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The multi-kingdom microbiome catalog of the chicken gastrointestinal tract 鸡胃肠道多王国微生物组目录
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.02.006
Yanan Wang , Mengqi Qu , Yuhai Bi , William J. Liu , Sufang Ma , Bo Wan , Yongfei Hu , Baoli Zhu , Gaiping Zhang , George F. Gao

Chicken is an important food animal worldwide and plays an important role in human life by providing meat and eggs. Despite recent significant advances in gut microbiome studies, a comprehensive study of chicken gut bacterial, archaeal, and viral genomes remains unavailable. In this study, we constructed a chicken multi-kingdom microbiome catalog (CMKMC), including 18,201 bacterial, 225 archaeal, and 33,411 viral genomes, and annotated over 6,076,006 protein-coding genes by integrating 135 chicken gut metagenomes and publicly available metagenome-assembled genomes (MAGs) from ten countries. We found that 812 and 240 MAGs in our dataset were putative novel species and genera, respectively, far beyond what was previously reported. The newly unclassified MAGs were predominant in Phyla Firmicutes_A (n = 263), followed by Firmicutes (n = 126), Bacteroidota (n = 121), and Proteobacteria (n = 87). Most of the classified species-level viral operational taxonomic units belong to Caudovirales. Approximately, 63.24 % of chicken gut viromes are predicted to infect two or more hosts, including complete circular viruses. Moreover, we found that diverse auxiliary metabolic genes and antibiotic resistance genes were carried by viruses. Together, our CMKMC provides the largest integrated MAGs and viral genomes from the chicken gut to date, functional insights into the chicken gastrointestinal tract microbiota, and paves the way for microbial interventions for better chicken health and productivity.

鸡是世界上重要的食用动物,在人类生活中扮演着重要的角色,为人类提供肉类和蛋类。尽管最近在肠道微生物组研究方面取得了重大进展,但对鸡肠道细菌、古细菌和病毒基因组的全面研究仍然空白。在这项研究中,我们通过整合 135 个鸡肠道元基因组和来自 10 个国家的公开元基因组组装基因组(MAGs),构建了一个鸡多王国微生物组目录(CMKMC),其中包括 18,201 个细菌基因组、225 个古细菌基因组和 33,411 个病毒基因组,并注释了超过 6,076,006 个蛋白编码基因。我们发现,在我们的数据集中,分别有 812 个和 240 个 MAG 是推定的新种和新属,远远超出了之前的报道。新近未分类的 MAGs 主要分布在甲真菌门(263 个),其次是真菌门(126 个)、类杆菌门(121 个)和变形菌门(87 个)。大多数已分类的种级病毒业务分类单元属于尾状病毒科。据预测,大约 63.24% 的鸡肠道病毒组可感染两个或多个宿主,其中包括完整的环状病毒。此外,我们还发现病毒携带有多种辅助代谢基因和抗生素耐药性基因。总之,我们的CMKMC提供了迄今为止最大的鸡肠道MAGs和病毒基因组集成,提供了对鸡胃肠道微生物区系的功能性洞察,并为改善鸡的健康和生产率的微生物干预铺平了道路。
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引用次数: 0
Superior effectiveness and acceptability of saliva samples for the detection of SARS-CoV-2 in China 中国唾液样本检测SARS-CoV-2的优越性和可接受性
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.03.002
Hui Yao , Ying Shen , Zhichao Liang , Xiaoyu Xue , Chenxi Zhao , Xiang Xu , Yuxin Cai , Yonghong Liu , Wei Zhang , Yang Pan , Xiaoli Wang

In response to problems of poor sampling quality, low sensitivity, and high demand for medical personnel regarding the current severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) oropharyngeal (OP) swab sampling used in China, we aimed to evaluate the diagnostic performance and acceptability of saliva-based nucleic acid amplification tests (NAATs) in China. The results showed that, using nasopharyngeal (NP) swab results as the gold standard, the overall sensitivities for saliva specimens and OP swabs were 93.3 % and 85.0 %, the specificities were 92.6 % and 93.8 %, respectively. The results of an acceptability survey showed that the scores for saliva, OP, and NP samples were 9.46 ± 1.69, 8.11 ± 2.42, and 4.58 ± 3.82 out of 10, respectively, with significant differences among the three groups (P < 0.05). With higher sensitivity, comparable specificity, and strong public preference, saliva-based NAATs represent a convenient and effective method for detecting SARS-CoV-2 in future epidemics.

