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Characterization of the Gut Microbiome of Patients with Clostridioides difficile Infection and Healthy Individuals in Greece. 希腊艰难梭菌感染患者和健康个体肠道微生物组的特征
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-03 DOI: 10.3390/pathogens15030275
Dimitra Mougiou, Georgia Gioula, Lemonia Skoura, Fani Minti, Theodoros Karampatakis, Dimitrios Malandris, Konstantinos Pelekoudas, Melania Kachrimanidou

Background/objectives: The gut microbiome plays an important role in the colonization of an individual by Clostridioides difficile and in the development of Clostridioides difficile infection (CDI). The main purpose of this study was to compare the gut microbiomes of patients with CDI and healthy individuals.

Methods: We prospectively included 48 individuals: 32 patients with CDI and 16 healthy individuals. Microbiomes were analyzed by sequencing the hypervariable regions of the 16S rRNA gene using an Ion GeneStudio™ S5 System. Further statistical analysis of microbiome data was performed with the open-source programming language R version 3.5.2.

Results: Among the CDI patients, Firmicutes and Proteobacteria were the most abundant phyla, while Enterobacteriaceae and Enterococcaceae were the most abundant families. Genus-level analysis showed that Enterococcus was the dominant genus in CDI patients; in contrast, in healthy individuals, Faecalibacterium was the most abundant. The MaAsLin2 tool revealed that members of the family Enterococcaceae and the genus Enterococcus were more abundant in patients with CDI than in healthy individuals. Alpha and beta diversity did not reveal differences between the two study groups.

Conclusions: We observed differences in microbiome patterns between healthy individuals and CDI patients that were consistent with the literature. Further studies are needed.

背景/目的:肠道微生物群在艰难梭菌(clostridiides difficile)的定植和艰难梭菌感染(clostridiides difficile infection, CDI)的发展中起着重要作用。本研究的主要目的是比较CDI患者和健康个体的肠道微生物组。方法:我们前瞻性纳入48例患者:32例CDI患者和16例健康人。使用Ion GeneStudio™S5系统对16S rRNA基因的高变区进行测序,分析微生物组。利用开源编程语言R version 3.5.2对微生物组数据进行进一步统计分析。结果:在CDI患者中,厚壁菌门和变形菌门数量最多,肠杆菌科和肠球菌科数量最多。属水平分析显示,CDI患者的优势属为肠球菌;相反,在健康个体中,Faecalibacterium是最丰富的。MaAsLin2工具显示,与健康个体相比,CDI患者中肠球菌科和肠球菌属的成员更丰富。α和β多样性并没有显示出两个研究组之间的差异。结论:我们观察到健康个体和CDI患者之间微生物组模式的差异,这与文献一致。需要进一步的研究。
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引用次数: 0
Trypanosoma vivax in Water Buffaloes (Bubalus bubalis): A Host-Centered Synthesis of Pathogenesis, Epidemiology, Diagnosis, and Integrated Control with Implications for Tropical Production Systems. 水牛间日锥虫(Bubalus bubalis):以宿主为中心的发病机制、流行病学、诊断和综合控制与热带生产系统的影响。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-03 DOI: 10.3390/pathogens15030273
André de Medeiros Costa Lins, Dryelle Vieira de Oliveira Brandão, Fernanda Monik Silva Martins, Aline Maia Silva, Henrique Dos Anjos Bonjardim, Felipe Masiero Salvarani

Trypanosoma vivax is a hemoprotozoan parasite of major veterinary importance affecting domestic ungulates in Africa and the Americas. While traditionally addressed within cattle-centered paradigms, accumulating evidence indicates that water buffaloes (Bubalus bubalis) are both clinically susceptible and epidemiologically significant hosts. This structured narrative review provides a host-centered synthesis of global evidence on T. vivax infection in buffaloes, integrating pathogenesis, transmission biology, epidemiology, diagnostics, chemotherapy, and integrated control. The analysis encompasses literature from 2000 to 2025 and incorporates seminal experimental studies published prior to 2000 that established buffalo susceptibility and reservoir competence. Evidence from cyclical (tsetse-mediated) and mechanical transmission systems is comparatively interpreted to clarify host-parasite dynamics. The Amazon biome is discussed as a model system for high-density buffalo production under mechanical vector pressure, offering case-based contextualization without geographic restriction. Particular attention is given to immunopathological mechanisms, chronic low-parasitemia carriage, diagnostic sensitivity in subclinical infections, emerging trypanocide resistance, and ecological constraints on vector control. Controversies and buffalo-specific knowledge gaps are highlighted throughout. By adopting a buffalo-centered analytical framework, this review supports translational diagnostics, targeted surveillance, and sustainable control strategies for trypanosomiasis in tropical livestock systems.

