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Salmonella in the food chain within the Gulf Cooperation Council countries. 海湾合作委员会国家食物链中的沙门氏菌。
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024023
Mohamed-Yousif Ibrahim Mohamed, Ihab Habib, Hazim O Khalifa

Infections caused by bacteria originating from tainted food sources are a widespread concern due to their large economic impact and detrimental effects on public health. We aimed to explore literature focusing on the presence of Salmonella in the food supply chains of Gulf Cooperation Council (GCC) countries and to provide an overview of available information concerning health-related issues and the status of salmonellosis in humans in GCC countries. The reviewed evidence underscored a gap in our comprehensive understanding of the prevalence of Salmonella in the food supply of GCC countries. Molecular characterization efforts to pinpoint the sources of Salmonella in these nations were limited. Surveys targeting Salmonella in the food supply of GCC countries have been infrequent. While qualitative data indicated the presence or absence of Salmonella, there was a noticeable lack of quantitative data detailing the actual quantities of these bacteria in chicken meat supplies across GCC countries. Although reports regarding Salmonella in animal-derived foods were common, the literature highlighted in this review emphasized the persistent challenge that Salmonella pose to food safety and public health in GCC countries. Addressing this issue requires concerted efforts to enhance surveillance, improve control measures, and promote greater awareness among stakeholders in the food supply chain.

源于受污染食品的细菌引起的感染因其巨大的经济影响和对公众健康的有害影响而受到广泛关注。我们旨在探究海湾合作委员会(GCC)国家食品供应链中存在沙门氏菌的文献,并概述与海湾合作委员会国家人类健康相关问题和沙门氏菌病现状有关的现有信息。所审查的证据突出表明,我们对海湾合作委员会国家食品供应中沙门氏菌流行情况的全面了解还存在差距。为确定沙门氏菌在这些国家的来源而进行的分子鉴定工作十分有限。针对海湾合作委员会国家食品供应中沙门氏菌的调查并不频繁。虽然定性数据显示存在或不存在沙门氏菌,但海湾合作委员会国家鸡肉供应中沙门氏菌实际数量的定量数据却明显不足。虽然有关动物源性食品中沙门氏菌的报告很常见,但本综述中强调的文献强调了沙门氏菌对海湾合作委员会国家的食品安全和公共卫生构成的持续挑战。要解决这一问题,需要共同努力加强监测、改进控制措施,并提高食品供应链中利益相关者的认识。
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引用次数: 0
Plant beneficial traits of endophytic bacteria associated with fennel (Foeniculum vulgare Mill.). 与茴香(Foeniculum vulgare Mill.)相关的内生细菌对植物有益的特性。
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-06-18 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024022
Vyacheslav Shurigin, Li Li, Burak Alaylar, Dilfuza Egamberdieva, Yong-Hong Liu, Wen-Jun Li

In this study, we used 16S rRNA gene sequence analysis to describe the diversity of cultivable endophytic bacteria associated with fennel (Foeniculum vulgare Mill.) and determined their plant-beneficial traits. The bacterial isolates from the roots of fennel belonged to four phyla: Firmicutes (BRN1 and BRN3), Proteobacteria (BRN5, BRN6, and BRN7), Gammaproteobacteria (BRN2), and Actinobacteria (BRN4). The bacterial isolates from the shoot of fennel represented the phyla Proteobacteria (BSN1, BSN2, BSN3, BSN5, BSN6, BSN7, and BSN8), Firmicutes (BSN4, BRN1, and BRN3), and Actinobacteria (BRN4). The bacterial species Bacillus megaterium, Bacillus aryabhattai, and Brevibacterium frigoritolerans were found both in the roots and shoots of fennel. The bacterial isolates were found to produce siderophores, HCN, and indole-3-acetic acid (IAA), as well as hydrolytic enzymes such as chitinase, protease, glucanase, and lipase. Seven bacterial isolates showed antagonistic activity against Fusarium culmorum, Fusarium solani, and Rhizoctonia. solani. Our findings show that medicinal plants with antibacterial activity may serve as a source for the selection of microorganisms that exhibit antagonistic activity against plant fungal infections and may be considered as a viable option for the management of fungal diseases. They can also serve as an active part of biopreparation, improving plant growth.

