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[Autochthonous Case of Malaria Prediagnosed as Leukemia]. [诊断为白血病的本地疟疾病例]。
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-01 DOI: 10.5578/mb.20239958
Hüseyin Gülen, Ayşe Türedi Yıldırım, İbrahim Çavuş, Hülya Türkmen, Ahmet Özbilgin
<p><p>Malaria is a parasitic disease transmitted by infected female Anopheles mosquitoes. There are five species of Plasmodium species that can infect humans. Of these species, especially P.falciparum and P.vivax pose the greatest threat to human health. In the 2014 report of the World Health Organization, it was reported that there were no locally acquired cases of malaria in 16 countries including Türkiye. Malaria cases originating from outside the country and imported due to migration, travel and working abroad are reported as import cases. In this report, a case of non-imported malaria followed with a preliminary diagnosis of leukemia was presented. A 14-year-old female patient who was admitted to a health institution with complaints of high fever, headache, chills, nausea-vomiting, and diarrhea that had been going on for two weeks, was pre-diagnosed as leukemia and was referred to Manisa Celal Bayar University Faculty of Medicine, Hafsa Sultan Hospital, Department of Pediatric Hematology and after pancytopenia was detected in the complete blood count. The anamnesis of the patient revealed that she had no history of international travel and that she had been prescribed medications such as paracetamol, amoxicillin, and metoclopramide for flu-like complaints while working in the Southeastern Anatolia, Aegean, and Mediterranean Regions of Türkiye. Bone marrow aspiration was performed for the etiological examination of pancytopenia. Giemsa-stained blood smears, rapid diagnostics, and real-time quantative polymerase chain reaction (qRt-PCR) analyses were performed in the medical parasitology laboratory and malaria was suspected in both bone marrow and peripheral blood smears. P.vivax erythrocytic forms and gametocytes were present in abundance in smear preparations stained with Giemsa, and rapid diagnosis kit was positive for P.vivax. The strain was genotyped as P.vivax by qRt-PCR analysis. For the treatment of the patient, airalam (artemether + lumefantrine) tablets were provided with 2 x 4 daily posology for three days after the diagnosis, and primaquine was provided after one week of the diagnosis as 1 x 2 tablets (1 x 15 mg) for 14 days, and the patient was discharged without complications following the treatment regimen. The fight against malaria continues uninterruptedly since the establishment of the Republic of Türkiye. Tropical diseases, especially malaria, is of great importance for Türkiye due to numerous reasons such as its location in the subtropical region where Anopheles mosquitoes are capable of malaria transmission, it is situated at the crossroads on the migration routes between continents where human traffic is busy, there are many people who go abroad for work and most importantly rising temperatures due to climate change. For this reason, this case report is important to emphasize the importance of malaria for the country and to increase the awareness of clinicians and laboratories about malaria and the possibility of autochth
疟疾是一种由受感染的雌性按蚊传播的寄生虫病。有五种疟原虫可以感染人类。在这些物种中,尤其是恶性疟原虫和间日疟原虫对人类健康构成最大威胁。在世界卫生组织2014年的报告中,有报告称,包括土耳其在内的16个国家没有本地获得的疟疾病例。源自境外并因移民、旅行和在国外工作而输入的疟疾病例被报告为输入病例。在本报告中,报告了一例非输入性疟疾,随后初步诊断为白血病。一名14岁的女性患者因高烧、头痛、发冷、恶心呕吐和腹泻被送入卫生机构,持续了两周,被预先诊断为白血病,并被转诊至哈夫萨苏丹医院马尼萨塞拉巴亚尔大学医学院,儿科血液科及术后全血细胞减少症均在全血细胞计数中检出。患者的回忆显示,她没有国际旅行史,在土耳其安纳托利亚东南部、爱琴海和地中海地区工作时,曾因流感样症状服用过扑热息痛、阿莫西林和甲氧氯普胺等药物。进行骨髓抽吸以进行全血细胞减少症的病因检查。在医学寄生虫学实验室进行了吉姆萨染色血涂片、快速诊断和实时定量聚合酶链式反应(qRt-PCR)分析,骨髓和外周血涂片均怀疑患有疟疾。Giemsa染色的涂片标本中存在大量间日疟原虫红细胞和配子体,快速诊断试剂盒对间日疟原虫呈阳性。通过qRt-PCR分析,该菌株被分型为间日疟原虫。对于患者的治疗,艾拉姆(蒿甲醚+卢明三烯)片在诊断后三天内每天服用2 x 4片,伯氨喹在诊断后一周内以1 x 2片(1 x 15 mg)的形式服用14天,患者在治疗方案后出院,无并发症。自土耳其共和国成立以来,防治疟疾的斗争一直在不间断地进行。热带疾病,特别是疟疾,对土耳其来说非常重要,原因有很多,比如它位于按蚊能够传播疟疾的亚热带地区,它位于人类交通繁忙的大陆之间迁徙路线的十字路口,有很多人出国工作,最重要的是由于气候变化导致气温上升。因此,这份病例报告对于强调疟疾对该国的重要性以及提高临床医生和实验室对疟疾以及疟疾在土耳其本土传播的可能性的认识非常重要。
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引用次数: 0
[Comparison of Conventional Methods with Molecular Methods in the Diagnosis of Trichomonas vaginalis and Investigation of Metronidazole Resistance]. [常规方法与分子方法诊断阴道毛滴虫及甲硝唑耐药性调查的比较]。
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-01 DOI: 10.5578/mb.20239950
Yener Özel, İbrahim Çavuş, Akın Usta, Gülhan Vardar Ünlü, Ahmet Özbilgin, Mehmet Ünlü
<p><p>Trichomoniasis is a sexually transmitted parasitic infection caused by Trichomonas vaginalis. In the diagnosis of trichomoniasis, direct microscopy (DM) is preferred, which is a cheap and fast method, although it has low sensitivity. Culture methods, which are accepted as the gold standard, can only be applied in certain centers due to the need for experienced personnel and the ability to get results within 2-7 days, despite their high sensitivity. In this study, it was aimed to compare conventional microscopic and culture methods used in the routine diagnosis of T.vaginalis with polymerase chain reaction (PCR) method and to investigate ntr4 and/or ntr6 gene polymorphism in the nitroreductase gene region, which are thought to be associated with metronidazole resistance in T.vaginalis strains isolated from clinical specimens. Vaginal swab specimens were collected from the posterior fornix of the vagina with two sterile ecuvion sticks during the gynecological examinations of 200 patients who applied to the Balıkesir University Health Practice and Research Hospital, Obstetrics and Gynecology Polyclinic between March 2019 and August 2021. The first swab sample was used for direct microscopic examination, Giemsa staining and conventional PCR analysis, while the second swab specimen was