间日锥虫是一种影响非洲和美洲家养有蹄类动物的具有重要兽医意义的血原动物寄生虫。虽然传统上以牛为中心,但越来越多的证据表明,水牛(Bubalus bubalis)既是临床易感宿主,也是流行病学上重要的宿主。这篇结构化的叙述性综述以宿主为中心,综合了水牛间日疟原虫感染的全球证据,包括发病机制、传播生物学、流行病学、诊断、化疗和综合控制。该分析涵盖了2000年至2025年的文献,并纳入了2000年之前发表的确定水牛易感性和水库能力的开创性实验研究。来自周期性(采采蝇介导)和机械传播系统的证据被相对解释,以澄清宿主-寄生虫动力学。亚马逊生物群系作为机械矢量压力下高密度水牛生产的模型系统进行了讨论,提供了不受地理限制的基于案例的情境化。特别关注免疫病理机制、慢性低寄生虫血症携带、亚临床感染的诊断敏感性、新出现的锥虫抗药以及媒介控制的生态限制。争议和水牛特有的知识差距突出贯穿始终。通过采用以水牛为中心的分析框架,本综述支持热带牲畜系统中锥虫病的转化诊断、有针对性的监测和可持续控制战略。
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引用次数: 0
Pro-Inflammatory Response of Bovine Lung Explant Induced by Mycoplasma mycoides subsp. mycoides. 支原体诱导牛肺外植体的促炎反应。mycoides。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-03 DOI: 10.3390/pathogens15030269
Leruo Keokilwe, Giovanni Di Teodoro, Marta Di Federico, Massimo Ancora, Ivanka Krasteva, Gianluca Orsini, Cesare Camma, Fabrizia Perletta, Chiara Di Pancrazio, Mirella Luciani, Chandapiwa Marobela-Raborokgwe, Massimo Scacchia, Flavio Sacchini

Contagious bovine pleuropneumonia (CBPP) is a significant respiratory disease in cattle caused by Mycoplasma mycoides subsp. mycoides (Mmm). A better understanding of the pathogenesis of CBPP and the immune response of the host to infection will assist in the development of novel interventions to prevent disease progression. In this study, bovine lung explants (BLEs) were exposed to Mmm to investigate the upregulation and release of early inflammatory cytokines, mediators and receptors following tissue infection. Immunomodulatory molecules indicative of cell activation were investigated by immunoblotting on the BLEs and the tissue culture supernatants, and quantitative real-time PCR (RTq-PCR) was performed on the BLEs to determine the fold change in the expression of the respective mRNA. Immunoblotting indicated the production of inflammatory cytokines, mediators and receptors in Mmm-infected BLEs; however, this contrasted strongly with the mRNA expression profile, which did not show any significant fold increase. Infection of the BLEs with Mmm stimulated the production of some pro-inflammatory cytokines and mediators, including IL-1β, COX-2, 5-LOX and iNOS. Toll-like receptor proteins TLR2 and TLR4 were detected solely in the tissue culture supernatant of Mmm-infected BLEs. These receptors are considered to be involved in the recognition of Mmm by BLE tissue cells, thus triggering intracellular pathways that produce specific inflammatory cytokines and mediators, initiating the inflammatory response.

