectrum beta-lactamases (ESBLs) in Gram-negative bacilli, inducible clindamycin resistance, and methicillin resistance in <i>Staphylococcus</i> according to CLSI guidelines. Molecular identification of isolates was done by conventional PCR 16S rRNA gene sequencing. Furthermore, we investigated the prevalence of resistant genes including <i>bla</i> <sub>TEM</sub>, <i>bla</i> <sub>PER-2</sub>, <i>bla</i> <sub>CTX-M</sub>, <i>bla</i> <sub>SHV</sub>, and <i>bla</i> <sub>VEB-1</sub> in Gram-negative bacteria and the <i>mec</i>A gene in staphylococcal species. <b>Results:</b> From 400 different clinical specimens, 103 isolates of Gram-positive and Gram-negative bacteria were isolated. Based on phenotypic and molecular methods, most common isolates were <i>Escherichia coli</i> (53 isolates), followed by <i>Klebsiella</i> spp. (18 isolates), and <i>Staphylococcus aureus</i> (16 isolates). The highest resistance was found in Gram-positive bacteria to erythromycin (66.67%) and penicillin (55.56%), while considering Gram-negative bacteria, the most resistant was cefixime (49.41%) and trimethoprim-sulfamethoxazole (47.05%). In addition, out of 16 <i>S. aureus</i> isolates, 62.5% and 17.65% were resistant to methicillin and clindamycin, respectively. Among 83 Gram-negative isolates, 22.89% were ESBL-positive. The prevalence of <i>bla</i> <sub>SHV</sub>, <i>bla</i> <sub>PER2</sub>, <i>bla</i> <sub>TEM</sub>, <i>bla</i> <sub>CTX-M</sub>, and <i>bla</i> <sub>VEB-1</sub> genes was 78.31%, 59.03%, 40.96%, 30.12%, and 0%, respectively. <b>Conclusions:</b> The outbreak of bacterial infections is relatively high in hospitals. Recognizing risk agents for bacterial infections and restricting the administration of multidrug-resistant antibiotics is a substantial measure that must be taken to prevent patient mortality.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"4694690"},"PeriodicalIF":3.2,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-07eCollection Date: 2025-01-01DOI: 10.1155/ijm/9949633
Fredrick Gyilbagr, Williams Walana, Alexis D B Buunaaim, Ezekiel Kofi Vicar, Jacob Nii Otinkorang Ankrah, Emmanuel Antwi Boasiako Frimpong, Rukaya Baanah Alhassan, Ibrahim Sibdow Baako, Alahaman Nana Boakye, Samuel Addo Akwetey, Akosua Bonsu Karikari, Gideon Kofi Helegbe, Stephen Tabiri
Background: Surgical site infections (SSIs) remain a critical challenge globally and are aggravated by rising antimicrobial resistance (AMR). Here, we evaluated the bacterial profile, AMR patterns, and ESβL characterization of isolates from patients diagnosed with SSI after trauma orthopedic surgery. Methods: This prospective study was carried out at Tamale Teaching Hospital from September 2023 to May 2024. Patients were asked to provide demographic data. Samples were also collected from patients suspected of SSI and cultured for bacterial isolation, identification, and AMR characterization. Results: In all, 210 patients were recruited for this study, and 14 (6.7%) out of 19 suspected cases developed SSI. Of 19 specimens, 14 (73.68%) were culture-positive, yielding 22 isolates. Monomicrobial growth were 7 (50.0%) and polymicrobial growth 7 (50.0%). Among the isolates, 3 (13.64%) were Gram-positive and 19 (86.36%) were Gram-negative bacilli. Pseudomonas aeruginosa (5, 22.73%) were the most common isolates, followed by Klebsiella spp. (4, 18.18%). ESβL-positive isolates were 3 (23.08%). PCR confirmed the expression of CTXM and SHV genes by two Klebsiella spp. and the CTXM gene by Proteus vulgaris. Conclusion: Gram-negative bacteria, particularly Pseudomonas aeruginosa, were the dominant isolates from surgical sites after trauma orthopedic surgery. Among the Gram-positives, Staphylococcus aureus was dominant. Among the Enterobacterales isolates, ESBL production was detected in three cases (23.08%), with two Klebsiella spp. harboring CTXM and SHV resistance genes, and CTXM in one Proteus vulgaris. The current study has revealed varied resistant patterns of AMR, with CTXM and SHV as common ESβL genes among the isolates. The clinical identification of CTX-M and SHV genes could guide clinicians to consider alternative treatments to optimize therapeutic outcomes and limit the spread of resistant pathogens.
