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Comparison of Cysteine Protease B Gene Expression between Clinical Isolates of Leishmania tropica, Leishmania major and Leishmania infantum 热带利什曼原虫、大利什曼原虫和幼利什曼原虫临床分离株半胱氨酸蛋白酶B基因表达的比较
Pub Date : 2019-07-10 DOI: 10.29252/jommid.7.3.72
Elham Kazemirad, Hossien Reisi Nafchi, A. Latifi, R. Raoofian, M. Mohebali, H. Hajjaran
Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Institute of biomedicine, Sahlgrenska Academy, University of Gothenberg, Gothenberg, Sweden; Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran; Research Center for Endemic Parasites of Iran, Tehran University of Medical Sciences, Tehran, Iran; Research center for Zoonoses, Parasitic and Microbial Diseases, Ardabil University of Medical Sciences, Ardabil, Iran
德黑兰医科大学公共卫生学院医学寄生虫学和真菌学教研室,伊朗德黑兰;哥德堡大学Sahlgrenska学院生物医学研究所,瑞典哥德堡;伊朗德黑兰法医学组织法医学研究中心;伊朗德黑兰医科大学伊朗地方性寄生虫研究中心,伊朗德黑兰;阿达比勒医学院人畜共患病、寄生虫和微生物病研究中心,伊朗阿达比勒
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引用次数: 1
Cutaneous Leishmaniasis on the Glans Penis: A Case Report 阴茎龟头皮肤利什曼病1例报告
Pub Date : 2019-07-10 DOI: 10.29252/jommid.7.3.87
F. Handjani, K. Taghipour, A. Miri
*Correspondence Email: hanjanif@yahoo.com Tel: +98 71 32319049 Fax: +98 71 32319049 A 79-year-old male presented with an ulcerated lesion on the glans penis. Histopathological evaluation of the biopsy from the lesion revealed the presence of Leishmania amastigotes and confirmed the diagnosis of cutaneous leishmaniasis. The patient was treated with several sessions of cryotherapy; the lesion healed and left no scar.
*通讯邮箱:hanjanif@yahoo.com电话:+98 71 32319049传真:+98 71 32319049 79岁男性,阴茎龟头溃疡病变。病变活检的组织病理学评估显示利什曼原虫的存在,并证实了皮肤利什曼病的诊断。患者接受了几次冷冻治疗;伤口愈合了,没有留下疤痕。
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引用次数: 1
Leishmanicidal and Cytotoxic Activity of Algerian Medicinal Plants on Leishmania major and Leishmania infantum 阿尔及利亚药用植物对大利什曼原虫和幼利什曼原虫的杀伤和细胞毒活性
Pub Date : 2019-07-10 DOI: 10.29252/jommid.7.3.66
N. Eddaikra, A. Boudjelal, Mohamed Amine Sbabdji, A. Eddaikra, A. Boudrissa, M. Bouhenna, S. Chemat, Z. Harrat
*Correspondence Email: neddaikra@yahoo.fr Tel: +213 552178227 Fax: +213 552178227 Introduction: Leishmaniasis is a severe disease that presents a real public health problem worldwide. Antileishmanial therapy remains expensive with intolerable side effects; therefore, it is essential to develop tolerable antileishmanial medications with a selective efficacy. Methods: In this study, the leishmanicidal activities of seven Algerian plant extracts, selected based on either ethnobotanical or chemotaxonomical data, were screened for their antileishmanial activity against promastigotes and amastigotes of cutaneous leishmaniasis agent Leishmania major (MON 25), and visceral leishmaniasis agent Leishmania infantum (MON 1). The cytotoxic activity against human monocytes THP1 was also determined. Results: In both species, amastigotes showed more sensitivity to the extracts than promastigotes. Erica arborea flower (IC50=43,98 μg/mL), Marrubium vulgare leaves (IC50=45,84 μg/mL) and Artemisia herba-alba Asso aerial parts (IC50=55,21 μg/mL) had an almost similar inhibitory effect on L. major promastigote. Marrubium vulgare leaves (IC50=35,63 μg/mL) was most effective against L. infantum promastigotes. Besides, these extracts exhibited low selectivity indices. The best results were obtained with M. vulgare on both L. major and L. infantum promastigotes (IC50s of 45,84 μg/ml and 35,63 μg/ml), and amastigotes (IC50s of 32,15 μg/ml and 18,64 μg/ml). The selectivity index was above two (2.34 for L. major and 3.01 for L. infantum), calculated based on the acceptable cytotoxic effect of M. vulgare on human macrophage cell line (CC50=107,45 μg/ml). Conclusion: Out of the seven methanol extracts tested against promastigotes of L. major and L. infantum, three showed promising activity with potent leishmanicidal effect and acceptable selectivity indices on L. major and L. Infantum.