针对中国目前采用的严重急性呼吸系统综合征冠状病毒2型(SARS-CoV-2)口咽拭子采样存在的采样质量差、灵敏度低、对医务人员要求高等问题,我们对中国基于唾液的核酸扩增检测(NAATs)的诊断性能和可接受性进行了评估。结果显示,以鼻咽(NP)拭子结果为金标准,唾液标本和鼻咽(OP)拭子的总体灵敏度分别为 93.3 % 和 85.0 %,特异度分别为 92.6 % 和 93.8 %。可接受性调查结果显示,唾液、OP 和 NP 样本的得分分别为(9.46 ± 1.69)、(8.11 ± 2.42)和(4.58 ± 3.82)(满分 10 分),三组之间差异显著(P < 0.05)。基于唾液的 NAATs 具有较高的灵敏度、相当的特异性和公众的强烈偏好,是未来流行病中检测 SARS-CoV-2 的一种方便有效的方法。
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引用次数: 0
A One Health approach to fight antimicrobial resistance in Uganda: Implementation experience, results, and lessons learned 乌干达采用 "一体健康 "方法抗击抗生素耐药性:实施经验、成果和教训
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.01.003
Reuben Kiggundu , J.P. Waswa , Niranjan Konduri , Hassan Kasujja , Marion Murungi , Patrick Vudriko , Harriet Akello , Eric Lugada , Cecilia Muiva , Esther Were , Dinah Tjipura , Henry Kajumbula , Kate Kikule , Emmanuel Nfor , Mohan P. Joshi

Uganda has been implementing the Global Health Security Agenda (GHSA) since 2015 to build its capacity according to World Health Organization (WHO) Benchmarks on International Health Regulations Capacities. The country remains prone to outbreaks, with more than 20 disease outbreaks reported in the past five years, including Ebola virus disease, Crimean-Congo haemorrhagic fever, Marburg haemorrhagic fever, measles, yellow fever, coronavirus disease 2019 (COVID-19), and cholera. Antimicrobial resistance (AMR) is an ongoing challenge. Uganda scored capacity level 3 on infection prevention and control (IPC) and antimicrobial stewardship (AMS) in the 2017 Joint External Evaluation (JEE) assessment. Identified gaps were being addressed after a self-assessment in 2021. This paper describes the technical assistance approaches provided to Uganda by the Medicines, Technologies, and Pharmaceutical Services Program, funded by the United States (U.S.) Agency for International Development, and implemented by Management Sciences for Health. The program, through a One Health approach, supported systematic capacity strengthening based on the JEE’s capacity advancement framework for global health security, specifically relating to AMR. The program’s interventions impacted 32 WHO benchmark actions (7 for AMR multisectoral coordination, 16 for IPC, and 9 for AMS), contributing to Uganda’s strengthened GHSA capacity. Leveraging success built on the AMR platform, the program trained 745 health workers in IPC for the Ebola virus and provided support for simulation exercises by eight district IPC teams. The program also worked with the Ministry of Health to coordinate IPC for the COVID-19 response in five health regions, covering 45 districts and reaching 5,452 health workers at 858 health facilities.

