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Performance of time-lapsed turbidimetry and agar plating as bacterial quantification methods. 延时浊度法和琼脂平板法作为细菌定量方法的性能。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2025-12-26 DOI: 10.1128/spectrum.01807-25
Angelika Dewicki, Matthew Henkel, Norie Sugitani, Alexander Applegate, Brian T Campfield

Accurate bacterial quantification is crucial for studying microbial pathogenesis, host-pathogen interactions, and therapeutic interventions. Two widely used methods include agar plating with colony-forming unit (CFU) enumeration and time-lapsed turbidimetry in liquid broth culture. While agar plating remains the gold standard in both in vitro and in vivo infection models, liquid broth turbidimetry is commonly used to assess growth kinetics, microbial fitness, antibiotic susceptibility, and bacterial genetics. While strain-specific CFU and turbidimetry (OD) calibration studies exist, a comprehensive and systematic comparison of these methods for quantifying a broad array of clinically relevant pathogens remains largely unexplored. Here, we conducted a head-to-head comparison of agar plating and liquid broth turbidimetry to quantify the growth of Klebsiella pneumoniae, Pseudomonas aeruginosa, and Staphylococcus aureus in vitro and evaluated their performance in vivo using a murine model of K. pneumoniae pulmonary infection. Across all pathogens tested, both methods exhibited strong correlation over a broad dynamic range (6-7 log10 dilutions). Liquid broth turbidimetry demonstrated enhanced sensitivity at low bacterial densities, as well as greater precision. In the in vivo murine pneumonia model, this method more accurately distinguished bacterial burdens at the site of infection (lung) and dissemination (spleen) between wild-type and Toll-like receptor 4 knockout mice. Overall, liquid broth turbidimetry is a reliable alternative to agar plating with a high degree of correlation for bacterial quantification and improved precision, highlighting its potential utility in studies of bacteriology and infectious diseases.

Importance: Accurate bacterial quantification is fundamental to microbiology research and clinical diagnostics. While agar plating is a widely used method, our study demonstrates that liquid broth turbidimetry provides accurate bacterial quantification, which is fundamental to microbiology research and clinical diagnostics. While agar plating is a widely used method, our study demonstrates that liquid broth turbidimetry provides a highly correlative and more precise approach for quantifying diverse, clinically relevant bacterial pathogens, including when dealing with low bacterial density. The enhanced sensitivity and precision may be valuable for early infection detection, monitoring treatment efficacy, and understanding microbial dynamics in research settings where accurate quantification of even low-density organisms is essential. The findings support considering liquid broth turbidimetry as a complementary or alternative method for bacterial growth quantification.

准确的细菌定量对于研究微生物发病机制、宿主-病原体相互作用和治疗干预至关重要。两种广泛使用的方法包括琼脂镀菌落形成单位(CFU)计数和液体肉汤培养的延时浊度法。虽然琼脂电镀仍然是体外和体内感染模型的金标准,但液体肉汤浊度法通常用于评估生长动力学,微生物适应性,抗生素敏感性和细菌遗传学。虽然存在菌株特异性CFU和浊度法(OD)校准研究,但对这些方法进行全面和系统的比较,以定量广泛的临床相关病原体,在很大程度上仍未探索。在这里,我们对琼脂平板法和液体肉汤浊度法进行了头对头的比较,以量化肺炎克雷伯菌、铜绿假单胞菌和金黄色葡萄球菌在体外的生长,并利用肺炎克雷伯菌肺部感染的小鼠模型评估它们在体内的表现。在所有测试的病原体中,两种方法在很宽的动态范围内(6-7 log10稀释度)表现出很强的相关性。液体肉汤浊度法在低细菌密度下显示出更高的灵敏度,以及更高的精度。在小鼠体内肺炎模型中,该方法更准确地区分了野生型和toll样受体4敲除小鼠感染部位(肺)和传播部位(脾)的细菌负荷。总的来说,液体肉汤比浊法是一种可靠的替代琼脂镀法,与细菌定量高度相关,精度更高,突出了其在细菌学和传染病研究中的潜在用途。重要性:准确的细菌定量是微生物学研究和临床诊断的基础。虽然琼脂电镀是广泛使用的方法,但我们的研究表明,液体肉汤浊度法可以提供准确的细菌定量,这是微生物学研究和临床诊断的基础。虽然琼脂电镀是广泛使用的方法,但我们的研究表明,液体肉汤浊度法为定量多种临床相关的细菌病原体提供了一种高度相关且更精确的方法,包括在处理低细菌密度的情况下。提高的灵敏度和精度可能对早期感染检测,监测治疗效果以及在研究环境中了解微生物动力学有价值,即使是低密度微生物也必须准确定量。研究结果支持考虑液体肉汤浊度法作为细菌生长定量的补充或替代方法。
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引用次数: 0
Characterization of the bacteriophage vB_KpnP_Henu1_3 lytic for K1 Klebsiella pneumoniae and its therapeutic efficacy in Galleria mellonella larvae and mice. 噬菌体vB_KpnP_Henu1_3对K1肺炎克雷伯菌的溶解特性及其对mellonera幼虫和小鼠的治疗效果。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2026-01-06 DOI: 10.1128/spectrum.00931-25
Yuan Zhang, Lin Shi, Fang Zhou, Jiaqi Li, Mengzhe Liu, Shuai Guo, Xiaoyu Shi, Xinwei Zhang, Dongliang Qiao, Jiangfeng Zhang, Kexiao Wang, Tieshan Teng, Youhua Yuan, Qiming Li, Shanmei Wang