在这项研究中,我们利用 16S rRNA 基因序列分析描述了与茴香(Foeniculum vulgare Mill.)相关的可栽培内生细菌的多样性,并确定了它们对植物有益的性状。从茴香根部分离的细菌属于四个门:固着菌(BRN1 和 BRN3)、蛋白质细菌(BRN5、BRN6 和 BRN7)、加膜蛋白质细菌(BRN2)和放线菌(BRN4)。从茴香嫩芽中分离出的细菌属于变形菌门(BSN1、BSN2、BSN3、BSN5、BSN6、BSN7 和 BSN8)、固着菌门(BSN4、BRN1 和 BRN3)和放线菌门(BRN4)。在茴香的根部和芽中都发现了巨大芽孢杆菌(Bacillus megaterium)、ryabhattai 杆菌(Bacillus aryabhattai)和弗氏裂殖杆菌(Brevibacterium frigoritolerans)。发现这些细菌分离物能产生苷酸、HCN、吲哚-3-乙酸(IAA)以及几丁质酶、蛋白酶、葡聚糖酶和脂肪酶等水解酶。七种细菌分离物对镰刀菌、禾谷镰刀菌和根瘤菌具有拮抗活性。我们的研究结果表明,具有抗菌活性的药用植物可作为选择对植物真菌感染具有拮抗活性的微生物的来源,并可被视为管理真菌疾病的可行选择。它们还可以作为生物制剂的活性成分,改善植物生长。
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引用次数: 0
Use of plant growth-promoting bacteria to facilitate phytoremediation. 利用植物生长促进菌促进植物修复。
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024021
Elisa Gamalero, Bernard R Glick

Here, phytoremediation studies of toxic metal and organic compounds using plants augmented with plant growth-promoting bacteria, published in the past few years, were summarized and reviewed. These studies complemented and extended the many earlier studies in this area of research. The studies summarized here employed a wide range of non-agricultural plants including various grasses indigenous to regions of the world. The plant growth-promoting bacteria used a range of different known mechanisms to promote plant growth in the presence of metallic and/or organic toxicants and thereby improve the phytoremediation ability of most plants. Both rhizosphere and endophyte PGPB strains have been found to be effective within various phytoremediation schemes. Consortia consisting of several PGPB were often more effective than individual PGPB in assisting phytoremediation in the presence of metallic and/or organic environmental contaminants.

在此,我们总结并回顾了过去几年发表的利用添加了植物生长促进菌的植物对有毒金属和有机化合物进行植物修复的研究。这些研究补充并扩展了这一研究领域的许多早期研究。本文总结的研究采用了多种非农业植物,包括世界各地的各种本地草。植物生长促进菌利用一系列不同的已知机制,在存在金属和/或有机毒物的情况下促进植物生长,从而提高大多数植物的植物修复能力。在各种植物修复方案中,根瘤菌和内生型 PGPB 菌株都被认为是有效的。在协助植物修复金属和/或有机环境污染物方面,由多个 PGPB 组成的联合体往往比单个 PGPB 更有效。
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引用次数: 0
Characterization and morphological methods for oral biofilm visualization: where are we nowadays? 口腔生物膜可视化的特征和形态学方法:我们现在处于什么阶段?
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-06-06 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024020
Davide Gerardi, Sara Bernardi, Angelo Bruni, Giovanni Falisi, Gianluca Botticelli