*通信电子邮件:neddaikra@yahoo.fr电话:+213 552178227传真:+213 552178227简介:利什曼病是一种严重的疾病,在世界范围内构成真正的公共卫生问题。抗利什曼病治疗仍然昂贵,副作用难以忍受;因此,开发具有选择性疗效的耐药抗利什曼原虫药物至关重要。方法:采用民族植物学或化学分类的方法,筛选7种阿尔及利亚植物提取物对皮肤利什曼病主要利什曼原虫(mon25)和内脏利什曼原虫(mon1)的promastigotes和amastigotes的抗利什曼原虫活性,并测定其对人单核细胞THP1的细胞毒活性。结果:在两个物种中,无尾线虫对提取物的敏感性均高于原线虫。爱丽花(IC50分别为43、98 μg/mL)、凡合花叶片(IC50分别为45、84 μg/mL)和青蒿空中部位(IC50分别为55、21 μg/mL)对大型promastigote的抑制作用基本相同。凡夫兰叶(IC50分别为35、63 μg/mL)对婴儿乳杆菌的抑菌效果最好。此外,这些提取物的选择性指数较低。其中,普通霉对大乳杆菌和幼小乳杆菌的ic50分别为45、84和35、63 μg/ml,对无纺丝菌的ic50分别为32、15和18、64 μg/ml,效果最好。根据普通乳杆菌对人巨噬细胞的可接受细胞毒作用(CC50=107,45 μg/ml)计算,其选择性指数均在2以上(大乳杆菌2.34,婴儿乳杆菌3.01)。结论:在7种甲醇提取物中,有3种提取物对大乳杆菌和小乳杆菌具有较强的利什曼尼杀灭作用,对大乳杆菌和小乳杆菌具有较好的选择性。
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引用次数: 3
The effect of Cold Plasma (Combined Argon/Helium Gases) on Microbial Contamination and Physicochemical Properties of Minced Sheep Meat 冷等离子体(氩气/氦气混合)对肉糜微生物污染及理化性质的影响
Pub Date : 2019-01-10 DOI: 10.29252/jommid.7.1.2.12
Farideh Pidaei, A. Sharifan, Ramona Masoud
Red meat, due to high protein content and the balanced combination of vital nutrients such as essential fatty acids, vitamins, and minerals, plays a significant role in the human diet. One of the characteristics of sheep meat is the high content of fat (6%), which makes it more palatable [1]. Minced meat, compared to non-minced meat, is much more vulnerable to microbial contamination. When the microbial contamination level in minced meat reaches to 10 10 CFU per gram, the organoleptic changes would appear [2].