自2015年以来,乌干达一直在实施全球卫生安全议程(GHSA),以根据世界卫生组织(WHO)的国际卫生条例能力基准进行能力建设。乌干达仍然是疾病爆发的多发国家,在过去五年中报告了20多次疾病爆发,包括埃博拉病毒病、克里米亚-刚果出血热、马尔堡出血热、麻疹、黄热病、2019年冠状病毒病(COVID-19)和霍乱。抗菌药耐药性(AMR)是一项持续的挑战。在 2017 年联合外部评估(JEE)中,乌干达在感染预防与控制(IPC)和抗菌药物管理(AMS)方面的能力等级为 3 级。在 2021 年进行自我评估后,发现的差距正在得到弥补。本文介绍了药品、技术和制药服务计划向乌干达提供的技术援助方法,该计划由美国国际开发署(U.S. Agency for International Development)资助,并由健康管理科学组织(Management Sciences for Health)负责实施。该计划通过 "一个健康 "方法,支持在联合专家小组的全球健康安全能力提升框架基础上系统地加强能力,特别是与 AMR 相关的能力。该计划的干预措施对世卫组织的 32 项基准行动产生了影响(7 项针对 AMR 多部门协调,16 项针对 IPC,9 项针对 AMS),为乌干达加强全球卫生安全保障能力做出了贡献。利用在 AMR 平台上取得的成功,该计划对 745 名卫生工作者进行了埃博拉病毒 IPC 培训,并为八个地区 IPC 小组的模拟演练提供了支持。该计划还与卫生部合作,在 5 个卫生区协调 COVID-19 应对措施的 IPC 工作,覆盖 45 个地区,并为 858 个卫生设施的 5,452 名卫生工作者提供服务。
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引用次数: 0
Prevalence of bacteria, fungi, and virus coinfections with SARS-CoV-2 Omicron variant among patients with severe COVID-19 in Guangzhou, China, winter 2022 2022 年冬季中国广州严重 COVID-19 患者中细菌、真菌和病毒与 SARS-CoV-2 Omicron 变体合并感染的流行率
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.02.003
Qinghong Fan , Mengling Jiang , Jun Zhang , Guofang Tang , Ming Gao , Yingfen Wen , Xizi Deng , Jun Dai , Honghao Lai , Peng Qian , Yaqing Lin , Ruiying He , Liya Li , Yueping Li , Zhengtu Li , Xuesong Liu , Yimin Li , Na Yu , Yun Lan , Fengyu Hu , Feng Li

The status of coinfection during the national outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron BA.5.2 or BF.7 in China in the winter of 2022, which is suspected to contribute substantially to the overloaded severe cases, needs to be investigated. We analyzed the coinfection status of 385 severe patients infected with the Omicron variant in Guangzhou using metagenomic sequencing. We found that 317 (82.3 %) patients were coinfected with at least one additional pathogen(s), including bacteria (58.7 %), fungi (27.1 %) and viruses (73.5 %). Pseudomonas aeruginosa (P. aeruginosa) (24.2 %), Staphylococcus aureus (S. aureus) (14.0 %), and Klebsiella pneumoniae (K. pneumonia) (13.4 %) ranked as the top three coinfected bacteria. Aspergillus fumigatus (A. fumigatus) (39.5 %), Pneumocystis jirovecii (P. jirovecii) (24.4 %) and Canidia albicans (C. albicans) (22.1 %) were the top three coinfected fungi. Epstein-Barr virus (EBV) (63.1 %), Human herpesvirus 7 (HHV-7) (34.8 %), and Herpes simplex virus 1 (HSV-1) (32.6 %) were the top three coinfected viruses. Of note, the detection of multiple coinfections of potential pathogenic bacteria, fungi, and viruses, despite lacking consistent patterns, highlighted a complicated synergistic contribution to disease severity. Our study presents the most comprehensive spectrum of bacterial, fungal, and viral coinfections in Omicron-associated severe coronavirus disease 2019 (COVID-19), implying that the coinfection of conditional pathogens might synergistically deteriorate the Omicron infection outcomes.

