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Immunopathology, Allergology, Infectology最新文献

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ID-STREP и AB-STRВ diagnostic kits for diagnosing streptococcus infections and determination of antibiotic resistance including propensity to biofilm formation ID-STREP <e:1> AB-STRВ诊断试剂盒,用于诊断链球菌感染和测定抗生素耐药性,包括生物膜形成倾向
Pub Date : 2022-01-01 DOI: 10.14427/jipai.2022.1.17
V. Okulich, A. Pinchuk, V. Shilin, N. Kolchanova, E. Matusevich, T. Lepteeva, A. Korzhova
Modern diagnostic kits and equipment for species determination and testing of antibiotic resistance of many bacteria have been developed by the medical industry in different countries. However, the range of antibacterial drugs used often does not match those certified in EurAsEC and does not take into account the ability of microorganisms to form biofilm. The purpose of this research was to create diagnostic kits for species identification and testing of antibiotic resistance of Streptococcus spp. pathogens with the ability to make a biofilm matrix. The outcome of the study was the development and registration of diagnostic kits AB-STRВ and ID-STREP, which allow determination of sensitivity to 19 antibacterial drugs most commonly used in medical institutions, and identification 44 types of bacteria in the family Streptococcaceae, as well as the ability of bacteria to form biofilm.
不同国家的医疗行业开发了用于多种细菌的种类测定和抗生素耐药性测试的现代诊断试剂盒和设备。然而,抗菌药物的使用范围往往与EurAsEC认证的范围不匹配,并且没有考虑微生物形成生物膜的能力。本研究的目的是建立具有制造生物膜基质能力的链球菌病原菌种类鉴定和抗生素耐药性检测诊断试剂盒。该研究的结果是开发和注册了诊断试剂盒AB-STRВ和ID-STREP,可以测定医疗机构最常用的19种抗菌药物的敏感性,鉴定链球菌科44种细菌,以及细菌形成生物膜的能力。
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引用次数: 0
Comparison of methods for the diagnosis of H.pylori in gastric biopsy specimens from patients with different gastrointestinal diseases 不同胃肠道疾病患者胃活检标本中幽门螺杆菌诊断方法的比较
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.91
V. Tereshchenko
This paper presents a comparison of cultural and rapid urease tests for the detection of H.pylori presence with PCR in biopsy specimens from patients diagnosed with gastroduodenitis, chronic gastritis, duodenitis and reflux oesophagitis. In general, there was a trend towards more false positive results when using the rapid urease testing method and false negatives when using the cultural method is used, but this pattern was statistically significant only for the diagnoses of gastroduodenitis (for all methods) and chronic gastritis (there was no statistically significant difference between PCR and the cultural method). A prognostic model was constructed to determine the effect of the test method on the outcome.
本文比较了胃十二指肠炎、慢性胃炎、十二指肠炎和反流性食管炎患者活检标本中培养和快速脲酶检测幽门螺杆菌的方法。总的来说,使用快速脲酶检测法有假阳性结果较多的趋势,而使用培养法有假阴性结果较多的趋势,但这种模式仅在胃十二指肠炎(所有方法)和慢性胃炎的诊断中有统计学意义(PCR与培养法之间无统计学差异)。建立预后模型以确定测试方法对结果的影响。
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引用次数: 0
Methods of laboratory diagnosis of histoplasmosis – problems and prospects 组织浆菌病的实验室诊断方法——问题与展望
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.83
D. Tereshko, M. Parfenova
Endemic infections, such as histoplasmosis, the causative agent of which is assigned to pathogenicity group II, can cause a number of difficulties in laboratory studies. The culture method is the gold standard of diagnosis, but requires a lot of time and skill of the doctor. Immunological methods used to detect H. capsulatum antigens and/or antibodies to them, although they have received a wide range of applications in endemic regions show variable sensitivity and specificity, which is influenced by: the nature of the course of infection, the immune status of the patient, the type of clinical material and etc. As a result, we are seeing a gradual shift in emphasis towards molecular genetic studies, which demonstrate high analytical performance in the laboratory diagnosis of histoplasmosis.