The oral microbiome represents an essential component of the oral ecosystem whose symbiotic relationship contributes to health maintenance. The biofilm represents a state of living of microorganisms surrounding themselves with a complex and tridimensional organized polymeric support and defense matrix. The substrates where the oral biofilm adhere can suffer from damages due to the microbial community metabolisms. Therefore, microbial biofilm represents the main etiological factor of the two pathologies of dental interest with the highest incidence, such as carious pathology and periodontal pathology. The study, analysis, and understanding of the characteristics of the biofilm, starting from the macroscopic structure up to the microscopic architecture, appear essential. This review examined the morphological methods used through the years to identify species, adhesion mechanisms that contribute to biofilm formation and stability, and how the action of microbicidal molecules is effective against pathological biofilm. Microscopy is the primary technique for the morphological characterization of biofilm. Light microscopy, which includes the stereomicroscope and confocal laser microscopy (CLSM), allows the visualization of microbial communities in their natural state, providing valuable information on the spatial arrangement of different microorganisms within the biofilm and revealing microbial diversity in the biofilm matrix. The stereomicroscope provides a three-dimensional view of the sample, allowing detailed observation of the structure, thickness, morphology, and distribution of the various species in the biofilm while CLSM provides information on its three-dimensional architecture, microbial composition, and dynamic development. Electron microscopy, scanning (SEM) or transmission (TEM), allows the high-resolution investigation of the architecture of the biofilm, analyzing the bacterial population, the extracellular polymeric matrix (EPS), and the mechanisms of the physical and chemical forces that contribute to the adhesion of the biofilm to the substrates, on a nanometric scale. More advanced microscopic methodologies, such as scanning transmission electron microscopy (STEM), high-resolution transmission electron microscopy (HR-TEM), and correlative microscopy, have enabled the evaluation of antibacterial treatments, due to the potential to reveal the efficacy of different molecules in breaking down the biofilm. In conclusion, evidence based on scientific literature shows that established microscopic methods represent the most common tools used to characterize biofilm and its morphology in oral microbiology. Further protocols and studies on the application of advanced microscopic techniques are needed to obtain precise details on the microbiological and pathological aspects of oral biofilm.

口腔微生物群是口腔生态系统的重要组成部分,其共生关系有助于维护健康。生物膜是微生物的一种生存状态,其周围有复杂的三维聚合物支撑和防御基质。口腔生物膜附着的基质会因微生物群落的新陈代谢而受到破坏。因此,微生物生物膜是龋病和牙周病这两种发病率最高的牙病的主要病因。从宏观结构到微观结构,研究、分析和了解生物膜的特征显得至关重要。这篇综述探讨了多年来用于识别物种的形态学方法、有助于生物膜形成和稳定性的粘附机制,以及杀微生物分子的作用如何有效对抗病态生物膜。显微镜是生物膜形态特征描述的主要技术。包括体视显微镜和激光共聚焦显微镜(CLSM)在内的光学显微镜可以观察到自然状态下的微生物群落,提供有关生物膜内不同微生物空间排列的宝贵信息,并揭示生物膜基质中的微生物多样性。体视显微镜提供样品的三维视图,可详细观察生物膜的结构、厚度、形态和各种物种的分布,而 CLSM 则提供有关生物膜的三维结构、微生物组成和动态发展的信息。电子显微镜(扫描电子显微镜(SEM)或透射电子显微镜(TEM))可对生物膜的结构进行高分辨率研究,分析细菌数量、细胞外聚合基质(EPS)以及促使生物膜粘附到基质上的纳米级物理和化学力的机制。扫描透射电子显微镜 (STEM)、高分辨率透射电子显微镜 (HR-TEM) 和相关显微镜等更先进的显微方法能够揭示不同分子在分解生物膜方面的功效,因此能够对抗菌疗法进行评估。总之,基于科学文献的证据表明,已确立的显微镜方法是口腔微生物学中描述生物膜及其形态的最常用工具。要获得口腔生物膜在微生物学和病理学方面的精确细节,还需要进一步制定应用先进显微技术的方案并开展相关研究。
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引用次数: 0
Proteomic and transcriptomic analyses of Cutibacterium acnes biofilms and planktonic cultures in presence of epinephrine. 痤疮杆菌生物膜和浮游培养物在肾上腺素作用下的蛋白质组和转录组分析。
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024019
A V Gannesen, M I Schelkunov, R H Ziganshin, M A Ovcharova, M V Sukhacheva, N E Makarova, S V Mart'yanov, N A Loginova, A M Mosolova, E V Diuvenji, E D Nevolina, V K Plakunov

