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A Small Regulatory RNA, Rli82, Is Involved in the Motility and Pathogenicity of Listeria monocytogenes 小调控 RNA Rli82 参与了单核细胞增生李斯特菌的运动性和致病性过程
IF 0.6 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-29 DOI: 10.5812/jjm-139707
Chunhui Ji, Nengxiu Li, Jian Jiao, Yaoqiang Sun, Yufei Zuo, Xin Huang, Xiaoxing Huang, Zhiyuan Li, Yaling Li, Qingwen Leng, Xuepeng Cai, Q. Meng, Jun Qiao
Background: Listeria monocytogenes (LM) is a facultative intracellular pathogen that causes food-borne infections in humans and animals. To invade and multiply within host cells, LM utilizes various strategies to precisely modulate its gene expression and to adapt to the in vivo environment. Objectives: To investigate the regulatory roles of Rli82 sRNA in the motility and pathogenicity of LM EGD-e. Methods: The Rli82 gene knock-out mutant strain, LM-ΔRli82, and the complementation strain, LM-ΔRli82/Rli82, were constructed using homologous recombination technology, and their motility and virulence, respectively, were determined. Moreover, the potential target mRNA regulated by Rli82 was predicted using TargetRNA2 software, and then the interaction between the target mRNA and Rli82 was verified by the two-plasmid reporter system. Results: The results showed that the motility of LM-ΔRli82 was significantly increased at 25°C, facilitated by the production of more flagella than LM EGD-e and LM-ΔRli82/Rli82. Furthermore, LD50 in LM-ΔRli82-infected mice was significantly increased as compared to LM EGD-e and LM-ΔRli82/Rli82, suggesting that the virulence of LM was weakened when the Rli82 gene was deleted. In addition, the mRNA level of flaA was not significantly elevated, but flaA protein was significantly higher in LM-ΔRli82 than in LM EGD-e and LM-ΔRli82/Rli82, suggesting that Rli82 might modulate the translation of flaA mRNA at the post-transcriptional level. Conclusions: Taken together, our findings for the first time revealed that Rli82 sRNA might be involved in the modulation of the expression of flaA protein, thereby influencing the mobility and pathogenicity of LM.
背景:单核细胞增生李斯特菌(LM)是一种细胞内兼性病原体,可导致人类和动物的食源性感染。为了在宿主细胞内入侵和繁殖,李斯特菌利用各种策略精确调节其基因表达并适应体内环境。研究目的研究 Rli82 sRNA 在 LM EGD-e 的运动性和致病性中的调控作用。方法:利用同源重组技术构建 Rli82 基因敲除突变株 LM-ΔRli82 和互补株 LM-ΔRli82/Rli82,并分别测定其运动性和致病性。此外,利用TargetRNA2软件预测了Rli82调控的潜在靶mRNA,并通过双质粒报告系统验证了靶mRNA与Rli82之间的相互作用。结果表明结果表明,与 LM EGD-e 和 LM-ΔRli82/Rli82 相比,LM-ΔRli82 在 25°C 时的运动能力明显增强,能产生更多的鞭毛。此外,与 LM EGD-e 和 LM-ΔRli82/Rli82 相比,LM-ΔRli82 感染小鼠的半数致死剂量(LD50)明显增加,这表明删除 Rli82 基因后 LM 的毒力减弱。此外,与 LM EGD-e 和 LM-ΔRli82/Rli82 相比,LM-ΔRli82 的 flaA mRNA 水平没有显著升高,但 flaA 蛋白水平显著升高,这表明 Rli82 可能在转录后水平上调节了 flaA mRNA 的翻译。结论综上所述,我们的研究结果首次揭示了 Rli82 sRNA 可能参与调控 flaA 蛋白的表达,从而影响 LM 的移动性和致病性。
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引用次数: 0
Molecular Identification of Candida Species Isolated from Onychomycosis with In Vitro Antifungal Susceptibility Profiles 甲癣念珠菌的分子鉴定及体外抗真菌敏感性分析
4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-25 DOI: 10.5812/jjm-139906
Mohammad Hosein Afsarian, Zahra Sharafi
Background: Onychomycosis is one of the most common fungal infections. The most common etiological agents of onychomycosis in Iran are Candida species, especially fingernails. It is more common in women than men, particularly workers in occupations requiring them to submerge their hands or feet in water for prolonged periods. Objectives: The current study's main aim was to determine the abundance of candidal onychomycosis, identify the Candida species using molecular methods, and evaluate the in vitro antifungal susceptibility profiles. Methods: One hundred forty samples were obtained from patients suspected of onychomycosis, and 51 (36.4%) Candida strains were identified by PCR-RFLP. The in vitro susceptibility of four triazole (FLC, ITC, VRC, and POS) antifungal drug testing of 51 Candida species was performed using broth microdilution. Results: Direct microscopic examination by KOH 20% of 140 nail samples showed that 51 (36.4%) samples were positive in terms of fungal elements, with Candida parapsilosis complex being the most frequently isolated of patients, followed by C. albicans complex, C. glabrata, C. krusei, C. tropicalis, C. guilliermondii, C. famata, C. kefyr, and Candida species. All Candida species showed they were susceptible to four triazoles, except that five C. krusei were resistant to fluconazole. Only one C. glabrata isolates and one C. parapsilosis isolate were resistant to fluconazole. Conclusions: The growing trend towards the frequency of fingernail onychomycosis in housewives has been noticeable in the last decades in Iran. Therefore, accurate identification of Candida species and perform in vitro antifungal susceptibility testing can aid physicians in choosing an effective potential drug for treating onychomycosis patients.
