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Comparative study of lactobacilli and bifidobacteria in vaginal tract of individual with bacterial vaginosis and healthy control by quantitative PCR 细菌性阴道病患者与健康人阴道内乳酸菌与双歧杆菌的定量PCR比较研究
Q3 Medicine Pub Date : 2019-07-01 DOI: 10.1097/MRM.0000000000000186
A. Bakhshi, Zahra Safayi Delouyi, S. Taheri, Azadeh Alivandi, N. Mohammadzadeh, H. Dabiri
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引用次数: 2
Cranial aspergillosis in immunocompetent patient: a case report 免疫功能正常患者颅内曲菌病1例
Q3 Medicine Pub Date : 2019-07-01 DOI: 10.1097/MRM.0000000000000166
S. Mousavi, Navideh Mohebali, Seyed Masoud Miratashiyazdi, S. Shahcheraghi
ISSN Aspergillosis of the central nervous system is an uncommon sickness, particularly if the patient is immunocompetent. In the immunocompetent individuals, the regular way for the fungus to access the CNS is diffusion by the blood from extracranial sites, commonly the lungs. In this report, a 44-year-old man with no history of recent surgery or immunodeficiency had an episode of falling. A cranial mass close to the cerebrum revealed to be as aspergillosis abscess throughout the operation. This case is showing the significance of assuming a cranial mass as aspergilloma in the differential diagnosis. Copyright 2019 Wolters Kluwer Health, Inc. All rights reserved.
中枢神经系统曲霉病是一种罕见的疾病,特别是如果病人是免疫能力。在免疫正常的个体中,真菌进入中枢神经系统的常规方式是通过血液从颅外部位扩散,通常是肺部。在这个报告中,一个44岁的男性,没有最近的手术史或免疫缺陷发作跌倒。靠近大脑的颅骨肿块在整个手术过程中显示为曲霉病脓肿。本病例显示了将颅内肿块推定为曲菌瘤在鉴别诊断中的重要性。版权所有2019威科健康有限公司版权所有。
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引用次数: 2
Polymorphism of IL-12 gene (rs568408G/A) and susceptibility to chronic hepatitis B virus infection in the central area of Iran 伊朗中部地区IL-12基因(rs568408G/A)多态性与慢性乙型肝炎病毒感染易感性
Q3 Medicine Pub Date : 2019-04-01 DOI: 10.1097/MRM.0000000000000162
J. Ayatollahi, Faezeh Heidari, Mohammad Sharifyazdi, Vajihe Kargar Shooroki, S. Hemati, S. Shahcheraghi
&NA; Hepatitis B virus (HBV)-related chronicity infection, which is determined by inflammation, is the main etiological factor for this disease. Cytokines are a group of endogenous proteins which have a key role in regulating the inflammatory responses and defeating infectious diseases. IL-12 plays a main role in the clearance of infections especially by viruses such as HBV. Single nucleotide polymorphisms and genetic history have an important role about the level and function of cytokines. The aim of the present study was to investigate the association of IL-12A single nucleotide polymorphism (rs568408 G/A) with chronic HBV infection. In a case–control study, genomic DNA of 148 chronic HBV-infected patients and 80 healthy controls was extracted by salting out method and single nucleotide polymorphism (rs568408 G/A) was genotyped using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). The frequency of rs568408 G/A gene for GG, GA, AA genotypes was 70.94, 23.6 and 5.7% in chronic patients and 46.25, 42.5 and 11.25% in control group, respectively. After genotyping and statistical analysis, significant difference was seen between the patients with chronic HBV and healthy controls (P = 0.001). Our findings indicated that IL-12A rs568408 can possibly be a risk factor for chronic HBV infection among Iranian population in Yazd province.