New anti-infective therapies are urgently needed for the treatment of drug-resistant bacterial infections in the context of the rapid spread of drug resistance. Phages, the natural enemies of bacteria, have irreplaceable advantages in the treatment of bacterial infections. Here, we report a novel phage, vB_KpnP_Henu1_3, that specifically lyses capsule-type K1 Klebsiella pneumoniae. The phage vB_KpnP_Henu1_3 shows relatively favorable thermal stability (4°C-55°C) and pH tolerance (pH = 4-11). In addition, the optimal multiplicity of infection is 0.01, with a burst size of approximately 253 ± 54 PFU/cell. Genomic analysis reveals that phage vB_KpnP_Henu1_3 contains double-stranded DNA (total length of 49,808 bp) with a G + C content of 50.76%, and the genome comprises 75 open reading frames with no virulence- or antibiotic resistance-related genes. Transmission electron microscopy observations revealed that phage vB_KpnP_Henu1_3 possessed an icosahedral head and siphovirus morphology. Based on the genome sequence, phage vB_KpnP_Henu1_3 could be assigned to a new species in the genus Webervirus of the family Drexlerviridae. Furthermore, phage vB_KpnP_Henu1_3 rapidly inhibits the growth of K. pneumoniae within 4 h, prevents biofilm formation, and disrupts mature biofilms in vitro. In infection animal models, phage vB_KpnP_Henu1_3 significantly increases the survival rate of K. pneumoniae-infected Galleria mellonella larvae and mice while reducing the bacterial loads. These findings demonstrate that phage vB_KpnP_Henu1_3 has promising potential as a safe alternative for controlling and treating multidrug-resistant K1-type K. pneumoniae infections.IMPORTANCEThe widespread use of antibiotics has led to increasing antibiotic resistance, which is a growing global health concern. Therefore, the development of novel antimicrobial therapy that can cure drug-resistant bacteria-induced infections is imperative. Phages are of increasing interest as natural enemies of bacteria with clear advantages in antibacterial.

在耐药迅速蔓延的背景下,迫切需要新的抗感染疗法来治疗耐药细菌感染。噬菌体是细菌的天敌,在治疗细菌感染方面具有不可替代的优势。在这里,我们报道了一种新的噬菌体vB_KpnP_Henu1_3,它特异性地裂解胶囊型K1肺炎克雷伯菌。噬菌体vB_KpnP_Henu1_3表现出较好的热稳定性(4℃~ 55℃)和pH耐受性(pH = 4 ~ 11)。最佳感染倍数为0.01,爆发大小约为253±54 PFU/细胞。基因组分析显示,噬菌体vB_KpnP_Henu1_3含有双链DNA(总长度为49,808 bp), G + C含量为50.76%,基因组由75个开放阅读框组成,不含毒力或抗生素耐药性相关基因。透射电镜观察显示,噬菌体vB_KpnP_Henu1_3具有二十面体头部和虹膜病毒形态。根据基因组序列,噬菌体vB_KpnP_Henu1_3可归属于德雷克斯勒病毒科韦伯病毒属的一个新种。此外,噬菌体vB_KpnP_Henu1_3在4 h内迅速抑制肺炎克雷伯菌的生长,阻止生物膜的形成,并在体外破坏成熟的生物膜。在感染动物模型中,噬菌体vB_KpnP_Henu1_3显著提高了感染肺炎克雷伯菌的mellonella幼虫和小鼠的存活率,同时降低了细菌负荷。这些发现表明噬菌体vB_KpnP_Henu1_3作为控制和治疗多药耐药k1型肺炎克雷伯菌感染的安全替代品具有很大的潜力。抗生素的广泛使用导致抗生素耐药性增加,这是一个日益严重的全球健康问题。因此,开发能够治愈耐药细菌引起的感染的新型抗菌疗法势在必行。噬菌体作为细菌的天敌,在抗菌方面具有明显的优势,越来越受到人们的关注。
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引用次数: 0
The sero-prevalence and virulence determinants of Klebsiella pneumoniae isolated from urine in outpatient units: a 20-year collection from Taiwan as a herald for serotype vaccine selection. 门诊单位尿液中分离肺炎克雷伯菌的血清流行率和毒力决定因素:台湾20年的收集作为血清型疫苗选择的先驱。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2025-12-11 DOI: 10.1128/spectrum.02633-25
Sheng-Kang Chiu, Esther Yip-Mei Liu, Fu-Mei Lin, Jia-Je Li, Yu-Kuo Tsai, Chu-Hsuan Cheng, Ching Hsun Wang, Feng-Yee Chang, Jung-Chung Lin, L Kristopher Siu

This study analyzed 570 non-duplicate Klebsiella pneumoniae isolates (n = 570) from outpatient urine cultures collected between 1998 and 2018 through the Taiwan Surveillance of Antimicrobial Resistance (TSAR) program. Serotyping, antimicrobial susceptibility testing, and virulence gene profiling were performed. Results were compared with 521 previously reported bloodstream isolates collected in 1998, 2008, and 2018. The most common urinary tract infection (UTI) serotypes were K2, K64, K62, K1, and K25, with non-typeable isolates comprising 19.3%. Compared to bloodstream isolates, non-typeable strains were more frequent in UTIs, while K1 and K2 were more common in bloodstream infections. Resistance to cephalosporins, carbapenems, and ciprofloxacin increased significantly after 2014. K64 showed over 72.2% resistance to cephalosporins and rising quinolone resistance. In contrast, K1 and K2 exhibited low resistance but carried the highest burden of virulence genes. Non-typeable isolates lacked virulence determinants, suggesting lower pathogenic potential. This 20-year analysis highlights the distinct serotype and resistance patterns in community-onset UTI isolates in Taiwan and underscores the importance of incorporating prevalent, drug-resistant serotypes into future vaccine strategies.

Importance: Klebsiella pneumoniae is an important cause of urinary tract infections in the community. With rising resistance to commonly used antibiotics, preventive strategies, such as vaccination, are urgently needed. This 20-year analysis provides detailed data on the distribution of bacterial types and their resistance patterns in Taiwan. The findings offer valuable insight for selecting vaccine targets that cover the most prevalent and drug-resistant strains, supporting the development of effective preventive tools against multidrug-resistant infections.