taken into trypticase-yeast-extract-maltose (TYM) medium for T.vaginalis culture and followed for eight days at 37 °C. All specimens were screened for the presence of T.vaginalis using primers specific to the β-tubulin (btub1) gene region and clinical isolates grown in TYM medium were examined for metronidazole resistance using primers specific for the nitroreductase gene region by using conventional PCR. Drug resistance test was also performed for the isolates in which polymorphism associated with metronidazole resistance was detected. Eight (4%) of 200 patient specimens were found positive by both culture/staining and PCR methods. The mean age of the patients included in the study was 39.9, while the mean age of the patients with positive T.vaginalis was 41.8. The most common clinical findings in the patients were foul-smelling vaginal discharge (36%), groin pain (21%), vaginal itching (19%), and burning sensation during urination (18%). In three out of eight T.vaginalis strains isolated from clinical samples, the presence of polymorphism in the ntr6 gene, which is thought to be associated with metronidazole resistance, was demonstrated by PCR. It was observed that three isolates with ntr6 gene polymorphism were phenotypically resistant to metronidazole (MLK= 390 µM). In this study, the fact that three of eight clinical isolates that were resistant to metronidazole by the broth microdilution method and as well as showing ntr6 gene polymorphism supported the thesis that there might be a close relationship between metronidazole resistance and ntr6 gene polymorphism. As a result, the use of culture and molecular methods in the diagnosis of T.vaginalis, in addition
滴虫病是一种由阴道毛滴虫引起的性传播寄生虫感染。在滴虫病的诊断中,首选直接显微镜检查(DM),这是一种廉价快速的方法,尽管其灵敏度较低。被公认为金标准的培养方法只能在某些中心应用,因为需要有经验的人员,并且能够在2-7天内得到结果,尽管它们的灵敏度很高。在本研究中,目的是比较常规显微镜和培养方法与聚合酶链式反应(PCR)方法在阴道曲霉菌常规诊断中的应用,并研究从临床标本中分离的阴道曲霉菌菌株中硝基还原酶基因区的ntr4和/或ntr6基因多态性,这些多态性被认为与甲硝唑耐药性有关。在2019年3月至2021年8月期间,对200名申请Balıkesir大学健康实践与研究医院妇产科综合诊所的患者进行妇科检查时,用两根无菌ecuvion棒从阴道后穹窿采集了阴道拭子样本。第一个拭子样本用于直接显微镜检查、Giemsa染色和常规PCR分析,而第二个拭子标本被放入胰蛋白酶酵母提取物麦芽糖(TYM)培养基中用于阴道T.vaginalis培养,并在37°C下培养8天。使用β-微管蛋白(btub1)基因区特异性引物对所有标本进行阴道T.vaginalis的筛选,并使用常规PCR对在TYM培养基中生长的临床分离株进行甲硝唑耐药性检测,使用硝基还原酶基因区特异性引物。对检测到与甲硝唑耐药性相关的多态性的分离株也进行了耐药性试验。200例患者标本中有8例(4%)通过培养/染色和PCR方法均呈阳性。纳入研究的患者的平均年龄为39.9岁,而阴道T.vaginalis阳性患者的平均年纪为41.8岁。患者最常见的临床表现是有臭味的阴道分泌物(36%)、腹股沟疼痛(21%)、阴道瘙痒(19%)和排尿时的烧灼感(18%)。从临床样本中分离出的8株阴道曲霉菌中,有3株通过PCR证实了ntr6基因的多态性,该基因被认为与甲硝唑耐药性有关。观察到三个具有ntr6基因多态性的分离株对甲硝唑具有表型抗性(MLK=390µM)。在本研究中,8个临床分离株中有3个通过肉汤微量稀释法对甲硝唑产生耐药性,并显示出ntr6基因多态性,这一事实支持了甲硝唑耐药性与ntr6基因多样性之间可能存在密切关系的论点。因此,除了显微镜方法外,在诊断阴道曲霉菌中使用培养和分子方法,可能有助于更准确地对该药物进行实验室诊断,从分子和表型上检测甲硝唑耐药性,确定我国的甲硝唑耐药性率,并在这些数据的框架内更新治疗方案。
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引用次数: 0
[Investigation of the Effect of Pasteurization on the Viability of Cryptosporidium parvum in Cow's Milk by Propidium Monoazide qPCR]. [用单叠氮丙啶qPCR研究巴氏灭菌对牛奶中微小隐孢子虫生存能力的影响]。
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-01 DOI: 10.5578/mb.20239953
Selahattin Aydemir, Hisamettin Durmaz, Mehmet Emin Aydemir, Serap Kılıç Altun, Abdülbaki Demir, Ahmet Galip Halidi, Ali Arslan

Cow's milk, which is one of today's most important food sources, can be a reservoir for many pathogens that create a risk to public health. One of these pathogens is Cryptosporidium parvum. The oocysts of C.parvum, an obligate intracellular parasite, cause infection when ingested orally. The oocysts scattered around with the feces of infected cows or calves can contaminate raw milk and this is frequently seen in dairy farms. The aim of this study was to investigate the viability of C.parvum by propidium monoazide (PMA)-quantitative polymerase chain reaction (qPCR) method after heat treatment applied to contaminated raw cow's milk. For the study, 50 ml of unpasteurized cow's milk was contaminated with 5 X 105 C.parvum oocysts and portioned into 1.5 ml microcentrifuge tubes. Three groups, namely the control group, pasteurization group and boiling group were formed. No warming procedure was applied to the control group. In the pasteurization group, the milks in microcentrifuge tubes were poured into the wells of the dry block heater set to 71.7 °C and incubated for five seconds. At the end of the period, the milks were transferred to the wells of the cold metal tube, which was removed at -20 °C with the help of a micropipette, and incubated for five seconds. The milks in the boiling group were incubated for two minutes in a dry block heater set to 95 °C. After the heat treatment, the milks in microcentrifuge tubes were transferred to 10 ml centrifuge tubes, PBS was added to make the final volume 10 ml, and centrifuged at 4000 rpm for 20 minutes. After this process was repeated twice, 400 µl of PBS was added to the precipitate remaining at the bottom, and the precipitate was homogenized. One sample of each group was applied with PMA, while PMA was not applied to the other sample. PMA-applied samples were incubated for five minutes at room temperature and in the dark, and then exposed to UV light for five minutes in the device with cooling feature. The oocysts were collected by centrifugation at 5000 g for five minutes. After DNA isolation from oocysts, SYBR Green real time PCR (Rt-PCR) was performed using primers amplifying the COWP gene region. As a result of SYBR Green Rt-PCR, the mean Ct values of the control without PMA, pasteurization and boiling groups were determined as 25 ± 1.24, 23 ± 0.98 and 26 ± 1.03, respectively. While no peak was obtained in the boiling group after PMA application, the mean Ct values of the control and pasteurization groups were 28 ± 1.38 and 31 ± 1.46, respectively. As a result, it was concluded that live C.parvum cysts in milk could be detected by PMA-qPCR method and live oocysts could be found in pasteurized milk.

