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Cell Surface Glycosaminoglycans as Receptors for Adhesion of Candida spp. to Corneal Cells. 细胞表面糖胺聚糖作为假丝酵母菌粘附角膜细胞的受体
IF 2 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-03-14 DOI: 10.33073/pjm-2022-008
Helena Ordiales, Ignacio Alcalde, Fernando Vázquez, Jesús Merayo-Lloves, Luis M Quirós, Carla Martín Cueto

The most common causal agents of fungal keratitis are yeasts of the Candida genus. Adhesion constitutes the first stage of pathogenesis. Previous studies have shown that glycosaminoglycans from the corneal cell surface play an essential role in bacterial keratitis, although little is known about their role in fungal infections. The objective of this work is to analyze the role that glycosaminoglycans (GAGs) play in the adhesion of fungi of the Candida genus to corneal epithelial cells. The participation of GAGs in the adhesion of fungi was studied through the specific inhibition of the synthesis of these molecules by enzymatic digestion using specific lyases and the silencing of various genes involved in heparan sulfate sulfation. The results seem to indicate that glycosaminoglycans act to some extent as receptors for this fungus, although there are differences between fungal species. Treatment with inhibitors partially reduced the adherence of fungal species. Digestion of cell surface heparan sulfate further reduced the adherence of Candida albicans and Candida glabrata compared to chondroitin sulfate, indicating that the binding is preferentially mediated by heparan sulfate. Degradation of both heparan sulfate and chondroitin sulfate produced similar effects on the adherence of Candida parapsilosis. However, adhesion of C. albicans hyphae is not dependent on GAGs, suggesting the expression of other adhesins and the recognition of other receptors present in corneal cells. Our results open the door to new strategies for stopping the adhesion of pathogenic fungi, and their subsequent invasion of the cornea; thus, reducing the probability of the keratitis development.

摘要真菌性角膜炎最常见的病因是念珠菌属的酵母。粘连是发病的第一阶段。先前的研究表明,角膜细胞表面的糖胺聚糖在细菌性角膜炎中起着重要作用,尽管人们对其在真菌感染中的作用知之甚少。本工作的目的是分析糖胺聚糖(GAGs)在念珠菌属真菌与角膜上皮细胞粘附中的作用。通过使用特异性裂解酶的酶促消化和沉默参与硫酸乙酰肝素硫酸化的各种基因来特异性抑制这些分子的合成,研究了GAG在真菌粘附中的参与。研究结果似乎表明,糖胺聚糖在某种程度上充当这种真菌的受体,尽管真菌物种之间存在差异。用抑制剂治疗部分减少了真菌物种的粘附。与硫酸软骨素相比,细胞表面硫酸乙酰肝素的消化进一步降低了白色念珠菌和光滑念珠菌的粘附,表明结合优先由硫酸乙酰肝素介导。硫酸乙酰肝素和硫酸软骨素的降解对近裸念珠菌的粘附产生了相似的影响。然而,白色念珠菌菌丝的粘附不依赖于GAGs,这表明角膜细胞中存在其他粘附素的表达和其他受体的识别。我们的研究结果为阻止病原真菌粘附及其随后侵袭角膜的新策略打开了大门;从而降低角膜炎发展的可能性。
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引用次数: 0
Monitoring Multidrug-Resistant Acinetobacter Baumannii Infections in The Neurosurgery ICU Using a Real-Time Surveillance System 应用实时监测系统监测神经外科ICU中多重耐药鲍曼不动杆菌感染
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-03-01 DOI: 10.33073/pjm-2022-013
Yuting Zhu, Mingzhu Ni, Xiaofang Fang, Tonghua Lei, Yan Sun, Reng Ding, Xiuqiong Hu, Cheng-Xue Bian
Abstract Multidrug-resistant Acinetobacter baumannii (MDR-AB) infections are becoming increasingly common. The Real-Time Nosocomial Infection (NI) Surveillance System (RT-NISS) was used to monitor MDR-AB NI in intensive care units (ICUs) to prevent NI outbreaks. Therefore, the RT-NISS was used in the current study to monitor MDR-AB infections in a neurosurgery ICU. Clinical interventions, including recommended antibiotics, bacterial distribution in the patient analysis, and bed adjustments, were carried out based on the monitoring results. The RT-NISS was also used to monitor clinical data, implement, and provide training on NI control. The RT-NISS detected a potential cluster of XDR-AB when five patients admitted to the neurosurgery ICU were tested positive for AB between 11 and 17 June 2019. Only two infected cases originated in the hospital, and there was no NI outbreak. The hospital Infection Control Department took appropriate measures to prevent cross-infection; specifically, an epidemiologic investigation and environmental assessment were conducted, and NI prevention and outbreak management training was provided. In summary, the RT-NISS enhanced the timeliness and efficacy of NI control and surveillance in a neurosurgery ICU. In order to prevent NI outbreaks, the Real-Time Nosocomial Infection (NI) Surveillance System (RT-NISS) was employed to monitor MDR-AB NI in critical care units (ICU). Based on the monitoring data, clinical actions such as required antibiotics, bacterial distribution in the patient analysis, and bed changes were carried out. In a neurosurgery ICU, the RT-NISS improved the timeliness and efficacy of NI control and surveillance.