传染性牛胸膜肺炎(CBPP)是由支原体引起的牛呼吸道疾病。mycoides(嗯)。更好地了解CBPP的发病机制和宿主对感染的免疫反应将有助于开发新的干预措施来预防疾病进展。在本研究中,牛肺外植体(BLEs)暴露于Mmm,研究组织感染后早期炎症细胞因子、介质和受体的上调和释放。通过免疫印迹法对BLEs和组织培养上清检测指示细胞活化的免疫调节分子,并对BLEs进行实时荧光定量PCR (quantitative real-time PCR, RTq-PCR)测定各自mRNA表达的折叠变化。免疫印迹检测显示mmm感染的BLEs中炎症因子、介质和受体的产生;然而,这与mRNA表达谱形成强烈对比,mRNA表达谱没有显着增加。红细胞受Mmm感染后,可刺激IL-1β、COX-2、5-LOX和iNOS等促炎细胞因子和介质的产生。toll样受体蛋白TLR2和TLR4仅在mmm感染的BLEs组织培养上清中检测到。这些受体被认为参与了BLE组织细胞对Mmm的识别,从而触发产生特异性炎症细胞因子和介质的细胞内通路,启动炎症反应。
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引用次数: 0
Prevalence, Virulence Determinants, and Antimicrobial Resistance of Staphylococcus aureus and Escherichia coli Isolated from Computer Devices Used by Staff and Students at a Northern Thailand University. 泰国北部一所大学教职员和学生使用的计算机设备中分离出的金黄色葡萄球菌和大肠杆菌的流行、毒力决定因素和耐药性
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-03 DOI: 10.3390/pathogens15030274
Sorawit Upakut, Achiraya Siriphap, Ornampai Japa, Pathumwan Watsing, Peerapat Bunpak, Aacharaporn Ta-In, Cholthicha Inmanee, Chutamas Thepmalee, Nittiya Suwannasom, Krissana Khoothiam

Computer devices in university settings are frequently shared and repeatedly handled, making them potential reservoirs for pathogenic bacteria. This study aimed to investigate the prevalence, virulence determinants, and antimicrobial resistance profiles of Staphylococcus aureus and Escherichia coli isolated from computer devices used by staff and students at a university in Northern Thailand. A total of 400 computer devices were sampled, with each device defined as a single sampling unit comprising both the keyboard and computer mouse. Bacterial identification was performed using PCR, while staphylococcal enterotoxin (se) genes and diarrheagenic E. coli (DEC)-associated virulence genes were detected by PCR. Antimicrobial susceptibility was assessed using the disk diffusion method. Overall, 74 (18.5%) S. aureus isolates and 6 (1.5%) E. coli isolates were recovered. The highest prevalence of S. aureus was observed among personal-use student computer devices (29%; p < 0.001), whereas E. coli was most frequently detected on public-use staff computer devices (4%). Among S. aureus isolates, 24.3% (18/74) carried at least one se gene, with sec being the most prevalent (13.5%). Half of the E. coli isolates harbored the astA gene. Low resistance rates (<10%) were observed among S. aureus; however, four isolates (5.4%) were classified as MRSA, three of which exhibited multidrug resistance. All E. coli isolates were resistant to ampicillin, and 50% displayed multidrug-resistant phenotypes. These findings suggest that computer devices can act as occasional reservoirs of potentially pathogenic and antimicrobial-resistant bacteria in university environments.

大学环境中的计算机设备经常被共享和重复使用,使它们成为致病菌的潜在宿主。本研究旨在调查从泰国北部一所大学教职员工和学生使用的计算机设备中分离出的金黄色葡萄球菌和大肠杆菌的流行率、毒力决定因素和抗菌素耐药性谱。总共对400台计算机设备进行了采样,每台设备都被定义为一个采样单元,包括键盘和计算机鼠标。采用PCR法进行细菌鉴定,采用PCR法检测葡萄球菌肠毒素(se)基因和致泻性大肠杆菌(DEC)相关毒力基因。采用纸片扩散法进行药敏试验。共检出金黄色葡萄球菌74株(18.5%),大肠杆菌6株(1.5%)。在学生个人使用的计算机设备中,金黄色葡萄球菌的感染率最高(29%;p < 0.001),而在公共使用的工作人员计算机设备中,大肠杆菌的感染率最高(4%)。在金黄色葡萄球菌分离株中,24.3%(18/74)至少携带1个se基因,其中sec基因最多(13.5%)。半数分离出的大肠杆菌含有astA基因。耐药率低(金黄色葡萄球菌),但有4株(5.4%)被分类为MRSA,其中3株表现出多药耐药。所有的大肠杆菌分离株都对氨苄西林耐药,50%的菌株显示多重耐药表型。这些发现表明,在大学环境中,计算机设备可以作为潜在致病性和抗菌素耐药性细菌的偶尔储存库。
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引用次数: 0
Effect of trans-Cinnamaldehyde on Adhesion and Other Virulence Factors of Methicillin-Resistant Staphylococcus aureus. 反式肉桂醛对耐甲氧西林金黄色葡萄球菌粘附力及其他毒力因子的影响。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-03 DOI: 10.3390/pathogens15030271
Barbara Kot, Kamila Wierzchowska, Agata Grużewska, Elżbieta Anna Trafny, Małgorzata Stępińska, Małgorzata Witeska