本研究分析了通过台湾省抗菌素耐药性监测(TSAR)计划收集的1998年至2018年门诊尿液培养的570株非重复肺炎克雷伯菌(n = 570)。进行血清分型、抗菌药物敏感性试验和毒力基因谱分析。结果与先前报道的1998年、2008年和2018年收集的521株血液分离株进行了比较。最常见的尿路感染(UTI)血清型为K2、K64、K62、K1和K25,不可分型的分离株占19.3%。与血液分离株相比,非分型菌株在尿路感染中更为常见,而K1和K2在血液感染中更为常见。2014年后对头孢菌素、碳青霉烯类和环丙沙星的耐药性明显增加。K64对头孢菌素耐药率超过72.2%,喹诺酮类药物耐药率上升。相比之下,K1和K2表现出较低的抗性,但携带的毒力基因最多。不可分型的分离株缺乏毒力决定因素,表明致病潜力较低。这项为期20年的分析强调了台湾社区发病尿路感染分离株的不同血清型和耐药模式,并强调了将流行的耐药血清型纳入未来疫苗战略的重要性。重要性:肺炎克雷伯菌是社区尿路感染的重要原因。随着对常用抗生素的耐药性不断上升,迫切需要预防策略,如疫苗接种。这20年的分析提供了台湾细菌种类分布及其耐药模式的详细资料。这些发现为选择涵盖最普遍和耐药菌株的疫苗靶点提供了宝贵的见解,支持开发针对耐多药感染的有效预防工具。
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引用次数: 0
Epidemiological and functional insights into iroBCDN loss in ST11 carbapenem-resistant hypervirulent Klebsiella pneumoniae. ST11耐碳青霉烯高致病性肺炎克雷伯菌iroBCDN丢失的流行病学和功能见解
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2025-12-15 DOI: 10.1128/spectrum.02479-25
Jiawei Ding, Muli Xu, Mengying Zhang, Jiyong Chang, Zidan Hu, Yan Yu, Yao Yao, Ni Shen, Wenlin Tai, Lei Feng

Carbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-hvKP) has emerged as a major public health threat due to its high virulence, multidrug resistance, and increasing global prevalence. However, the molecular characteristics and adaptive mechanisms underlying the CR-hvKP pathogenesis remain poorly understood. In this study, we collected 217 CRKP isolates from a tertiary hospital and identified 46 as CR-hvKP. Genomic analysis revealed that the majority of CR-hvKP strains belonged to ST11-KL64 (48.7%, 20/46) and ST11-KL25 (46.3%, 19/46), followed by ST11-KL47 (4.8%, 2/46). Interestingly, while iroBCDN was present in various sequence types, it was found in ST11 strains only with the KL47 capsule type, which showed high virulence in Galleria mellonella models. To investigate the biological role of iroBCDN, we constructed an iroBCDN deletion mutant and a complemented strain in an ST11-KL47 background. The lactate dehydrogenase cytotoxicity assays and G. mellonella infection models revealed no significant difference in virulence among the wild-type, knockout, and complemented strains. Remarkably, phenotypic assays showed that the iroBCDN deletion mutant exhibited enhanced growth fitness, competitive advantage, oxidative stress resistance, and survival in human whole blood. Transcriptomic analysis revealed that iroBCDN deletion led to the upregulation of genes involved in oxidative stress response, capsule biosynthesis, and energy metabolism, while genes related to fimbrial assembly and carbon metabolism were downregulated. These findings suggest that the loss of iroBCDN does not attenuate virulence in ST11 CR-hvKP but instead enhances its environmental adaptability, potentially contributing to the persistence and dissemination of epidemic clones.IMPORTANCEThe emergence of carbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-hvKP) poses a severe global health threat. This study reveals a critical paradox: deletion of the iroBCDN locus traditionally associated with virulence does not attenuate pathogenicity in ST11-KL47 CR-hvKP. Instead, its loss significantly enhances bacterial fitness by improving growth competitiveness, oxidative stress resistance, and survival in human blood. It demonstrates how loss of specific genetic elements may facilitate the dominance of high-risk clones like ST11-KL64/KL25 by optimizing environmental adaptation and persistence-key factors in hospital transmission. Understanding this fitness trade-off is vital for developing strategies against resilient CR-hvKP epidemics.