红肉,由于其高蛋白含量和重要营养素如必需脂肪酸、维生素和矿物质的平衡组合,在人类饮食中扮演着重要的角色。羊肉的特点之一是脂肪含量高(6%),口感更佳[1]。绞碎的肉与未绞碎的肉相比,更容易受到微生物的污染。当肉糜中的微生物污染水平达到10 - 10 CFU / g时,会出现感官变化[2]。
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引用次数: 0
Enhancing HIV-1 Nef Penetration into Mammalian Cells as an Antigen Candidate 增强HIV-1 Nef作为候选抗原进入哺乳动物细胞
Pub Date : 2019-01-10 DOI: 10.29252/jommid.7.1.2.37
Saba Davoodi, A. Bolhassani, S. M. Sadat, S. Irani
Human immunodeficiency virus type 1 (HIV-1) is the leading cause of acquired immunodeficiency syndrome worldwide. Since the AIDS epidemics in the early 1980s, nearly 70 million people have been infected with the virus, resulting in the deaths of about 30 million people [1]. Combined antiretroviral therapy (cART) has increased the life expectancy in people infected with HIV [2]. Despite the efforts, no effective vaccine is available yet. HIV encodes three primary genes, including gag, pol and env, and five accessory genes including vpr, vpu, vif, nef, rev and tat [3]. The Nef is a 27-34 kDa cell membrane-associated protein [4]. HIV infection progression in humans and animals has shown to be related to this protein [5]. Nef has a role in T cell signaling pathway activation [6]. On the other hand, cell-penetrating peptides (CPPs) are short peptides which can transfer their cargoes into the cells [7]. CPPs contain a large number of positive amino acids, especially lysine and arginine, which increase cell penetration [8]. Size and polarity are two essential factors that determine the mechanism for entering peptides and other molecules into the cells. Small non-polar molecules usually penetrate the cell membrane through passive diffusion [9]. Larger molecules enter the cell using two mechanisms of direct translocation and endocytosis [10]. MPG is one of the cellpenetrating peptides used to deliver DNA cargoes into the cells. Peptides such as MPG, penetratin, and CADY containing both polar and nonpolar domains, are defined as amphipathic peptides. Some of the primary amphipathic CPPs are chimeric peptides which bind to the nuclear localization sequences (NLS) via covalent bonds for effective penetration through the cell membranes. MPG is based on the NLS sequence of SV40 and HIV gp41 protein. In MPG, the hydrophobic region is separated from NLS with a linker [11]. Recently, a new cysteine-rich cationic CPP, called CyLoP-1, has been developed for the delivery of peptide and protein cargoes. CyLoP-1 was derived from the nuclear localization sequence of a snake toxin, called crotamine [12]. The presence of cysteine and tryptophan amino acids is necessary to maintain its function. Besides, the cysteine oxidation status plays an essential role in the uptake efficiency of CyLoP-1, and the disulfide-containing form plays a more active role in the CyLoP-1 uptake efficiency [13]. Introduction: The human immunodeficiency virus type 1 (HIV-1) Nef regulatory protein is known as a candidate for the design of therapeutic HIV DNA and protein vaccines. One of the limitations of these vaccines is the inability of DNA and protein to pass through the cell membrane. Various delivery systems have been developed to transfer DNA and protein into cells. Cell penetrating systems such as MPG and CyloP-1 are among delivery systems, which can deliver DNA and protein cargoes into the cells, respectively. Methods: In this study, we produced the recombinant Nef protein in Escherichia