Methicillin-resistant Staphylococcus aureus (MRSA) produces virulence factors and causes hard-to-treat infections. This study aimed to evaluate the effect of trans-cinnamaldehyde (TC) on the selected virulence factors of MRSA: adhesion to host plasma and extracellular matrix proteins, protease, DNase and esterase production, and hemolytic activity. Our results showed that TC at ½ MBIC (Minimum Biofilm Inhibition Concentration) of 240 µg/mL or 60 µg/mL, depending on the isolate, significantly reduced MRSA adhesion. Inhibition varied between isolates, ranging from 26.1% to 41.3% (fibrinogen), 18.2% to 34.9% (elastin), 26.5% to 32.4% (laminin), and 17.1% to 30.5% (collagen). TC at ½ MIC (Minimum Inhibitory Concentration) of 30 µg/mL also significantly inhibited MRSA enzyme production, and reduced hemolytic activity (by 80.0-83.1%, depending on the isolate). TC may be an alternative to antibiotics for combating infections caused by S. aureus, as it not only reduces bacterial survival in the host but also reduces S. aureus virulence at subinhibitory concentrations. TC at higher concentrations exhibits cytotoxicity in human fibroblasts, limiting its topical use. Therefore, to exploit TC's antibacterial potential, it is necessary to identify substances that act synergistically with it, enabling reduced effective doses.

耐甲氧西林金黄色葡萄球菌(MRSA)产生毒力因子并引起难以治疗的感染。本研究旨在评估反式肉桂醛(TC)对MRSA选定的毒力因子的影响:对宿主血浆和细胞外基质蛋白的粘附,蛋白酶,dna酶和酯酶的产生,以及溶血活性。我们的结果表明,TC在240µg/mL或60µg/mL(取决于分离物)的½MBIC(最低生物膜抑制浓度)下显著降低MRSA粘附。不同菌株的抑制作用不同,分别为26.1% ~ 41.3%(纤维蛋白原)、18.2% ~ 34.9%(弹性蛋白)、26.5% ~ 32.4%(层粘连蛋白)和17.1% ~ 30.5%(胶原蛋白)。30µg/mL½MIC(最低抑制浓度)的TC也显著抑制MRSA酶的产生,并降低溶血活性(80.0-83.1%,取决于分离物)。TC可能是对抗金黄色葡萄球菌感染的抗生素的替代品,因为它不仅可以降低宿主细菌的存活率,还可以降低金黄色葡萄球菌在亚抑制浓度下的毒力。高浓度的TC在人成纤维细胞中表现出细胞毒性,限制了其局部使用。因此,为了开发TC的抗菌潜力,有必要确定与其协同作用的物质,从而降低有效剂量。
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引用次数: 0
Plastic-Derived Pollutants as Emerging Modifiers of Viral Diseases. 塑料衍生污染物作为病毒性疾病的新兴调节剂。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-03 DOI: 10.3390/pathogens15030270
Fatima Hisam, Ramina Kordbacheh, Ebenezer Senu, Spandan Mukherjee, Jon Sin, Erica L Sanchez