耐多药鲍曼不动杆菌(MDR-AB)感染越来越普遍。采用实时医院感染监测系统(RT-NISS)监测重症监护病房(icu)耐多药抗体感染,预防NI暴发。因此,RT-NISS在本研究中用于监测神经外科ICU的耐多药抗体感染。根据监测结果进行临床干预,包括推荐抗生素、患者细菌分布分析和床位调整。RT-NISS还用于监测临床数据,实施并提供NI控制方面的培训。2019年6月11日至17日期间,神经外科ICU收治的5名患者AB检测呈阳性,RT-NISS检测到潜在的XDR-AB群。只有两例感染病例起源于医院,没有发生新冠肺炎疫情。医院感染控制科采取适当措施防止交叉感染;具体而言,开展了流行病学调查和环境评估,并提供了NI预防和疫情管理培训。总之,RT-NISS提高了神经外科ICU NI控制和监测的及时性和有效性。为预防重症监护病房(ICU)的NI暴发,采用实时医院感染监测系统(RT-NISS)对耐多药抗体NI进行监测。根据监测数据,开展所需抗生素、患者细菌分布分析、换床等临床行动。在神经外科ICU, RT-NISS提高了NI控制和监测的及时性和有效性。
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引用次数: 0
Evaluation of The Probiotic Potential of Lactobacillus Delbrueckii Ssp. indicus WDS-7 Isolated from Chinese Traditional Fermented Buffalo Milk In Vitro 德布鲁克氏乳杆菌益生菌潜力评价。从中国传统发酵水牛乳中分离得到indicus WDS-7
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-03-01 DOI: 10.33073/pjm-2022-012
Changjun Wu, Chenwei Dai, Lin Tong, Han Lv, Xiu-hong Zhou
Abstract The present study aimed to evaluate the probiotic potential of lactic acid bacteria (LAB) isolated from Chinese traditional fermented buffalo milk. Out of 22 isolates, 11 were putatively identified as LAB preliminarily. A total of six LAB strains displayed strong adhesion to HT-29 cells and all these strains showed preferable tolerance to artificially simulated gastrointestinal juices. WDS-4, WDS-7, and WDS-18 exhibited excellent antioxidant capacities, including DPPH radical, ABTS+ radical, and superoxide anion scavenging activities. Compared with the other two LAB strains, WDS-7 had a stronger inhibition effect on four pathogens. Based on the 16S rRNA gene sequencing and phylogenetic analysis, WDS-7 was identified as Lactobacillus delbrueckii ssp. indicus and selected to assess the potential and safety of probiotics further. The results revealed that WDS-7 strain had a strong capacity for acid production and good thermal stability. WDS-7 strain also possessed bile salt hydrolase (BSH) activity. Compared to LGG, WDS-7 was a greater biofilm producer on the plastic surface and exhibited a better EPS production ability (1.94 mg/ml as a glucose equivalent). WDS-7 was proved to be sensitive in the majority of tested antibiotics and absence of hemolytic activity. Moreover, no production of biogenic amines and β-glucuronidase was observed in WDS-7. The findings of this work indicated that L. delbrueckii ssp. indicus WDS-7 fulfilled the probiotic criteria in vitro and could be exploited for further evaluation in vivo.