Transcriptomic and proteomic analysis were performed on 72 h biofilms of the acneic strain Cutibacterium acnes and planktonic cultures in the presence of epinephrine. Epinephrine predominantly downregulated genes associated with various transporter proteins. No correlation was found between proteomic and transcriptomic profiles. In control samples, the expression of 51 proteins differed between planktonic cultures and biofilms. Addition of 5 nM epinephrine reduced this number, and in the presence of 5 µM epinephrine, the difference in proteomic profiles between planktonic cultures and biofilms disappeared. According to the proteomic profiling, epinephrine itself was more effective in the case of C. acnes biofilms and potentially affected the tricarboxylic acid cycle (as well as alpha-ketoglutarate decarboxylase Kgd), biotin synthesis, cell division, and transport of different compounds in C. acnes cells. These findings are consistent with recent research on Micrococcus luteus, suggesting that the effects of epinephrine on actinobacteria may be universal.

在肾上腺素存在的情况下,对痤疮棒状杆菌和浮游生物培养物 72 小时的生物膜进行了转录组和蛋白质组分析。肾上腺素主要下调了与各种转运蛋白相关的基因。蛋白质组与转录组之间没有相关性。在对照样本中,浮游生物培养物和生物膜中 51 种蛋白质的表达存在差异。加入 5 nM 肾上腺素后,这一数字有所下降,而在 5 µM 肾上腺素存在的情况下,浮游生物培养物和生物膜之间的蛋白质组差异消失了。根据蛋白质组图谱分析,肾上腺素本身对痤疮丙酸杆菌生物膜更有效,并可能影响痤疮丙酸杆菌细胞中的三羧酸循环(以及α-酮戊二酸脱羧酶 Kgd)、生物素合成、细胞分裂和不同化合物的转运。这些发现与最近对黄体微球菌(Micrococcus luteus)的研究结果一致,表明肾上腺素对放线菌的影响可能是普遍的。
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引用次数: 0
Phylogenetic group distribution and antibiotic resistance of Escherichia coli isolates in aquatic environments of a highly populated area. 人口高度密集地区水生环境中大肠埃希菌分离物的系统发生群分布和抗生素耐药性。
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-05-09 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024018
Rosette Mansour, Mohammad H El-Dakdouki, Sara Mina

Background: Extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae including Escherichia coli (E. coli), are recognized as a global public health threat due to their multidrug-resistant (MDR) phenotypes and their rapid dissemination in aquatic environments. Nevertheless, studies investigating the prevalence and antimicrobial resistance (AMR) profile of ESBL-producing E. coli in Lebanese surface water are limited.

Objective: This study aimed to assess the physicochemical properties and microbial contamination load and to determine the distribution of AMR patterns of ESBL-producing E. coli in surface water samples from different sites in the North Governorate of Lebanon.

Methods: Water samples were collected from 25 major sites in North Lebanon. These samples were analyzed for the presence of total coliforms, E. coli, and fecal enterococci. Phenotypic and genetic characterizations were then performed for E. coli isolates to determine their resistance patterns and phylogenetic groups.

Results: Fifty-six samples out of 100 samples were positive for ESBL-producing E. coli, mostly harboring blaCTX-M (40/56, 71%) including blaCTX-M-15 (33/40, 82%), blaTEM gene (36/56, 64%), blaSHV (20/56, 36%), and blaOXA (16/56, 29%) including blaOXA-48 gene (11/16, 69%). Most ESBL-producing E. coli isolates belonged to the extra-intestinal pathogenic phylogroup B2 (40/56, 71.4%) while 10/56 (17.9%) belonged to the commensal phylogroup A.

Conclusion: Our results highlight the need to implement effective water monitoring strategies to control transmission of ESBL-producing E. coli in surface water and thus reduce the burden on human and animal health.