人类免疫缺陷病毒1型(HIV-1)是全球获得性免疫缺陷综合征的主要原因。自20世纪80年代初艾滋病流行以来,已有近7000万人感染了这种病毒,造成约3000万人死亡[1]。联合抗逆转录病毒治疗(cART)提高了艾滋病毒感染者的预期寿命[2]。尽管做出了努力,但目前还没有有效的疫苗。HIV编码gag、pol和env三个主要基因,vpr、vpu、vif、nef、rev和tat五个辅助基因[3]。Nef是一种27-34 kDa的细胞膜相关蛋白[4]。人类和动物的HIV感染进展已被证明与该蛋白有关[5]。Nef在T细胞信号通路激活中起作用[6]。另一方面,细胞穿透肽(CPPs)是可以将其货物转移到细胞中的短肽[7]。CPPs含有大量的阳性氨基酸,尤其是赖氨酸和精氨酸,增加了细胞的穿透性[8]。大小和极性是决定多肽和其他分子进入细胞的机制的两个重要因素。非极性小分子通常通过被动扩散穿透细胞膜[9]。大分子通过直接易位和内吞作用两种机制进入细胞[10]。MPG是一种细胞穿透肽,用于将DNA货物运送到细胞中。多肽如MPG,穿透素和CADY包含极性和非极性结构域,被定义为两性肽。一些初代两亲性CPPs是嵌合肽,它们通过共价键结合到核定位序列(NLS)上,从而有效地穿透细胞膜。MPG是基于SV40和HIV gp41蛋白的NLS序列。在MPG中,疏水区与NLS通过连接体分离[11]。最近,一种新的富含半胱氨酸的阳离子CPP,称为CyLoP-1,已被开发用于肽和蛋白质货物的输送。CyLoP-1来源于一种名为crotamine的蛇毒素的核定位序列[12]。半胱氨酸和色氨酸的存在是维持其功能所必需的。此外,半胱氨酸氧化状态对CyLoP-1的摄取效率起着至关重要的作用,含二硫化物形式对CyLoP-1的摄取效率起着更为积极的作用[13]。人类免疫缺陷病毒1型(HIV-1) Nef调节蛋白被认为是设计治疗性HIV DNA和蛋白质疫苗的候选蛋白。这些疫苗的局限性之一是DNA和蛋白质不能穿过细胞膜。已经开发出各种递送系统来将DNA和蛋白质转移到细胞中。细胞穿透系统,如MPG和CyloP-1是其中的传递系统,它们可以分别将DNA和蛋白质货物运送到细胞中。方法:在大肠杆菌表达系统中制备重组Nef蛋白。通过琼脂糖凝胶阻滞、扫描电镜(SEM)、Zetasizer和SDS-PAGE等手段对CPP/DNA和CPP/蛋白质纳米颗粒的形成进行了验证,并对其在核酸酶和蛋白酶作用下的稳定性进行了评价。最后,通过荧光显微镜、流式细胞术和western blotting评估纳米颗粒进入HEK-293T细胞的情况。结果:我们的数据证实了通过直径小于200nm的非共价键形成稳定的纳米颗粒。此外,荧光显微镜、流式细胞术和western blotting结果表明,这些CPPs可以成功地将Nef蛋白和DNA传递到HEK-293T细胞中。结论:我们的研究结果表明,MPG和CyLoP-1 CPPs分别是哺乳动物细胞中DNA和蛋白质货物的合适候选者。中国医学与微生物感染杂志,2019,7(1-2):37-43。
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引用次数: 4
Intestinal Parasitic Helminths of Rattus spp. in Caspian Sea Littoral, Iran 伊朗里海沿岸鼠属肠道寄生蠕虫
Pub Date : 2019-01-01 DOI: 10.29252/jommid.7.1.2.32
N. Mazhari, P. Moosavi, E. Mostafavi, B. Esfandiari, I. Mobedi, B. Esboei, G. Mowlavi
Some rodent species, referred to as commensal rats, thrive near humans. This proximity makes quick access to their vital needs, such as food and habitat [1, 2]. Many rodents are known as the primary reservoir of some lifethreatening pathogens, and along with the arthropods that infest the animals, e.g., fleas, lice, play a critical role in spreading pathogenic agents [2]. Some species of rodents harbor parasite of public health importance such as leishmaniasis, toxoplasmosis, babesiosis, and hymenolepiasis [3, 4], among which some zoonoses such as leishmaniasis and toxoplasmosis are regarded as the most harmful parasites to humans especially in immunocompromised individuals [5]. Human infection with some parasites like Hymenolepis nana occurs through accidental ingestion of foods and drinking water contaminated with rodent droppings containing the parasite eggs [6-8]. The diversity of parasite fauna in rodents species and infection rates depend on the environmental and geographical conditions [9-12]. In commensal species like Rattus rattus and Rattus norvegicus, human behaviors and their leftovers are critical factors. Caspian Sea littoral in the north of Iran with temperate weather and dense vegetations has provided suitable habitats for commensal rodents such as rats [13,14]. This area is also endemic for leptospirosis [15]. An investigation of rodent reservoir host of leptospirosis in Caspian Sea littoral provided us the opportunity to investigate the helminthic infections among these animals in this area.