Plastic pollutants, including phthalates, bisphenol A (BPA), per- and polyfluoroalkyl substances (PFAS), and microplastics (MPs), are increasingly recognized as emerging environmental cofactors that intersect with infectious disease dynamics. These compounds, once considered inert, can alter immune function, reshape host-pathogen interactions, and directly influence viral survival and transmission. In this review, we compile current evidence on the chemistry, environmental occurrence, and biological activity of major plastic-associated pollutants with emphasis on their role in viral infections. Phthalates such as di(2-ethylhexyl) phthalate (DEHP) and its metabolite MEHP modulate innate immune signaling and have been shown to exacerbate infections, including Dengue and Coxsackievirus B3. Other DEHP-like phthalates, such as dibutyl phthalate (DBP), exhibit consistent infection-enhancing effects, while high molecular weight or cyclical phthalates such as polyvinyl acetate phthalate (PVAP) display conflicting results in their modulation of viral infections. BPA, widely detected in human tissues, acts through endocrine and immune disruption, worsening viral myocarditis, and altering influenza outcomes. PFAS, persistent "forever chemicals," reshape adaptive immune responses and are associated with increased susceptibility, viral persistence, or severity of infection of herpesvirus (HCMV, EBV, HSV-1), hepatitis virus, and influenza infection. Microplastics represent a distinct risk by acting as physical carriers for viruses and bacteria, stabilizing viral RNA, enhancing host cell uptake, and skewing immune responses. Together, these pollutants extend beyond toxicology into virology, providing novel insights into how environmental exposures converge with viral pathogenesis. We highlight mechanistic advances and critical knowledge gaps and propose future directions for integrating environmental health and infectious disease research.

塑料污染物,包括邻苯二甲酸盐、双酚A (BPA)、全氟和多氟烷基物质(PFAS)和微塑料(MPs),越来越多地被认为是与传染病动态交叉的新兴环境辅助因素。这些化合物,曾经被认为是惰性的,可以改变免疫功能,重塑宿主-病原体相互作用,并直接影响病毒的生存和传播。在这篇综述中,我们收集了目前关于主要塑料相关污染物的化学、环境发生和生物活性的证据,重点介绍了它们在病毒感染中的作用。邻苯二甲酸二(2-乙基己基)邻苯二甲酸酯(DEHP)及其代谢物MEHP调节先天免疫信号,并已被证明会加剧感染,包括登革热和柯萨奇病毒B3。其他类似dehp的邻苯二甲酸酯,如邻苯二甲酸二丁酯(DBP),表现出一致的感染增强作用,而高分子量或周期性邻苯二甲酸酯,如聚邻苯二甲酸乙烯酯(PVAP),在调节病毒感染方面表现出相互矛盾的结果。BPA广泛存在于人体组织中,通过扰乱内分泌和免疫、恶化病毒性心肌炎和改变流感结果发挥作用。PFAS是持久性的“永远的化学物质”,重塑适应性免疫反应,并与疱疹病毒(HCMV、EBV、HSV-1)、肝炎病毒和流感感染的易感性、病毒持久性或严重程度增加有关。微塑料作为病毒和细菌的物理载体、稳定病毒RNA、增强宿主细胞摄取和扭曲免疫反应,具有明显的风险。总之,这些污染物从毒理学扩展到病毒学,为环境暴露如何与病毒发病机制融合提供了新的见解。我们强调了机制的进步和关键的知识差距,并提出了整合环境卫生和传染病研究的未来方向。
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引用次数: 0
The Exploration of Therapeutic Antivirals for Human Papillomavirus in the Last 40 Years: Bibliometric Research. 近40年来人类乳头瘤病毒治疗性抗病毒药物的探索:文献计量学研究。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-02 DOI: 10.3390/pathogens15030265
Zixiao Jiang, Liangrui Jin, Chengjun Wu, Zhenqing Li, Zhangrong Lou, Peng Qu

Human papillomavirus (HPV) is a well-known carcinogenic DNA virus, responsible for about 4% of all cancer cases globally. Effective antiviral treatments for those who are already infected with HPV are still in their early stages, despite the fact that prophylactic vaccinations have shown impressive success in preventing new infections. Effective treatments for HPV-related malignancies are also hampered by the fact that current articles address a wide spectrum of pathways but lack thorough systematic studies. In this work, we use bibliometric techniques to examine research trends and innovative approaches in the development of HPV antivirals over the last 40 years. Our results are intended to offer insightful information and direct future research into effective antiviral treatments for HPV-induced cancers.