牛奶是当今最重要的食物来源之一,可能是许多病原体的宿主,对公众健康造成风险。其中一种病原体是细小隐孢子虫。C.parvum是一种专性细胞内寄生虫,口服后会引起感染。卵囊与受感染的奶牛或小牛的粪便散落在一起,会污染生奶,这在奶牛场很常见。本研究的目的是通过单叠氮丙啶(PMA)-定量聚合酶链式反应(qPCR)方法对受污染的生牛乳进行热处理后的细小C.parvum的活力进行研究。在这项研究中,50毫升未经高温消毒的牛奶被5 X 105细小C.parvum卵囊污染,并分成1.5毫升的微量离心管。分为三组,即对照组、巴氏灭菌组和煮沸组。对照组未采用加温程序。在巴氏灭菌组中,将微量离心管中的牛奶倒入设定为71.7°C的干块加热器的孔中,并孵育5秒。在这段时间结束时,将牛奶转移到冷金属管的孔中,在-20°C下用微量移液管将其取出,并孵育5秒。煮沸组的牛奶在设定为95°C的干燥块状加热器中孵育两分钟。热处理后,将微离心管中的牛奶转移到10ml离心管中,加入PBS使最终体积为10ml,并以4000rpm离心20分钟。重复该过程两次后,将400µl PBS加入底部剩余的沉淀物中,并将沉淀物均化。每组中的一个样品应用PMA,而另一个样品不应用PMA。将施用PMA的样品在室温和黑暗中孵育5分钟,然后在具有冷却功能的装置中暴露于紫外线下5分钟。通过以5000g离心5分钟来收集卵囊。从卵囊中分离DNA后,使用扩增COWP基因区域的引物进行SYBR Green实时PCR(Rt-PCR)。作为SYBR Green Rt-PCR的结果,未经PMA、巴氏灭菌和煮沸的对照组的平均Ct值分别为25±1.24、23±0.98和26±1.03。虽然在应用PMA后沸腾组中没有获得峰值,但对照组和巴氏灭菌组的平均Ct值分别为28±1.38和31±1.46。结果表明,用PMA-qPCR方法可以检测出牛奶中的细小芽孢杆菌活囊肿,在巴氏灭菌的牛奶中可以发现活卵囊。
{"title":"[Investigation of the Effect of Pasteurization on the Viability of Cryptosporidium parvum in Cow's Milk by Propidium Monoazide qPCR].","authors":"Selahattin Aydemir,&nbsp;Hisamettin Durmaz,&nbsp;Mehmet Emin Aydemir,&nbsp;Serap Kılıç Altun,&nbsp;Abdülbaki Demir,&nbsp;Ahmet Galip Halidi,&nbsp;Ali Arslan","doi":"10.5578/mb.20239953","DOIUrl":"10.5578/mb.20239953","url":null,"abstract":"<p><p>Cow's milk, which is one of today's most important food sources, can be a reservoir for many pathogens that create a risk to public health. One of these pathogens is Cryptosporidium parvum. The oocysts of C.parvum, an obligate intracellular parasite, cause infection when ingested orally. The oocysts scattered around with the feces of infected cows or calves can contaminate raw milk and this is frequently seen in dairy farms. The aim of this study was to investigate the viability of C.parvum by propidium monoazide (PMA)-quantitative polymerase chain reaction (qPCR) method after heat treatment applied to contaminated raw cow's milk. For the study, 50 ml of unpasteurized cow's milk was contaminated with 5 X 105 C.parvum oocysts and portioned into 1.5 ml microcentrifuge tubes. Three groups, namely the control group, pasteurization group and boiling group were formed. No warming procedure was applied to the control group. In the pasteurization group, the milks in microcentrifuge tubes were poured into the wells of the dry block heater set to 71.7 °C and incubated for five seconds. At the end of the period, the milks were transferred to the wells of the cold metal tube, which was removed at -20 °C with the help of a micropipette, and incubated for five seconds. The milks in the boiling group were incubated for two minutes in a dry block heater set to 95 °C. After the heat treatment, the milks in microcentrifuge tubes were transferred to 10 ml centrifuge tubes, PBS was added to make the final volume 10 ml, and centrifuged at 4000 rpm for 20 minutes. After this process was repeated twice, 400 µl of PBS was added to the precipitate remaining at the bottom, and the precipitate was homogenized. One sample of each group was applied with PMA, while PMA was not applied to the other sample. PMA-applied samples were incubated for five minutes at room temperature and in the dark, and then exposed to UV light for five minutes in the device with cooling feature. The oocysts were collected by centrifugation at 5000 g for five minutes. After DNA isolation from oocysts, SYBR Green real time PCR (Rt-PCR) was performed using primers amplifying the COWP gene region. As a result of SYBR Green Rt-PCR, the mean Ct values of the control without PMA, pasteurization and boiling groups were determined as 25 ± 1.24, 23 ± 0.98 and 26 ± 1.03, respectively. While no peak was obtained in the boiling group after PMA application, the mean Ct values of the control and pasteurization groups were 28 ± 1.38 and 31 ± 1.46, respectively. As a result, it was concluded that live C.parvum cysts in milk could be detected by PMA-qPCR method and live oocysts could be found in pasteurized milk.</p>","PeriodicalId":18509,"journal":{"name":"Mikrobiyoloji bulteni","volume":"57 4","pages":"660-666"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54230009","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
[Investigation of the Efficacy of Cinnamaldehyde, Cannabidiol and Eravacycline in a Malaria Model]. [肉桂醛、大麻二酚和二氢四环素在疟疾模型中的疗效研究]。
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-10-01 DOI: 10.5578/mb.20239949
Yener Özel, İbrahim Çavuş, Mehmet Ünlü, Ahmet Özbilgin

In this study, it was aimed to investigate the antimalarial activity of cinnamaldehyde (CIN) and cannabidiol (CBD) which have shown various biological activities such as potent antimicrobial activity and eravacycline (ERA), a new generation tetracycline derivative, in an in vivo malaria model. The cytotoxic activities of the active substances were determined by the MTT method against L929 mouse fibroblasts and their antimalarial activity were determined by the four-day test in an in vivo mouse model. In this study, five groups were formed: the CIN group, the CBD group, the ERA group, the chloroquine group (CQ) and the untreated group (TAG). 2.5 x 107 parasites/mL of P.berghei-infected erythrocyte suspension was administered IP to all mice. The determined doses of active substances were given to the mice by oral gavage in accordance with the four-day test and the parasitemia status in the mice was controlled for 21 days with smear preparations made from the blood taken from the tail end of the mice. The IC50 values, which express the cytotoxic activity values of the active substances were determined as 27.55 μg/mL, 16.40 μM and 48.82 μg/mL for CIN, CBD and ERA, respectively. The mean parasitemia rate in untreated mice was 33% on day nine and all mice died on day 11. On the ninth day, when compared with the TAG group, no parasites were observed in the CIN group, while the average parasitemia was 0.08% in the CBD group and 17.8% in the ERA group. Compared to the mice in the TAG group, the life expectancy of the other groups was prolonged by eight days in the CIN group, 12 days in the CBD group and eight days in the ERA group. It has been determined that all three active subtances tested in this study suppressed the development of Plasmodium parasites in an in vivo mouse model and prolonged the life span of the mice. It is thought that the strong antimalarial activity of CIN and CBD shown in the study and the possible positive effect of ERA on the clinical course can be improved by combining them with the existing and potential antimalarial molecules.