一些啮齿类动物,被称为共生鼠,在人类附近茁壮成长。这种接近使他们能够快速获得食物和栖息地等重要需求[1,2]。许多啮齿动物被认为是一些危及生命的病原体的主要宿主,并且与感染动物的节肢动物一起,如跳蚤、虱子,在传播病原体方面起着关键作用[2]。一些啮齿类动物携带有具有公共卫生重要性的寄生虫,如利什曼病、弓形虫病、巴贝斯虫病和膜膜绦虫病[3,4],其中一些人畜共患病,如利什曼病和弓形虫病被认为是对人类危害最大的寄生虫,特别是在免疫功能低下的个体中[5]。人类通过误食被含有寄生虫卵的啮齿动物粪便污染的食物和饮用水而感染某些寄生虫,如膜膜绦虫[6-8]。啮齿动物中寄生虫区系的多样性和感染率取决于环境和地理条件[9-12]。在褐家鼠(Rattus Rattus)和褐家鼠(Rattus norvegicus)等共生物种中,人类行为及其剩余物是关键因素。伊朗北部里海沿岸气候温和,植被茂密,为大鼠等共生啮齿动物提供了适宜的栖息地[13,14]。该地区也是钩端螺旋体病的流行地区[15]。通过对里海沿岸地区钩端螺旋体病啮齿动物宿主的调查,为调查该地区钩端螺旋体病动物的寄生虫感染提供了机会。
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引用次数: 3
Acute Complicated Brucellosis Mimicking Crimean-Congo Hemorrhagic Fever (CCHF) and Vice Versa 急性复杂布鲁氏菌病模拟克里米亚-刚果出血热(CCHF),反之亦然
Pub Date : 2019-01-01 DOI: 10.29252/jommid.7.1.2.1
A. Heydari
Crimean-Congo hemorrhagic fever (CCHF), endemic to Asia, Africa, and southern Europe, is a tick-borne disease caused by the CCHF virus (Orthonairovirus in Nairoviridae family). The main route of transmission is tick bite, and close contact with virus-infected blood/tissues of humans or animals may also transmit the infection. CCHF is considered a significant public health problem with case fatality rate (CFR) of 5.4-80% [1].
克里米亚-刚果出血热(克里米亚-刚果出血热)是亚洲、非洲和南欧的地方病,是由克里米亚-刚果出血热病毒(奈罗病毒科正形鼻虫病毒)引起的一种蜱传疾病。主要传播途径是蜱叮咬,与受病毒感染的人或动物血液/组织密切接触也可传播感染。CCHF被认为是一个重大的公共卫生问题,病死率(CFR)为5.4-80%[1]。
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引用次数: 1
Investigating the Frequency of Candida glabrata in Diabetic Women of Tehran with Recurrent and Non-recurrent Vulvovaginal Candidiasis Using PCR-RFLP Assay 用PCR-RFLP法研究德黑兰糖尿病妇女复发性和非复发性外阴阴道念珠菌病中光秃念珠菌的频率
Pub Date : 2019-01-01 DOI: 10.29252/jommid.7.1.2.44
M. Paknejadi, M. Bayat, V. Razavilar
Vaginitis is one of the most prevalent reproductive tract infections (RTIs) among sexually active women. Annually, about 340 million cases of curable sexually transmitted infections (STIs) occur worldwide, mostly in developing countries [1, 2]. After bacterial infections, vulvovaginal candidiasis is believed to be responsible for approximately one-third of vaginitis cases [3, 4]. However, some studies indicate a higher prevalence of Candida infection compared to bacterial vaginosis and trichomoniasis [5, 6, 7]. About %75 of healthy women within the age range of 2550 years have experienced non-recurrent vulvovaginal candidiasis (VVC) at least once in their lifetime, but 5% to 20% are prone to recurrent vulvovaginal candidiasis (RVVC) at least four times during a year [7-9].