在2022年冬季中国爆发的严重急性呼吸系统综合征冠状病毒2(SARS-CoV-2)奥米克龙BA.5.2或BF.7型全国性疫情中,合并感染的情况有待调查,怀疑合并感染是造成重症病例超负荷的主要原因。我们利用元基因组测序分析了广州 385 例感染 Omicron 变体的重症患者的合并感染情况。我们发现,317 名患者(82.3%)至少同时感染了一种病原体,包括细菌(58.7%)、真菌(27.1%)和病毒(73.5%)。铜绿假单胞菌(P. aeruginosa)(24.2%)、金黄色葡萄球菌(S. aureus)(14.0%)和肺炎克雷伯菌(K. pneumoniae)(13.4%)是前三位合并感染的细菌。烟曲霉(A. fumigatus)(39.5%)、肺孢子菌(P. jirovecii)(24.4%)和白念珠菌(C. albicans)(22.1%)是同时感染的前三名真菌。爱泼斯坦-巴尔病毒(EBV)(63.1%)、人类疱疹病毒 7(HHV-7)(34.8%)和单纯疱疹病毒 1(HSV-1)(32.6%)是同时感染的前三位病毒。值得注意的是,尽管缺乏一致的模式,但发现了潜在致病细菌、真菌和病毒的多重合并感染,这突出表明了复杂的协同作用对疾病严重性的影响。我们的研究展示了 2019 年奥米克龙相关重症冠状病毒病(COVID-19)中细菌、真菌和病毒共感染的最全面谱系,这意味着条件性病原体的共感染可能会协同恶化奥米克龙感染的结果。
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引用次数: 0
Development and evaluation of a quadruple real-time fluorescence-based quantitative reverse transcription polymerase chain reaction assay for detecting Langya, Mojiang, Nipah, and Cedar viruses 开发和评估用于检测琅琊、墨江、尼帕和雪松病毒的四重实时荧光定量反转录聚合酶链反应测定法
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.02.002
Wenjun He , Tian Ma , Yalan Wang , Weifang Han , Jun Liu , Wenwen Lei , Le Zhang , Guizhen Wu

The emerging viruses within the genus Henipavirus in the family Paramyxoviridae pose a great threat to public biosafety. To develop a quadruple real-time fluorescence-based quantitative reverse transcription polymerase chain reaction (qRT-PCR) assay is pivotal for the early warning of the potential of zoonotic infectious diseases. Specific primers and probes were designed for the relatively conserved regions based on whole genome sequences of Langya virus (LayV), Mojiang virus (MojV), Nipah virus (NiV), and Cedar virus (CedV), followed by the establishment of a quadruple real-time fluorescence-based qRT-PCR detection method. No cross-reactivity was observed with other viral nucleic acids. The optimal linear detection range for LayV, MojV, NiV, and CedV was 101-108 copies/μL, and the lower limit of detection was 10 copies/μL. Three different DNA concentrations of LayV, MojV, NiV, and CedV (104, 105, and 106 copies/μL) were tested 14 times, achieving good repeatability. The standard deviation of the cycle threshold values for each concentration was <0.5 and the coefficient of variation was <3 %. Furthermore, the amplification efficiency of quadruple real-time fluorescence-based qRT-PCR was >90 %, and the correlation coefficient was >0.99. The established quadruple real-time fluorescence-based qRT-PCR assay for the detection of LayV, MojV, NiV, and CedV exhibits good sensitivity, specificity, and repeatability. Therefore, it can be used to detect Henipavirus and other related clinical specimens.

副粘病毒科 Henipavirus 属中新出现的病毒对公共生物安全构成了巨大威胁。开发一种基于四重实时荧光定量反转录聚合酶链反应(qRT-PCR)的检测方法,对于早期预警潜在的人畜共患传染病至关重要。根据琅琊病毒(LayV)、墨江病毒(MojV)、尼帕病毒(NiV)和雪松病毒(CedV)的全基因组序列,针对相对保守的区域设计了特异性引物和探针,随后建立了基于四重实时荧光的 qRT-PCR 检测方法。没有观察到与其他病毒核酸的交叉反应。LayV、MojV、NiV和CedV的最佳线性检测范围为101-108拷贝/μL,检测下限为10拷贝/μL。对三种不同浓度的 LayV、MojV、NiV 和 CedV(104、105 和 106 拷贝/μL)DNA 进行了 14 次测试,重复性良好。每个浓度的周期阈值的标准偏差为 0.5,变异系数为 3%。此外,基于四重实时荧光的 qRT-PCR 扩增效率为 90%,相关系数为 0.99。所建立的基于四重实时荧光的 qRT-PCR 检测 LayV、MojV、NiV 和 CedV 的方法具有良好的灵敏度、特异性和重复性。因此,该方法可用于检测亨氏病毒及其他相关临床标本。
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引用次数: 0
Construction of a bivalent vaccine candidate against HAdV4/HAdV7 based on capsid-display strategy via Red-homologous recombination and counter-selection methodology 通过红色同源重组和反选择方法,构建基于囊壳显示策略的针对 HAdV4/HAdV7 的二价候选疫苗
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.02.001
Peng Wang , Yunting Shao , Xichun Yang , Wenning Zhang , Jianguang Zhou , Fang Huang , Shuang Liu , Jiping Zheng , Chengjun Wu , Shanhu Li