患者;乙型肝炎病毒(HBV)相关慢性感染是该病的主要病因,由炎症决定。细胞因子是一组内源性蛋白,在调节炎症反应和战胜传染病中起着关键作用。IL-12在清除感染特别是HBV等病毒感染中起主要作用。单核苷酸多态性和遗传历史对细胞因子的水平和功能具有重要作用。本研究的目的是探讨IL-12A单核苷酸多态性(rs568408 G/A)与慢性HBV感染的关系。本研究采用盐析法提取148例慢性hbv感染者和80例健康对照者的基因组DNA,采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)对单核苷酸多态性(rs568408 G/ a)进行基因分型。GG、GA、AA基因型患者rs568408 G/A基因频率分别为70.94、23.6和5.7%,对照组为46.25、42.5和11.25%。经基因分型和统计学分析,慢性HBV患者与健康对照组之间有显著差异(P = 0.001)。我们的研究结果表明IL-12A rs568408可能是Yazd省伊朗人群慢性HBV感染的危险因素。
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引用次数: 0
First occurrence of pediatric urinary tract infections caused by Streptococcus pneumoniae in a teaching hospital in Tunisia 突尼斯某教学医院首次发生肺炎链球菌引起的小儿尿路感染
Q3 Medicine Pub Date : 2019-04-01 DOI: 10.1097/MRM.0000000000000169
W. Mabrouk, Lamia Tilouch, S. Mabrouk, N. Jaidane, Cherifa Chaouch, N. Boujaafar
&NA; Streptococcus pneumoniae is not a usual agent of urinary tract infections. We report here two cases of urinary tract infections occurred in pediatrics patients with vesicoureteral reflux and renal stones. It becomes essential to consider pneumococcal UTI in the presence of clinical signs and symptoms associated co-existing predisposing factors.
患者;肺炎链球菌不是尿路感染的常见病原体。我们在此报告两例尿路感染发生在儿科患者膀胱输尿管反流和肾结石。在存在与并存的易感因素相关的临床体征和症状时,必须考虑肺炎球菌性尿路感染。
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引用次数: 0
Akkermansia muciniphila bacteria: a new perspective on the management of obesity an updated review 嗜粘杆菌:肥胖症治疗的新视角
Q3 Medicine Pub Date : 2019-04-01 DOI: 10.1097/MRM.0000000000000161
L. Payahoo, Y. Khajebishak, A. Ostadrahimi
Background: Obesity as a multifactorial disorder has shown a growing trend, in recent times. Considering the importance of obesity as a potent public health problem, finding a novel preventive approach for the management of obesity seems crucial. In addition to genetic and environmental factors, alteration in gut microbiota composition and inflammation are involved in the pathogenesis of obesity. The aim of the current study was to discuss the role of Akkermansia muciniphila in the management of obesity. Method: In this review article, all articles indexed in the scientific database using the keywords A. muciniphila, inflammation, gut microbiota, peroxisome proliferator-activated receptor-alpha (PPAR-&agr;), overweight, and obesity were searched and discussed between 2000 and 2018. Results: Specific strains of gut microbiota such as A. muciniphila modify energy homeostasis in the body. In addition to degrading mucin and providing a desirable environment for the growth of other bacteria in the intestine, A. muciniphila participates in the management of obesity. Indeed, A. muciniphila increases the levels of Short chain fatty acids (SCFAs) and N-acylethanolamines as ligands of GPR41/GPR43 and G protein-coupled receptor119 (GPR119) receptors in L-cells, respectively, such that these receptors are involved in the various aspects of energy balance and appetite sensation. A. muciniphila also improves the low chronic inflammation observed in obese people through various mechanisms. Conclusion: A. muciniphila supplementation and the use of other approaches such as prebiotics or food components that increase the abundance of this bacterium in the gut microbiota population could be a novel valuable approach in the management of obesity.