阴道炎是性活跃女性中最常见的生殖道感染(RTIs)之一。每年,全世界约有3.4亿例可治愈的性传播感染(STIs),主要发生在发展中国家[1,2]。在细菌感染后,外阴阴道念珠菌病被认为是大约三分之一的阴道炎病例的原因[3,4]。然而,一些研究表明,与细菌性阴道病和滴虫病相比,念珠菌感染的患病率更高[5,6,7]。在2550岁的健康女性中,约有75%的女性一生中至少经历过一次非复发性外阴阴道念珠菌病(VVC),但有5%至20%的女性一年至少发生4次复发性外阴阴道念珠菌病(RVVC)[7-9]。
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引用次数: 2
Causative Agents of Vaginitis in Women of Kerman Province, Iran 伊朗克尔曼省妇女阴道炎的病原体
Pub Date : 2019-01-01 DOI: 10.29252/jommid.7.1.2.29
Mehdi Borhani Zarandi, S. R. N. Fard, K. Parastouei, A. Ahmadi
Vaginitis is a leading clinical problem for which women seek an obstetrician or gynecologist. The most common vaginal infections include trichomoniasis and other bacterial and fungal infections. Some agents are merely transmitted via sexual contact, while some others, such as yeasts and bacteria occur in warm, moist parts of the body, such as the vagina, and only multiply when conditions like stress, pregnancy, and illnesses affect the immune system [1]. Trichomonas vaginalis is a single cell flagellated parasite that resides in the lower genital tract of females and the male’s urethra, particularly among sexually active age groups. It is the most common sexually transmitted diseases (STDs) that infect the genitourinary tract in women of all age groups [2]. Bacterial vaginosis occurs by the replacement of the vaginal flora, generally dominated by lactobacilli, by a complex and abundant flora of strictly or optionally anaerobic bacteria. It can be asymptomatic or can cause vaginal inflammation and lead to a vaginal discharge [3].
阴道炎是妇女寻求产科医生或妇科医生的主要临床问题。最常见的阴道感染包括滴虫病和其他细菌和真菌感染。有些病原体仅通过性接触传播,而其他一些病原体,如酵母菌和细菌,存在于身体温暖潮湿的部位,如阴道,只有在压力、怀孕和疾病等条件影响免疫系统时才会繁殖[1]。阴道毛滴虫是一种存在于女性下生殖道和男性尿道中的单细胞鞭毛寄生虫,特别是在性活跃的年龄组中。它是所有年龄组女性中最常见的感染泌尿生殖道的性传播疾病[2]。细菌性阴道病的发生是由于阴道菌群(通常以乳酸菌为主)被复杂而丰富的严格或选择性厌氧菌群所取代。它可以是无症状的,也可以引起阴道炎症并导致阴道分泌物[3]。
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引用次数: 0
Molecular Diversity of Methicillin-resistant Staphylococcus aureus Isolates Originated from Patients in Ahvaz Hospitals, Iran 伊朗阿瓦士医院耐甲氧西林金黄色葡萄球菌分离株的分子多样性
Pub Date : 2019-01-01 DOI: 10.29252/jommid.7.1.2.19
Elahe Soltani Fard, M. Ardakani, H. Motamedi
Infections caused by methicillin-resistant Staphylococcus aureus (MRSA) strains are among the significant causes of mortality worldwide [1]. The hospital or community-acquired MRSA is the primary cause of skin and bloodstream infections and ventilator-associated pneumonia (VAP) [2]. Knowledge of the origin of MRSA strains can be useful for control and spread of these bacteria [3]. This issue can be more critical when the emergence of multidrug-resistant strains lead to treatment failure [4]. Hence, planning surveillance and monitoring program is necessary for control of these pathogens [5]. Currently, both phenotypic and genotypic approaches are available for the diagnosis of MRSA strains. However, in many countries genotyping methods are increasingly used for identification of MRSA isolates, their origins and distribution pattern in communities and hospitals [6]. The genotypic methods are not affected by laboratory conditions, are reproducible, rapid and culture-independent, and suitable for fastidious bacteria. Also, in comparison with phenotypic methods, genotypic methods are of higher sensitivity for detection of the bacteria and