Human adenoviruses (HAdVs) are major respiratory pathogens. Specifically, human adenovirus type 4 (HAdV4) and human adenovirus type 7 (HAdV7) are known for causing fever and pneumonia, with documented cases of fatalities among the population. In recent years, HAdV4/HAdV7 has been implicated in causing substantial outbreaks, leading to increased morbidity in multiple countries. Most HAdV4 and HAdV7 infections have been reported in North America, Asia, Europe, Africa, South America, Oceania, and the Middle East. Most fatalities occurred in North America (the United States) and Asia (China and Singapore). Engineered recombinant adenoviruses have played a crucial role as vaccine vectors. In this study, we constructed a recombinant adenovirus, Ad4ITRmut-Ad7E3, and evaluated it in vitro and in vivo. We observed that the replication rate of Ad4ITRmut-Ad7E3 was lower than that of the RI-67 strain, indicating that the mutation of inverted terminal repeats (ITRs) weakened the replication ability of HAdV4. Immunization of BALB/c mice with the bivalent Ad4ITRmut-Ad7E3 vaccine strain, administered by intraperitoneal injection and oral gavage, resulted in the elicitation of neutralizing antibodies targeting HAdV4 and HAdV7. This finding not only provides a novel method and technique for the efficient construction of a polyvalent recombinant adenovirus vaccine candidate against HAdV4 and HAdV7 but also against other prevalent adenovirus serotypes such as HAdV3, HAdV11, HAdV14, and HAdV55, from various regions.

人类腺病毒(HAdVs)是主要的呼吸道病原体。具体来说,人类腺病毒 4 型(HAdV4)和人类腺病毒 7 型(HAdV7)以引起发烧和肺炎而闻名,并在人群中造成死亡病例。近年来,HAdV4/HAdV7 已在多个国家引起大规模爆发,导致发病率上升。大多数 HAdV4 和 HAdV7 感染报告发生在北美洲、亚洲、欧洲、非洲、南美洲、大洋洲和中东。大多数死亡病例发生在北美(美国)和亚洲(中国和新加坡)。工程重组腺病毒作为疫苗载体发挥了重要作用。在本研究中,我们构建了重组腺病毒 Ad4ITRmut-Ad7E3,并对其进行了体外和体内评估。我们观察到 Ad4ITRmut-Ad7E3 的复制率低于 RI-67 株,这表明倒位末端重复序列(ITR)的突变削弱了 HAdV4 的复制能力。通过腹腔注射和口服给 BALB/c 小鼠接种二价 Ad4ITRmut-Ad7E3 疫苗株,可激发针对 HAdV4 和 HAdV7 的中和抗体。这一发现不仅为高效构建针对 HAdV4 和 HAdV7 的多价重组腺病毒候选疫苗提供了一种新的方法和技术,而且还能针对其他流行的腺病毒血清型,如来自不同地区的 HAdV3、HAdV11、HAdV14 和 HAdV55。
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引用次数: 0
Genomic surveillance of emerging SARS-CoV-2 Omicron variations in Tianjin Municipality, China 2022 中国天津市新出现的 SARS-CoV-2 Omicron 变异的基因组监测 2022 年
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.03.001
Xin Gao , Ming Zou , Yue Lei , Zhaolin Tan , Zhichao Zhuang , Baolu Zheng , Aiping Yu , Yanzhen Han , Xiaohui Lu , Xiaochang Liu , Ying Wang , Yuan Wang , Liru Guo , Guangwen Liu , Wen Li , Yang Liu , Likun Lv , Peiyong Ning , Xiaoyan Li