耐碳青霉烯高毒力肺炎克雷伯菌(CR-hvKP)由于其高毒力、多药耐药性和全球流行率不断上升,已成为主要的公共卫生威胁。然而,CR-hvKP发病机制的分子特征和适应性机制仍然知之甚少。在本研究中,我们从某三级医院收集了217株CRKP,鉴定为CR-hvKP的46株。基因组分析显示,CR-hvKP菌株主要属于ST11-KL64(48.7%, 20/46)和ST11-KL25(46.3%, 19/46),其次是ST11-KL47(4.8%, 2/46)。有趣的是,虽然iroBCDN存在于各种序列类型中,但仅在ST11菌株中发现了KL47胶囊型,这在mellonella模型中显示出高毒力。为了研究iroBCDN的生物学作用,我们在ST11-KL47背景下构建了一个iroBCDN缺失突变体和一个互补菌株。乳酸脱氢酶细胞毒性试验和大麦香杆菌感染模型显示,野生型、敲除型和补充型菌株的毒力没有显著差异。值得注意的是,表型分析显示iroBCDN缺失突变体在人全血中表现出增强的生长适应性、竞争优势、抗氧化应激能力和存活率。转录组学分析显示,iroBCDN缺失导致参与氧化应激反应、胶囊生物合成和能量代谢的基因上调,而与毛层组装和碳代谢相关的基因下调。这些发现表明,iroBCDN的缺失并不会减弱ST11 CR-hvKP的毒力,反而会增强其环境适应性,可能有助于流行病克隆的持续存在和传播。碳青霉烯耐药高致病性肺炎克雷伯菌(CR-hvKP)的出现对全球健康构成严重威胁。这项研究揭示了一个关键的悖论:删除传统上与毒力相关的iroBCDN位点并不会减弱ST11-KL47 CR-hvKP的致病性。相反,它的缺失通过提高生长竞争力、抗氧化应激能力和在人体血液中的生存能力,显著增强了细菌的适应性。它证明了特定遗传元素的缺失如何通过优化环境适应和持久性关键因素在医院传播中促进ST11-KL64/KL25等高风险克隆的优势。了解这种适应性权衡对于制定应对韧性CR-hvKP流行病的战略至关重要。
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引用次数: 0
First report of an Escherichia coli ST131 clinical isolate co-harboring blaKPC-2 and blaNDM-13 on an IncB/O/K/Z plasmid in China. 国内首次报道在IncB/O/K/Z质粒上共携带blaKPC-2和blaNDM-13的大肠杆菌ST131临床分离株。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2025-12-18 DOI: 10.1128/spectrum.00528-25
Yi-Yu Lyu, Jie-Hao Tai, Cui-Ying Guo, Yin-Yin Zhang, Yao Chen, Qiang Zhou, Wen-Wen Chu, Yi-Le Wu
<p><p>In carbapenem-resistant <i>Enterobacteriaceae</i>, the co-occurrence of carbapenem resistance genes poses a significant threat to global public health. This study investigated the phenotypic and genotypic characteristics of a clinical carbapenem-resistant <i>Escherichia coli</i> strain B5, which harbors both <i>bla</i><sub>KPC-2</sub> and <i>bla</i><sub>NDM-13</sub>. Antimicrobial susceptibility testing and plasmid conjugation assays were performed on isolate B5, using <i>E. coli</i> J53 (a standard recipient strain resistant to sodium azide) as the recipient, whereas passaging experiments and growth rate determination were conducted on J53 (pB5-KPC-NDM). Genetic characteristics of B5 were analyzed via whole-genome sequencing (WGS). B5 exhibits an extensive multidrug resistance phenotype, with susceptibility only to tigecycline and colistin. WGS revealed that B5 belongs to ST131, carries 11 plasmids, and co-harbors <i>bla</i><sub>KPC-2</sub> and <i>bla</i><sub>NDM-13</sub> on the IncB/O/K/Z plasmid pB5-KPC-NDM. This plasmid also exhibited considerable stability in J53 (pB5-KPC-NDM), with a retention rate of 74% (37/50) after 10 days of serial passage in antibiotic-free medium. Compared with the recipient strain J53, J53 (pB5-KPC-NDM) imposed a low fitness cost. Additionally, WGS further identified multiple additional resistance genes on pB5-KPC-NDM. Comparative analysis showed that <i>bla</i><sub>KPC-2</sub> resides within Tn<i>6296</i> derivatives and <i>bla</i><sub>NDM-13</sub> within Tn<i>125</i> derivatives on pB5-KPC-NDM, featuring both conserved and unique flanking contexts. Core structures potentially enabling horizontal transfer were identified: ∆Tn<i>6376-bla</i><sub>KPC-2</sub>-∆IS<i>Kpn6-korC-klcA-∆repB</i>-∆Tn<i>1722</i>-5' for <i>bla</i><sub>KPC-2</sub> and IS<i>1294</i>-∆IS<i>Aba125-bla</i><sub>NDM-13</sub>-<i>ble</i><sub>MBL</sub>-<i>trpF-nagA</i> for <i>bla</i><sub>NDM-13</sub>. Notably, IS<i>1294</i> (IS<i>91</i> family), replaces IS<i>Aba125</i>, is likely to mobilize <i>bla</i><sub>NDM-13</sub>. In conclusion, the pB5-KPC-NDM plasmid poses a severe threat due to its extensive resistance profile, high transferability, and low fitness cost, urging immediate intervention to prevent its dissemination.</p><p><strong>Importance: </strong>Antimicrobial resistance has become a serious global public health concern, severely limiting therapeutic options. The global proliferation of carbapenem-resistant <i>Enterobacteriaceae</i>, driven by plasmid-mediated horizontal gene transfer of carbapenemase-encoding elements, constitutes a critical antimicrobial resistance crisis. This study provides the first evidence of <i>bla</i><sub>KPC-2</sub> and <i>bla</i><sub>NDM-13</sub> co-occurring on an IncB/O/K/Z plasmid (pB5-KPC-NDM), as well as the first detection of these genes in a clinical <i>Escherichia coli</i> isolate (B5). Phenotypic and genotypic analyses demonstrate efficient horizontal transfer capacity and stability across bacterial
在碳青霉烯耐药肠杆菌科中,碳青霉烯耐药基因的共存对全球公共卫生构成重大威胁。本研究研究了含有blaKPC-2和blaNDM-13的临床耐碳青霉烯大肠杆菌B5菌株的表型和基因型特征。以耐叠氮化钠标准受体菌株大肠杆菌J53为受体,对分离物B5进行药敏试验和质粒偶联试验,对J53 (pB5-KPC-NDM)进行传代实验和生长速率测定。通过全基因组测序(WGS)分析B5的遗传特征。B5表现出广泛的多药耐药表型,仅对替加环素和粘菌素敏感。WGS结果显示B5属于ST131,携带11个质粒,在IncB/O/K/Z质粒pB5-KPC-NDM上共携带blaKPC-2和blaNDM-13。该质粒在J53 (pB5-KPC-NDM)中也表现出相当大的稳定性,在无抗生素培养基中连续传代10天后,其保留率为74%(37/50)。与受体菌株J53相比,J53 (pB5-KPC-NDM)的适应度成本较低。此外,WGS进一步鉴定了pB5-KPC-NDM的多个抗性基因。对比分析表明,blaKPC-2位于pB5-KPC-NDM的Tn6296衍生物中,blaNDM-13位于Tn125衍生物中,具有保守性和独特的侧翼上下文。确定了可能实现水平转移的核心结构:∆Tn6376-blaKPC-2-∆ISKpn6-korC-klcA-∆repB-∆Tn1722-5'为blaKPC-2, IS1294-∆isaba125 -blaNDM-13- blemll - trpf - naga为blaNDM-13。值得注意的是,IS1294 (IS91家族)取代了ISAba125,可能会调动blaNDM-13。综上所述,pB5-KPC-NDM质粒具有广泛的抗性、高可转移性和低适应度成本等特点,具有严重的威胁,需要立即采取干预措施防止其传播。重要性:抗微生物药物耐药性已成为一个严重的全球公共卫生问题,严重限制了治疗选择。碳青霉烯类耐药肠杆菌科细菌在质粒介导的碳青霉烯酶编码元件水平基因转移的驱动下在全球范围内的增殖,构成了严重的抗微生物药物耐药性危机。该研究首次提供了blaKPC-2和blaNDM-13在IncB/O/K/Z质粒(pB5-KPC-NDM)上共同发生的证据,并首次在临床大肠杆菌分离物(B5)中检测到这些基因。表型和基因型分析表明,pB5-KPC-NDM在细菌世代之间具有有效的水平转移能力和稳定性,促进了多药耐药的传播。这种双碳青霉烯酶共定位代表了耐药性传播潜力的关键升级,从而加剧了其在全球传播的威胁。这些发现强调了加强基因组监测计划和实施严格的感染控制措施的迫切需要,以减轻这种携带高风险碳青霉烯酶变体的多药耐药质粒的全球传播。
{"title":"First report of an <i>Escherichia coli</i> ST131 clinical isolate co-harboring <i>bla</i><sub>KPC-2</sub> and <i>bla</i><sub>NDM-13</sub> on an IncB/O/K/Z plasmid in China.","authors":"Yi-Yu Lyu, Jie-Hao Tai, Cui-Ying Guo, Yin-Yin Zhang, Yao Chen, Qiang Zhou, Wen-Wen Chu, Yi-Le Wu","doi":"10.1128/spectrum.00528-25","DOIUrl":"10.1128/spectrum.00528-25","url":null,"abstract":"&lt;p&gt;&lt;p&gt;In carbapenem-resistant &lt;i&gt;Enterobacteriaceae&lt;/i&gt;, the co-occurrence of carbapenem resistance genes poses a significant threat to global public health. This study investigated the phenotypic and genotypic characteristics of a clinical carbapenem-resistant &lt;i&gt;Escherichia coli&lt;/i&gt; strain B5, which harbors both &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;KPC-2&lt;/sub&gt; and &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;NDM-13&lt;/sub&gt;. Antimicrobial susceptibility testing and plasmid conjugation assays were performed on isolate B5, using &lt;i&gt;E. coli&lt;/i&gt; J53 (a standard recipient strain resistant to sodium azide) as the recipient, whereas passaging experiments and growth rate determination were conducted on J53 (pB5-KPC-NDM). Genetic characteristics of B5 were analyzed via whole-genome sequencing (WGS). B5 exhibits an extensive multidrug resistance phenotype, with susceptibility only to tigecycline and colistin. WGS revealed that B5 belongs to ST131, carries 11 plasmids, and co-harbors &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;KPC-2&lt;/sub&gt; and &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;NDM-13&lt;/sub&gt; on the IncB/O/K/Z plasmid pB5-KPC-NDM. This plasmid also exhibited considerable stability in J53 (pB5-KPC-NDM), with a retention rate of 74% (37/50) after 10 days of serial passage in antibiotic-free medium. Compared with the recipient strain J53, J53 (pB5-KPC-NDM) imposed a low fitness cost. Additionally, WGS further identified multiple additional resistance genes on pB5-KPC-NDM. Comparative analysis showed that &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;KPC-2&lt;/sub&gt; resides within Tn&lt;i&gt;6296&lt;/i&gt; derivatives and &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;NDM-13&lt;/sub&gt; within Tn&lt;i&gt;125&lt;/i&gt; derivatives on pB5-KPC-NDM, featuring both conserved and unique flanking contexts. Core structures potentially enabling horizontal transfer were identified: ∆Tn&lt;i&gt;6376-bla&lt;/i&gt;&lt;sub&gt;KPC-2&lt;/sub&gt;-∆IS&lt;i&gt;Kpn6-korC-klcA-∆repB&lt;/i&gt;-∆Tn&lt;i&gt;1722&lt;/i&gt;-5' for &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;KPC-2&lt;/sub&gt; and IS&lt;i&gt;1294&lt;/i&gt;-∆IS&lt;i&gt;Aba125-bla&lt;/i&gt;&lt;sub&gt;NDM-13&lt;/sub&gt;-&lt;i&gt;ble&lt;/i&gt;&lt;sub&gt;MBL&lt;/sub&gt;-&lt;i&gt;trpF-nagA&lt;/i&gt; for &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;NDM-13&lt;/sub&gt;. Notably, IS&lt;i&gt;1294&lt;/i&gt; (IS&lt;i&gt;91&lt;/i&gt; family), replaces IS&lt;i&gt;Aba125&lt;/i&gt;, is likely to mobilize &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;NDM-13&lt;/sub&gt;. In conclusion, the pB5-KPC-NDM plasmid poses a severe threat due to its extensive resistance profile, high transferability, and low fitness cost, urging immediate intervention to prevent its dissemination.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Importance: &lt;/strong&gt;Antimicrobial resistance has become a serious global public health concern, severely limiting therapeutic options. The global proliferation of carbapenem-resistant &lt;i&gt;Enterobacteriaceae&lt;/i&gt;, driven by plasmid-mediated horizontal gene transfer of carbapenemase-encoding elements, constitutes a critical antimicrobial resistance crisis. This study provides the first evidence of &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;KPC-2&lt;/sub&gt; and &lt;i&gt;bla&lt;/i&gt;&lt;sub&gt;NDM-13&lt;/sub&gt; co-occurring on an IncB/O/K/Z plasmid (pB5-KPC-NDM), as well as the first detection of these genes in a clinical &lt;i&gt;Escherichia coli&lt;/i&gt; isolate (B5). Phenotypic and genotypic analyses demonstrate efficient horizontal transfer capacity and stability across bacterial ","PeriodicalId":18670,"journal":{"name":"Microbiology spectrum","volume":" ","pages":"e0052825"},"PeriodicalIF":3.8,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12889035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishment and characterization of a replication-restricted modified African swine fever virus. 一种限制复制的改良非洲猪瘟病毒的建立和鉴定。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2025-12-23 DOI: 10.1128/spectrum.02229-25
Tomoya Kitamura, Kentaro Masujin, Mitsutaka Ikezawa, Takehiro Kokuho