本研究旨在研究肉桂醛(CIN)和大麻二酚(CBD)的抗疟活性,它们在体内疟疾模型中表现出多种生物活性,如强效抗菌活性和新一代四环素衍生物eravacycine(ERA)。通过MTT法测定活性物质对L929小鼠成纤维细胞的细胞毒性活性,并通过体内小鼠模型中的四天试验测定其抗疟活性。在本研究中,共分为五组:CIN组、CBD组、ERA组、氯喹组(CQ)和未治疗组(TAG)。对所有小鼠给予2.5×107个寄生虫/mL感染伯氏疟原虫的红细胞悬浮液IP。根据四天试验,通过灌胃给小鼠确定剂量的活性物质,并用从小鼠尾端采集的血液制成的涂抹制剂控制小鼠的寄生虫血症状态21天。对CIN、CBD和ERA,表达活性物质细胞毒性活性值的IC50值分别为27.55μg/mL、16.40μM和48.82μg/mL。未经治疗的小鼠在第9天的平均寄生虫血症率为33%,所有小鼠在第11天死亡。第九天,与TAG组相比,CIN组未观察到寄生虫,而CBD组和ERA组的平均寄生虫血症分别为0.08%和17.8%。与TAG组的小鼠相比,其他组的预期寿命在CIN组延长了8天,在CBD组延长了12天,在ERA组延长了八天。已经确定,本研究中测试的所有三种活性亚组分都抑制了体内小鼠模型中疟原虫的发育,并延长了小鼠的寿命。人们认为,通过将CIN和CBD与现有和潜在的抗疟分子结合,可以改善研究中显示的强大的抗疟活性以及ERA对临床进程可能产生的积极作用。
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引用次数: 0
[The Relationship of Enterotoxigenic Bacteroides fragilis and Fusobacterium nucleatum Intestinal Colonization with Colorectal Cancer: A Case-Control Study Performed with Colon Biopsies]. [产肠毒素的脆弱拟杆菌和核梭杆菌肠道定植与结直肠癌的关系:结肠活检的病例对照研究]。
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-07-01 DOI: 10.5578/mb.20239929
Yeşim Öztürk Bakar, Süleyman Demiryas, Ayşe Ceylan Kılınçarslan, Mehmet Demirci, Nuray Kepil, Murat Tuğberk Bakar, Zeynep Taner, Edip Tokuç, Muhuyedin Abdırahman Ziyad, İhsan Taşçı, Bekir Sami Kocazeybek, Hrisi Bahar Tokman

In recent years, it has been shown that some bacteria may be associated with colorectal cancer (CRC). In this study, it was aimed to investigate the role of Fusobacterium nucleatum and enterotoxigenic Bacteroides fragilis (ETBF) in the etiology of CRC by comparing the amounts of these bacteria in colon biopsy tissues of patients with CRC and healthy individuals. The amounts of F.nucleatum and ETBF were determined by quantitative polymerase chain reaction (qPCR) in colon biopsy samples taken from 35 CRC and 35 healthy individuals, and the results were compared in the patient and control groups. The detection rate and amounts of F.nucleatum were found to be statistically significantly higher in tissues of female patients with CRC compared to male patients (p= 0.003, p= 0.013, respectively). There was no statistically significant difference between the tissues of female and male patients with CRC in terms of detection rate and amount of ETBF (p= 0.521, p= 0.515, respectively). It was found that in the 50-74 age group, the amount of ETBF was statistically significantly higher in women and men with CRC compared to the controls (p= 0.005, p= 0.047, respectively), while the amount of F.nucleatum was statistically significantly higher in female patients compared to controls. However, no difference was found between male patients and controls (p= 0.009, p= 0.083). It was determined that the detection rate and amount of F.nucleatum in the tissues of patients with CRC, regardless of age and gender, were not statistically different from the controls (p= 0.473, p= 0.995, respectively), however, the detection rate of ETBF and the amount of ETBF were found to be statistically significantly higher (p= 0.002, p= 0.004, respectively). It has been determined that ETBF can play a role in the etiology of CRC in both men and women, and F.nucleatum only in women, in the age range of 50-74 years, when routine screenings for CRC are performed.