The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has severely impacted public health. In 2022, the Omicron variant of SARS-CoV-2 rapidly became the dominant circulating variant in the local COVID-19 outbreaks in Tianjin Municipality, China. To gain a deeper understanding of the genetic variations of the Omicron variant in Tianjin, specimens from individuals who tested positive for SARS-CoV-2 between December 2021 and November 2022 were used for virus whole genome sequencing and phylogenetic analysis. A total of 1,674 high-quality Omicron sequences were obtained, consisting of 1,339 sequences from local cases belonging to 20 Phylogenetic Assignment of Named Global Outbreak (PANGO) lineages and 335 sequences from imported cases belonging to 70 lineages. Tianjin experienced five waves of local outbreaks, accompanied by multiple substitutions among subvariants, ranging from the initial BA.1.1 lineage to the subsequent BA.2, BF.7, and BA.5.2 lineages. The evolutionary rate of local strains, estimated to be 28.999 substitutions per year, and the evolutionary rate of imported strains, estimated to be 24.946 substitutions per year, were lower than that of the strains circulating globally. The additional substitutions and deletions of local strains have been used to identify and disrupt the virus transmission chains. The subvariants such as BA.5.2.48, BA.5.2.49, BF.7.14, and XBB.1 circulating in the fifth epidemic wave presented criterial immune escape mutations including S: R346T, S: L452R and S: F486V. It is essential to implement genomic surveillance strategies to investigate further the development of genomic mutation characteristics in the SARS-CoV-2 variant. This ongoing monitoring will contribute to a better understanding of the virus's genetic changes and aid in effective control measures.

由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的冠状病毒病 2019(COVID-19)大流行严重影响了公众健康。2022 年,SARS-CoV-2 的 Omicron 变体迅速成为中国天津市 COVID-19 地方疫情中的主要流行变体。为深入了解天津地区 Omicron 变种的基因变异情况,研究人员对 2021 年 12 月至 2022 年 11 月间 SARS-CoV-2 检测呈阳性的患者标本进行了病毒全基因组测序和系统发育分析。共获得 1,674 条高质量的 Omicron 序列,其中 1,339 条来自本地病例,属于 20 个全球疫情命名系统发育谱系(PANGO),335 条来自输入病例,属于 70 个系统发育谱系。天津经历了五波本地疫情爆发,伴随着亚变异株之间的多重替换,从最初的 BA.1.1 系到随后的 BA.2、BF.7 和 BA.5.2 系。本地菌株的进化速度(估计为每年 28.999 次替换)和进口菌株的进化速度(估计为每年 24.946 次替换)均低于全球流行的菌株。本地毒株的额外替代和缺失被用来识别和破坏病毒传播链。在第五次流行潮中,BA.5.2.48、BA.5.2.49、BF.7.14 和 XBB.1 等亚变异株出现了标准免疫逃逸突变,包括 S:R346T、S:L452R 和 S:F486V。必须实施基因组监测战略,进一步研究 SARS-CoV-2 变异基因组突变特征的发展。这种持续的监测将有助于更好地了解病毒的基因变化,并有助于采取有效的控制措施。
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引用次数: 0
Epidemiology and genetic characterization of tet(X4)-positive Klebsiella pneumoniae and Klebsiella quasipneumoniae isolated from raw meat in Chengdu City, China 中国成都市从生肉中分离的 tet(X4)阳性肺炎克雷伯氏菌和类肺炎克雷伯氏菌的流行病学和遗传特征
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.02.004
Weishuai Zhai , Yiqing Wang , Honghu Sun , Bo Fu , Qidi Zhang , Congming Wu , Jianzhong Shen , Dejun Liu , Yang Wang