人乳头瘤病毒(HPV)是一种众所周知的致癌DNA病毒,约占全球所有癌症病例的4%。尽管预防性疫苗接种在预防新感染方面取得了令人印象深刻的成功,但对已经感染HPV的人的有效抗病毒治疗仍处于早期阶段。对hpv相关恶性肿瘤的有效治疗也受到阻碍,因为目前的文章涉及广泛的途径,但缺乏彻底的系统研究。在这项工作中,我们使用文献计量学技术来检查过去40年来HPV抗病毒药物开发的研究趋势和创新方法。我们的结果旨在为hpv诱导的癌症的有效抗病毒治疗提供有见地的信息和指导未来的研究。
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引用次数: 0
Identification of TgENT1 as the TgUUT1 Uracil/Uridine Transporter of Toxoplasma gondii. 刚地弓形虫TgUUT1尿嘧啶/尿苷转运蛋白的鉴定
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-02 DOI: 10.3390/pathogens15030266
Hamza A A Elati, Mariana Ferreira Silva, Lilach Sheiner, Harry P de Koning

The protozoan pathogen Toxoplasma gondii is responsible for toxoplasmosis, a disease that can be deadly in immunocompromised patients and the developing fetus during pregnancy. Current treatments are widely considered to be suboptimal. We have recently reported that 5-fluoropyrimidines have highly promising anti-toxoplasmosis effects and are internalized by the parasite by a high-affinity uracil/uridine transporter, TgUUT1. Here, we attempt to identify the gene encoding this transport protein. The only nucleoside or nucleobase family identified in the T. gondii genome was the Equilibrative Nucleoside Transporter (ENT) family, with four members. Of these, TgAT1 is known to be purine-specific, and deletion of the TgENT2 and TgENT3 genes, either separately or jointly, did not affect uridine transport or sensitivity to 5-fluoropyrimidines. In contrast, depletion of TgENT1, an essential gene, resulted in a significant reduction in the uptake of both uracil and uridine but not of the amino acid tryptophan. Moreover, expression of TgENT1 in a Leishmania mexicana cell line with low endogenous uracil uptake rates significantly increased uracil uptake for these cells. We conclude that it is highly probable that TgENT1 encodes the T. gondii uracil/uridine transporter. On the basis of our previous results, we infer that TgENT1 likely also mediates the uptake of 5-fluoropyrimidines.

弓形虫病是由原生动物病原体弓形虫引起的,这种疾病对免疫功能低下的患者和怀孕期间正在发育的胎儿可能是致命的。目前的治疗方法被广泛认为是次优的。我们最近报道了5-氟嘧啶具有非常有希望的抗弓形虫作用,并通过高亲和力的尿嘧啶/尿嘧啶转运体TgUUT1被寄生虫内化。在这里,我们试图鉴定编码这种转运蛋白的基因。刚地弓形虫基因组中唯一确定的核苷或核碱基家族是平衡核苷转运体(ENT)家族,有4个成员。其中,TgAT1已知是嘌呤特异性的,TgENT2和TgENT3基因的缺失,无论是单独的还是联合的,都不会影响尿嘧啶转运或对5-氟嘧啶的敏感性。相反,TgENT1(一种必需基因)的缺失导致尿嘧啶和尿苷的摄取显著减少,但氨基酸色氨酸的摄取却没有减少。此外,TgENT1在内源性尿嘧啶摄取率低的墨西哥利什曼原虫细胞系中的表达显著增加了这些细胞的尿嘧啶摄取。我们得出结论,tgen1极有可能编码弓形虫尿嘧啶/尿苷转运蛋白。基于我们之前的结果,我们推断TgENT1也可能介导5-氟嘧啶的摄取。
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引用次数: 0
In Vivo Confocal Microscopy as a Prognostic Indicator in Acanthamoeba Keratitis: Insights from a Retrospective Study. 体内共聚焦显微镜作为棘阿米巴角膜炎的预后指标:来自回顾性研究的见解。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-02 DOI: 10.3390/pathogens15030262
Yiping Han, Yuan Wei, Qiankun Chen, Jinding Pang, Qingquan Shi, Qingfeng Liang

Background: To assess longitudinal changes in the in vivo confocal microscopy (IVCM) features during Acanthamoeba keratitis (AK) treatment and develop a prognostic model.

Methods: This retrospective study included 59 AK patients who underwent IVCM at baseline and 1 and 3 months. Fourteen morphological features covering pathogen-related characteristics, cyst arrangement patterns, and inflammatory markers were compared between good and poor prognosis groups, which were defined based on clinical outcomes including corneal perforation, the need for therapeutic keratoplasty, or final best-corrected visual acuity (BCVA) ≤ 0.05. Prognostic modeling was performed exclusively using baseline IVCM features and applied univariable and Firth-corrected multivariable logistic regression with collinearity assessment and clinical filtering, followed by 5-fold cross-validation.