近年来,研究表明一些细菌可能与结直肠癌(CRC)有关。本研究旨在通过比较结直肠癌患者和健康人结肠活检组织中核梭杆菌(Fusobacterium nucleatum)和产肠毒素的脆弱拟杆菌(Bacteroides fragile, ETBF)的数量,探讨这两种细菌在结直肠癌病因学中的作用。采用定量聚合酶链反应(qPCR)测定35例结直肠癌和35例健康人结肠活检标本中具核梭菌和ETBF的数量,并将结果在患者组和对照组进行比较。女性结直肠癌患者组织中具核梭菌的检出率和数量均高于男性(p= 0.003, p= 0.013)。男女结直肠癌患者组织中ETBF的检出率和数量差异无统计学意义(p= 0.521, p= 0.515)。结果发现,在50-74岁年龄组中,女性和男性结直肠癌患者的ETBF数量均高于对照组(p= 0.005, p= 0.047),而女性结直肠癌患者的具核梭菌数量均高于对照组(p= 0.005, p= 0.047)。然而,男性患者和对照组之间没有发现差异(p= 0.009, p= 0.083)。结果表明,结直肠癌患者组织中具核梭菌的检出率和检出量与对照组相比,不论年龄和性别,差异均无统计学意义(p= 0.473, p= 0.995),而ETBF的检出率和ETBF的检出率和检出量均显著高于对照组(p= 0.002, p= 0.004)。已经确定,当进行常规CRC筛查时,ETBF在男性和女性的CRC病因学中都起作用,而核仁梭菌仅在50-74岁的女性中起作用。
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引用次数: 0
[Analysis of Mycobacterium tuberculosis Complex Strains Isolated from the Samples of Patients Living in Northern Syria]. [叙利亚北部患者结核分枝杆菌复合体分离株分析]。
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-07-01 DOI: 10.5578/mb.20239936
Deniz Gazel, Kaan Çeylan, Gönenç Çalışkantürk, Tekin Karslıgil

Tuberculosis causes serious mortality and morbidity worldwide each year. A lot of effort and money is spent for the diagnosis and treatment of tuberculosis all over the world. The importance that countries give to health policies and public health is inversely proportional to the incidence of tuberculosis and multidrug resistant tuberculosis. The aim of our study was to evaluate the resistance profiles of Mycobacterium tuberculosis complex strains which were isolated from sputum samples, collected by World Health Organisation from patients living in the northern region of Syria, where health services were disrupted due to the civil war. According to the protocol signed between the World Health Organization and our hospital; sputum samples taken from tuberculosis patients living in Afrin, Azez and Idlib regions or suspected of being resistant to anti-tuberculosis drugs were studied in our hospital. The cultivation process was performed in our laboratory using Löwenstein Jensen media and MGIT-960 system. The susceptibility tests for primary anti-tuberculosis drugs were performed using MGIT-960 system for M.tuberculosis complex isolates. The isolates identified as MDR/RD-TB (multi-drug-resistant-rifampicin-resistant tuberculosis) were sent to National Tuberculosis Reference Laboratory of Public Health Institution of Türkiye for susceptibility testing to first and second line drugs. Mutation and wild-type determination were studied by "Line Probe Assay (LPA)" method to investigate the susceptibility of the isolates to isoniazid, rifampicin, fluoroquinolone and aminoglycoside/cyclic peptide. The results obtained from the patients were collected and evaluated retrospectively from the records. Growth was observed in 18 samples out of 171 sputum samples from 67 patients; 13 isolates were detected as MDR-TB while one isolate was detected as mono RR-TB. The rate of mono RR-TB was 1.5% and the rate of MDR-TB was 19.4%. MUT3 causing rifampicin resistance was detected in 17.9% of the patients, katG/MUT1 causing isoniazid resistance in 17.9% and WT loss causing aminoglycoside/cyclic peptide resistance were detected in 19.4% of the patients. Neither fluoroquinolone resistance nor a mutation leading to fluoroquinolone resistance was detected in the study. When the sputum samples taken from the patients living in Northern Syria were examined, the frequency of MDR-TB was found to be quite high. MDR-TB, which is an important public health problem, was found at high rates due to the internal turmoil in the region and poor accessibility to health services. Since the gene mutations causing drug resistance with the LPA method differ with the conducted studies, it is important to evaluate the dominant gene mutations for determining the TB treatment strategies in the region.

结核病每年在全世界造成严重的死亡率和发病率。全世界在结核病的诊断和治疗上花费了大量的精力和金钱。各国对卫生政策和公共卫生的重视程度与结核病和耐多药结核病的发病率成反比。我们研究的目的是评估从世界卫生组织收集的生活在叙利亚北部地区的患者的痰样本中分离出的结核分枝杆菌复合菌株的耐药性谱,该地区的卫生服务因内战而中断。根据世界卫生组织与我院签署的议定书;在我院对生活在阿夫林、阿兹兹和伊德利卜地区或疑似对抗结核药物耐药的结核病患者的痰样本进行了研究。培养过程在我们实验室使用Löwenstein Jensen培养基和MGIT-960系统进行。采用MGIT-960系统对结核分枝杆菌复合体分离株进行一级抗结核药物药敏试验。经鉴定为耐多药利福平结核(MDR/RD-TB)的分离株送基耶省公共卫生机构国家结核病参比实验室对一线和二线药物进行药敏试验。采用“线性探针法”(Line Probe Assay, LPA)进行突变和野生型检测,考察菌株对异烟肼、利福平、氟喹诺酮和氨基糖苷/环肽的敏感性。从患者身上获得的结果被收集起来并从记录中进行回顾性评价。在67例患者的171份痰样本中,有18份样本观察到生长;13株被检出为耐多药结核,1株被检出为单耐药结核。单发耐药结核率为1.5%,耐多药结核率为19.4%。17.9%的患者检测到MUT3导致利福平耐药,17.9%的患者检测到katG/MUT1导致异烟肼耐药,19.4%的患者检测到WT丢失导致氨基糖苷/环肽耐药。本研究未发现氟喹诺酮类药物耐药性,也未发现导致氟喹诺酮类药物耐药性的突变。当对生活在叙利亚北部的患者的痰样本进行检查时,发现耐多药结核病的发病率相当高。耐多药结核病是一个重要的公共卫生问题,由于该区域的内部动荡和难以获得卫生服务,耐多药结核病的发病率很高。由于LPA方法导致耐药的基因突变与所进行的研究不同,因此评估优势基因突变对于确定该地区的结核病治疗策略非常重要。
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引用次数: 0
[A Marginal Case of Malaria: An Interesting Malaria Story of Cameroon Origin]. [疟疾的边缘案例:喀麦隆起源的有趣疟疾故事]。
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-07-01 DOI: 10.5578/mb.20239942
Emrah Erdoğan, Zeynep Türe Yüce, Atiye Ayrık Demir, Ozan Yaman, Merve Yürük, Orhan Yıldız
<p><p>Malaria is a serious, contagious infection caused by single-celled parasites. About 200 species of Plasmodium have been described that can cause infection in vertebrates. Five different species of Plasmodium are known to cause infection in humans to date. Infection with more than one type of pathogen is called coinfection. This type of infections can be caused by different species of the same genus, as well as by different species. Malaria coinfections are mostly caused by the combination of Plasmodium vivax and Plasmodium falciparum. In this study, a case of malaria admitted to the hospital and diagnosed was presented. Thin smear blood preparations were prepared from the peripheral blood of a 54 year-old Republic of Türkiye citizen male patient who applied to the emergency department with fever and chills. The preparations were stained with Giemsa and examined under a microscope with a x 100 objective, and trophozoite and gametocyte forms belonging to Plasmodium