背景:产广谱β-内酰胺酶(ESBL)的肠杆菌科细菌,包括大肠埃希氏菌(E. coli),因其耐多药(MDR)表型及其在水生环境中的快速传播而被认为是全球公共卫生的威胁。然而,对黎巴嫩地表水中产ESBL大肠杆菌的流行率和抗菌药耐药性(AMR)概况进行调查的研究却很有限:本研究旨在评估黎巴嫩北部省不同地点地表水样本的理化性质和微生物污染负荷,并确定产 ESBL 大肠杆菌的 AMR 模式分布:方法:从黎巴嫩北部 25 个主要地点采集水样。方法:从黎巴嫩北部 25 个主要地点采集水样,分析这些水样中是否存在总大肠菌群、大肠埃希氏菌和粪肠球菌。然后对大肠杆菌分离物进行表型和基因鉴定,以确定其耐药性模式和系统发生群:结果:100 份样本中有 56 份样本对产 ESBL 大肠杆菌呈阳性,其中大部分携带 blaCTX-M(40/56,71%),包括 blaCTX-M-15(33/40,82%)、blaTEM 基因(36/56,64%)、blaSHV(20/56,36%)和 blaOXA(16/56,29%),包括 blaOXA-48 基因(11/16,69%)。大多数产ESBL的大肠埃希氏菌分离物属于肠道外致病菌系统群B2(40/56,71.4%),而10/56(17.9%)属于共生菌系统群A:我们的研究结果突出表明,有必要实施有效的水质监测策略,以控制地表水中产ESBL大肠杆菌的传播,从而减轻对人类和动物健康造成的负担。
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引用次数: 0
Sustainable packaging materials for fermented probiotic dairy or non-dairy food and beverage products: challenges and innovations. 发酵益生菌乳制品或非乳制品食品和饮料的可持续包装材料:挑战与创新。
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-05-08 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024017
Dali Vilma Francis, Divakar Dahiya, Trupti Gokhale, Poonam Singh Nigam

The food and beverage packaging industry has experienced remarkable growth in recent years. Particularly the requirement for appropriate packaging materials used for the sale of fermented products is boosted due to the rising acceptance of economical functional foods available to consumers on the shelves of their local supermarkets. The most popular nutraceutical foods with increased sales include natural yogurts, probiotic-rich milk, kefir, and other fermented food and beverage products. These items have mainly been produced from dairy-based or non-dairy raw materials to provide several product options for most consumers, including vegan and lactose-intolerant populations. Therefore, there is a need for an evaluation of the potential developments and prospects that characterize the growth of the food packaging industry in the global market. The article is based on a review of information from published research, encompassing current trends, emerging technologies, challenges, innovations, and sustainability initiatives for food industry packaging.

近年来,食品和饮料包装行业经历了显著的增长。特别是由于消费者对当地超市货架上经济实惠的功能性食品的接受度不断提高,对用于销售发酵产品的适当包装材料的要求也随之提高。销售量增加的最受欢迎的保健食品包括天然酸奶、富含益生菌的牛奶、酸乳酒和其他发酵食品和饮料产品。这些产品主要采用乳制品原料或非乳制品原料生产,为大多数消费者(包括素食者和乳糖不耐受人群)提供多种产品选择。因此,有必要对全球市场食品包装行业的潜在发展和增长前景进行评估。本文基于对已发表研究信息的回顾,涵盖了食品工业包装的当前趋势、新兴技术、挑战、创新和可持续发展举措。
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引用次数: 0
Studies on bioactivities of Manuka and regional varieties of honey for their potential use as natural antibiotic agents for infection control related to wound healing and in pharmaceutical formulations. 研究麦卢卡蜂蜜和地方品种蜂蜜的生物活性,以了解其作为天然抗生素制剂用于伤口愈合相关感染控制和药物配方的潜力。
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024015
Divakar Dahiya, Caoimhin Mackin, Poonam Singh Nigam

Presently, most of the reported infections are of a bacterial origin; however, this leads to a limit within the literature and research around infections caused by fungal pathogens, which are now developing resistance to antibiotic medicines. Of the natural antimicrobial agents, honey has been observed with demonstrable and highly exploitable antimicrobial and infection control related to wound healing properties; therefore, it has been incorporated into many standard pharmaceutical formulations. Generally, these products utilize a pure sample of honey as a bioactive ingredient in a product which has been purposely designed for the convenience of application. This article aims to review information available from published reports on various bioactivities of a variety of medical-grade honey products, including manuka and other conventional non-manuka types sourced from different floral types and geographical regions. Additionally, this review highlights the antibiotic activities of various types of honey products tested against pathogenic strains of bacteria, yeast and fungi, and their applications in the formulation of healthcare products.