摘要本研究旨在评价从中国传统发酵水牛奶中分离的乳酸菌(LAB)的益生菌潜力。在22个分离株中,11个被初步鉴定为LAB。共有6株LAB菌株对HT-29细胞表现出较强的粘附性,所有这些菌株对人工模拟的胃肠液都表现出较好的耐受性。WDS-4、WDS-7和WDS-18表现出优异的抗氧化能力,包括DPPH自由基、ABTS+自由基和超氧阴离子清除活性。与其他两株LAB菌株相比,WDS-7对四种病原菌均有较强的抑制作用。通过16S rRNA基因测序和系统发育分析,确定WDS-7为德氏乳杆菌ssp。indicus,并被选择来进一步评估益生菌的潜力和安全性。结果表明,WDS-7菌株产酸能力强,热稳定性好。WDS-7菌株也具有胆汁盐水解酶(BSH)活性。与LGG相比,WDS-7是塑料表面上更大的生物膜生产者,并表现出更好的EPS生产能力(1.94mg/ml的葡萄糖当量)。WDS-7在大多数测试的抗生素中被证明是敏感的,并且没有溶血活性。此外,在WDS-7中没有观察到生物胺和β-葡萄糖醛酸酶的产生。研究结果表明,德氏乳杆菌(L.delbrueckii ssp。indicus WDS-7在体外符合益生菌标准,可用于体内进一步评估。
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引用次数: 3
Expression Level of The mip, pmp18D, and ompA Genes in Chlamydia Abortus Isolated from Aborted Ewes 母羊流产衣原体中mip、pmp18D和ompA基因的表达水平
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-03-01 DOI: 10.33073/pjm-2022-014
E. Arif, Nahla Mohammad Saeed, S. Rachid, H. Dyary, P. Rashid
Abstract In this manuscript, we report the proteins macrophage infectivity potentiator (mip, CAB080), major outer membrane protein (momp, CAB048), and polymorphic outer membrane protein (pmp18D, CAB776) that are expressed in different times of pregnancy in mice infected with Chlamydia abortus. Enzootic abortion of ewes (EAE) by C. abortus, an obligate intracellular pathogen, is a critical zoonotic disease-causing significant economic loss to livestock farming globally. This study was carried out for the detection and characterization of macrophage infectivity potentiator (mip, CAB080), major outer membrane protein (momp, CAB048), and polymorphic outer membrane protein (pmp18D, CAB776) using RT-qPCR. These proteins are believed to be expressed as virulence factors in C. abortus isolated from aborted ewes. BALB/c mice (pregnant and nonpregnant) were used as an animal model to be injected intraperitoneally with C. abortus culture in Vero cells since the endometrial lymphoid tissues of these animals resembles that of ewes. Also, the short duration of pregnancy in mice makes them a suitable animal model for obstetric studies. Tissue samples were taken from the mice after 10, 15, and 20 days of pregnancy to compare the expression of the genes mip, pmp18D, and ompA. Transcription level was quantified using RT-qPCR, the GAPDH transcription quantification, as a normalization signal. Abortion occurred in pregnant mice, and apparent differences between the transcriptional levels of the mip, pmp18D, and ompA genes in the samples taken during different time intervals of pregnancy were not observed (p > 0.05). The result indicated that the three bacterial genes, mip, pmp18D, and ompA, play a role as virulence factors in abortion and are differentially expressed in pregnant and nonpregnant animals. Inactivation of the genes is suggested to confirm the hypothesis.
摘要在本文中,我们报道了感染流产衣原体的小鼠在妊娠不同时期表达的巨噬细胞感染性增强因子(mip,CAB080)、主要外膜蛋白(momp,CAB048)和多态性外膜蛋白(pmp18D,CAB776)。人工流产母羊(EAE)是一种专性细胞内病原体,是一种严重的人畜共患疾病,给全球畜牧业造成重大经济损失。本研究使用RT-qPCR检测和表征巨噬细胞感染性增强因子(mip,CAB080)、主要外膜蛋白(momp,CAB048)和多态性外膜蛋白(pmp18D,CAB776)。这些蛋白质被认为是从流产母羊中分离出来的流产C.abortus中的毒力因子。使用BALB/c小鼠(妊娠和非妊娠)作为动物模型,腹膜内注射Vero细胞中的流产梭菌培养物,因为这些动物的子宫内膜淋巴组织类似于母羊的子宫内膜淋巴样组织。此外,小鼠怀孕时间短使其成为产科研究的合适动物模型。从怀孕10、15和20天后的小鼠身上采集组织样本,以比较基因mip、pmp18D和ompA的表达。转录水平使用RT-qPCR(GAPDH转录定量)作为标准化信号进行定量。妊娠小鼠发生流产,在不同妊娠时间间隔采集的样本中,mip、pmp18D和ompA基因的转录水平没有明显差异(p>0.05),在流产中起毒力因子的作用,并且在妊娠和非妊娠动物中差异表达。这些基因的失活被认为证实了这一假设。
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引用次数: 0
Screening of mcr-1 Among Gram-Negative Bacteria from Different Clinical Samples from ICU Patients in Alexandria, Egypt: One-Year Study 埃及亚历山大市ICU患者不同临床样本革兰氏阴性菌mcr-1筛查:为期一年的研究