genus were determined. As a result of probe-based quantitative real-time polymerase chain reaction (qRt-PCR) study with primers specific to Plasmodium vivax, Plasmodium malariae, Plasmodium falciparum, Plasmodium ovale and Plasmodium knowlesi for definitive species identification, co-infection of P.vivax, P.falciparum, P.ovale and P.knowlesi was detected in the patient. In addition, it was proved that our patient was infected with four different species by conventional PCR study in which five species were studied and then by DNA sequence analysis. On the fourth day of artemether-lumefantrine treatment, the patient's fever response was observed and the trophozoite forms disappeared from the third day in the daily peripheral smear follow-up. Since P.vivax and P.ovale species were also detected after species determination by molecular methods, primaquine 1 x 30 mg tablet was added to the existing drugs for the treatment of hypnozoite forms of the parasite. In recent years, there has been an increase in malaria imported cases, especially after visits to African countries. Such rare cases of malaria coinfection may be encountered during visits to geographies located at the intersection of endemic regions. According to the data of the World Health Organization, maximum attention should be paid to the prevention and prophylaxis protocols from vectors, especially in travels to countries with the highest mortality and morbidity. In co-infection cases similar to our patient, for tertian malaria and tertiary ovale malaria, hypnozoid therapy should not be overlooked. When the insecticide-resistant vectors and drug-resistant Plasmodium strains encountered in recent years are evaluated as a whole, there is a need to develop more effective strategies in the fight against malaria. In addition to microscopic examination, which is accepted as the gold standard, we believe that evaluating molecular studies together in diagnosis is extremely important for the treatment process when hypnozoite periods
疟疾是由单细胞寄生虫引起的一种严重的传染性感染。据报道,大约有200种疟原虫可引起脊椎动物感染。迄今为止,已知有五种不同的疟原虫可引起人类感染。一种以上病原体的感染称为合并感染。这种类型的感染可以由同一属的不同物种引起,也可以由不同物种引起。疟疾合并感染主要由间日疟原虫和恶性疟原虫合并引起。在本研究中,提出了一个疟疾病例入院和诊断。对一名54岁的基耶共和国公民男性患者外周血进行薄涂片血制备,该患者因发烧和寒战向急诊科提出申请。用吉氏染色法染色,在× 100物镜下观察,鉴定了疟原虫属的滋养体和配子细胞形态。利用间日疟原虫、疟疾疟原虫、恶性疟原虫、卵形疟原虫和诺氏疟原虫特异性引物进行探针定量实时聚合酶链反应(qRt-PCR)研究,最终鉴定出患者同时感染间日疟原虫、恶性疟原虫、卵形疟原虫和诺氏疟原虫。此外,通过常规PCR研究证实患者感染了四种不同的菌种,其中研究了五种,然后进行DNA序列分析。在蒿甲醚-氨芳碱治疗第4天,观察患者发热反应,从第3天开始每日外周涂片随访中滋养体形态消失。由于间日疟原虫和卵形疟原虫在分子方法确定种后也被检测到,因此在现有药物的基础上加入伯氨喹1 x 30 mg片剂治疗隐殖虫型疟原虫。近年来,输入性疟疾病例有所增加,特别是在访问非洲国家之后。这种罕见的疟疾合并感染病例可能在访问位于流行区域交叉点的地区时遇到。根据世界卫生组织的数据,应最大限度地重视病媒的预防和预防规程,特别是在前往死亡率和发病率最高的国家旅行时。在与本病例相似的合并感染病例中,对于第三次疟疾和第三次卵形疟疾,催眠治疗不应被忽视。在对近年来遇到的耐药病媒和耐药疟原虫菌株进行整体评价时,需要制定更有效的防治疟疾战略。除了被认为是金标准的显微检查外,我们认为在考虑催眠期的治疗过程中,将分子研究与诊断结合起来是非常重要的。
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引用次数: 0
[Investigation of Ganciclovir Resistance in Cytomegalovirus Isolates by Phenotypic and Genotypic Methods]. [用表型和基因型方法研究巨细胞病毒分离株更昔洛韦耐药性]
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-07-01 DOI: 10.5578/mb.20239933
Rabia Can Sarınoğlu, Dilek Çolak, Osman Alphan Küpesiz, Mert Ahmet Kuşkucu, Koray Yalçın, İmran Sağlık, Derya Mutlu, Kenan Midilli, Bilal Olcay Peker, Betil Özhak, Aykut Özkul, Kataline Foldes

Ganciclovir-resistant cytomegalovirus (CMV) strains are reported following long-term antiviral agent use, especially for immune-suppressive patients. In this study, it was aimed to investigate the mutations in the UL97 gene of CMV, which causes ganciclovir (GCV) resistance by genotypic and phenotypic methods in patients who developed CMV infection following hematopoietic cell (HCT) or solid organ transplantation (SOT). Thirty patients who had HCT or SOT in Mediterranean University Hospital and developed CMV infection during routine follow-up with a viral load of CMV over 1000 copies/mL were included in the study. CMV DNA was analyzed by an automated system (Cobas Ampliprep/COBAS TaqMan CMV Test, Roche Diagnostics, Germany) quantitatively. DNA sequence analysis of the regions including codons 420-664 in the UL97 gene region was done by the Sanger sequencing method to detect mutations causing antiviral resistance and compared with defined mutations. In order to investigate antiviral resistance by phenotypic methods, heparinized blood samples of the patients were collected, 'buffy coat (leukocyte layer)' was inoculated into MRC-5 cells by centrifugation method and CMV growth in these cells was controlled with monoclonal antibodies when growth was detected, virus titer was determined and plaque reduction test was applied as recommended. It was determined that 22 of the 30 patients were HCT recipients and eight were SOT (five kidney, three liver) recipients. When the CMV serology pattern of the patients was evaluated before transplantation, 29 (96.7%) patients were found to be seropositive and one (3.3%) patient was found to be seronegative. Totally, nine CMV UL97 mutations were detected in seven (23.3%) pediatric patients who had HCT, including six seropositive and one seronegative case. In addition, one mutation (D605E) not known to cause GCV resistance was detected in a seronegative recipient and three previously unidentified mutations were detected (1474T, F499S, V559A) in a seronegative recipient. Five of the mutations defined were UL97 mutations with a defined clinical resistance against GCV in each of the five recipients (C603W, C592G, H520Q, M460V, A594T). In the plaque reduction test using 3 µM, 12 µM, 48 µM and 96 µM concentrations of GCV in CMV strains, the IC50 value was determined to be ≥ 8 µM for the five CMV strains, and the phenotypic presence of GCV resistance was shown. Clinical resistance associated with CMV UL97 mutation was detected in five (22.7%) of 22 patients who had HCT. GCV resistance was also demonstrated in these patients by phenotypic methods. No UL97 mutation was detected in the patients who had SOT.