目前,大多数报告的感染都是由细菌引起的,但这也限制了围绕真菌病原体引起的感染的文献和研究,因为真菌病原体目前正在对抗生素药物产生抗药性。在天然抗菌剂中,蜂蜜的抗菌和感染控制以及伤口愈合特性已得到证实和高度开发;因此,蜂蜜已被纳入许多标准药物配方中。一般来说,这些产品利用纯蜂蜜样品作为产品中的生物活性成分,是为了方便应用而专门设计的。本文旨在回顾已发表的报告中有关各种医用级蜂蜜产品生物活性的信息,包括麦卢卡蜂蜜和其他传统的非麦卢卡蜂蜜,这些蜂蜜来自不同的花卉类型和地理区域。此外,这篇综述还重点介绍了针对细菌、酵母菌和真菌等致病菌株测试的各类蜂蜜产品的抗生素活性,以及它们在保健产品配方中的应用。
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引用次数: 0
Why does increased microbial fermentation in the human colon shift toward butyrate? 为什么人类结肠中微生物发酵的增加会转向丁酸盐?
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024016
Harry J Flint, Petra Louis, Sylvia H Duncan

The microbial community of the human large intestine mainly ferments dietary fiber to short chain fatty acids (SCFAs), which are efficiently absorbed by the host. The three major SCFAs (acetate, propionate, and butyrate) have different fates within the body and different effects on health. A recent analysis of 10 human volunteer studies established that the proportions of these SCFA in fecal samples significantly shifted towards butyrate as the overall concentration of SCFA increased. Butyrate plays a key role in gut health and is preferentially utilized as an energy source by the colonic epithelium. Here we discuss possible mechanisms that underlie this 'butyrate shift'; these include the selection for butyrate-producing bacteria within the microbiota by certain types of fiber, and the possibility of additional butyrate formation from lactate and acetate by metabolite cross-feeding. However, a crucial factor appears to be the pH in the proximal colon, which decreases as the SCFA concentrations increase. A mildly acidic pH has been shown to have an important impact on microbial competition and on the stoichiometry of butyrate production. Understanding these complex interactions has been greatly aided by the refinement of theoretical models of the colonic microbiota that assume a small number (10) of microbial functional groups (MFGs).

人体大肠中的微生物群落主要将膳食纤维发酵成短链脂肪酸(SCFA),并被宿主有效吸收。三种主要的 SCFAs(醋酸酯、丙酸酯和丁酸酯)在体内有不同的归宿,对健康也有不同的影响。最近对 10 项人类志愿者研究的分析表明,随着 SCFA 整体浓度的增加,粪便样本中这些 SCFA 的比例明显向丁酸盐转移。丁酸盐对肠道健康起着关键作用,并被结肠上皮细胞优先用作能量来源。在此,我们讨论了这种 "丁酸盐转变 "的可能机制;其中包括某些类型的纤维对微生物群中产生丁酸盐的细菌的选择,以及通过代谢物交叉喂养从乳酸和乙酸中形成额外丁酸盐的可能性。不过,近端结肠的 pH 值似乎是一个关键因素,随着 SCFA 浓度的增加,pH 值也会降低。研究表明,pH 值呈弱酸性对微生物竞争和丁酸盐生成的配比有重要影响。结肠微生物群的理论模型假定有少量(10 个)微生物功能群(MFGs),这些模型的完善大大有助于理解这些复杂的相互作用。
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引用次数: 0
Epidemiology of multi-drug resistant Tuberculosis in the western region of Kenya. 肯尼亚西部地区耐多药结核病流行病学。
IF 2.7 Q3 MICROBIOLOGY Pub Date : 2024-04-22 eCollection Date: 2024-01-01 DOI: 10.3934/microbiol.2024014
George O Lugonzo, Ezekiel M Njeru, William Songock, Albert A Okumu, Eric M Ndombi