{"title":"Bacterial Isolates From Orthopedic Posttraumatic Surgical Infections in Northern Ghana: ES<i>β</i>L Detection and Analysis of Antimicrobial Resistance Trends.","authors":"Fredrick Gyilbagr, Williams Walana, Alexis D B Buunaaim, Ezekiel Kofi Vicar, Jacob Nii Otinkorang Ankrah, Emmanuel Antwi Boasiako Frimpong, Rukaya Baanah Alhassan, Ibrahim Sibdow Baako, Alahaman Nana Boakye, Samuel Addo Akwetey, Akosua Bonsu Karikari, Gideon Kofi Helegbe, Stephen Tabiri","doi":"10.1155/ijm/9949633","DOIUrl":"10.1155/ijm/9949633","url":null,"abstract":"<p><p><b>Background:</b> Surgical site infections (SSIs) remain a critical challenge globally and are aggravated by rising antimicrobial resistance (AMR). Here, we evaluated the bacterial profile, AMR patterns, and ES<i>β</i>L characterization of isolates from patients diagnosed with SSI after trauma orthopedic surgery. <b>Methods:</b> This prospective study was carried out at Tamale Teaching Hospital from September 2023 to May 2024. Patients were asked to provide demographic data. Samples were also collected from patients suspected of SSI and cultured for bacterial isolation, identification, and AMR characterization. <b>Results:</b> In all, 210 patients were recruited for this study, and 14 (6.7%) out of 19 suspected cases developed SSI. Of 19 specimens, 14 (73.68%) were culture-positive, yielding 22 isolates. Monomicrobial growth were 7 (50.0%) and polymicrobial growth 7 (50.0%). Among the isolates, 3 (13.64%) were Gram-positive and 19 (86.36%) were Gram-negative bacilli. <i>Pseudomonas aeruginosa</i> (5, 22.73%) were the most common isolates, followed by <i>Klebsiella</i> spp. (4, 18.18%). ES<i>β</i>L-positive isolates were 3 (23.08%). PCR confirmed the expression of CTXM and SHV genes by two <i>Klebsiella</i> spp. and the CTXM gene by <i>Proteus vulgaris</i>. <b>Conclusion:</b> Gram-negative bacteria, particularly <i>Pseudomonas aeruginosa</i>, were the dominant isolates from surgical sites after trauma orthopedic surgery. Among the Gram-positives, <i>Staphylococcus aureus</i> was dominant. Among the Enterobacterales isolates, ESBL production was detected in three cases (23.08%), with two <i>Klebsiella</i> spp. harboring CTXM and SHV resistance genes, and CTXM in one <i>Proteus vulgaris</i>. The current study has revealed varied resistant patterns of AMR, with CTXM and SHV as common ES<i>β</i>L genes among the isolates. The clinical identification of CTX-M and SHV genes could guide clinicians to consider alternative treatments to optimize therapeutic outcomes and limit the spread of resistant pathogens.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"9949633"},"PeriodicalIF":3.2,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-28eCollection Date: 2025-01-01DOI: 10.1155/ijm/6374781
Fernanda M R Godoy, Gecele M Paggi, Aline P Lorenz, Jeferson V Ramos, Daniel G Franco, Fernando M L Calarge, Nayara F L Garcia, Marcus V S Urquiza, Jolimar A Schiavo, Nalvo F Almeida, Marivaine S Brasil
Knowledge about the diversity and distribution of microorganisms in natural environments is essential for understanding the dominant microbial groups and predicting their ecological functions. This study is aimed at describing the bacteriome diversity in soils associated with bromeliads in the Brazilian Pantanal region, utilizing genomic approaches. We analyzed the 16S rRNA gene from soil environmental DNA (eDNA) samples linked to Bromelia balansae and Deuterocohnia meziana (Bromeliaceae), which inhabit ironstone outcrops in the Pantanal. The analysis revealed Ktedonobacteraceae as the most abundant bacterial group, showing a mean relative abundance of 22.8% ± 15.5% in B. balansae and 33.5% ± 18.4% in D. meziana soils. Other highly abundant families were Chthoniobacteraceae and Pyrinomonadaceae, each exceeding 14.5% mean abundance. Despite the similarities in bacteriome composition between the bromeliads, beta-diversity analysis revealed phylogenetic distinctions across localities. The São João and Vale do Paraíso Farms, which experience the highest human impact from livestock farming, showed considerable differences, with 25 and 13 exclusive taxa, respectively. The environmental stresses of ironstone outcrops, such as high insolation and thermal variation, likely favor specific taxa adapted to these conditions. Understanding the bacteriome diversity in these unique habitats is crucial for promoting sustainable use and conserving the Pantanal's biodiversity.