地方性感染,如组织胞浆菌病,其病原体被指定为致病性II组,可在实验室研究中造成许多困难。培养法是诊断的金标准,但需要大量的时间和医生的技能。用于检测荚膜囊胞杆菌抗原和/或抗体的免疫学方法虽然在流行地区得到了广泛的应用,但其敏感性和特异性各不相同,这受感染过程的性质、患者的免疫状况、临床材料的类型等因素的影响。因此,我们看到重点逐渐转向分子遗传学研究,这在组织胞浆菌病的实验室诊断中显示出高分析性能。
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引用次数: 0
COVID-19 associated invasive mycoses COVID-19相关的侵袭性真菌病
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.49
O. Kutsevalova, A. Antonets, V. Krylov, N. Nifantiev, D. Miroshnichenko, A. Mikutin
The COVID-19 pandemic has revealed the new forms of invasive fungal infections. Without timely diagnosis and treatment, mortality reaches 100%. We analyzed 31 observed cases of invasive mucormycosis and aspergillosis in patients with COVID-19 to identify risk factors, the time sequence of the onset of clinical symptoms, and diagnostic features. Major predisposing factors were diabetes mellitus, immunosuppressive therapy, and oncological diseases.
2019冠状病毒病大流行揭示了侵袭性真菌感染的新形式。如不及时诊断和治疗,死亡率可达100%。我们分析了31例观察到的COVID-19患者侵袭性毛霉病和曲霉病的危险因素、临床症状发作的时间顺序和诊断特征。主要易感因素为糖尿病、免疫抑制治疗及肿瘤疾病。
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引用次数: 1
The cell wall as a mediator of the pathogenic activity of fungi of the genus Candida sp. 细胞壁在念珠菌属真菌致病活性中的中介作用。
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.60
O. Enoktaeva, M. Nikolenko, D. Trushnikov, N. Baryshnikova
The study of the chemical composition of the cell wall of fungi of the genus Candida sp. is an actual trend in modern medicine, allowing the development of new methods for the treatment of candidiasis. The polysaccharides mannan, glucan, and chitin form the framework of the cell wall, inside and on the surface of which proteins and other molecules are present. The components of the cell wall perform a wide range of functions: protect the contents of the cell from external factors; provide nutrition, respiration, reproduction and formation of cells of various morphologies; mediate the pathogenic properties of fungi, including biofilm formation, spread, and the ability to modulate the host's immune response.
对念珠菌属真菌细胞壁化学成分的研究是现代医学的一个实际趋势,可以开发治疗念珠菌病的新方法。甘露聚糖、葡聚糖和几丁质构成细胞壁的框架,细胞壁的内部和表面存在蛋白质和其他分子。细胞壁的组成部分具有广泛的功能:保护细胞内容物不受外界因素的影响;提供营养、呼吸、繁殖和形成各种形态的细胞;介导真菌的致病特性,包括生物膜的形成、传播和调节宿主免疫反应的能力。
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引用次数: 0
Toxigenic cosmopolitan micromycetes of the genus Aspergillus: new facts of recent decades 产毒世界性的曲霉属微菌:近几十年的新事实
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.77
G. Kononenko
The review presents an analysis of the current state of the problem associated with the production of toxic metabolites by three species of fungi of the genus Aspergillus – A. flavus, A. niger and A. fumigatus. All of them are known for their extensive occurrence in the environment, pathogenicity and traditional use in industrial biotechnology. In recent decades aflatoxins, cyclopiazonic acid, fumonisins of group B, gliotoxin and clavine ergot alkaloids have been assigned to the group of priority attention from the whole variety of structural types of toxins peculiar to these fungi. Large-scale studies of A. flavus and A. niger populations infecting agricultural products have been carried out in many regions of the world, their chemo- and phenotypic composition has been described, the prospects of molecular methods for improving the safety of industrial cultures and replacement strains recommended for biological correction have been shown, and new information has been obtained confirming the participation of toxic metabolites of A. fumigatus in the development of pathogenesis.