African swine fever is a fatal, febrile, infectious disease that affects pigs and wild boars and is caused by infection with African swine fever virus (ASFV). The current pandemic strain, belonging to genotype II, first emerged in Georgia in 2007 and subsequently spread across Russia, Europe, Asia, and the Caribbean. Developing live attenuated viruses represents the most promising vaccine strategy; however, biosafety and biosecurity concerns due to long-term persistence of attenuated viruses in immunized animals may lead to secondary transmission or reversion to virulence. To address this concern, we developed a replication-restricted ASFV by deleting the S273R gene that encodes an essential factor for core shell formation and viral maturation within host cells. The resulting strain, AQSΔS273R, was unable to replicate in natural host cells because these cells lack a gene that complements the function of S273R. To enable propagation of infectious progeny in vitro, we established S273R gene-complemented immortalized porcine kidney macrophages, which are competent to support virus production. In animal trials, pigs immunized with AQSΔS273R exhibited no clinical signs or viremia. In the challenge study, vaccination with replication-restricted ASFV (AQSΔS273R) conferred approximately 30% protection, with partial reduction of clinical signs compared with controls. These findings demonstrate the feasibility of a novel approach for developing replication-restricted ASFV vaccine candidates with enhanced biological safety.IMPORTANCETo date, no reliable African swine fever (ASF) vaccines are available. Although some attenuated African swine fever viruses (ASFVs) have been approved for field applications and have attracted attention as potential vaccine candidates, their long-term persistence in inoculated animals raises concerns about virulence reversion or genetic recombination in field settings. In this study, we developed a novel approach to generate safer vaccines by creating a replication-restricted, S273R gene-deleted virus in combination with genetically modified host cells stably expressing the S273R gene. Not only did this mutant virus fail to induce any clinical signs in immunized pigs, but it also partially protected them against challenge with virulent ASFV. These results demonstrate that this newly developed replication-restricted ASFV strain is expected to be a promising and biologically safe vaccine candidate against ASF.