背景:甲真菌病是最常见的真菌感染之一。伊朗甲癣最常见的病原是念珠菌,尤其是指甲。这在女性中比男性更常见,特别是那些需要长时间将手或脚浸入水中的职业的工人。目的:本研究的主要目的是确定念珠菌甲真菌病的丰度,利用分子方法鉴定念珠菌种类,并评估体外抗真菌敏感性。方法:从疑似甲癣患者采集标本140份,采用PCR-RFLP法鉴定念珠菌51株(36.4%)。采用微量肉汤稀释法对51种念珠菌进行了四种三唑(FLC、ITC、VRC和POS)的体外药敏试验。结果:140份指甲标本中,20%经KOH直接镜检,51份(36.4%)指甲标本真菌成分阳性,检出最多的是假丝酵母菌复合体,其次是白色念珠菌复合体、光秃念珠菌、克鲁塞念珠菌、热带念珠菌、吉列蒙地念珠菌、famata念珠菌、kefyr念珠菌。除5株克氏念珠菌对氟康唑耐药外,其余念珠菌均对4种三唑类药物敏感。仅有1株光秃弧菌和1株拟枯弧菌对氟康唑耐药。结论:近几十年来,伊朗家庭主妇指甲甲真菌病的发病率呈明显上升趋势。因此,准确鉴定念珠菌种类并进行体外抗真菌药敏试验可以帮助医生选择有效的潜在药物治疗甲癣患者。
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引用次数: 0
Synergistic Peptide-Antibiotic Approach to Combat Multidrug-Resistant Acinetobacter baumannii 多肽-抗生素协同对抗多药耐药鲍曼不动杆菌
4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-22 DOI: 10.5812/jjm-136712
Choon-Mee Kim, Seul-Bi Lee, Young-Jin Ko, Seong-Ho Kang, Geon Park, Sook-Jin Jang
Background: Antibacterial peptides have a broad antibacterial spectrum and are not affected by classical resistance mechanisms; therefore, they can be used in combination with classic antibiotics to treat multidrug-resistant Acinetobacter baumannii infections, making them an alternative for the development of new therapeutic strategies. Objectives: This study aimed to assess the effectiveness of combining amphiphilic peptides, specifically C12-prp and mastoparan, with antibiotics in combating A. baumannii clinical isolates. Methods: We investigated combinations that inhibited the growth of A. baumannii clinical isolates, consisting of 24 extensively drug-resistant (XDR) and 11 pan-drug-resistant (PDR) strains collected between January 2004 and December 2014 at Chosun University Hospital using a multiple combination bactericidal test (MCBT). A time-kill study was used to confirm the bactericidal activity and synergism of the four combinations selected via MCBT. Results: Four combinations (C12-prp-colistin, C12-prp-rifampicin, mastoparan-colistin, and mastoparan-rifampicin) showed 100% (24/24) synergy with XDR A. baumannii strains. However, in the case of the PDR strains, only two combinations, C12-prp-colistin and mastoparan-colistin, showed a 9.1% (1/11) synergy. Moreover, the mastoparan-colistin and mastoparan-rifampicin combinations showed 100% (24/24) bactericidal activity against the XDR A. baumannii strains, whereas the C12-prp-colistin and C12-prp-rifampicin combinations showed 91.7% (22/24) bactericidal activity. None of the combinations showed bactericidal activity against PDR strains. Conclusions: Our study highlighted the substantial synergistic antibacterial efficacy of C12-prp and mastoparan peptides when combined with colistin or rifampicin. Furthermore, this approach could be a promising alternative for developing new treatment strategies for XDR A. baumannii infections.
背景:抗菌肽抗菌谱广,不受经典耐药机制的影响;因此,它们可与经典抗生素联合用于治疗耐多药鲍曼不动杆菌感染,使其成为开发新治疗策略的替代方案。目的:本研究旨在评估两亲肽(特别是C12-prp和mastoparan)与抗生素联合治疗鲍曼不动杆菌临床分离株的有效性。方法:采用多重联合杀菌试验(MCBT)对2004年1月至2014年12月在朝鲜大学医院采集的24株广泛耐药(XDR)和11株泛耐药(PDR)鲍曼不雅杆菌临床分离株的生长抑制组合进行研究。通过时间杀伤试验确定了MCBT选择的四种组合的杀菌活性和协同作用。结果:4种组合(c12 -prp-粘菌素、c12 -prp-利福平、mastoparan-粘菌素、mastoparan-利福平)与XDR鲍曼杆菌的增效率为100%(24/24)。然而,在PDR菌株中,只有c12 -prp-粘菌素和mastoparan-粘菌素两种组合表现出9.1%(1/11)的协同作用。此外,乳突菌素-粘菌素和乳突菌素-利福平联合对XDR鲍曼尼杆菌的杀菌活性为100%(24/24),而c12 -prp-粘菌素和c12 -prp-利福平联合对XDR鲍曼尼杆菌的杀菌活性为91.7%(22/24)。所有组合均未显示出对PDR菌株的杀菌活性。结论:我们的研究强调了C12-prp和乳突蛋白肽与粘菌素或利福平联合使用时具有显著的协同抗菌效果。此外,这种方法可能是开发XDR鲍曼杆菌感染新治疗策略的一种有希望的替代方法。
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引用次数: 0
Quinolone Resistance in Biofilm-Forming Klebsiella pneumoniae-Related Catheter-Associated Urinary Tract Infections: A Neglected Problem 形成生物膜的肺炎克雷伯菌与导尿管相关尿路感染的喹诺酮耐药性:一个被忽视的问题
4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-17 DOI: 10.5812/jjm-136170
Mahdi Dadashi Firouzjaei, Peyman Hendizadeh, Mehrdad Halaji, Sajad Yaghoubi, Mohammad Teimourian, Akramossadat Hosseini, Mehdi Rajabnia, Abazar Pournajaf
Background: Klebsiella pneumoniae is a bacterium that commonly causes urinary tract infections (UTIs) in hospital settings. The widespread and improper usage of quinolones has increased the resistance rates against these broad-spectrum antibiotics. Objectives: This study aimed to examine the connection between the ability to form biofilms and fluoroquinolone resistance in K. pneumoniae isolated from catheter-associated UTIs. Methods: A total of 110 nonduplicative K. pneumoniae-related catheter-associated UTIs were isolated from three large educational hospitals in Babol, north of Iran. The minimal inhibitory concentration (MIC) of ciprofloxacin was calculated for each detected isolate using the agar dilution procedure. Biofilm production was investigated by a 96-well flat-bottom microtiter plate. The prevalence of gyrA, parC, qnrA, qnrS, acc (6’)-Ib-cr, qepA, qnrB, oqxA, and oqxB genes was evaluated using polymerase chain reaction (PCR). Results: Overall, 28.2% of the strains were resistant to imipenem and considered carbapenem-resistant K. pneumoniae (CRKp). Ciprofloxacin resistance was observed in 66.4%. Moreover, 70% of the isolates produced biofilm. Biofilm production was significantly higher in ciprofloxacin-resistant compared to ciprofloxacin-susceptible strains (P-value < 0.05). Molecular distribution of resistance genes in the 68-fluoroquinolone resistance-Kp strains showed that the prevalence of gyrA, parC, qnrA, qnrS, acc (6’)-Ib-cr, qepA,, qnrB, oqxA, and oqxB genes was 39.7%, 42.6%, 5.9%, 54.4%, 69.1%, 94.1%, 41.2%, 69.1%, and 83.8%, respectively. Conclusions: Our study highlights the high prevalence of plasmid-mediated quinolone resistance genes in clinical samples of K. pneumoniae in the studied region, which is alarming given the possibility of the spread of these pathogens and the few treatments available for infections brought on by multidrug-resistant strains. Moreover, the study characterizes particular mutations in the parC and gyrA genes that cause quinolone resistance.
背景:肺炎克雷伯菌是一种细菌,通常导致尿路感染(uti)在医院设置。喹诺酮类药物的广泛和不当使用增加了对这些广谱抗生素的耐药率。目的:本研究旨在探讨从导管相关uti分离的肺炎克雷伯菌形成生物膜的能力与氟喹诺酮类药物耐药性之间的关系。方法:从伊朗北部巴博勒的三家大型教育医院分离出110例非重复肺炎克雷伯菌相关的导管相关尿路感染。使用琼脂稀释程序计算每个检测到的分离物的环丙沙星的最小抑制浓度(MIC)。采用96孔平板微滴板研究生物膜的生成。采用聚合酶链反应(PCR)检测gyrA、parC、qnrA、qnrS、acc(6’)-Ib-cr、qepA、qnrB、oqxA和oqxB基因的流行情况。结果:总体而言,28.2%的菌株对亚胺培南耐药,认为是碳青霉烯耐药肺炎克雷伯菌(CRKp)。66.4%的患者对环丙沙星耐药。此外,70%的分离菌产生生物膜。环丙沙星耐药菌株的生物膜产量显著高于环丙沙星敏感菌株(p值<0.05)。68株氟喹诺酮耐药kp菌株的耐药基因分子分布显示,gyrA、parC、qnrA、qnrS、acc(6’)-Ib-cr、qepA、qnrB、oqxA和oqxB基因的阳性率分别为39.7%、42.6%、5.9%、54.4%、69.1%、94.1%、41.2%、69.1%和83.8%。结论:我们的研究强调了研究地区肺炎克雷伯菌临床样本中质粒介导的喹诺酮类耐药基因的高流行率,考虑到这些病原体传播的可能性和对多重耐药菌株引起的感染的可用治疗方法很少,这是令人担忧的。此外,该研究还描述了导致喹诺酮类药物耐药性的parC和gyrA基因的特定突变。
{"title":"Quinolone Resistance in Biofilm-Forming Klebsiella pneumoniae-Related Catheter-Associated Urinary Tract Infections: A Neglected Problem","authors":"Mahdi Dadashi Firouzjaei, Peyman Hendizadeh, Mehrdad Halaji, Sajad Yaghoubi, Mohammad Teimourian, Akramossadat Hosseini, Mehdi Rajabnia, Abazar Pournajaf","doi":"10.5812/jjm-136170","DOIUrl":"https://doi.org/10.5812/jjm-136170","url":null,"abstract":"Background: Klebsiella pneumoniae is a bacterium that commonly causes urinary tract infections (UTIs) in hospital settings. The widespread and improper usage of quinolones has increased the resistance rates against these broad-spectrum antibiotics. Objectives: This study aimed to examine the connection between the ability to form biofilms and fluoroquinolone resistance in K. pneumoniae isolated from catheter-associated UTIs. Methods: A total of 110 nonduplicative K. pneumoniae-related catheter-associated UTIs were isolated from three large educational hospitals in Babol, north of Iran. The minimal inhibitory concentration (MIC) of ciprofloxacin was calculated for each detected isolate using the agar dilution procedure. Biofilm production was investigated by a 96-well flat-bottom microtiter plate. The prevalence of gyrA, parC, qnrA, qnrS, acc (6’)-Ib-cr, qepA, qnrB, oqxA, and oqxB genes was evaluated using polymerase chain reaction (PCR). Results: Overall, 28.2% of the strains were resistant to imipenem and considered carbapenem-resistant K. pneumoniae (CRKp). Ciprofloxacin resistance was observed in 66.4%. Moreover, 70% of the isolates produced biofilm. Biofilm production was significantly higher in ciprofloxacin-resistant compared to ciprofloxacin-susceptible strains (P-value < 0.05). Molecular distribution of resistance genes in the 68-fluoroquinolone resistance-Kp strains showed that the prevalence of gyrA, parC, qnrA, qnrS, acc (6’)-Ib-cr, qepA,, qnrB, oqxA, and oqxB genes was 39.7%, 42.6%, 5.9%, 54.4%, 69.1%, 94.1%, 41.2%, 69.1%, and 83.8%, respectively. Conclusions: Our study highlights the high prevalence of plasmid-mediated quinolone resistance genes in clinical samples of K. pneumoniae in the studied region, which is alarming given the possibility of the spread of these pathogens and the few treatments available for infections brought on by multidrug-resistant strains. Moreover, the study characterizes particular mutations in the parC and gyrA genes that cause quinolone resistance.","PeriodicalId":17803,"journal":{"name":"Jundishapur Journal of Microbiology","volume":"184 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135996097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of Etiological Agents of Pertussis-Like Syndrome in Children Younger Than 5 Years Old Hospitalized in Southwestern Iran 伊朗西南部5岁以下住院儿童百日咳样综合征病原学鉴定
4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-16 DOI: 10.5812/jjm-130146
Ahmad Shamsizadeh, Roya Nikfar, Elham Bavarsadiankhah, Effat Abbasi-Montazeri, Niloofar Neisi, Maniya Arshadi