本文综述了曲霉属的三种真菌——黄曲霉、黑曲霉和烟曲霉产生有毒代谢物的现状。所有这些都以其在环境中的广泛存在,致病性和传统的工业生物技术用途而闻名。近几十年来,黄曲霉毒素、环吡唑酸、B族伏马菌素、胶质毒素和麦角生物碱从这些真菌特有的各种结构类型毒素中被列为优先关注的一类。世界上许多地区对黄曲霉和黑曲霉侵染农产品进行了大规模研究,描述了它们的化学和表型组成,表明了提高工业培养安全性的分子方法和推荐用于生物校正的替代菌株的前景。并且获得了新的信息,证实烟曲霉的毒性代谢物参与了发病机制的发展。
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引用次数: 2
COVID-19 and mucormycosis COVID-19和毛霉病
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.65
A. Lipnitsky, N. Polovets, R. Surkova, A. Murugova, A. Toporkov, D. Victorov
Mucormycosis is an angioinvasive disease caused by fungi of the order Mucorales. Coronavirus disease (COVID-19), associated mucormycosis (CAM) is a global emerging threat. More than 40 000 CAM cases have been reported in India. Emergense of CAM has been attributed to host, environmental and agents-related factors. Mucorales spore burden has been reported globally, however their presence is higher in tropical countries, such as India. Before the COVID-19 pandemic, patients with diabetes mellitus, hematological malignancies, solid organ transplants, corticosteroid therapy and neutropenia were more prone to mucormycosis. In COVID-19 patients, virus-induced endothelial dysfunction, hyperglycemia, and immune dysfunction following corticosteroid use. COVID-19 infection may directly induce hyperglycaemia by damaging beta cells of the pancreas or by corticosteroid therapy. In addition, corticosteroid treatment reduces the innate immune function of phagocytic cells. Free iron acquisition from the host is an important virulence factor of Mucorales.
毛霉菌病是一种由毛霉菌目真菌引起的血管侵入性疾病。冠状病毒病(COVID-19)及其相关毛霉菌病(CAM)是一种全球性的新威胁。印度报告了4万多例CAM病例。CAM的发生与宿主、环境和病原体相关因素有关。毛霉菌孢子负担在全球都有报道,但在热带国家,如印度,它们的存在更高。新冠肺炎大流行前,糖尿病、血液系统恶性肿瘤、实体器官移植、皮质类固醇治疗和中性粒细胞减少的患者更容易发生毛霉病。在COVID-19患者中,使用皮质类固醇后病毒诱导的内皮功能障碍、高血糖和免疫功能障碍。COVID-19感染可通过损害胰腺β细胞或皮质类固醇治疗直接诱导高血糖。此外,皮质类固醇治疗降低了吞噬细胞的先天免疫功能。从宿主获取游离铁是毛霉的一个重要毒力因子。
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引用次数: 2
Some prospects in the reseach of Microsporum canis (review) 犬小孢子菌的研究展望(综述)
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.72
I. Khamaganova
The significant growth and spread of dermatophytosis caused by Microsporum canis determine the interest to the research of this causative agent. The last time such technologies as metabolomics,transcriptomics and proteomics appeared to be effective. The role of zinc was examined. Zinc deficiency effect on gene expression, metabolism and pathogenicity of Microsporum canis. It was also proved that cyclic lipopeptides obtained from Bacillus subtilis inhibit the growth of cat’s Microsporum canis.
犬小孢子虫引起的皮肤真菌病的显著生长和传播决定了对该病原体研究的兴趣。上一次,代谢组学、转录组学和蛋白质组学等技术似乎是有效的。考察了锌的作用。锌缺乏对犬小孢子虫基因表达、代谢及致病性的影响。从枯草芽孢杆菌中提取的环状脂肽对猫犬小孢子的生长有抑制作用。
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引用次数: 0
Application of MALDI mass spectrometry for species identification and intraspecific differentiation of dermatophyte Microsporum canis of anthroponotic and zoonotic origin MALDI质谱法在人畜共患犬小孢子皮癣菌种内鉴定和种内分化中的应用
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.42
R. Ovchinnikov, N. Polyakov, A. Soloviev, A. Gainullina, V. Savinov, A. Kapustin, A. Gulyukin
Microsporum canis is an important fungal pathogen that is mainly transmitted to humans from domestic animals. Different strains of M. canis vary in their ability to infect humans. Comparative studies of M. canis strains from humans and animals using MALDI mass spectrometry have not yet been published. In a comparative aspect, M. canis strains isolated from human (HS 09-18) and cat (FC 19-18) were studied. Comparison of the obtained mass spectra revealed that M. canis HS 09-18 displayed characteristic peaks with m/z 3339, 4287, 6485, 7740 and 8568, while M. canis FC 19-18 displayed unique peaks with m/z 5192, 7221 and 8049. Three peaks with maximum intensity with m/z 6112, 6828, 9625 were found in both M. canis strains. The dendrogram built on the basis of MALDI mass spectra revealed the clustering of M. canis strains in accordance with their origin: strains from cats and humans formed two separate clusters. Thus, clear differences were demonstrated between M. canis strains depending on the source of origin (cat and human). MALDI mass spectrometry makes it possible to carry out species identification, as well as to reveal intraspecific differences in M. canis. The mechanisms that allow dermatophytes to switch from zoophilic to anthropophilic behavior need to be further explored.