differentiating the strains within a species [7, 8]. PCR-RFLP has shown to be a useful assay for the identification of bacterial strains [9]. This method can analyze large numbers of specimens in a short period and has a broad application for epidemiologic studies. The S. aureus infections might originate from hospitals or communities, and their origin can influence their antibiotic susceptibility pattern and consequently, their response to treatment. Genotypic identification of S. aureus isolates can provide insights about their origin and their relation with other strains [10]. Through molecular typing, it would be possible to reduce the infections caused by these pathogens and prevent outbreaks [11]. Various molecular markers are available for assessment of S. aureus diversity, among which are spa, coa, aroA, and gap genes. The spa gene codes protein A, a superficial and virulence protein in S. aureus. The X region in the C-terminal of this gene contains 24 repeated base pair with high polymorphism among strains, which can differentiate between epidemic and endemic strains [12-14]. The coa gene encodes coagulase, a virulent factor of S. aureus; it has a high heterogeneity at 3 end, which makes it as another candidate for MRSA typing [4, 8]. The aroA gene is another genetic marker for genotyping of S. aureus isolates. This gene codes 5-enolpyrovyl shikimate-3phosphate synthase, a key enzyme in the biosynthesis of aromatics amino acids and folate [15]. Introduction: Staphylococcus aureus is among the primary cause of hospitals and community-acquired infections. The emergence of methicillin-resistant S. aureus (MRSA) strains has resulted in the treatment failure of the infections caused by these bacteria. Hence, regional data on antibiotic resistance of S. aureus strains is necessary to adopt appropriate treatment re
耐甲氧西林金黄色葡萄球菌(MRSA)引起的感染是全球死亡的重要原因之一[1]。医院或社区获得性MRSA是皮肤和血液感染以及呼吸机相关性肺炎(VAP)的主要原因[2]。了解MRSA菌株的起源对这些细菌的控制和传播是有用的[3]。当耐多药菌株的出现导致治疗失败时,这一问题可能更为关键[4]。因此,规划监测和监测方案是控制这些病原体的必要条件[5]。目前,表型和基因型两种方法都可用于MRSA菌株的诊断。然而,在许多国家,基因分型方法越来越多地用于鉴定MRSA分离株、其来源和在社区和医院中的分布模式[6]。基因型方法不受实验室条件的影响,重复性好,快速,不依赖于培养,适合于挑剔的细菌。此外,与表型法相比,基因型法对细菌的检测和物种内菌株的区分具有更高的灵敏度[7,8]。PCR-RFLP已被证明是一种有用的菌株鉴定方法[9]。该方法可在短时间内分析大量标本,在流行病学研究中具有广泛的应用价值。金黄色葡萄球菌感染可能起源于医院或社区,其来源可能影响其抗生素敏感性模式,从而影响其对治疗的反应。金黄色葡萄球菌分离物的基因型鉴定可以为了解其起源及其与其他菌株的关系提供线索[10]。通过分子分型,可以减少这些病原体引起的感染,防止暴发[11]。金黄色葡萄球菌多样性评估的分子标记多种多样,主要有spa、coa、aroA、gap基因等。spa基因编码金黄色葡萄球菌表面和毒力蛋白A。该基因c端X区含有24个重复碱基对,菌株间多态性较高,可区分流行株和地方性株[12-14]。coa基因编码凝固酶,这是金黄色葡萄球菌的一种毒力因子;它在3端具有很高的异质性,这使得它成为MRSA分型的另一个候选物[4,8]。aroA基因是金黄色葡萄球菌分离株基因分型的另一个遗传标记。该基因编码5-烯醇焦酰基莽草酸-3磷酸合成酶,是芳香族氨基酸和叶酸生物合成的关键酶[15]。简介:金黄色葡萄球菌是医院和社区获得性感染的主要原因之一。耐甲氧西林金黄色葡萄球菌(MRSA)菌株的出现导致这些细菌引起的感染治疗失败。因此,有必要收集金黄色葡萄球菌菌株抗生素耐药性的区域数据,以采取适当的治疗方案。本研究旨在通过对四个基因的分子分析来确定MRSA分离株的多样性和频率。方法:在横断面研究中,收集并鉴定了伊朗阿瓦士两家医院住院患者的100株金黄色葡萄球菌。采用表型法和mecA基因扩增法对MRSA分离株进行鉴定。通过扩增coa、spa、aroA和gap基因,利用AluI、HindIII、TaqI和RsaI限制性内切酶进行RFLP分析,研究MRSA分离株的多样性。结果:本研究共分离出50株MRSA。通过对coa基因的分析,鉴定出coa基因8个型,spa基因5个型和17个亚型,coa基因带AluI 13个型,spa带HindIII 13个型。gap基因与AluI、aroA基因与TaqI、RsaI分别为3个亚型和2个亚型。结论:我们的PCR-RFLP分析显示,临床样品中MRSA分离株存在多样性,表明该方法简单,重复性好,成本效益高。中国医学与微生物感染杂志,2019,7(1-2):19-28。
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引用次数: 0
期刊
Journal of Medical Microbiology and Infectious Diseases
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