Results: Among 59 AK patients, 45 (76.3%) had a good prognosis and 14 (23.7%) had a poor prognosis. Poor prognosis eyes showed a higher prevalence of double-walled cysts, trophozoites, and clustered cysts, along with higher cyst density and deeper stromal invasion. In contrast, good-prognosis eyes had more target-like cysts, immature dendritic cells, and mature dendritic cells. Clustered cysts independently predicted poor prognosis (OR = 2.98), whereas target-like cysts (OR = 0.26) and mature dendritic cells (OR = 0.37) were protective (AUC = 0.883; all p < 0.05).

Conclusions: IVCM provides a quantitative tool for early outcome prediction and individualized management. Higher cyst burden, clustered cysts, and persistent stromal involvement indicated poorer prognosis, whereas target-like cysts and mature dendritic cells indicated better prognosis.

背景:评估棘阿米巴角膜炎(AK)治疗期间体内共聚焦显微镜(IVCM)特征的纵向变化,并建立预后模型。方法:本回顾性研究包括59例在基线、1个月和3个月接受IVCM治疗的AK患者。比较预后良好组和预后不良组的14个形态学特征,包括病原体相关特征、囊肿排列模式和炎症标志物,预后不良组的预后根据包括角膜穿孔、是否需要治疗性角膜移植术或最终最佳矫正视力(BCVA)≤0.05等临床结果来定义。预后建模仅使用基线IVCM特征,并应用单变量和firth校正的多变量逻辑回归,共线性评估和临床过滤,然后进行5倍交叉验证。结果:59例AK患者中,预后良好45例(76.3%),预后不良14例(23.7%)。预后较差的眼部表现为双壁囊肿、滋养体、簇簇性囊肿发生率较高,且囊肿密度较高,间质浸润较深。相比之下,预后良好的眼睛有更多的靶样囊肿、未成熟树突状细胞和成熟树突状细胞。聚集性囊肿独立预测预后不良(OR = 2.98),而靶样囊肿(OR = 0.26)和成熟树突状细胞(OR = 0.37)具有保护作用(AUC = 0.883,均p < 0.05)。结论:IVCM为早期预后预测和个体化治疗提供了定量工具。较高的囊肿负荷、聚集性囊肿和持续的间质受累提示预后较差,而靶样囊肿和成熟树突状细胞提示预后较好。
{"title":"<i>In Vivo</i> Confocal Microscopy as a Prognostic Indicator in <i>Acanthamoeba</i> Keratitis: Insights from a Retrospective Study.","authors":"Yiping Han, Yuan Wei, Qiankun Chen, Jinding Pang, Qingquan Shi, Qingfeng Liang","doi":"10.3390/pathogens15030262","DOIUrl":"https://doi.org/10.3390/pathogens15030262","url":null,"abstract":"<p><strong>Background: </strong>To assess longitudinal changes in the <i>in vivo</i> confocal microscopy (IVCM) features during <i>Acanthamoeba</i> keratitis (AK) treatment and develop a prognostic model.</p><p><strong>Methods: </strong>This retrospective study included 59 AK patients who underwent IVCM at baseline and 1 and 3 months. Fourteen morphological features covering pathogen-related characteristics, cyst arrangement patterns, and inflammatory markers were compared between good and poor prognosis groups, which were defined based on clinical outcomes including corneal perforation, the need for therapeutic keratoplasty, or final best-corrected visual acuity (BCVA) ≤ 0.05. Prognostic modeling was performed exclusively using baseline IVCM features and applied univariable and Firth-corrected multivariable logistic regression with collinearity assessment and clinical filtering, followed by 5-fold cross-validation.</p><p><strong>Results: </strong>Among 59 AK patients, 45 (76.3%) had a good prognosis and 14 (23.7%) had a poor prognosis. Poor prognosis eyes showed a higher prevalence of double-walled cysts, trophozoites, and clustered cysts, along with higher cyst density and deeper stromal invasion. In contrast, good-prognosis eyes had more target-like cysts, immature dendritic cells, and mature dendritic cells. Clustered cysts independently predicted poor prognosis (OR = 2.98), whereas target-like cysts (OR = 0.26) and mature dendritic cells (OR = 0.37) were protective (AUC = 0.883; all <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>IVCM provides a quantitative tool for early outcome prediction and individualized management. Higher cyst burden, clustered cysts, and persistent stromal involvement indicated poorer prognosis, whereas target-like cysts and mature dendritic cells indicated better prognosis.</p>","PeriodicalId":19758,"journal":{"name":"Pathogens","volume":"15 3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147531437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Acanthamoeba castellanii: Non-Steroidal Anti-Inflammatory Drugs Affect Adhesion, Motility, and Encystment, Suggesting a Link with a gp63-like Protein Candidate. 棘阿米巴:非甾体抗炎药影响粘连、运动和囊化,提示与gp63样候选蛋白有关。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2026-03-02 DOI: 10.3390/pathogens15030263
Verónica I Hernández-Ramírez, Hugo Varela-Rodríguez, Luis Varela-Rodríguez, Francisco Sierra-López, Daniela Eloísa San Juan-Mora, José Daniel Morales-Mora, Daniela Falcón-Navarrete, Carlos Osorio-Trujillo, Jacqueline Ríos-López, Itzel Berenice Rodríguez-Mera, María Maricela Carrasco-Yépez, Patricia Talamás-Rohana