了解自然环境中微生物的多样性和分布对了解优势微生物类群和预测其生态功能至关重要。本研究旨在利用基因组学方法描述巴西潘塔纳尔地区凤梨属植物相关土壤中的细菌多样性。我们分析了潘塔纳尔地区铁石露头中的凤梨科(Bromelia balansae)和meziana (Deuterocohnia meziana)土壤环境DNA (eDNA)的16S rRNA基因。结果表明,Ktedonobacteraceae是最丰富的细菌类群,在B. balansae中平均相对丰度为22.8%±15.5%,在D. meziana中平均相对丰度为33.5%±18.4%。其他高丰度科为Chthoniobacteraceae和Pyrinomonadaceae,平均丰度均超过14.5%。尽管凤梨科植物之间的细菌组组成相似,但β -多样性分析揭示了不同地区的系统发育差异。受畜牧业影响最大的s o jo和Vale do Paraíso农场显示出相当大的差异,分别有25个和13个特有的分类群。铁石露头的环境压力,如高日照和热变化,可能有利于适应这些条件的特定分类群。了解这些独特栖息地的细菌多样性对于促进可持续利用和保护潘塔纳尔河的生物多样性至关重要。
{"title":"Bacteriome Diversity of Soil Islands Associated With Bromeliads From Ironstone Outcrops in the Brazilian Pantanal.","authors":"Fernanda M R Godoy, Gecele M Paggi, Aline P Lorenz, Jeferson V Ramos, Daniel G Franco, Fernando M L Calarge, Nayara F L Garcia, Marcus V S Urquiza, Jolimar A Schiavo, Nalvo F Almeida, Marivaine S Brasil","doi":"10.1155/ijm/6374781","DOIUrl":"10.1155/ijm/6374781","url":null,"abstract":"<p><p>Knowledge about the diversity and distribution of microorganisms in natural environments is essential for understanding the dominant microbial groups and predicting their ecological functions. This study is aimed at describing the bacteriome diversity in soils associated with bromeliads in the Brazilian Pantanal region, utilizing genomic approaches. We analyzed the 16S rRNA gene from soil environmental DNA (eDNA) samples linked to <i>Bromelia balansae</i> and <i>Deuterocohnia meziana</i> (Bromeliaceae), which inhabit ironstone outcrops in the Pantanal. The analysis revealed Ktedonobacteraceae as the most abundant bacterial group, showing a mean relative abundance of 22.8% ± 15.5% in <i>B. balansae</i> and 33.5% ± 18.4% in <i>D. meziana</i> soils. Other highly abundant families were Chthoniobacteraceae and Pyrinomonadaceae, each exceeding 14.5% mean abundance. Despite the similarities in bacteriome composition between the bromeliads, beta-diversity analysis revealed phylogenetic distinctions across localities. The São João and Vale do Paraíso Farms, which experience the highest human impact from livestock farming, showed considerable differences, with 25 and 13 exclusive taxa, respectively. The environmental stresses of ironstone outcrops, such as high insolation and thermal variation, likely favor specific taxa adapted to these conditions. Understanding the bacteriome diversity in these unique habitats is crucial for promoting sustainable use and conserving the Pantanal's biodiversity.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"6374781"},"PeriodicalIF":3.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-21eCollection Date: 2025-01-01DOI: 10.1155/ijm/3915271
Afeefa A Abdool-Ghany, Kristina M Babler, David Bogumil, Sarah Pollock, Jiayu Li, Schonna R Manning, Helena M Solo-Gabriele
Deep sequencing technologies can be used to evaluate pathogens in environmental samples. The objective of this study was to use this technology to evaluate Sargassum samples that were characterized by different stranding times, one classified as short-term stranded (STS) and another classified as long-term stranded (LTS) Sargassum. Nine replicates of the STS Sargassum showed a range in Shannon diversity between 3.04 and 3.38, whereas 11 replicates of LTS showed a range between 1.17 and 1.22. Nonmetric multidimensional scaling analysis showed distinct differences between STS and LTS by about 0.5 coordinate units, while variations within replicates ranged by 0.1 coordinate units. Comparison between the two Sargassum samples showed a greater abundance of Vibrio species in STS Sargassum when compared to LTS Sargassum, with major pathogenic forms observed for Vibrio alginolyticus (11%), Vibrio parahaemolyticus (1.5%), and Vibrio vulnificus (0.29%). Additional known human pathogens were observed, including Listeria monocytogenes, Legionella pneumophila, and Staphylococcus aureus, as well as the presence of gut commensals and fecal coliforms. Overall results show that deep sequencing analysis of these environmental samples was reproducible. Given the abundance of pathogenic bacteria, more research is needed to evaluate the risk of disease transmission as Sargassum strands and decomposes on coastal beaches.