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-03-01 DOI: 10.33073/pjm-2022-011
Amira Elbaradei, Mahrous S. Sayedahmed, G. El-Sawaf, S. Shawky
Abstract Antimicrobial resistance represents a global dilemma. Our present study aimed to investigate the presence of mcr-1 among different Gram-negative bacteria including Enterobacteriaceae (except intrinsically resistant to colistin) and Pseudomonas aeruginosa. Gram-negative bacterial isolates were collected from different ICUs in several Alexandria hospitals from June 2019 to June 2020. The identification of these Gram-negative isolates was made using the VITEK-2® system (BioMérieux, France). SYBR Green-based PCR was used to screen for the presence of mcr-1 using a positive control that we amplified and sequenced earlier in our pilot study. All isolates were screened for the presence of mcr-1 regardless of their colistin susceptibility. Isolates that harbored mcr-1 were tested for colistin susceptibility and for the presence of some beta-lactamase genes. Klebsiella pneumoniae isolates harboring mcr-1 were capsule typed using the wzi sequence analysis. Four hundred eighty isolates were included in this study. Only six isolates harbored mcr-1.1. Of these, four were resistant to colistin, while two (K. pneumoniae and P. aeruginosa) were susceptible to colistin. Five of the six isolates were resistant to carbapenems. They harbored blaOXA-48, and three of them co-harbored blaNDM-1. K-58 was the most often found among our K. pneumoniae harboring mcr-1.1. To our knowledge, this is the first time to report colistin susceptible P. aeruginosa and K. pneumoniae harboring the mcr-1.1 gene in Egypt. Further studies are needed to investigate the presence of the mcr genes among colistin susceptible isolates to shed more light on its significance as a potential threat.
抗菌素耐药性是一个全球性的难题。本研究旨在探讨mcr-1在不同革兰氏阴性细菌中的存在,包括肠杆菌科(除了对粘菌素具有内在抗性)和铜绿假单胞菌。2019年6月至2020年6月在亚历山大市多家医院不同icu采集革兰氏阴性菌分离株。使用VITEK-2®系统(biomrieux, France)对这些革兰氏阴性分离株进行鉴定。基于SYBR green的PCR用于筛选mcr-1的存在,使用阳性对照,我们在早期的初步研究中扩增和测序。所有分离株均筛查mcr-1的存在,无论其是否对粘菌素敏感。对携带mcr-1的分离株进行了粘菌素敏感性和某些β -内酰胺酶基因的检测。采用wzi序列分析方法对携带mcr-1的肺炎克雷伯菌进行胶囊分型。本研究包括480株分离株。只有6个分离株携带mcr-1.1。其中,四种对粘菌素耐药,而两种(肺炎克雷伯菌和铜绿假单胞菌)对粘菌素敏感。6株中有5株对碳青霉烯类耐药。他们藏匿了blaOXA-48,其中三个藏匿了blaNDM-1。携带mcr-1.1的肺炎克雷伯菌中以K-58最为常见。据我们所知,这是埃及首次报道携带mcr-1.1基因的铜绿假单胞菌和肺炎克雷伯菌对粘菌素敏感。需要进一步的研究来调查mcr基因在粘菌素敏感分离株中的存在,以进一步阐明其作为潜在威胁的重要性。
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引用次数: 2
Impact of Primary and Secondary Bile Acids on Clostridioides Difficile Infection 初级和次级胆汁酸对艰难梭菌感染的影响
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-03-01 DOI: 10.33073/pjm-2022-007
A. Łukawska, A. Mulak
Abstract Primary bile acids (BAs), synthesized from cholesterol in the liver, after their secretion with bile into the intestinal lumen, are transformed by gut microbiota to secondary BAs. As natural detergents, BAs play a key role in the digestion and absorption of lipids and liposoluble vitamins. However, they have also been recognized as important signaling molecules involved in numerous metabolic processes. The close bidirectional interactions between BAs and gut microbiota occur since BAs influence microbiota composition, whereas microbiota determines BA metabolism. In particular, it is well established that BAs modulate Clostridioides difficile life cycle in vivo. C. difficile is a cause of common nosocomial infections that have become a growing concern. The aim of this review is to summarize the current knowledge regarding the impact of BAs on the pathogenesis, prevention, and treatment of C. difficile infection.