Background: Despite the global vaccination program, there are many new cases of pertussis in different societies annually. Objectives: This study aimed to investigate the prevalence of some microorganisms associated with pertussis-like syndrome and compare the clinical presentations between Bordetella pertussis and pertussis-like syndrome in children. Methods: Children younger than 5 years old suspected of pertussis-like syndrome were admitted to a hospital in Ahvaz, Iran, and examined from July 2018 to July 2019. Nasopharyngeal samples were evaluated using molecular methods. The studied microorganisms were the following: B. pertussis, B. parapertussis, Mycoplasma pneumoniae, Chlamydophila pneumoniae, adenovirus, respiratory syncytial virus, and parainfluenza virus type III. Results: Forty-five children were enrolled. B. pertussis was detected in 15 cases (33.3%), respiratory syncytial virus in 14 (31.1%), C. pneumoniae in 3 (6.7%), and parainfluenza virus type III in 3 (6.7%). The collected samples were negative in terms of M. pneumoniae, adenovirus, and B. parapertussis. In the case of paroxysmal cough, the clinical symptoms were significantly different between pertussis and pertussis-like groups. Conclusions: The results indicated that children with pertussis-like syndrome are commonly infected with B. pertussis and respiratory syncytial virus, so more attention should be paid to this issue. The study also demonstrated the importance of molecular diagnosis methods, along with diagnosis based on clinical symptoms, in children suspected of pertussis-like syndrome.
背景:尽管全球疫苗接种计划,每年仍有许多百日咳新病例出现在不同的社会。目的:本研究旨在调查与百日咳样综合征相关的一些微生物的流行情况,并比较百日咳博德泰菌和百日咳样综合征在儿童中的临床表现。方法:2018年7月至2019年7月,对伊朗阿瓦士一家医院收治的5岁以下疑似百日咳样综合征儿童进行检查。采用分子方法对鼻咽标本进行评价。研究的微生物有:百日咳、副百日咳、肺炎支原体、肺炎衣原体、腺病毒、呼吸道合胞病毒和副流感病毒III型。结果:45名儿童入组。百日咳15例(33.3%),呼吸道合胞病毒14例(31.1%),肺炎支原体3例(6.7%),副流感病毒3例(6.7%)。收集的样本在肺炎支原体、腺病毒和副百日咳分枝杆菌方面均为阴性。在阵发性咳嗽的情况下,百日咳组和百日咳样组的临床症状有显著差异。结论:百日咳样综合征患儿感染百日咳双歧杆菌和呼吸道合胞病毒较为常见,应引起重视。该研究还证明了分子诊断方法的重要性,以及基于临床症状的诊断,在怀疑患有百日咳样综合征的儿童中。
{"title":"Identification of Etiological Agents of Pertussis-Like Syndrome in Children Younger Than 5 Years Old Hospitalized in Southwestern Iran","authors":"Ahmad Shamsizadeh, Roya Nikfar, Elham Bavarsadiankhah, Effat Abbasi-Montazeri, Niloofar Neisi, Maniya Arshadi","doi":"10.5812/jjm-130146","DOIUrl":"https://doi.org/10.5812/jjm-130146","url":null,"abstract":"Background: Despite the global vaccination program, there are many new cases of pertussis in different societies annually. Objectives: This study aimed to investigate the prevalence of some microorganisms associated with pertussis-like syndrome and compare the clinical presentations between Bordetella pertussis and pertussis-like syndrome in children. Methods: Children younger than 5 years old suspected of pertussis-like syndrome were admitted to a hospital in Ahvaz, Iran, and examined from July 2018 to July 2019. Nasopharyngeal samples were evaluated using molecular methods. The studied microorganisms were the following: B. pertussis, B. parapertussis, Mycoplasma pneumoniae, Chlamydophila pneumoniae, adenovirus, respiratory syncytial virus, and parainfluenza virus type III. Results: Forty-five children were enrolled. B. pertussis was detected in 15 cases (33.3%), respiratory syncytial virus in 14 (31.1%), C. pneumoniae in 3 (6.7%), and parainfluenza virus type III in 3 (6.7%). The collected samples were negative in terms of M. pneumoniae, adenovirus, and B. parapertussis. In the case of paroxysmal cough, the clinical symptoms were significantly different between pertussis and pertussis-like groups. Conclusions: The results indicated that children with pertussis-like syndrome are commonly infected with B. pertussis and respiratory syncytial virus, so more attention should be paid to this issue. The study also demonstrated the importance of molecular diagnosis methods, along with diagnosis based on clinical symptoms, in children suspected of pertussis-like syndrome.","PeriodicalId":17803,"journal":{"name":"Jundishapur Journal of Microbiology","volume":"233 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136115929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 as an Aggravator of Cardiovascular Diseases: Increasing Immunoglobulin G, a Valuable Prognostic Factor for Heart Failure COVID-19加重心血管疾病:增加免疫球蛋白G,心衰的一个有价值的预后因素
4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-09-13 DOI: 10.5812/jjm-139233
Ali Tahan, Najmaldin Saki, Shirin Azizidoost, Farid Yousefi, Habib Haybar