Acanthamoeba castellanii, an opportunistic free-living amoeba, causes severe infections including Acanthamoeba keratitis. This exploratory study evaluated whether three non-steroidal anti-inflammatory drugs (NSAIDs)-acetylsalicylic acid, ibuprofen, and diclofenac (100 µM)-modulate pathogenicity-related processes in A. castellanii and explored the involvement of a gp63-like protein during encystment and adhesion. Trophozoites were continuously exposed to each drug and analyzed for adhesion, migration on host-derived discontinuous brain micropatterns, encystment efficiency, and parasite-induced cytoskeletal remodeling in MDCK epithelial cells. In silico docking was performed to assess potential drug-protein interactions. Drug exposure reduced adhesion with maximal inhibition at 60 min. After 1 h, migration decreased by 49%, 64%, and 38%, and encystment was reduced by 50%, 85%, and up to 90%, respectively, in cultures treated with acetylsalicylic acid, ibuprofen, and diclofenac. Co-incubation with untreated trophozoites lowered actin fluorescence to approximately 50%, whereas drug-treated co-cultures preserved fluorescence near control levels. Colocalization analysis showed increased spatial overlap between gp63-like protein and F-actin in cysts (~40%) and migrating trophozoites (~20%) compared with non-stimulated forms (~3.8%). Collectively, these findings suggest that NSAID-sensitive pathways influence host interaction, migration, and encystment in A. castellanii and allow for the proposal of gp63-like protein as a putative molecular component of the NSAIDs sensitive pathways.

castellanacanthamoeba castellanii是一种机会性自由生活的阿米巴原虫,可引起严重感染,包括棘阿米巴角膜炎。本探索性研究评估了三种非甾体抗炎药(NSAIDs)——乙酰水杨酸、布洛芬和双氯芬酸(100µM)——是否调节castellanii的致病性相关过程,并探讨了gp63样蛋白在囊化和粘附过程中的参与。将滋养体连续暴露于每种药物中,并分析其在MDCK上皮细胞中的粘附性、对宿主来源的不连续脑微模式的迁移、囊化效率和寄生虫诱导的细胞骨架重塑。进行计算机对接以评估潜在的药物-蛋白质相互作用。药物暴露降低黏附,并在60分钟达到最大抑制作用。1 h后,在乙酰水杨酸、布洛芬和双氯芬酸处理的培养物中,迁移量分别减少49%、64%和38%,成囊量分别减少50%、85%和高达90%。与未处理的滋养体共孵育将肌动蛋白荧光降低至约50%,而药物处理的共培养将荧光保持在接近控制水平。共定位分析显示,与未受刺激的形态相比,gp63-like蛋白和F-actin在囊肿(~40%)和迁移滋养体(~20%)中的空间重叠增加(~3.8%)。综上所述,这些发现表明,nsaid敏感通路影响了castellanii中宿主的相互作用、迁移和囊化,并允许提出gp63样蛋白作为nsaid敏感通路的假定分子成分。
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Pathogens
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