{"title":"Use of Deep Sequencing to Evaluate Transitions in Microbial Communities in Stranded <i>Sargassum</i>.","authors":"Afeefa A Abdool-Ghany, Kristina M Babler, David Bogumil, Sarah Pollock, Jiayu Li, Schonna R Manning, Helena M Solo-Gabriele","doi":"10.1155/ijm/3915271","DOIUrl":"10.1155/ijm/3915271","url":null,"abstract":"<p><p>Deep sequencing technologies can be used to evaluate pathogens in environmental samples. The objective of this study was to use this technology to evaluate <i>Sargassum</i> samples that were characterized by different stranding times, one classified as short-term stranded (STS) and another classified as long-term stranded (LTS) <i>Sargassum</i>. Nine replicates of the STS <i>Sargassum</i> showed a range in Shannon diversity between 3.04 and 3.38, whereas 11 replicates of LTS showed a range between 1.17 and 1.22. Nonmetric multidimensional scaling analysis showed distinct differences between STS and LTS by about 0.5 coordinate units, while variations within replicates ranged by 0.1 coordinate units. Comparison between the two <i>Sargassum</i> samples showed a greater abundance of <i>Vibrio</i> species in STS <i>Sargassum</i> when compared to LTS <i>Sargassum</i>, with major pathogenic forms observed for <i>Vibrio alginolyticus</i> (11%), <i>Vibrio parahaemolyticus</i> (1.5%), and <i>Vibrio vulnificus</i> (0.29%). Additional known human pathogens were observed, including <i>Listeria monocytogenes</i>, <i>Legionella pneumophila</i>, and <i>Staphylococcus aureus</i>, as well as the presence of gut commensals and fecal coliforms. Overall results show that deep sequencing analysis of these environmental samples was reproducible. Given the abundance of pathogenic bacteria, more research is needed to evaluate the risk of disease transmission as <i>Sargassum</i> strands and decomposes on coastal beaches.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"3915271"},"PeriodicalIF":3.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-21eCollection Date: 2025-01-01DOI: 10.1155/ijm/4388417
Adivhaho Khwathisi, Amidou Samie, Asfatou Ndama Traore, Ntakadzeni Edwin Madala
Prokaryotic organisms rely on a limited array of metabolites for survival, which varies according to their natural environment. For example, soil-borne bacteria produce diverse metabolites, such as antibiotics, to thrive in their competitive surroundings, inhibiting the growth of nearby competing bacteria. The structural diversity of these compounds offers great analytical challenges, since there is no universal acquisition setting that can be applied to achieve their comprehensive coverage. Therefore, the use of a single experimental setup inevitably hinders the comprehensive metabolite coverage, which would affect the outputs. To address this, we propose employing a design of experiment (DoE) approach through the central composite design (CCD) to enhance the metabolite detection and broaden the coverage of the data-dependent acquisition (DDA) mode of the UHPLC-qTOF-MS technique. Our study reveals that altering collision energy significantly enhances metabolite coverage compared to adjusting the DDA threshold of detection. Furthermore, the ability of global natural product social (GNPS)-based molecular network models to annotate metabolites is greatly influenced by data acquisition settings, particularly affecting MS2 data. Interestingly, molecular networks constructed from averaged spectral data obtained through randomly selected DDA settings outperform those generated using customized settings through DoE modeling. This study demonstrates that in untargeted LC-MS metabolomics, both collision energy and intensity threshold independently enhance metabolite coverage in untargeted metabolomics. However, their combined use results in even greater coverage. Consequently, we recommend adopting group-based optimization over single-point optimization for more comprehensive metabolite coverage and in-depth exploration. However, caution should be taken in order to balance between robust data and redundancy.