Background: COVID-19 might worsen preexisting cardiac conditions and cause new heart failure (HF). To appropriately triage and treat patients, an early diagnosis is necessary. Objectives: This study assessed the levels of antibodies immunoglobulin G (IgG) and immunoglobulin M (IgM) required for the coronavirus spike S protein in the serum of individuals with cardiovascular disease (CVD) who developed HF complications from COVID-19. Methods: A total of 104 hospitalized patients with confirmed COVID-19 were equally divided into severe COVID-19 cases with new HF evidence and controls. The levels of IgG and IgM antibodies vs SARS-CoV-2 were measured. The possible correlation of antibody levels with underlying cardiac risk factors was also investigated. Results: It was found that 86% of HF patients and 5% of controls had an IgG level greater than 100 AU/mL (P < 0.05). Ischemic heart disease (IHD) was the most common disease in the patient group, and the highest level of antibodies was also found in this group. Conclusions: Increasing IgG during COVID-19 can be one of the signs of worsening heart disease, which is more prevalent in patients with an underlying IHD and hypertension.
背景:COVID-19可能会加重已有的心脏疾病并导致新的心力衰竭(HF)。为了对病人进行适当的分诊和治疗,早期诊断是必要的。目的:本研究评估了COVID-19并发心衰并发症的心血管疾病(CVD)患者血清中冠状病毒刺突S蛋白所需的抗体免疫球蛋白G (IgG)和免疫球蛋白M (IgM)水平。方法:将104例新冠肺炎确诊住院患者平均分为新发HF证据的重症病例和对照组。检测抗SARS-CoV-2的IgG和IgM抗体水平。抗体水平与潜在心脏危险因素的可能相关性也被调查。结果:86%的HF患者和5%的对照组IgG水平大于100 AU/mL (P <0.05)。缺血性心脏病(IHD)是患者组中最常见的疾病,抗体水平也最高。结论:COVID-19期间IgG升高可能是心脏病恶化的迹象之一,这在潜在IHD和高血压患者中更为普遍。
{"title":"COVID-19 as an Aggravator of Cardiovascular Diseases: Increasing Immunoglobulin G, a Valuable Prognostic Factor for Heart Failure","authors":"Ali Tahan, Najmaldin Saki, Shirin Azizidoost, Farid Yousefi, Habib Haybar","doi":"10.5812/jjm-139233","DOIUrl":"https://doi.org/10.5812/jjm-139233","url":null,"abstract":"Background: COVID-19 might worsen preexisting cardiac conditions and cause new heart failure (HF). To appropriately triage and treat patients, an early diagnosis is necessary. Objectives: This study assessed the levels of antibodies immunoglobulin G (IgG) and immunoglobulin M (IgM) required for the coronavirus spike S protein in the serum of individuals with cardiovascular disease (CVD) who developed HF complications from COVID-19. Methods: A total of 104 hospitalized patients with confirmed COVID-19 were equally divided into severe COVID-19 cases with new HF evidence and controls. The levels of IgG and IgM antibodies vs SARS-CoV-2 were measured. The possible correlation of antibody levels with underlying cardiac risk factors was also investigated. Results: It was found that 86% of HF patients and 5% of controls had an IgG level greater than 100 AU/mL (P < 0.05). Ischemic heart disease (IHD) was the most common disease in the patient group, and the highest level of antibodies was also found in this group. Conclusions: Increasing IgG during COVID-19 can be one of the signs of worsening heart disease, which is more prevalent in patients with an underlying IHD and hypertension.","PeriodicalId":17803,"journal":{"name":"Jundishapur Journal of Microbiology","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135735401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detection of the SARS-CoV-2 Genome in Peripheral Blood Mononuclear Cells of Hospitalized Patients With COVID-19 Infection 新冠肺炎感染住院患者外周血单核细胞中SARS-CoV-2基因组的检测
IF 0.6 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-08-28 DOI: 10.5812/jjm-138125
Mastaneh Alinezhadi, M. Arshadi, M. Rasti, N. Neisi, M. Parsanahad
Background: Evaluation of viral pathogenicity is an important part of research in every viral disease, and one of the most important parts of pathogenicity is cell and tissue tropism of viruses, which can help us to have a clear picture of the viral replication cycle and viral disease. Objectives: This study aims to evaluate the possibility of SARS-CoV-2 replication in peripheral blood mononuclear cells (PBMCs) of hospitalized patients with COVID-19. Methods: Twenty-six whole blood samples (5 mL) were collected from 70 hospitalized patients infected with SARS-CoV-2. Plasma and PBMCs were collected and subjected to total RNA extraction using the alcohol-chloroform precipitation method by the RNX solution. After complementary DNA (cDNA) synthesis, all samples were subjected to real-time and nested polymerase chain reactions (PCRs) to detect the viral genome. Results: The nested PCR method showed a higher rate of positivity in plasma samples (42.3%) compared to real-time PCR (30.7%), suggesting nested PCR exhibited better sensitivity. This rate in PBMC samples was 57.7% by nested PCR and 7.7% by real-time PCR. Minus-strand viral genome was detected in PBMCs, demonstrating that these cells can support virus replication and act as a virus transporter through blood. Conclusions: PBMCs can be infected with SARS-CoV-2. Plasma and serum samples are also not useful samples for virus detection because all of the positive plasma samples in this study showed low viral load with a low cycle threshold (Ct) value.