The rapid spread of mobile tigecycline resistance presents a significant public health threat, particularly with the increasing prevalence of tet(X4)-positive Enterobacterales across various species. This study aimed to investigate the epidemic features and transmission dynamics of tet(X4)-positive Klebsiella pneumoniae (K. pneumoniae) through the analysis of 206 raw meats, including pork (n = 182), beef (n = 16), duck (n = 5), and chicken (n = 3). These samples were collected from schools, markets, and restaurants in Chengdu City, China. A total of 25 isolates were obtained from 13 administrative regions. All isolates exhibited resistance to tetracycline, tigecycline, ampicillin, chloramphenicol, and florfenicol. Over half of the isolates also demonstrated resistance to streptomycin (80 %), sulfamethoxazole/trimethoprim (72 %), ciprofloxacin (64 %), and ampicillin/sulbactam (56 %). Among these strains, 14 distinct sequence types (STs) were identified, revealing evidence of inter-regional clonal spread, notably among 9 K. pneumoniae ST3393. Phylogenetic analysis revealed the presence of two K. pneumoniae ST5 closely resembling hypervirulent K. pneumoniae from Jiangsu. Importantly, 12 isolates were capable of transferring tigecycline resistance to Escherichia coli J53. Further plasmid analysis showed that the tet(X4)-harboring plasmids in K. pneumoniae could be classified into four types, primarily belonging to the IncFIA(HI1)/HI1A/HI1B hybrid plasmid (n = 16) and IncFII plasmid (n = 7), which significantly contributed to the cross-species dissemination of tet(X4). In summary, this study highlights the prevalence of MDR tet(X4)-positive K. pneumoniae in Chengdu, driven predominantly by clonal expansion and plasmid-mediated horizontal gene transfer. These findings emphasize the importance of continuous surveillance of tet(X4)-positive K. pneumoniae in raw meat and the implementation of effective measures to control their spread.

对替加环素的流动耐药性的快速传播对公共卫生构成了重大威胁,尤其是随着 tet(X4)阳性肠杆菌在不同物种中的流行率不断上升。本研究旨在通过分析 206 份生肉样本,包括猪肉(182 份)、牛肉(16 份)、鸭肉(5 份)和鸡肉(3 份),研究 tet(X4)阳性肺炎克雷伯菌(K. pneumoniae)的流行特征和传播动态。这些样本来自中国成都市的学校、市场和餐馆。从 13 个行政区域共获得 25 个分离株。所有分离菌株均对四环素、替加环素、氨苄西林、氯霉素和氟苯尼考具有耐药性。半数以上的分离菌株还对链霉素(80%)、磺胺甲恶唑/三甲氧苄(72%)、环丙沙星(64%)和氨苄西林/舒巴坦(56%)具有抗药性。在这些菌株中,发现了 14 种不同的序列类型(ST),揭示了区域间克隆传播的证据,尤其是在 9 株 ST3393 肺炎克雷伯菌中。系统发育分析表明,有两株肺炎克雷伯菌 ST5 与江苏的高病毒性肺炎克雷伯菌非常相似。重要的是,12 个分离株能够将对替加环素的耐药性转移到大肠杆菌 J53 中。进一步的质粒分析表明,肺炎克雷伯菌中携带tet(X4)的质粒可分为四种类型,主要属于IncFIA(HI1)/HI1A/HI1B杂交质粒(n = 16)和IncFII质粒(n = 7),它们对tet(X4)的跨种传播起了重要作用。总之,本研究强调了成都地区 MDR tet(X4)阳性肺炎克雷伯菌的流行,其主要驱动因素是克隆扩增和质粒介导的水平基因转移。这些发现强调了持续监测生肉中 tet(X4)阳性肺炎克氏菌并采取有效措施控制其传播的重要性。
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引用次数: 0
Evaluating human exposure to antibiotic resistance genes 评估人类接触抗生素耐药基因的情况
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.bsheal.2024.02.005
Zhenchao Zhou , Hong Chen

Antibiotic resistance is an escalating global concern, leading to millions of annual fatalities. Antibiotic resistance genes (ARGs) present in bacteria equip them to withstand the effects of antibiotics. Intra- and interspecific ARGs transmission through horizontal gene transfer further exacerbates resistance dissemination. The presence of ARGs in the environment heightens the probability of human exposure via direct inhalation, ingestion, or contact with polluted air, food, or water, posing substantial biosafety and health hazards. Consequently, ARGs represent a critical focal point in public health and environmental safety and are classified as emerging contaminants. This perspective underscores the necessity to assess ARG exposure within the One Health framework and to accord greater attention to the mitigation strategies and tactics associated with ARGs.