背景:近年来,肥胖作为一种多因素疾病呈现出日益增长的趋势。考虑到肥胖作为一个强有力的公共健康问题的重要性,找到一种新的预防方法来管理肥胖似乎至关重要。除了遗传和环境因素外,肠道菌群组成的改变和炎症也参与了肥胖的发病机制。当前研究的目的是讨论嗜粘液阿克曼氏菌在肥胖管理中的作用。方法:检索2000年至2018年间以嗜粘杆菌、炎症、肠道微生物群、过氧化物酶体增殖物激活受体- α (PPAR-&agr;)、超重和肥胖等关键词检索的所有科学数据库文章,并进行讨论。结果:特定的肠道菌群如嗜粘杆菌可以改变体内的能量稳态。除了降解粘蛋白并为肠道内其他细菌的生长提供理想的环境外,嗜粘杆菌还参与肥胖的管理。事实上,嗜粘A. muciniphila分别增加了l细胞中作为GPR41/GPR43和G蛋白偶联受体119 (GPR119)受体配体的短链脂肪酸(SCFAs)和n-酰基乙醇胺的水平,使得这些受体参与能量平衡和食欲感觉的各个方面。嗜粘杆菌也通过多种机制改善肥胖人群的低慢性炎症。结论:补充嗜粘杆菌和使用其他方法,如益生元或食物成分,增加该细菌在肠道微生物群中的丰度,可能是一种新的有价值的肥胖管理方法。
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引用次数: 7
Multilocus variable number tandem repeat analysis and antimicrobial susceptibility pattern of Staphylococcus epidermidis isolates in Tehran, Iran 伊朗德黑兰地区表皮葡萄球菌多位点可变数串联重复序列分析及药敏型分析
Q3 Medicine Pub Date : 2019-04-01 DOI: 10.1097/MRM.0000000000000157
Rasoul Mirzaei, Behrooz Sadeghi kalani, M. Shokri Moghadam, Faeze Mahdiun, G. Irajian
Objective: Detection of sources of outbreaks caused by coagulase-negative Staphylococcus relies on molecular epidemiology methods. Little is known about the genetic diversity of the Staphylococcus epidermidis isolates isolated from various sources in Iran. We assessed the molecular epidemiology of S. epidermidis isolates collected from clinical and nonclinical sources from Tehran counties during 2014 to 2016 using MLVA (multilocus variable number tandem repeat analysis). Methods: One hundred and three clinical and nonclinical S. epidermidis isolates were collected from two hospitals in Tehran. Antibiotic susceptibility testing of isolates was evaluated for cefoxitin, tetracycline, erythromycin, clindamycin, mupirocin, vancomycin and linezolid according to Clinical and Laboratory Standards Institute, as well as prevalence of mecA gene was evaluated by PCR method. In addition, genetic relatedness of isolates was assessed by MLVA method. Results: Resistant rate to cefoxitin, tetracycline, erythromycin, clindamycin and mupirocin were 64, 36, 72, 44 and 23% in all isolates. All clinical and nonclinical isolates were susceptible to linezolid and vancomycin. In all, 49.5% of S. epidermidis isolates were multidrug resistant. Prevalence of mecA was 64%. The MLVA profile consists of a series of allele numbers, corresponding to the number of repeats at each variable number tandem repeat locus. The results of MLVA showed 64 types among all 103 isolates. There were 16 MLVA types that were common in two hospitals and 15 MLVA types were existed in various sources of S. epidermidis isolates. The diversity index obtained with MLVA was 0.989 (95% confidence interval [0.984–0.993]) for the 103 S. epidermidis isolates. A range of one to six alleles was identified at variable number tandem repeats loci with Simpson's diversity values between 0.526 and 0.781. Conclusion: Our study demonstrated presence of high molecular diversity among S. epidermidis isolates. In addition, the main conclusion was that some MLVA types can be disseminated over the wards and between the hospitals. In other hand, resistance to various antibiotics in S. epidermidis isolates and prevalence of methicillin-resistant S. epidermidis and multidrug resistant S. epidermidis isolates to be increasing.