背景:病毒致病性的评估是每种病毒疾病研究的重要组成部分,而致病性最重要的部分之一是病毒的细胞和组织嗜性,这可以帮助我们清楚地了解病毒复制周期和病毒疾病。目的:本研究旨在评估新冠肺炎住院患者外周血单核细胞(PBMC)中SARS-CoV-2复制的可能性。方法:收集70例严重急性呼吸系统综合征冠状病毒2型住院患者的26份全血样本(5 mL)。收集血浆和PBMC,并通过RNX溶液使用醇-氯仿沉淀法进行总RNA提取。在互补DNA(cDNA)合成后,对所有样本进行实时和嵌套聚合酶链反应(PCR)以检测病毒基因组。结果:与实时PCR(30.7%)相比,嵌套PCR方法在血浆样本中的阳性率(42.3%)更高,表明嵌套PCR具有更好的敏感性。用套式PCR法和实时PCR法检测PBMC的阳性率分别为57.7%和7.7%。在PBMC中检测到负链病毒基因组,表明这些细胞可以支持病毒复制,并作为病毒通过血液的转运蛋白。结论:PBMC可感染严重急性呼吸系统综合征冠状病毒2型。血浆和血清样本也不是用于病毒检测的有用样本,因为本研究中所有阳性血浆样本都显示出低病毒载量和低循环阈值(Ct)值。
{"title":"Detection of the SARS-CoV-2 Genome in Peripheral Blood Mononuclear Cells of Hospitalized Patients With COVID-19 Infection","authors":"Mastaneh Alinezhadi, M. Arshadi, M. Rasti, N. Neisi, M. Parsanahad","doi":"10.5812/jjm-138125","DOIUrl":"https://doi.org/10.5812/jjm-138125","url":null,"abstract":"Background: Evaluation of viral pathogenicity is an important part of research in every viral disease, and one of the most important parts of pathogenicity is cell and tissue tropism of viruses, which can help us to have a clear picture of the viral replication cycle and viral disease. Objectives: This study aims to evaluate the possibility of SARS-CoV-2 replication in peripheral blood mononuclear cells (PBMCs) of hospitalized patients with COVID-19. Methods: Twenty-six whole blood samples (5 mL) were collected from 70 hospitalized patients infected with SARS-CoV-2. Plasma and PBMCs were collected and subjected to total RNA extraction using the alcohol-chloroform precipitation method by the RNX solution. After complementary DNA (cDNA) synthesis, all samples were subjected to real-time and nested polymerase chain reactions (PCRs) to detect the viral genome. Results: The nested PCR method showed a higher rate of positivity in plasma samples (42.3%) compared to real-time PCR (30.7%), suggesting nested PCR exhibited better sensitivity. This rate in PBMC samples was 57.7% by nested PCR and 7.7% by real-time PCR. Minus-strand viral genome was detected in PBMCs, demonstrating that these cells can support virus replication and act as a virus transporter through blood. Conclusions: PBMCs can be infected with SARS-CoV-2. Plasma and serum samples are also not useful samples for virus detection because all of the positive plasma samples in this study showed low viral load with a low cycle threshold (Ct) value.","PeriodicalId":17803,"journal":{"name":"Jundishapur Journal of Microbiology","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46209383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of IL-10 Gene in Protection Against COVID-19 Disease IL-10基因与COVID-19疾病保护的关联
IF 0.6 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-08-21 DOI: 10.5812/jjm-138241
Najmeh Sheikhi, M. Jamalidoust, Arash Letafati, K. Shahzamani, Anahita Sanaei Dashti, G. Talei
Background: The medical community is facing a new challenge with the coronavirus disease 2019 (COVID-19) pandemic, as the severity of the disease is largely determined by the overexpression of proinflammatory cytokines, leading to endothelial dysfunction and organ damage, especially in the lungs. Objectives: It is believed that mutations might be linked to severe illness. This cross-sectional study aimed to explore the correlation between COVID-19 severity in Iranian pediatric patients who were referred to Namazi Hospital (Shiraz, Iran) and interleukin 10 (IL-10) gene polymorphisms (rs1800896, rs1800871, and rs1800872). Methods: The study comprised 53 pediatric patients with COVID-19, who were divided into mild/moderate (n = 44) and severe (n = 9) groups. Nasal swabs and whole blood samples were collected from each patient who participated in the study. Real-time polymerase chain reaction (PCR) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) confirmation (E, RdRp) and PCR-restriction fragment length polymorphism (RFLP) were used for IL-10 gene polymorphism genotyping. Results: The study investigated the association between IL-10 gene polymorphisms and COVID-19 severity in pediatric patients. The results showed that the GA genotype at the IL10-1082 locus was protective against severe symptoms and that all severe cases were male with the AA/GA genotype. The other two loci, IL10-819 and IL-10-592, did not show any significant association with COVID-19 severity. The study also showed that shortness of breath was the only symptom significantly associated with COVID-19 severity and that age and gender did not affect the disease outcome. Conclusions: The most common symptoms in the mild/moderate group were cough and fever; however, shortness of breath and cough were the most common in the severe group. Coronavirus disease 2019 severity is related to the IL-10 (rs1800872) gene polymorphism, with the GA genotype providing protective effects.