{"title":"Multiparametric Optimization of Data-Dependent Acquisition Towards More Holistic Bacterial Metabolite Coverage Through Molecular Networking.","authors":"Adivhaho Khwathisi, Amidou Samie, Asfatou Ndama Traore, Ntakadzeni Edwin Madala","doi":"10.1155/ijm/4388417","DOIUrl":"10.1155/ijm/4388417","url":null,"abstract":"<p><p>Prokaryotic organisms rely on a limited array of metabolites for survival, which varies according to their natural environment. For example, soil-borne bacteria produce diverse metabolites, such as antibiotics, to thrive in their competitive surroundings, inhibiting the growth of nearby competing bacteria. The structural diversity of these compounds offers great analytical challenges, since there is no universal acquisition setting that can be applied to achieve their comprehensive coverage. Therefore, the use of a single experimental setup inevitably hinders the comprehensive metabolite coverage, which would affect the outputs. To address this, we propose employing a design of experiment (DoE) approach through the central composite design (CCD) to enhance the metabolite detection and broaden the coverage of the data-dependent acquisition (DDA) mode of the UHPLC-qTOF-MS technique. Our study reveals that altering collision energy significantly enhances metabolite coverage compared to adjusting the DDA threshold of detection. Furthermore, the ability of global natural product social (GNPS)-based molecular network models to annotate metabolites is greatly influenced by data acquisition settings, particularly affecting MS<sup>2</sup> data. Interestingly, molecular networks constructed from averaged spectral data obtained through randomly selected DDA settings outperform those generated using customized settings through DoE modeling. This study demonstrates that in untargeted LC-MS metabolomics, both collision energy and intensity threshold independently enhance metabolite coverage in untargeted metabolomics. However, their combined use results in even greater coverage. Consequently, we recommend adopting group-based optimization over single-point optimization for more comprehensive metabolite coverage and in-depth exploration. However, caution should be taken in order to balance between robust data and redundancy.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"4388417"},"PeriodicalIF":3.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-15eCollection Date: 2025-01-01DOI: 10.1155/ijm/2663995
Jaqueline Silva Vieira, Dailane Amaral de Almeida, Rodrigo Oliveira Pessoa, Magno Augusto Zazá Borges, Henrique Maia Valério
The Brazilian savannah, Cerrado, a Brazilian phytophysiognomy, is an entire biome that contains as well as other Brazilian ecosystems, a vast biodiversity of microorganisms associated with native plants. Plant species of the Cerrado have attracted attention due to the still limited knowledge regarding their associated microbiota and the possible applications of these microorganisms. Considering that wildflowers are rich reservoirs of yeast diversity, the present study isolated 58 yeast strains from flowers of Qualea grandiflora from two areas of Cerrado sensu stricto in northern Minas Gerais, Brazil. The isolates were evaluated for producing extracellular enzymes in cellulase, amylase, xylanase, protease, tannase, and pectinase tests. We used the YNB agar diffusion method (Difco) supplemented with specific substrates for each enzyme. The strains were identified by analyzing the sequences of the D1/D2 region of the large subunit (26S) rRNA gene and compared to the sequences deposited on GenBank. Fifty-eight strains were isolated, and 14 genera were identified, of which 18 species were yeasts, two species were yeast-like fungi, and three were yeast-like strains to which it was not yet possible to assign the species they belonged to. Among the identified species, the phylum Ascomycota predominated; exceptions were the isolates of the yeast Papiliotrema laurentii and the fungus Anthracocystis heteropogonicola, both belonging to the phylum Basidiomycota. In the enzymatic tests, 44.8% of the strains tested presented an enzymatic profile in solid medium, being capable of producing at least one of the enzymes studied, with the species Coniochaeta rhopalochaeta showing the greatest cellulolytic activity.