非洲猪瘟是一种致命的发热性传染病,影响猪和野猪,由非洲猪瘟病毒(ASFV)感染引起。目前的大流行毒株属于基因II型,2007年首次在格鲁吉亚出现,随后蔓延到俄罗斯、欧洲、亚洲和加勒比地区。研制减毒活病毒是最有希望的疫苗策略;然而,由于减毒病毒在免疫动物中长期持续存在而引起的生物安全和生物安全问题可能导致继发性传播或恢复毒性。为了解决这一问题,我们通过删除宿主细胞内编码核壳形成和病毒成熟的重要因子的S273R基因,开发了一种复制限制性ASFV。由此产生的菌株AQSΔS273R无法在自然宿主细胞中复制,因为这些细胞缺乏一种补充S273R功能的基因。为了使感染后代能够在体外繁殖,我们建立了S273R基因补充的永活猪肾巨噬细胞,该细胞能够支持病毒的产生。在动物试验中,接种AQSΔS273R疫苗的猪没有表现出任何临床症状或病毒血症。在挑战研究中,接种限制复制的ASFV疫苗(AQSΔS273R)可提供约30%的保护,与对照组相比,临床症状部分减少。这些发现证明了开发具有增强生物安全性的限制复制ASFV候选疫苗的新方法的可行性。迄今为止,还没有可靠的非洲猪瘟(ASF)疫苗。尽管一些减毒非洲猪瘟病毒(asfv)已被批准用于野外应用,并作为潜在的候选疫苗引起了人们的关注,但它们在接种动物体内的长期存在引起了人们对野外环境中毒力逆转或基因重组的担忧。在这项研究中,我们开发了一种新的方法来生产更安全的疫苗,通过创建复制受限,S273R基因缺失的病毒与稳定表达S273R基因的转基因宿主细胞结合。这种突变病毒不仅不能在免疫猪中引起任何临床症状,而且还能部分保护它们免受强毒ASFV的攻击。这些结果表明,这种新开发的复制限制性ASFV毒株有望成为一种有希望的、生物安全的ASF候选疫苗。
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引用次数: 0
Regression-based modeling of pairwise genomic linkage data identifies risk factors for healthcare-associated pathogen transmission: application to carbapenem-resistant Klebsiella pneumoniae transmission in a long-term care facility. 基于回归的两两基因组连锁数据建模确定了卫生保健相关病原体传播的危险因素:应用于长期护理机构中耐碳青霉烯肺炎克雷伯菌的传播。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2026-01-12 DOI: 10.1128/spectrum.02452-25
Hannah Steinberg, Timileyin Adediran, Mary K Hayden, Evan Snitkin, Jon Zelner

Pathogen whole-genome sequencing (WGS) has significant potential for improving healthcare-associated infection (HAI) outcomes. However, methods for integrating WGS with epidemiologic data to quantify risks for pathogen spread remain underdeveloped. To identify analytic strategies for conducting WGS-based HAI surveillance in high-burden settings, we modeled patient- and facility-level transmission risks of carbapenem-resistant Klebsiella pneumoniae (CRKP) in a long-term acute care hospital (LTACH). Using rectal surveillance data collected over 1 year, we fit three pairwise regression models with three different metrics of genomic relatedness for pairs of case isolates, a proxy for transmission linkage: (i) single-nucleotide variant genomic distance, (ii) closest genomic donor, and (iii) common genomic cluster. To assess the performance of these approaches under real-world conditions defined by passive surveillance, we conducted a sensitivity study including only cases detected by admission surveillance or clinical symptoms. Genomic relatedness between pairs of isolates was associated with room sharing in two of the three models and overlapping stays on a high-acuity unit in all models, echoing previous findings from LTACH settings. In our sensitivity analysis, qualitative findings were robust to the exclusion of cases that would not have been identified with a passive surveillance strategy; however, uncertainty in all estimates also increased markedly. Taken together, our results demonstrate that pairwise regression models combining relevant genomic and epidemiologic data are useful tools for identifying HAI transmission risks.IMPORTANCEWhole-genome sequencing of healthcare-associated infections (HAIs) is becoming more common, and new methods are necessary to integrate these data with epidemiologic risk factors to quantify transmission drivers. We demonstrate how pairwise regression models, in which the outcome of a regression model represents genomic similarity between a pair of isolates, can identify known transmission risk factors of carbapenem-resistant Klebsiella pneumoniae in a long-term acute care facility. Such pairwise regression models could be used with rich epidemiologic data in other settings to identify important risk factors of endemic HAI transmission.