犬小孢子菌是一种主要由家畜传播给人类的重要真菌病原体。不同种类的犬支原体感染人类的能力各不相同。使用MALDI质谱法对人类和动物的犬支原体菌株进行比较研究尚未发表。在比较方面,研究了人(HS 09-18)和猫(FC 19-18)分离的犬支原体菌株。质谱分析结果表明,犬m.s HS 09-18的特征峰为m/z 3339、4287、6485、7740和8568,而犬m.s FC 19-18的特征峰为m/z 5192、7221和8049。两株犬支原体均有3个最大强度峰,分别为m/z 6112、6828、9625。在MALDI质谱的基础上建立的树状图显示,犬支原体菌株按照其来源聚类:来自猫和人类的菌株形成两个独立的聚类。因此,根据来源(猫和人)不同,犬支原体菌株之间存在明显差异。MALDI质谱分析使得进行物种鉴定以及揭示犬支原体种内差异成为可能。允许皮肤植物从嗜兽行为转变为嗜人行为的机制需要进一步探索。
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引用次数: 0
Secretory abzyme IgA, enzymes and DNA of oral fluid in chronic periodontitis 慢性牙周炎患者口腔液分泌酶IgA、酶和DNA的变化
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.14
O. Korotina, I. Generalov
Catalytic abzyme activity of IgA and corresponding enzymes of oral fluid in patients with chronic periodontitis was studied. The individuals with healthy state of oral cavity were used as controls. Various kinds of proteolytic, oxidoreductase, and DNase activity were investigated; the concentarion of oral fluid DNA was evaluated as well. IgA fractions were isolated from the oral fluids by affinity chromatography on a matrix with polyclonal antibodies against human IgA, Elastase, proteolytic, cathepsin-like and amidase activities were investigated by colorimetric methods. DNase activity was assessed by the rivanol clot test. DNA concentrations in the oral fluid were determined by fluorimetric DNA test with PicoGreen fluorochrome. It has been established that certain kinds of IgA abzyme activities and oral fluid enzymes become substantially elevated following the exacerbations of chronic periodontitis in comparison with healthy controls (p<0.01-0.001). It refers to elastase, peroxidase, cathepsin, and catalase activity of oral cavity. The progression of chronic periodontitis is also characterized by high levels of patients’ DNA contents in oral fluid (p<0.001). For the diagnosis of chronic periodontitis the ROC-analysis of examined laboratory markers found the maximum diagnostic value of oral elastase testing (specificity of the test – 0,97; sensitivity – 0,85).
研究慢性牙周炎患者口腔液中IgA及相应酶的催化酶活性。以口腔健康者为对照。研究了各种蛋白水解酶、氧化还原酶和dna酶的活性;同时测定口腔液DNA浓度。采用人源IgA多克隆抗体亲和层析法从口腔液中分离IgA组分,用比色法测定弹性酶、蛋白水解酶、组织蛋白酶样酶和酰胺酶活性。用利凡诺凝块试验评估dna酶活性。采用PicoGreen荧光染料荧光法测定口服液中DNA浓度。与健康对照组相比,慢性牙周炎加重后,某些类型的IgA抗体酶活性和口腔液酶显著升高(p<0.01-0.001)。指口腔内弹性酶、过氧化物酶、组织蛋白酶和过氧化氢酶的活性。慢性牙周炎的进展也以患者口腔液中DNA含量高为特征(p<0.001)。对于慢性牙周炎的诊断,对检查的实验室标志物进行roc分析发现,口腔弹性蛋白酶试验的最大诊断价值(特异性为0.97;灵敏度- 0,85)。
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引用次数: 0
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Immunopathology, Allergology, Infectology
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