更昔洛韦耐药巨细胞病毒(CMV)毒株在长期使用抗病毒药物后被报道,特别是对免疫抑制患者。本研究旨在通过基因型和表型方法探讨在造血细胞(HCT)或实体器官移植(SOT)后发生巨细胞病毒感染的患者中,UL97基因突变导致更昔洛韦(GCV)耐药的原因。30例地中海大学医院HCT或SOT患者在常规随访期间发生巨细胞病毒感染,巨细胞病毒载量超过1000拷贝/mL。CMV DNA采用自动化系统(Cobas Ampliprep/ Cobas TaqMan CMV Test, Roche Diagnostics, Germany)进行定量分析。采用Sanger测序法对UL97基因区包含密码子420-664的区域进行DNA序列分析,检测引起抗病毒耐药性的突变,并与已定义的突变进行比较。为了通过表型方法研究患者的抗病毒耐药性,收集患者的肝素化血样,离心法将“黄皮(白细胞层)”接种到MRC-5细胞中,检测到细胞生长时用单克隆抗体控制细胞的CMV生长,测定病毒滴度,并按推荐方法进行斑块减少试验。确定30例患者中22例为HCT受体,8例为SOT受体(5例肾,3例肝)。移植前对患者进行CMV血清学检查,血清阳性29例(96.7%),血清阴性1例(3.3%)。在7例(23.3%)HCT患儿中检测到9个CMV UL97突变,包括6例血清阳性和1例血清阴性。此外,在一名血清阴性受体中检测到一种未知的突变(D605E)导致GCV耐药,在一名血清阴性受体中检测到三种以前未识别的突变(1474T、F499S、V559A)。在5个受体(C603W、C592G、H520Q、M460V、A594T)中,定义的5个突变为UL97突变,每个突变对GCV具有明确的临床耐药性。GCV浓度分别为3µM、12µM、48µM和96µM时,5株CMV的IC50值均≥8µM,表型上存在GCV抗性。22例HCT患者中有5例(22.7%)检测到CMV UL97突变相关的临床耐药。表型方法也证实了这些患者的GCV耐药性。在SOT患者中未检测到UL97突变。
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引用次数: 0
[Evaluation of Malassezia furfur Biofilm Formation on Polypropylene Membrane]. [聚丙烯膜上马拉色菌形成生物膜的评价]。
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-07-01 DOI: 10.5578/mb.20239935
Çağrı Ergin, Sedef Zeliha Öner, Burhan Özkan, Canan Onaç, Ramazan Gümral, Mehmet Okul, Mustafa Şengül

The Malassezia yeast species colonize on the skin immediately after birth and could be found on the healthy skin flora for life. Although they are more frequently involved in the etiology of common skin infections in the community, particularly Malassezia furfur could cause life-threatening infections such as fungemia. Detection of biofilm during the colonization of these yeasts on the skin is an important criterion for its virulence. Since they are lipophilic yeasts, commonly used biofilm detection methods are not applicable to the Malassezia strains. The aim of the study was to describe the growth and measurement of M.furfur isolates on a polypropylene membrane to demonstrate their biofilm-forming capacities. Twenty-seven M.furfur strains colonized in the newborns were included in the study. Basically, sterile polypropylene membranes were placed on different polysorbates (tween 20, 40, and 80) which were spread on Sabouraud dextrose agar. Ten µl saline suspension of M.furfur was dropped on the polypropylene membrane and incubated in standard growth conditions for three days. Later, the visible colony was removed gently by washing with running water and the biofilm structure formed on the membrane was stained with safranin. The stained biofilm was photographed. Performing image analysis, the values obtained against background activity were digitized according to the specified protocol. Moreover, XTT reduction test was performed and the measured metabolic activity results were compared with the safranin-stained biofilm data. The safranin hydrolysis of the strains was measured spectrometrically. Twenty-five (92.6%) of the strains included in the study were stained with safranin, which indicated the presence of biofilm on the polypropylene membrane. The strains grown with tween 20 and tween 80 formed a higher biofilm layer density than those supplied with tween 40. Isolates with low and high biofilm-forming capacity were clearly separated by tween 20 (p< 0.05). XTT activity was detected in 26 (96.3%) isolates. No correlation was found between biofilm density obtained by the described method and XTT reduction. It was observed that hydrolysis of safranin did not affect the biofilm evaluation method. In this study, it was shown that as a result of sufficient diffusion through hydrophobic membranes, polysorbate-based growth factors could maintain measurement of the biofilm layer formed by lipophilic M.furfur strains. The best grouping properties for M.furfur were obtained with tween 20 which could determine low and high level of biofilm formation. Image analysis was used with high performance for this method. As conclusion, the utilization of different hydrophobic membranes and dyes would lead to the development of new techniques for the application in other lipophilic yeasts.