病原体全基因组测序(WGS)在改善医疗保健相关感染(HAI)结果方面具有重要的潜力。然而,将WGS与流行病学数据相结合以量化病原体传播风险的方法仍然不发达。为了确定在高负担环境中开展基于wgs的HAI监测的分析策略,我们模拟了长期急性护理医院(LTACH)耐碳青霉烯肺炎克雷伯菌(CRKP)在患者和机构层面的传播风险。利用收集超过1年的直肠监测数据,我们对病例分离物对的三种不同的基因组相关性指标拟合了三个成对回归模型,这是传播连锁的代理:(i)单核苷酸变异基因组距离,(ii)最接近的基因组供体,(iii)共同基因组簇。为了评估这些方法在被动监测定义的现实条件下的性能,我们进行了一项敏感性研究,仅包括通过入院监测或临床症状检测到的病例。对分离株之间的基因组亲缘关系与三个模型中的两个模型的房间共享和所有模型的高敏度单元的重叠住宿有关,这与先前LTACH设置的发现相呼应。在我们的敏感性分析中,定性结果是可靠的,排除了被动监测策略无法识别的病例;然而,所有估计的不确定性也显著增加。综上所述,我们的研究结果表明,结合相关基因组和流行病学数据的两两回归模型是识别HAI传播风险的有用工具。医疗保健相关感染(HAIs)的全基因组测序正变得越来越普遍,需要新的方法将这些数据与流行病学危险因素结合起来,以量化传播驱动因素。我们展示了两两回归模型,其中回归模型的结果代表了一对分离株之间的基因组相似性,可以识别长期急性护理设施中碳青霉烯耐药肺炎克雷伯菌的已知传播危险因素。这种两两回归模型可以在其他环境中与丰富的流行病学数据一起使用,以确定地方性HAI传播的重要危险因素。
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引用次数: 0
Profiling of BDQ-induced transcriptome suggests amino acid metabolism and stress responses as alternate mechanisms contributing to BDQ tolerance in Mycobacterium tuberculosis. BDQ诱导的转录组分析表明,氨基酸代谢和应激反应是促进结核分枝杆菌BDQ耐受性的替代机制。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2025-12-16 DOI: 10.1128/spectrum.01455-25
Dania Khalid Saeed, Sadia Shakoor, Javaria Ashraf, Zahra Hasan, Rumina Hasan

Under bedaquiline (BDQ) pressure, a temporary persistence period (24-96 h) has been observed, during which H37Rv undergoes metabolic rerouting. However, little is known of transcriptomic changes in BDQ-resistant Mycobacterium tuberculosis (Mtb) isolates during this period. We explored transcriptomic adaptations occurring under inhibitory concentrations of BDQ to delineate pathways supporting drug tolerance and contributing to BDQ resistance. We report overexpression of genes involved in the biosynthesis of L-arginine and L-cysteine in our study isolates. Among stress response genes, genes from the suf operon, involved in Fe-S biogenesis, were upregulated in the study isolates. Differentially expressed amino acid gene clusters likely indicate an under-recognized metabolic pathway contributing to BDQ persistence in the study clinical isolates. Furthermore, Fe-S stress response activated under BDQ pressure may be of particular interest as a mechanism broadly used by Mtb in mitigating different environmental stresses. We propose that these pathways should be explored further as potential drug targets.

Importance: Keeping in mind the complex interplay between mutations, gene expression, and drug resistance, knowledge of pathways induced under bedaquiline (BDQ) stress in BDQ-resistant clinical Mycobacterium tuberculosis (Mtb) isolates is limited. Furthermore, focusing on mechanisms supporting tolerance can help identify potential targets for drugs that act against dormant bacilli or select synergistic drug combinations. Such information may be useful in identifying other alternate mechanisms of resistance and tolerance. Our study explores changes occurring in the transcriptome of BDQ-resistant isolates exposed to inhibitory concentrations of BDQ under a specific tolerance time point. Our study identifies differentially expressed pathways and genes that are: (i) similarly expressed in both H37Rv strain and clinical isolates, (ii) expressed only in clinical isolates, and (iii) reported to be similarly induced by literature in Mtb exposed to other anti-tuberculosis drugs. These genes and pathways present themselves as potential markers that may have diagnostic, prognostic, and therapeutic value that can be explored further.