目的:应用分子流行病学方法对凝固酶阴性葡萄球菌暴发源头进行检测。从伊朗不同来源分离的表皮葡萄球菌的遗传多样性知之甚少。采用MLVA(多位点可变数串联重复序列分析)对2014 - 2016年从德黑兰县临床和非临床来源收集的表皮葡萄球菌分离株进行分子流行病学分析。方法:收集德黑兰两家医院临床和非临床分离的表皮葡萄球菌103株。按照美国临床与实验室标准协会的规定,对分离菌株进行头孢西丁、四环素、红霉素、克林霉素、莫匹罗星、万古霉素和利奈唑胺的药敏试验,并采用PCR法检测mecA基因的流行率。此外,采用MLVA法对分离菌株进行遗传亲缘性评价。结果:所有分离株对头孢西丁、四环素、红霉素、克林霉素和莫匹罗星的耐药率分别为64%、36%、72%、44%和23%。所有临床和非临床分离株均对利奈唑胺和万古霉素敏感。49.5%的表皮葡萄球菌有多重耐药。mecA患病率为64%。MLVA谱由一系列等位基因组成,对应于每个可变数串联重复位点的重复次数。MLVA结果显示,103株分离株中有64种类型。两家医院共有16种MLVA类型,不同来源表皮葡萄球菌分离株中存在15种MLVA类型。103株表皮葡萄球菌的MLVA多样性指数为0.989(95%可信区间[0.984 ~ 0.993])。在可变数目串联重复位点上鉴定出1 ~ 6个等位基因,Simpson多样性值在0.526 ~ 0.781之间。结论:表皮葡萄球菌具有较高的分子多样性。此外,主要结论是一些MLVA类型可以在病房内和医院之间传播。另一方面,表皮葡萄球菌对多种抗生素的耐药性以及耐甲氧西林的表皮葡萄球菌和多重耐药的表皮葡萄球菌的流行率正在上升。
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引用次数: 4
Inhibitory effects of curcumin on sequel of infections and their signaling pathways: a review 姜黄素对感染的抑制作用及其信号通路的研究进展
Q3 Medicine Pub Date : 2019-04-01 DOI: 10.1097/MRM.0000000000000159
S. Shahcheraghi, J. Ayatollahi, Marzieh Lotfi
&NA; Curcumin, a bright yellow chemical produced by some plants (turmeric) that are member of the ginger family, is cultivated in tropical regions of Asia. It has many impacts, including antimicrobial, anticarcinogenic, anti-inflammatory, and antioxidant. Different databases such as PubMed, Scopus, Google Scholar, and Web of Science with keywords of ‘Curcumin’, ‘anti-microbial’, ‘anti-fungal’, ‘anti-parasitic’, ‘anti-viral’, ‘Infection’, ‘Pathogen’, ‘anti-bacterial’, and ‘Herbal Drug’ have been considered in this search without publication time limitation. This study reviewed the inhibitory effects of curcumin on infections. Based on these studies, the plant drug of curcumin is a therapeutic effective agent for the advancement of treatment against the types of pathogens including bacteria, viruses, parasites, and fungi. Nevertheless, it seems that be essential for more researches, especially about parasites and fungi that have been performed fewer studies about the effect of curcumin on them. Curcumin exerts its effects on sequel of infections and their agents via influence on signaling pathways, cell cycle, drug synergism, inducing apoptosis and inhibition of virulence factors.