摘要初级胆汁酸(BA)是由肝脏中的胆固醇合成的,在与胆汁一起分泌到肠腔内后,由肠道微生物群转化为次级胆汁酸。BA作为天然洗涤剂,在脂质和脂溶性维生素的消化和吸收中发挥着关键作用。然而,它们也被认为是参与许多代谢过程的重要信号分子。BA和肠道微生物群之间发生密切的双向相互作用,因为BA影响微生物群的组成,而微生物群决定BA的代谢。特别是,众所周知,BA在体内调节艰难梭菌的生命周期。艰难梭菌是常见的医院感染的一个原因,这已经成为一个越来越令人担忧的问题。这篇综述的目的是总结目前关于BA对艰难梭菌感染的发病机制、预防和治疗的影响的知识。
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引用次数: 3
Helicobacter Pylori and Epstein-Barr Virus Co-Infection in Polish Patients with Gastric Cancer – a Pilot Study 波兰癌症患者幽门螺杆菌和EB病毒共感染的初步研究
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-02-27 DOI: 10.33073/pjm-2022-004
M. Dzikowiec, Przemysław Lik, J. Kiszałkiewicz, A. Kuczyńska, Marek Mordalski, D. Nejc, J. Piekarski, E. Brzeziańska-Lasota, D. Pastuszak-Lewandoska
Abstract The infectious agents may be the etiological factor of up to 15–20% of cancers. In stomach cancer, attention is paid to Helicobacter pylori and Epstein-Barr virus, both of which cause gastritis and can lead to tumor development. In co-infection, the inflammatory process is much more intense. We assessed the seroprevalence towards H. pylori and EBV in 32 patients with diagnosed gastric cancer. H. pylori antibodies were found in 69% patients, and anti-EBV – in all of them. The study confirmed that co-infection of H. pylori and EBV seems to be important in etiopathology of gastric cancer.
感染因子可能是高达15-20%癌症的病因。在胃癌中,人们关注的是幽门螺杆菌和爱泼斯坦-巴尔病毒,这两种病毒都会引起胃炎并导致肿瘤发展。在合并感染中,炎症过程更加强烈。我们评估了32例胃癌患者幽门螺杆菌和EBV的血清患病率。69%的患者有幽门螺杆菌抗体,所有患者均有ebv抗体。本研究证实幽门螺杆菌和EBV的联合感染在胃癌的发病过程中起重要作用。
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引用次数: 1
Detection By Whole-Genome Sequencing of a Novel Metallo-β-Lactamase Produced By Wautersiella Falsenii Causing Urinary Tract Infection in Tunisia 突尼斯FalseniWautersiella产生的一种新型金属-β-内酰胺酶的全基因组测序检测
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-02-27 DOI: 10.33073/pjm-2022-010
Raouaa Maaroufi, Olfa Dziri, L. Hadjadj, S. Diene, J. Rolain, C. Chouchani
Abstract Wautersiella falsenii is a rarely non-fermenting Gram-negative bacterium and belongs to the Flavobacteriaceae family. This nosocomial pathogen can cause several human infections, especially among immunocompromised patients. Here, we describe the whole genome sequence of a clinical W. falsenii strain isolated from a urine sample of a 35-year-old woman with a urinary tract infection in Tunisia. We investigated its phenotype and genotype. After bacterial identification by the MALDI-TOF method, the whole-genome sequencing of this strain was performed. This isolate was not susceptible to various antibiotics, including β-lactams, aminoglycosides, and quinolones. However, it remains susceptible to imipenem (MIC = 0.25 mg/l), ertapenem (MIC = 0.75 mg/l), and meropenem (MIC = 0.19 mg/l). Interestingly, the E-TEST® (MP/MPI) showed a reduced MIC of meropenem +/− EDTA (0.064 μg/ml). Besides, the color change from yellow to red in the β CARBA test only after 24 hours of incubation can be interpreted in two ways. On the one hand, as a likely low expression of the gene encoding metallo-β-lactamase. On the other hand, and more likely, it may be a false-positive result because, according to the test manufacturer's recommendations, the test should be read after 30 minutes. Perhaps, therefore, this gene is not expressed in the tested strain. Moreover, the whole-genome sequence analysis demonstrated the presence of a novel chromosomally located subclass B1 metallo-β-lactamase EBR-like enzyme, sharing 94.92% amino acid identity with a previously described carbapenemase produced by Empedobacter brevis, EBR-1. The results also showed the detection of other antibiotic resistance genes and the absence of plasmids. So far, this study is the first report on the detection of W. falsenii in Tunisia. These findings prove that W. falsenii could be a potential reservoir of antibiotic resistance genes, e.g., β-lactamases. Collaborative efforts and effective hygiene measures should be established to prevent the emergence of this species in our health care settings.