在贝达喹啉(BDQ)压力下,观察到H37Rv有一段短暂的持续期(24-96 h),在此期间,H37Rv经历了代谢重定向。然而,在此期间,对bdq耐药结核分枝杆菌(Mtb)分离株的转录组学变化知之甚少。我们探索了BDQ抑制浓度下发生的转录组适应,以描绘支持药物耐受性和促进BDQ抗性的途径。我们报告了在我们的研究分离株中参与l -精氨酸和l -半胱氨酸生物合成的基因过表达。在胁迫应答基因中,参与Fe-S生物发生的次操纵子基因在研究菌株中表达上调。差异表达的氨基酸基因簇可能表明,在研究的临床分离株中,一个未被识别的代谢途径有助于BDQ的持续存在。此外,在BDQ压力下激活的Fe-S应力响应可能是Mtb广泛用于减轻不同环境应力的机制。我们建议应进一步探索这些途径作为潜在的药物靶点。重要性:考虑到突变、基因表达和耐药之间复杂的相互作用,对BDQ耐药临床结核分枝杆菌(Mtb)分离株在贝达喹啉(BDQ)胁迫下诱导的途径的了解有限。此外,关注支持耐受性的机制可以帮助确定对休眠杆菌起作用的药物的潜在靶点或选择协同药物组合。这类信息可能有助于确定耐药和耐药的其他替代机制。我们的研究探讨了在特定耐受时间点暴露于BDQ抑制浓度的BDQ抗性分离株的转录组发生的变化。我们的研究确定了差异表达途径和基因:(i)在H37Rv菌株和临床分离株中表达相似,(ii)仅在临床分离株中表达,以及(iii)文献报道在暴露于其他抗结核药物的结核分枝杆菌中诱导相似。这些基因和途径作为潜在的标志物,可能具有诊断、预后和治疗价值,可以进一步探索。
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引用次数: 0
HeptaTB Dx: a diagnostic model leveraging cuproptosis-ferroptosis crosstalk for distinguishing latent from active tuberculosis. HeptaTB Dx:一种利用铜下垂-铁下垂串扰来区分潜伏结核和活动性结核的诊断模型。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2025-12-17 DOI: 10.1128/spectrum.02995-25
Linsheng Li, Peilong Wang, Zhiming Li, Guangliang Bai, Zhaoyang Ye, Ling Yang, Li Zhuang, Weiguo Sun, Wenping Gong
<p><p>Distinguishing latent tuberculosis infection (LTBI) from active tuberculosis (ATB) remains challenging. The roles of cuproptosis-ferroptosis crosstalk in TB immunopathology and diagnostic potential are unexplored. Transcriptomic data from Gene Expression Omnibus data sets (GSE37250/GSE28623) were analyzed to identify cuproptosis-/ferroptosis-related differentially expressed genes. Bioinformatics (limma, weighted gene co-expression network analysis) and machine learning (LASSO, SVM-RFE) screened key biomarkers. A logistic regression model (HeptaTB Dx Model) was developed and validated in independent cohorts. Real-world validation included RNA-seq (<i>n</i> = 20) and reverse transcription quantitative polymerase chain reaction (RT-qPCR) cohorts (HC/LTBI/ATB, <i>n</i> = 111). Immune cell infiltration (ssGSEA/CIBERSORT) and consensus clustering elucidated mechanisms. We identified seven core biomarkers (MT1G, SCO2, CREB5, MGST1, PARP9, ATF3, and MUC1) regulating cuproptosis-ferroptosis interplay. HeptaTB Dx achieved exceptional performance: training, area under the curve (AUC) = 0.963 (sensitivity 0.928, specificity 0.897) and validation, AUC = 0.930 (sensitivity 0.920, specificity 0.870). Real-world RT-qPCR validation confirmed significant differential expression for 5/7 genes (CREB5, ATF3, MT1G, PARP9, and MGST1; <i>P</i> < 0.05) and model AUC = 0.778. Mechanistically, these genes formed a cooperative network linking immune regulation (ATF3/PARP9), ferroptosis suppression (MT1G/MGST1), barrier function (MUC1), and cuproptosis-metabolism (SCO2). CREB5 correlated with neutrophil infiltration (R = 0.83, <i>P</i> < 0.001), validating ferroptosis-immune crosstalk. LTBI subtypes exhibited divergent lipid metabolism-ferroptosis coupling and antiviral pathway enrichment. The HeptaTB Dx Model is the first diagnostic tool leveraging cuproptosis-ferroptosis crosstalk, offering high accuracy and mechanistic insights for LTBI management.</p><p><strong>Importance: </strong>The differentiation between latent tuberculosis infection (LTBI) and active tuberculosis (TB) is a persistent challenge in global TB control, with current diagnostics failing to reliably distinguish these states or predict progression. This study introduces the HeptaTB Dx Model, the first diagnostic signature derived from the crosstalk between cuproptosis and ferroptosis-two metal-dependent regulated cell death pathways with emerging roles in <i>Mycobacterium tuberculosis</i> pathogenesis. By integrating seven key genes (MT1G, SCO2, CREB5, MGST1, PARP9, ATF3, and MUC1), the model achieves high diagnostic accuracy (area under the curve up to 0.963) and provides mechanistic insights into immune-metabolic dysregulation during TB infection. Validated in both public datasets and prospective clinical cohorts, HeptaTB Dx offers a scalable, transcriptome-based tool that outperforms existing single-pathway models and protein-based assays. This work not only advances TB diagnostics but also illumi
区分潜伏性结核感染(LTBI)和活动性结核(ATB)仍然具有挑战性。铜下垂-铁下垂串扰在TB免疫病理和诊断潜力中的作用尚未探索。对来自基因表达综合数据库(GSE37250/GSE28623)的转录组学数据进行分析,以确定铜残/铁残相关的差异表达基因。生物信息学(limma,加权基因共表达网络分析)和机器学习(LASSO, SVM-RFE)筛选关键生物标志物。建立了逻辑回归模型(HeptaTB Dx模型),并在独立队列中进行了验证。实际验证包括RNA-seq (n = 20)和逆转录定量聚合酶链反应(RT-qPCR)队列(HC/LTBI/ATB, n = 111)。免疫细胞浸润(ssGSEA/CIBERSORT)和共识聚类阐明了机制。我们确定了7个核心生物标志物(MT1G、SCO2、CREB5、MGST1、PARP9、ATF3和MUC1)调节铜沉-铁下垂相互作用。HeptaTB Dx取得了优异的成绩:训练时曲线下面积(AUC) = 0.963(灵敏度0.928,特异性0.897),验证时AUC = 0.930(灵敏度0.920,特异性0.870)。真实世界RT-qPCR验证证实5/7个基因(CREB5、ATF3、MT1G、PARP9和MGST1)的差异表达显著,P < 0.05,模型AUC = 0.778。在机制上,这些基因形成了一个连接免疫调节(ATF3/PARP9)、铁下垂抑制(MT1G/MGST1)、屏障功能(MUC1)和铁下垂代谢(SCO2)的合作网络。CREB5与中性粒细胞浸润相关(R = 0.83, P < 0.001),证实了嗜铁-免疫串扰。LTBI亚型表现出不同的脂质代谢-铁下垂耦合和抗病毒途径富集。HeptaTB Dx模型是第一个利用铜粪-铁下垂串扰的诊断工具,为LTBI管理提供高精度和机制见解。重要性:区分潜伏性结核病感染(LTBI)和活动性结核病(TB)是全球结核病控制的一个持续挑战,目前的诊断方法无法可靠地区分这些状态或预测进展。这项研究引入了HeptaTB Dx模型,这是第一个诊断信号,来自铜腐病和铁腐病之间的串音,这两种金属依赖的调节细胞死亡途径在结核分枝杆菌的发病机制中起着新的作用。通过整合7个关键基因(MT1G、SCO2、CREB5、MGST1、PARP9、ATF3和MUC1),该模型获得了较高的诊断准确率(曲线下面积高达0.963),并为结核病感染期间免疫代谢失调的机制提供了深入了解。经过公共数据集和前瞻性临床队列的验证,HeptaTB Dx提供了一种可扩展的、基于转录组的工具,优于现有的单途径模型和基于蛋白质的分析。这项工作不仅促进了结核病诊断,而且阐明了涉及铜-铁相互作用的新的致病机制,对治疗靶向具有潜在意义。
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引用次数: 0
Correction for Jian et al., "The predictive value of MUC5AC levels in the sputum of children with Mycoplasma pneumoniae pneumonia treated with fiberbronchoscopy". 对Jian等人“纤维支气管镜治疗肺炎支原体肺炎患儿痰液MUC5AC水平的预测价值”的修正。
IF 3.8 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-03 Epub Date: 2025-12-11 DOI: 10.1128/spectrum.03919-25
Xiao-Qing Jian, Xiao-Yan Wang, Miao Li
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引用次数: 0
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Microbiology spectrum
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