患者;姜黄素是一种由姜科植物(姜黄)产生的亮黄色化学物质,种植在亚洲的热带地区。它有许多作用,包括抗菌、抗癌、抗炎和抗氧化。不同的数据库,如PubMed, Scopus, Google Scholar和Web of Science,关键词为“姜黄素”,“抗微生物”,“抗真菌”,“抗寄生虫”,“抗病毒”,“感染”,“病原体”,“抗菌”和“草药”,已被考虑在此搜索中,没有发表时间限制。本文综述了姜黄素对感染的抑制作用。基于这些研究,植物药物姜黄素是一种有效的治疗药物,用于治疗包括细菌、病毒、寄生虫和真菌在内的各种病原体。尽管如此,姜黄素对寄生虫和真菌的影响的研究似乎还需要更多的研究,尤其是对这些寄生虫和真菌的研究。姜黄素通过影响信号通路、细胞周期、药物协同作用、诱导细胞凋亡和抑制毒力因子等途径对感染的后续及其制剂产生影响。
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引用次数: 0
Multilocus sequence typing and antibiotic resistant patterns of the meticillin-resistant Staphylococcus aureus isolates from different clinical specimens 不同临床标本耐甲氧西林金黄色葡萄球菌多位点序列分型及耐药模式
Q3 Medicine Pub Date : 2019-04-01 DOI: 10.1097/MRM.0000000000000176
Sahel Valadan Tahbaz, L. Azimi, J. Nowroozi, S. Armin, F. Fallah
Backgrounds: Methicillin-resistant Staphylococcus aureus (MRSA) is an emerging threat worldwide. Community-associated-MRSA strains differ from hospital-acquired MRSA strains in their genetic backgrounds, pathogenicity, and antibiotic susceptibilities. Although few studies have reported the epidemiology of the different community-associated-MRSA and hospital-acquired-MRSA clones present, there are insufficient data available on MRSA characteristics in Iran. The present cross-sectional study was conducted to explore the prevalence of MRSA, the antimicrobial susceptibility of the strains, and the molecular epidemiology of such MRSA isolates from a hospital in Tabriz, Iran. Methods: S. aureus isolates were collected from patients with clinical signs and symptoms of infection admitted to Imam Reza Hospital, from September 2016 to March 2017 in Tabriz, Iran. Standard conventional biochemical tests for identification of the isolates were performed on colonies from primary cultures. The antibiotic susceptibility testing was performed using the standardized Kirby–Bauer disc-diffusion method on Mueller–Hinton agar. All methicillin-resistant isolates were archived for subsequent molecular tests, including PCR for mecA gene and multilocus sequence typing. Results: Among 39 S. aureus isolates enrolled, 33.3% (13/39) were identified as MRSA strains. Antibiotic susceptibilities to erythromycin, ciprofloxacin, and clindamycin, were measured as, 48.7, 46.2, and 35.9%, respectively. All of the 39 isolates were susceptible to vancomycin and linezolid. Sequence type (ST)-238 was the predominant clone (15.3%), and ST585, ST1, ST88, ST45, ST158, ST1097, ST2373, and ST2873 were other detected sequence type. In addition, two undetermined sequence type (a sequence type was not matched to any sequence type identified) were detected in this study. Conclusion: ST238 strains, which were previously not found as MRSA, could now widely distribute in Iranian population. In addition, the resistance rate of MRSA strains against multiple classes of antibiotics should be considered when selecting empirical antibiotics for MRSA infections in Iran.