马拉色菌在出生后立即在皮肤上定植,并且可以在健康的皮肤菌群中终生存在。虽然它们更频繁地参与社区中常见皮肤感染的病因,但特别是毛马拉色菌可能导致危及生命的感染,如真菌血症。在这些酵母菌在皮肤上定植期间检测生物膜是其毒力的重要标准。由于马拉色菌属亲脂酵母菌,常用的生物膜检测方法不适用于马拉色菌。本研究的目的是描述在聚丙烯膜上分离的毛霉的生长和测量,以证明它们的生物膜形成能力。在新生儿中定植的27株毛分枝杆菌被纳入研究。基本上,无菌聚丙烯膜放置在不同的聚山梨酯(20、40和80)上,这些聚山梨酯涂在Sabouraud葡萄糖琼脂上。将10µl毛霉生理盐水悬浮液滴于聚丙烯膜上,在标准生长条件下孵育3天。然后用流水轻轻冲洗可见菌落,并用红花红染色膜上形成的生物膜结构。对染色的生物膜进行拍照。进行图像分析,根据指定的协议对背景活动得到的值进行数字化处理。并进行XTT还原试验,将代谢活性测定结果与红花素染色生物膜数据进行比较。采用分光光度法测定菌株对红花苷的水解程度。其中25株(92.6%)被红花素染色,表明聚丙烯膜上存在生物膜。添加20和80的菌株比添加40的菌株形成了更高的生物膜层密度。生物成膜能力高与低的分离菌间差异明显(p< 0.05)。26株(96.3%)检测到XTT活性。所述方法获得的生物膜密度与XTT还原没有相关性。观察到红花苷的水解不影响生物膜评价方法。本研究表明,由于在疏水膜上的充分扩散,聚山梨酸酯基生长因子可以维持亲脂性M.furfur菌株形成的生物膜层的测量。糠秕霉的分组特性以t20为最佳,可以确定生物膜形成的高低水平。该方法采用了高性能的图像分析方法。综上所述,利用不同的疏水膜和染料将为其他亲脂酵母的应用带来新技术的发展。
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引用次数: 0
[Autophagy Markers Induced by Influenza Virus and MUC1 Expressions in Cancer-Derived Cell Lines]. 流感病毒诱导的自噬标志物和MUC1在癌源细胞系中的表达
IF 1 4区 医学 Q4 MICROBIOLOGY Pub Date : 2023-07-01 DOI: 10.5578/mb.20239932
Hasan Selçuk Özkan, Alper Özarslan, Gökhan Vatansever, Seyfi Durmaz, Candan Çiçek

Influenza virus-induced autophagy is often accompanied by apoptosis and results in cell death in virus-infected cells. It is well known that autophagy is modulated by the mTOR/PI3K/Akt pathway, which plays an important role in the response to the presence of energy sources and external stimuli. This pathway is modulated by mucin 1 (MUC1), which has extracellular and intracellular components and plays an important role in metastasis and chemotherapeutic resistance. In this study, it was aimed to investigate the expression of MUC1 after the inoculation of influenza viruses into the cancer-derived cell cultures and, accordingly, the changes in autophagy markers such as mTOR and LC3B. In this study, MCF-7, HeLa and A-549 cell lines were used which have adenocarcinoma origin. To control the growth of influenza virus in these cells, the MDCK cell line was also inoculated. Centrifuge-enhanced shell-vial cell culture method was used in all experiments. Influenza A (H1N1) pdm09 strain was inoculated into these cell lines then the expressions of viral nucleic acid and cycle threshold (Ct) of MUC1, mTOR, LC3B associated genes were investigated by quantitative real-time reverse transcriptase polymerase chain reaction (qRTPCR) method in the samples taken from the supernatants of all cells at the end of the 48-hour incubation period. To investigate whether these markers were present in cells, after all cells were permeabilized with paraformaldehyde, cell-coated infected coverslips were stained with fluorescent labeled monoclonal antibodies developed against MUC1, mTOR, LC3B and influenza virus antigens. In the examination of fluorescence microscopy, all of the cell cultures (MCF-7, He-La and A-549) infected with influenza virus yielded positive results in terms of LC3B, mTOR and MUC1 monoclonal antibody staining, whereas all of the non-infected cells were found negative. Cycle threshold values of MUC1, LC3B and mTOR associated genes were found to be lower in A-549 cell line inoculated with influenza virus. Although protein expression was demonstrated in MCF-7 and He-La cell lines, similar changes were not detected in the 1/Ct values of genes in the autophagy pathway. The Ct value of the MUC1 gene was found to be higher only in the MCF-7 cell line after inoculation. In conclusion, it was observed that the specific expression pattern for influenza virus-induced autophagy was formed only in the A-549 cell line among the adenocarcinoma cells. It was thought that this relationship could constitute a dataset in further research on lung adenocarcinoma. However, in future studies, the determination of the expression of these genes at the protein level by using further tests will provide better comparison of the results.

流感病毒诱导的自噬通常伴随着细胞凋亡,导致病毒感染的细胞死亡。众所周知,自噬是由mTOR/PI3K/Akt通路调控的,该通路在细胞对能量来源和外界刺激的反应中起着重要作用。该途径受mucin 1 (MUC1)调控,mucin 1具有细胞外和细胞内成分,在转移和化疗耐药中起重要作用。本研究旨在探讨流感病毒接种癌源性细胞培养物后MUC1的表达,以及相应的自噬标志物如mTOR和LC3B的变化。在这项研究中,MCF-7、HeLa和A-549细胞系被用于腺癌起源。为了控制流感病毒在这些细胞中的生长,还接种了MDCK细胞系。所有实验均采用离心强化壳瓶细胞培养法。将甲型H1N1流感病毒pdm09株接种到这些细胞系中,在培养48h后取细胞上清,采用实时定量逆转录酶链式反应(qRTPCR)法检测病毒核酸和MUC1、mTOR、LC3B相关基因的周期阈值(Ct)表达。为了研究这些标志物是否存在于细胞中,在所有细胞都被多聚甲醛渗透后,用荧光标记的针对MUC1、mTOR、LC3B和流感病毒抗原的单克隆抗体对细胞包被感染的盖片进行染色。在荧光显微镜检查中,所有感染流感病毒的细胞培养物(MCF-7、He-La和A-549)在LC3B、mTOR和MUC1单克隆抗体染色方面均呈阳性,而所有未感染的细胞均为阴性。接种流感病毒的A-549细胞株MUC1、LC3B和mTOR相关基因的周期阈值较低。虽然在MCF-7和He-La细胞系中显示了蛋白表达,但在自噬途径中基因的1/Ct值中未检测到类似的变化。MUC1基因的Ct值仅在接种后的MCF-7细胞系中较高。综上所述,在腺癌细胞中,流感病毒诱导的自噬仅在A-549细胞系中形成特异性表达模式。认为这种关系可以为进一步研究肺腺癌提供数据。然而,在未来的研究中,通过进一步的测试来确定这些基因在蛋白质水平上的表达将提供更好的结果比较。
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