摘要假华氏菌是黄杆菌科中一种罕见的非发酵革兰氏阴性菌。这种医院内病原体可导致多种人类感染,尤其是在免疫功能低下的患者中。在这里,我们描述了从突尼斯一名患有尿路感染的35岁女性的尿液样本中分离出的临床假丝酵母菌株的全基因组序列。我们研究了它的表型和基因型。在用MALDI-TOF方法鉴定细菌后,对该菌株进行全基因组测序。该分离物对各种抗生素不敏感,包括β-内酰胺类、氨基糖苷类和喹诺酮类。然而,它仍然对亚胺培南(MIC=0.25 mg/l)、厄他培南(MIC=0.75 mg/l)和美罗培南(MIC=0.19 mg/l)敏感。有趣的是,E-EST®(MP/MPI)显示美罗培南+/−EDTA的MIC降低(0.064μg/ml)。此外,在βCARBA测试中,只有在培养24小时后,颜色才会从黄色变为红色,这可以通过两种方式来解释。一方面,由于编码金属β-内酰胺酶的基因可能低表达。另一方面,更可能的是,这可能是一个假阳性结果,因为根据测试制造商的建议,测试应该在30分钟后读取。因此,也许这个基因在测试菌株中没有表达。此外,全基因组序列分析表明,存在一种新的染色体定位的B1亚类金属-β-内酰胺酶EBR样酶,与先前描述的由Empedobacter brevis产生的碳青霉烯酶EBR-1具有94.92%的氨基酸同一性。结果还显示了其他抗生素抗性基因的检测和质粒的缺失。到目前为止,这项研究是突尼斯首次发现假丝酵母的报告。这些发现证明假丝酵母可能是抗生素耐药性基因(如β-内酰胺酶)的潜在宿主。应建立合作努力和有效的卫生措施,以防止该物种在我们的医疗保健环境中出现。
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引用次数: 1
Vaginal Secretion Epithelium Count As a Prognostic Indicator of High Abundance of Ureaplasmas in Women with a Normal Nugent Score 阴道分泌物上皮计数是Nugent评分正常的女性高解脲原体丰度的预后指标
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-02-27 DOI: 10.33073/pjm-2022-001
M. Biernat-Sudolska, Katarzyna Talaga-Ćwiertnia, Paulina Gajda
Abstract Genital tract ureaplasma infections are associated with numerous complications, ranging from inflammation, through infertility, to problematic pregnancy. In the course of ureaplasma infection, the risk of human papillomavirus infection increases. Diagnostic tests for urea-plasma infections are not always carried out, especially in women with the normal Nugent test results. The study attempts to check whether it is possible to find a prognostic indicator that could suggest a high abundance of ureaplasmas (≥ 104 CFU/ml) at the stage of the initial examination of vaginal discharge. Such a prognostic factor could qualify women for further tests to detect infections with these atypical bacteria. Six hundred twenty-seven white women with a score of 0–3 on the Nugent scale were tested, including 322 patients with a high abundance of ureaplasmas (≥ 104 CFU/ml) and 305 who tested negative for these bacteria. Ureaplasma infections were detected statistically significant in women who had few or no epithelial cells in the genital swab specimens compared to the results obtained for women with numerous or very numerous epithelial cells (p < 0.001). The risk of the high density of ureaplasmas was 38.7% higher with fewer or no epithelial cells than with high numbers. In patients aged 18–40 years with few or no epithelial cells, a high density of ureaplasmas (≥ 104 CFU/ml) was observed significantly more frequently (p = 0.003). Determining the number of epithelial cells in Gram-stained slides may be the prognostic indicator of ureaplasma infection. Testing for genital ureaplasma infection should be considered, especially in women of childbearing age (18–40 years), even if the Nugent test value is normal and pH ≤ 4.6.