背景:耐甲氧西林金黄色葡萄球菌(MRSA)是全球范围内的一种新兴威胁。社区相关MRSA菌株与医院获得性MRSA菌株在遗传背景、致病性和抗生素敏感性方面存在差异。尽管很少有研究报道不同社区相关的MRSA和医院获得的MRSA克隆的流行病学,但伊朗MRSA特征的可用数据不足。本横断面研究旨在探讨伊朗大不里士(Tabriz)一家医院MRSA的流行程度、菌株的抗菌敏感性以及此类MRSA分离株的分子流行病学。方法:收集2016年9月至2017年3月伊朗大不里士伊玛目礼萨医院收治的临床体征和感染症状患者的金黄色葡萄球菌分离株。鉴定分离株的标准常规生化试验在原代培养的菌落上进行。采用标准化Kirby-Bauer圆盘扩散法在Mueller-Hinton琼脂上进行药敏试验。所有耐甲氧西林分离株均存档,用于后续分子检测,包括PCR检测mecA基因和多位点序列分型。结果:39株金黄色葡萄球菌中,33.3%(13/39)为MRSA菌株。对红霉素、环丙沙星和克林霉素的敏感性分别为48.7%、46.2%和35.9%。39株菌株均对万古霉素和利奈唑胺敏感。序列型(ST)-238为优势克隆(15.3%),其他检测序列型为ST585、ST1、ST88、ST45、ST158、ST1097、ST2373和ST2873。此外,本研究还检测到两种未确定的序列类型(其中一种序列类型与任何已鉴定的序列类型都不匹配)。结论:ST238菌株在伊朗人群中广泛分布,以前未被发现为MRSA。此外,在选择伊朗MRSA感染的经验性抗生素时,应考虑MRSA菌株对多种抗生素的耐药率。
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引用次数: 3
Gold nanoparticle-based colorimetric platform technology as rapid and efficient bacterial pathogens detection method from various sources 基于金纳米粒子的比色平台技术作为快速高效的细菌病原体检测方法
Q3 Medicine Pub Date : 2019-03-15 DOI: 10.1097/MRM.0000000000000160
M. Shafiei, A. Ghasemian, S. S. Mostafavi, M. Teimouri, Hossein Rajabi Vardanjani, Seyede Amene Mirforughi
&NA; Rapid, sensitive, and reliable bacterial pathogens detection is a chief requirement. The gold nanoparticles (AuNPs) have numerous applications such as in the detection of biomolecules for their high surface to volume ratio and unique optical property facilitating development of highly efficient AuNPs-based bio-sensing tools. Although various molecular detection methods, such as PCR, real-time PCR, and loop-mediated isothermal amplification are sensitive and convenient, these techniques need elaborate work and require special skills to increase their specificity. Smartly fabricated gold nanoparticle (GNPs) play a role as probes for selective detection of pathogens. The AuNPs-based colorimetric methods have become applicable for rapid, simple, reliable and high-efficient, sensitive, inexpensive, and easy detection of the DNA, RNA, and protein biomolecules. Colorimetric detection using AuNPs has been used for rapid and high precision and multiplex detection of a large number and of bacterial pathogens. AuNPs act in functionalized and unfunctionalized ways. AuNPs-based colorimetric methods have incredible advantages compared with many other bacterial detection methods. In spite of many molecular techniques, AuNPs-based colorimetric methods do not require additional devices, fabrication cost, signal processing and interpretation complexities, and costly and complex instruments. This simple and rapid method is suitable, especially in low-income areas and for large number of samples analysis. In this review, applications of AuNPs and AuNPs-based colorimetric methods for bacterial pathogens detection have been overviewed.
患者;快速、灵敏、可靠的细菌病原体检测是首要要求。金纳米颗粒(AuNPs)具有许多应用,例如在生物分子的检测中,其高表面体积比和独特的光学性质促进了基于AuNPs的高效生物传感工具的开发。虽然各种分子检测方法,如PCR、real-time PCR和环介导等温扩增都是敏感和方便的,但这些技术需要精心的工作和特殊的技能来提高它们的特异性。巧妙制备的金纳米粒子(GNPs)可作为选择性检测病原体的探针。基于aunps的比色法已成为快速、简便、可靠、高效、灵敏、廉价、易于检测DNA、RNA和蛋白质等生物分子的方法。利用AuNPs进行比色检测,可快速、高精度、多重检测大量病原菌。aunp以功能化和非功能化的方式起作用。与许多其他细菌检测方法相比,基于aunps的比色方法具有令人难以置信的优势。尽管有许多分子技术,基于aunps的比色方法不需要额外的设备,制造成本,信号处理和解释的复杂性,以及昂贵和复杂的仪器。该方法简便、快速,尤其适用于低收入地区和大量样品的分析。本文综述了AuNPs和基于AuNPs的比色法在细菌性病原体检测中的应用。
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引用次数: 6
Anticariogenic and antibiofilm of purified bacteriocin of Lactobacillus curvatus and immunomodulatory effect of L. curvatus in streptococcal bacteremia 弯曲乳杆菌纯化菌素的抗肿瘤、抗生物膜及弯曲乳杆菌对链球菌菌血症的免疫调节作用