Multidrug-resistant tuberculosis (TB) (MDR-TB), or TB that is simultaneously resistant to both isoniazid (INH) and rifampicin (RIF), is a barrier to successful TB control and treatment. Stratified data on MDR-TB, particularly in the high-burden western Kenya region, remain unknown. This data is important to monitor the efficacy of TB control and treatment efforts. Herein, we determined the molecular epidemiology of drug-resistant TB and associated risk factors in western Kenya. This was a non-experimental, population-based, cross-sectional study conducted between January and August 2018. Morning sputum samples of individuals suspected of pulmonary TB were collected, processed, and screened for Mycobacterium tuberculosis (Mtb) and drug resistance using line probe assay (LPA) and Mycobacterium growth indicator tubes (MGIT) culture. MGIT-positive samples were cultured on brain heart infusion (BHII) agar media, and the presence of Mtb was validated using Immunochromatographic assay (ICA). Drug sensitivity was performed on MGIT and ICA-positive but BHI-negative samples. Statistical significance was set at P < 0.05. Of the 622 Mtb isolates, 536 (86.2%) were susceptible to RIF and INH. The rest, 86 (13.83%), were resistant to either drugs or both. A two-sample proportional equality test revealed that the MDR-TB prevalence in western Kenya (5%) did not vary significantly from the global MDR-TB estimate (3.9%) (P = 0.196). Men comprised the majority of susceptible and resistant TB (75.9% and 77.4%%, respectively). Also, compared with healthy individuals, the prevalence of HIV was significantly higher in MDR-TB patients (35.9% vs 5.6%). Finally, TB prevalence was highest in individuals aged 25-44 years, who accounted for 58.4% of the total TB cases. Evidently, the prevalence of MDRTB in western Kenya is high. Particular attention should be paid to men, young adults, and those with HIV, who bear the greatest burden of resistant TB. Overall, there is a need to refine TB control and treatment programs in the region to yield better outcomes.

耐多药结核病(MDR-TB),即同时对异烟肼(INH)和利福平(RIF)产生耐药性的结核病,是成功控制和治疗结核病的障碍。有关 MDR-TB 的分层数据,尤其是肯尼亚西部高负担地区的数据,仍然不得而知。这些数据对于监测结核病控制和治疗工作的效果非常重要。在此,我们确定了肯尼亚西部耐药结核病的分子流行病学及相关风险因素。这是一项非实验性、基于人群的横断面研究,于 2018 年 1 月至 8 月间进行。研究人员收集、处理疑似肺结核患者的晨痰样本,并使用线探针测定法(LPA)和分枝杆菌生长指示管(MGIT)培养法对其进行结核分枝杆菌(Mtb)和耐药性筛查。在脑心输液(BHII)琼脂培养基上培养 MGIT 阳性样本,并使用免疫层析(ICA)法验证是否存在 Mtb。对 MGIT 和 ICA 阳性但 BHI 阴性的样本进行药敏试验。统计学意义以 P < 0.05 为标准。在分离出的 622 株 Mtb 中,有 536 株(86.2%)对 RIF 和 INH 敏感。其余 86 株(13.83%)对其中一种药物或两种药物均产生耐药性。双样本比例相等检验显示,肯尼亚西部的 MDR-TB 患病率(5%)与全球 MDR-TB 估计患病率(3.9%)相差不大(P = 0.196)。在易感和耐药结核病患者中,男性占大多数(分别为 75.9% 和 77.4%)。此外,与健康人相比,MDR-TB 患者的 HIV 感染率明显更高(35.9% 对 5.6%)。最后,25-44 岁人群的结核病发病率最高,占结核病病例总数的 58.4%。由此可见,肯尼亚西部的 MDRTB 患病率很高。应特别关注男性、青壮年和艾滋病毒感染者,因为他们承受着耐药结核病的最大负担。总体而言,有必要完善该地区的结核病控制和治疗计划,以取得更好的成果。
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AIMS Microbiology
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