摘要生殖道脲原体感染与许多并发症有关,从炎症到不孕不育,再到问题妊娠。在脲原体感染过程中,人乳头瘤病毒感染的风险增加。尿素血浆感染的诊断测试并不总是进行的,尤其是在Nugent测试结果正常的女性中。该研究试图检查是否有可能找到一个预后指标,该指标可能表明在阴道分泌物的初步检查阶段存在高丰度的脲原体(≥104CFU/ml)。这样的预后因素可能使女性有资格接受进一步的检测,以检测这些非典型细菌的感染。对627名Nugent量表得分为0-3的白人女性进行了检测,其中322名患者的脲原体丰度较高(≥104 CFU/ml),305名患者的这些细菌检测呈阴性。生殖拭子标本中上皮细胞很少或没有上皮细胞的女性与上皮细胞数量众多或非常多的女性相比,检测到的支原体感染具有统计学意义(p<0.001)。上皮细胞较少或没有上皮的女性患高密度脲原体的风险比上皮细胞数量较多的女性高38.7%。在18-40岁且上皮细胞很少或没有上皮细胞的患者中,观察到高密度脲原体(≥104CFU/ml)的频率明显更高(p=0.003)。测定革兰氏染色玻片中上皮细胞的数量可能是脲原体感染的预后指标。即使Nugent检测值正常且pH≤4.6,也应考虑生殖器脲原体感染检测,尤其是育龄妇女(18-40岁)。
{"title":"Vaginal Secretion Epithelium Count As a Prognostic Indicator of High Abundance of Ureaplasmas in Women with a Normal Nugent Score","authors":"M. Biernat-Sudolska, Katarzyna Talaga-Ćwiertnia, Paulina Gajda","doi":"10.33073/pjm-2022-001","DOIUrl":"https://doi.org/10.33073/pjm-2022-001","url":null,"abstract":"Abstract Genital tract ureaplasma infections are associated with numerous complications, ranging from inflammation, through infertility, to problematic pregnancy. In the course of ureaplasma infection, the risk of human papillomavirus infection increases. Diagnostic tests for urea-plasma infections are not always carried out, especially in women with the normal Nugent test results. The study attempts to check whether it is possible to find a prognostic indicator that could suggest a high abundance of ureaplasmas (≥ 104 CFU/ml) at the stage of the initial examination of vaginal discharge. Such a prognostic factor could qualify women for further tests to detect infections with these atypical bacteria. Six hundred twenty-seven white women with a score of 0–3 on the Nugent scale were tested, including 322 patients with a high abundance of ureaplasmas (≥ 104 CFU/ml) and 305 who tested negative for these bacteria. Ureaplasma infections were detected statistically significant in women who had few or no epithelial cells in the genital swab specimens compared to the results obtained for women with numerous or very numerous epithelial cells (p < 0.001). The risk of the high density of ureaplasmas was 38.7% higher with fewer or no epithelial cells than with high numbers. In patients aged 18–40 years with few or no epithelial cells, a high density of ureaplasmas (≥ 104 CFU/ml) was observed significantly more frequently (p = 0.003). Determining the number of epithelial cells in Gram-stained slides may be the prognostic indicator of ureaplasma infection. Testing for genital ureaplasma infection should be considered, especially in women of childbearing age (18–40 years), even if the Nugent test value is normal and pH ≤ 4.6.","PeriodicalId":20272,"journal":{"name":"Polish Journal of Microbiology","volume":"71 1","pages":"19 - 26"},"PeriodicalIF":2.1,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43840786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relation Between Host TLR9 -1486T/C, Rs187084 Gene Polymorphisms and Helicobacter Pylori CagA, sodB, hsp60, and vacA Virulence Genes Among Gastric Cancer Patients 胃癌患者宿主TLR9 -1486T/C、Rs187084基因多态性与幽门螺杆菌CagA、sodB、hsp60、vacA毒力基因的关系
IF 2.1 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2022-02-27 DOI: 10.33073/pjm-2022-003
A. Sultan, R. Shenouda, A. Sultan, A. Shehta, Y. Nabiel
Abstract To identify the associations between different genotypes of TLR9 -1486T/C (rs187084) with gastric cancer patients and reveal their relation to Helicobacter pylori virulence genes (cagA, sodB, hsp60 and vacA). Patients with gastric cancer were recruited to our study, diagnosed both endoscopically and histopathologically. H. pylori were isolated from gastric samples by culture and PCR amplification of the glmM gene. Virulence genes cagA, sodB, hsp60, and vacA were detected by multiplex PCR. Blood samples were used for genotyping of TLR9 -1486T/C (rs187084) by PCR-RFLP. Out of 132 patients with gastric cancer, 106 (80.3%) were positive for H. pylori. A similar number of healthy participants was recruited as controls. The prevalence of cagA, sodB, hsp60, and vacA genes among H. pylori was 90.6%, 70.8%, 83.0%, and 95.3%, respectively. The vacA gene alleles had a prevalence of 95.3% for vacAs1/s2, 52.8% for vacAm1, and 42.5% for vacAm2. The CC genotype of TLR9 -1486T/C had a significantly higher frequency in gastric cancer patients when compared to healthy participants (p = 0.045). Furthermore, the CC genotype demonstrated a significant association with H. pylori strains carrying sodB, hsp60, and vacAm1 virulence genes (p = 0.021, p = 0.049, and p = 0.048 respectively). Patients with CC genotype of TLR9 -1486T/C (rs187084) might be at higher risk for the development of gastric cancer, and its co-existence with H. pylori strains carrying sodB, hsp60, or vacAm1 virulence genes might have a synergistic effect in the development of gastric cancer. Further studies on a wider scale are recommended.