背景:随着2019冠状病毒病(COVID-19)的大流行,医学界面临着新的挑战,因为疾病的严重程度在很大程度上取决于促炎细胞因子的过度表达,导致内皮功能障碍和器官损伤,尤其是肺部。目的:人们相信突变可能与严重疾病有关。本横断面研究旨在探讨转诊至Namazi医院(设拉子,伊朗)的伊朗儿科患者的COVID-19严重程度与白细胞介素10 (IL-10)基因多态性(rs1800896、rs1800871和rs1800872)之间的相关性。方法:将53例新冠肺炎患儿分为轻/中度组(n = 44)和重度组(n = 9)。研究人员从每位参与研究的患者身上采集了鼻拭子和全血样本。采用实时聚合酶链反应(Real-time polymerase chain reaction, PCR)对SARS-CoV-2进行确证(E, RdRp)和PCR-限制性片段长度多态性(RFLP)对IL-10基因多态性进行基因分型。结果:本研究探讨了IL-10基因多态性与儿童COVID-19严重程度的关系。结果表明,IL10-1082位点GA基因型对严重症状具有保护作用,严重病例均为AA/GA基因型男性。另外两个基因座il -10- 819和IL-10-592与COVID-19严重程度无显著相关性。该研究还表明,呼吸短促是唯一与COVID-19严重程度显著相关的症状,年龄和性别对疾病结果没有影响。结论:轻/中度组患者最常见症状为咳嗽、发热;然而,呼吸急促和咳嗽在严重组中最常见。2019冠状病毒病的严重程度与IL-10 (rs1800872)基因多态性有关,GA基因型具有保护作用。
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引用次数: 0
Analysis of Immune Profiles Related to Disease Severity in COVID-19 by Flow Cytometry 流式细胞术分析新冠肺炎患者与疾病严重程度相关的免疫谱
IF 0.6 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-08-17 DOI: 10.5812/jjm-138835
Tuğrul Hoşbul, S. Oren, C. Artuk, C. Aydoğan, İrem Unat, S. Şenkal, Gamze İçen, Tugba Fatsa, R. Gumral, F. Şahiner, M. Kızılgun, M. Yavuz
Background: More than 768 million people have been affected by COVID-19. Identifying lymphocyte subsets and cytokine level abnormalities in COVID-19 patients is essential to gain new insights and data on immunity mechanisms against viral infections. Objectives: We used flow cytometry to determine the relationship between disease severity, lymphocyte subsets distribution, and cytokine level alterations in COVID-19 patients. Methods: Totally 94 COVID-19 patients (32 mild, 31 moderate, and 31 severe) and 27 healthy individuals were included in the cross-sectional study. The distribution of peripheral lymphocyte subsets and cytokine levels was assessed by flow cytometry. Results: The percentages of CD56+ Natural Killer (NK) cells in all patient groups and total T lymphocytes in moderate and severe groups were significantly lower than those in the control group (P < 0.001). Also, IL-2 (P < 0.001), IL-17A (P < 0.001), IL-4 (P < 0.001), IL-6 (P < 0.001), TNF-α (P = 0.004), IP-10 (P < 0.001), IFN-λ1 (IL-29) (P < 0.001), IFN-λ2/3 (IL-28A/B) (P = 0.011), IFN-β (P < 0.001), IL-10 (P < 0.001), and IFN-γ (P < 0.001) levels were statistically higher in patients than in the controls. Conclusions: Our data revealed that increased levels of certain cytokines in peripheral blood contribute to disease severity. Increased CRP (OR: 1.012, %95 CI: 1.002 - 1.023, P = 0.038) and IL-10 (OR: 1.068, %95 CI: 1.000 - 1.141, P = 0.049) levels, decreased CD56+ NK percentage (OR: 0.576, %95 CI: 0.376 - 0.882, P = 0.011) and lymphocyte count (OR: 0.02, %95 CI: 0.001 - 0.368, P = 0.009), and the presence of diabetes mellitus and mechanical ventilation were independent predictors of mortality.