巴西大草原塞拉多(Cerrado)是一种巴西植物地貌,是一个完整的生物群落,包括其他巴西生态系统,以及与本地植物相关的大量生物多样性微生物。塞拉多的植物物种由于其相关的微生物群和这些微生物可能的应用方面的知识仍然有限而引起了人们的注意。考虑到野花是酵母多样性丰富的储存库,本研究从巴西米纳斯吉拉斯州北部严格塞拉多(Cerrado sensu stricto)两个地区的桔梗(Qualea grandflora)花中分离到了58株酵母菌株。在纤维素酶、淀粉酶、木聚糖酶、蛋白酶、单宁酶和果胶酶试验中,对分离菌株产生胞外酶进行了评估。我们使用YNB琼脂扩散法(Difco)为每种酶添加特定底物。通过分析大亚单位(26S) rRNA基因D1/D2区域的序列进行鉴定,并与存放在GenBank上的序列进行比较。共分离菌株58株,鉴定出14属,其中酵母菌18种,样酵母菌2种,样酵母菌3种,尚不能确定属。在已鉴定的种中,子囊菌门占优势;例外的是分离的laurentii乳突菌酵母和异多囊菌真菌,它们都属于担子菌门。在酶促试验中,44.8%的菌株在固体培养基中表现出酶促谱,能够产生至少一种所研究的酶,其中Coniochaeta rhopalochaeta表现出最大的纤维素水解活性。
{"title":"Phylogenetic Diversity and Extracellular Enzymatic Activities of Yeasts and Yeast-Like Fungi Isolated From <i>Qualea grandiflora</i> (Vochysiaceae) in Cerrado Areas in Northern Minas Gerais, Brazil.","authors":"Jaqueline Silva Vieira, Dailane Amaral de Almeida, Rodrigo Oliveira Pessoa, Magno Augusto Zazá Borges, Henrique Maia Valério","doi":"10.1155/ijm/2663995","DOIUrl":"10.1155/ijm/2663995","url":null,"abstract":"<p><p>The Brazilian savannah, Cerrado, a Brazilian phytophysiognomy, is an entire biome that contains as well as other Brazilian ecosystems, a vast biodiversity of microorganisms associated with native plants. Plant species of the Cerrado have attracted attention due to the still limited knowledge regarding their associated microbiota and the possible applications of these microorganisms. Considering that wildflowers are rich reservoirs of yeast diversity, the present study isolated 58 yeast strains from flowers of <i>Qualea grandiflora</i> from two areas of Cerrado <i>sensu stricto</i> in northern Minas Gerais, Brazil. The isolates were evaluated for producing extracellular enzymes in cellulase, amylase, xylanase, protease, tannase, and pectinase tests. We used the YNB agar diffusion method (Difco) supplemented with specific substrates for each enzyme. The strains were identified by analyzing the sequences of the D1/D2 region of the large subunit (26S) rRNA gene and compared to the sequences deposited on GenBank. Fifty-eight strains were isolated, and 14 genera were identified, of which 18 species were yeasts, two species were yeast-like fungi, and three were yeast-like strains to which it was not yet possible to assign the species they belonged to. Among the identified species, the phylum Ascomycota predominated; exceptions were the isolates of the yeast <i>Papiliotrema laurentii</i> and the fungus <i>Anthracocystis heteropogonicola</i>, both belonging to the phylum Basidiomycota. In the enzymatic tests, 44.8% of the strains tested presented an enzymatic profile in solid medium, being capable of producing at least one of the enzymes studied, with the species <i>Coniochaeta rhopalochaeta</i> showing the greatest cellulolytic activity.</p>","PeriodicalId":14098,"journal":{"name":"International Journal of Microbiology","volume":"2025 ","pages":"2663995"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}