摘要探讨不同基因型TLR9-1486T/C(rs187084)与癌症患者的关系,揭示其与幽门螺杆菌毒力基因(cagA、sodB、hsp60和vacA)的关系。癌症患者被纳入我们的研究,经内镜和组织病理学诊断。通过培养和扩增glmM基因从胃样品中分离幽门螺杆菌。采用多重聚合酶链式反应检测病毒基因cagA、sodB、hsp60和vacA。采用PCR-RFLP方法对TLR9-1486T/C(rs187084)进行基因分型。在132例癌症患者中,106例(80.3%)幽门螺杆菌阳性。同样数量的健康参与者被招募作为对照。幽门螺杆菌中cagA、sodB、hsp60和vacA基因的患病率分别为90.6%、70.8%、83.0%和95.3%。vacAs1/s2的vacA基因等位基因的患病率为95.3%,vacAm1为52.8%,vacAm2为42.5%。与健康参与者相比,TLR9-1486T/C的CC基因型在癌症患者中的频率显著更高(p=0.045)。此外,CC基因型与携带sodB、hsp60和vacAm1毒力基因的幽门螺杆菌菌株显著相关(分别为p=0.021、p=0.049和p=0.048)。具有TLR9-1486T/C(rs187084)CC基因型的患者可能具有更高的胃癌发展风险,其与携带sodB、hsp60或vacAm1毒力基因的幽门螺杆菌菌株共存可能在癌症的发展中具有协同作用。建议进行更大规模的进一步研究。
{"title":"The Relation Between Host TLR9 -1486T/C, Rs187084 Gene Polymorphisms and Helicobacter Pylori CagA, sodB, hsp60, and vacA Virulence Genes Among Gastric Cancer Patients","authors":"A. Sultan, R. Shenouda, A. Sultan, A. Shehta, Y. Nabiel","doi":"10.33073/pjm-2022-003","DOIUrl":"https://doi.org/10.33073/pjm-2022-003","url":null,"abstract":"Abstract To identify the associations between different genotypes of TLR9 -1486T/C (rs187084) with gastric cancer patients and reveal their relation to Helicobacter pylori virulence genes (cagA, sodB, hsp60 and vacA). Patients with gastric cancer were recruited to our study, diagnosed both endoscopically and histopathologically. H. pylori were isolated from gastric samples by culture and PCR amplification of the glmM gene. Virulence genes cagA, sodB, hsp60, and vacA were detected by multiplex PCR. Blood samples were used for genotyping of TLR9 -1486T/C (rs187084) by PCR-RFLP. Out of 132 patients with gastric cancer, 106 (80.3%) were positive for H. pylori. A similar number of healthy participants was recruited as controls. The prevalence of cagA, sodB, hsp60, and vacA genes among H. pylori was 90.6%, 70.8%, 83.0%, and 95.3%, respectively. The vacA gene alleles had a prevalence of 95.3% for vacAs1/s2, 52.8% for vacAm1, and 42.5% for vacAm2. The CC genotype of TLR9 -1486T/C had a significantly higher frequency in gastric cancer patients when compared to healthy participants (p = 0.045). Furthermore, the CC genotype demonstrated a significant association with H. pylori strains carrying sodB, hsp60, and vacAm1 virulence genes (p = 0.021, p = 0.049, and p = 0.048 respectively). Patients with CC genotype of TLR9 -1486T/C (rs187084) might be at higher risk for the development of gastric cancer, and its co-existence with H. pylori strains carrying sodB, hsp60, or vacAm1 virulence genes might have a synergistic effect in the development of gastric cancer. Further studies on a wider scale are recommended.","PeriodicalId":20272,"journal":{"name":"Polish Journal of Microbiology","volume":"71 1","pages":"35 - 42"},"PeriodicalIF":2.1,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44572782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
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Polish Journal of Microbiology
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