抗生素耐药性是一个日益严重的全球性问题,每年导致数百万人死亡。细菌中的抗生素耐药性基因(ARGs)使它们能够抵御抗生素的作用。ARGs 通过水平基因转移在种内和种间传播,进一步加剧了抗药性的传播。环境中 ARGs 的存在增加了人类通过直接吸入、摄入或接触受污染的空气、食物或水而接触 ARGs 的几率,从而对生物安全和健康造成严重危害。因此,ARGs 是公共卫生和环境安全的一个关键焦点,被归类为新兴污染物。这一观点强调了在 "一个健康 "框架内评估 ARG 暴露的必要性,以及更加关注与 ARG 相关的缓解战略和策略的必要性。
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引用次数: 0
Current epidemiologic features and health dynamics of ESBL-producing Escherichia coli in China 中国产 ESBL 大肠埃希菌的流行病学特征和健康动态现状
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2024.01.002
Sayyed Salman , Zeeshan Umar , Yonghong Xiao

Extended-spectrum β-lactamase (ESBL)-producing Escherichia coli (E. coli) are widespread in China, with occurrences documented in humans, animals, and the environment. The dissemination of ESBL-producing E. coli is likely facilitated by the widespread use of antibiotics in human and animal agriculture, the presence of antibiotic-resistant bacteria (ARBs) in animal feces, and close human-animal interactions. Plasmids, particularly those belonging to incompatibility (Inc) group, such as IncF, IncI, and IncH families, play a vital role in facilitating the horizontal gene transfer of ESBL genes across various sectors, from humans to animals and the environment. IS26 and IS1 elements also significantly influences the mobilization and evolution of antibiotic-resistance genes (ARGs), contributing to the spread of ESBL-producing E. coli. blaCTX-M−14, blaCTX-15, and blaCTX-M−55 are prevalent in ESBL-producing E. coli across the three domains and are often found in conjunction with other ARGs. Considering these challenges, it is imperative to take proactive measures to prevent the further spread of ARBs. This includes the judicious and responsible use of antibiotics and efforts to minimize contact with animal feces. Sector-specific strategies should be developed to effectively educate and engage relevant personnel in tackling this multifaceted problem. These efforts are vital to combat the dissemination of ESBL-producing E. coli and preserve public health.

产广谱β-内酰胺酶(ESBL)大肠埃希菌(E. coli)在中国广泛存在,在人类、动物和环境中都有发生记录。人类和畜牧业中抗生素的广泛使用、动物粪便中抗生素耐药菌(ARBs)的存在以及人与动物之间的密切接触可能会促进产ESBL大肠杆菌的传播。质粒,尤其是那些属于不相容(Inc)组的质粒,如 IncF、IncI 和 IncH 家族,在促进 ESBL 基因在不同领域(从人类到动物和环境)的水平基因转移方面发挥着至关重要的作用。IS26和IS1元件还对抗生素耐药基因(ARGs)的动员和进化产生了重大影响,导致了产ESBL大肠杆菌的传播。blaCTX-M-14、blaCTX-15和blaCTX-M-55在三个领域的产ESBL大肠杆菌中普遍存在,而且经常与其他ARGs结合在一起。考虑到这些挑战,当务之急是采取积极措施防止 ARB 进一步扩散。这包括明智、负责任地使用抗生素,努力减少与动物粪便的接触。应制定针对具体部门的战略,以有效教育相关人员并使其参与解决这一多方面的问题。这些努力对于遏制产 ESBL 大肠杆菌的传播和维护公众健康至关重要。
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引用次数: 0
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