Q3 Medicine Pub Date : 2019-01-22 DOI: 10.1097/MRM.0000000000000150
L. Mahdi, Nada Mahdi, R. M. Sajet, I. G. Auda, H. Mater, L. Zwain, B. M. Kadhem, L. G. Alsaadi
&NA; Streptococcus mutans and Streptococcus sanguinis have been associated with the development of caries, oral infections and bacteremia. In fact, there are only a few case reports in the literature describing bacteremia in relation to S. mutans and S. sanguine. The objective of this study was purification and characterization of curvatcin LHM from Lactobacillus curvatus, evaluation of its antibacterial activity against S. mutans and S. sanguinis and evaluation the effect of minimum inhibitory concentration of curvatcin LHM and chlorohexidine on biofilm formation as well as, study the effect of L. curvatus as immunomodulator. Curvatcin LHM was isolated and purified from L. curvatus culture. Purified and crude curvatcin LHM exhibited bactericidal action against S. mutans and S. sanguinis isolates in vitro. Significant differences (P < 0.05) were found in viable count between pre and posttreatment of S. mutans and S. sanguinis biofilms with curvatcin LHM and chlorohexidine. Unlike chlorohexidine, curvatcin LHM left no viable bacterial cells in biofilm of S. mutans and S. sanguinis. Bagg Albino laboratory breed (BALB/c) mice were orally administered with L. curvatus for 2 weeks and then intravenously injected with S. mutans and S. sanguinis. Four days before inoculation, microbiological and immune response were determined, serum proinflammatory cytokine, TNF-&agr;, IL-10 and IL-6 were evaluated by ELISA. The L. curvatus treatment significantly decreased S. mutans and S. sanguinis in the organs and blood of mice with bacteremia as compared with the non-L. curvatus-treated mice (P < 0.05). Furthermore, proinflammatory cytokine, TNF-&agr;, IL-10 and IL-6, were significantly higher in groups pretreated with L. curvatus (P < 0.05) prior streptococcal infection. These data suggest that curvatcin LHM may be a good alternative to chlorhexidine as an additive for teeth-protective materials. Curvatcin LHM cotreatment with chlorohexidine might help to increase the anticariogenic efficacy of chlorohexidine. On the other hand, L. curvatus can be serving as direct modulator of proinflammatory responses.
患者;变形链球菌和血链球菌与龋齿、口腔感染和菌血症的发生有关。事实上,文献中只有少数病例报告描述了与S. mutans和S. sanguine有关的菌血症。本研究的目的是从弯曲乳杆菌中纯化和鉴定曲霉素LHM,评价其对变形链球菌和血链球菌的抑菌活性,评价曲霉素LHM和氯己定最低抑菌浓度对生物膜形成的影响,并研究曲霉素作为免疫调节剂的作用。从曲曲霉培养物中分离纯化了曲曲霉素LHM。纯化和粗曲曲霉素LHM在体外对变形链球菌和血链球菌均有杀菌作用。曲曲霉素和氯己定处理前后,变形链球菌和血链球菌生物膜的活菌数差异显著(P < 0.05)。与氯己定不同,曲曲霉素LHM在变形链球菌和血链球菌的生物膜中没有留下活的细菌细胞。采用囊白化病实验室种(BALB/c)小鼠口服弯曲乳杆菌2周,然后静脉注射变形链球菌和血源链球菌。接种前4 d测定微生物学和免疫应答,ELISA检测血清促炎细胞因子、TNF-&agr、IL-10、IL-6。与非曲曲霉处理相比,曲曲霉处理显著降低了菌血症小鼠器官和血液中的变形链球菌和血链球菌。曲率处理小鼠(P < 0.05)。此外,促炎细胞因子TNF-&agr、IL-10和IL-6在有链球菌感染史的弯曲乳杆菌预处理组中显著升高(P < 0.05)。这些数据表明,曲曲辛LHM可能是一种很好的替代氯己定的牙齿保护材料添加剂。曲曲霉素与氯己定联合治疗可能有助于提高氯己定的抗肿瘤作用。另一方面,弯曲乳杆菌可作为促炎反应的直接调节剂。
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引用次数: 2
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Reviews in Medical Microbiology
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