背景:超过7.68亿人受到新冠肺炎的影响。识别新冠肺炎患者的淋巴细胞亚群和细胞因子水平异常对于获得有关病毒感染免疫机制的新见解和数据至关重要。目的:我们使用流式细胞术来确定新冠肺炎患者疾病严重程度、淋巴细胞亚群分布和细胞因子水平变化之间的关系。方法:共有94名新冠肺炎患者(32名轻度、31名中度和31名重度)和27名健康人参加横断面研究。通过流式细胞术评估外周淋巴细胞亚群的分布和细胞因子水平。结果:CD56+自然杀伤(NK)细胞在所有患者组中的百分比和中重度组的总T淋巴细胞的百分比均显著低于对照组(P<0.001)。此外,IL-2(P<0.01)、IL-17A(P<001)、IL-4(P<0.05)、IL-6(P<0.005)、TNF-α(P=0.004)、IP-10(P<.001)、IFN-λ1(IL-29)、IFNλ2/3(IL-28A/B)(P=0.011),患者的IFN-β(P<0.001)、IL-10(P<0.01)和IFN-γ(P<001)水平在统计学上高于对照组。结论:我们的数据显示,外周血中某些细胞因子水平的升高会导致疾病的严重程度。CRP(OR:1.012,95%CI:1.002-1.023,P=0.038)和IL-10(OR:1.068,95%CI:1.000-1.141,P=0.049)水平升高,CD56+NK百分比(OR:0.576,95%CI:0.376-0.882,P=0.011)和淋巴细胞计数(OR:0.02,95%CI:0.001-0.368,P=0.009)降低,以及糖尿病和机械通气的存在是死亡率的独立预测因素。
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引用次数: 0
Estimation of Seroprevalence of Anti-Herpes Simplex Virus Type-1 IgG Among Healthy Blood Donors in Sakaka City, Aljouf, Saudi Arabia 沙特阿拉伯Aljouf Sakaka市健康献血者抗单纯疱疹病毒1型IgG血清阳性率的估计
IF 0.6 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-08-15 DOI: 10.5812/jjm-136606
A. Taha, Amany A Ghazy, A. Almaeen, I. Taher, T. El-Metwally, Mohammad Alayyaf, F. Alrayes, Ahmed Alinad, S. Albulayhid, Abdulrahman D. AlDakhil
Background: Herpes simplex virus type-1 (HSV-1) is a highly infectious neurotropic virus. The data on HSV-1 infection in Saudi Arabia, including the seroprevalence of HSV-1 antibodies, are scarce. Objectives: This is the first study to evaluate the prevalence of anti-HSV-1 immunoglobulin G (IgG) in donated blood in Sakaka, Aljouf, Saudi Arabia. Methods: A total of 300 donated blood samples were collected from the Blood Bank of Prince Mutaib Bin Abdulaziz Hospital in Sakaka. Sensitive and specific enzyme-linked immunosorbent assay (ELISA) was used to detect anti-HSV-1 IgG. A comparison of the age, gender, education, occupation, income, hand hygiene, travel history, and cupping practice of blood donors stratified for the extent of anti-HSV-1 IgG was made. Results: There was a low prevalence of anti-HSV-1 IgG (20%; n = 60/300). Moreover, 50.0% of IgG-positive participants were in the age group of 41 - 45 years, and 81.7% of the participants had a household income of < 10000 SAR (statistically highly significant; P < 0.001*). All the participants performed hand washing with soap before handling food and after using the toilet. Furthermore, IgG-positive participants had a bachelor’s degree (50.0%), were governmental employees (60.0%), were international travelers (50.0%), and practiced cupping (50.0%) with statistically significant associations (P < 0.05*). Conclusions: The current study’s findings support previous reports about the key importance of improving socioeconomic conditions and hygiene measures in reducing the spread of HSV-1. The present study provides an alarm regarding reaching the age of sexual debut without acquiring protective anti-HSV-1 immunoglobulins, consequently becoming more susceptible to acquiring HSV-1 infection through the genital route. These data support the urgent need to develop an effective anti-HSV-1 vaccine.
背景:1型单纯疱疹病毒(HSV-1)是一种高度传染性的嗜神经病毒。关于沙特阿拉伯1型单纯疱疹病毒感染的数据,包括1型单纯疱疹病毒抗体的血清流行率,都是稀缺的。目的:这是首个评估沙特阿拉伯Aljouf Sakaka地区捐献血液中抗hsv -1免疫球蛋白G (IgG)流行率的研究。方法:从Sakaka市Mutaib Bin Abdulaziz王子医院血库采集300份献血标本。采用灵敏特异的酶联免疫吸附试验(ELISA)检测抗hsv -1 IgG。比较分层献血者的年龄、性别、受教育程度、职业、收入、手卫生、旅行史、拔罐习惯等对抗hsv -1 IgG水平的影响。结果:抗hsv -1 IgG阳性率较低(20%;N = 60/300)。此外,50.0%的igg阳性参与者年龄在41 - 45岁之间,81.7%的参与者家庭收入< 10000 SAR(统计学高度显著;P < 0.001*)。所有参与者在处理食物前和如厕后都用肥皂洗手。此外,igg阳性的参与者中,本科学历(50.0%)、政府工作人员(60.0%)、国际旅行者(50.0%)和拔罐者(50.0%)的相关性有统计学意义(P < 0.05*)。结论:目前的研究结果支持先前的报告,即改善社会经济条件和卫生措施对减少1型单纯疱疹病毒的传播至关重要。目前的研究为达到性处子年龄而没有获得保护性的抗HSV-1免疫球蛋白提供了警告,因此更容易通过生殖器途径获得HSV-1感染。这些数据支持迫切需要开发一种有效的抗单纯疱疹病毒1型疫苗。
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引用次数: 0
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Jundishapur Journal of Microbiology
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