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Emergence of novel sublineages of Mycobacterium tuberculosis in Pakistan 巴基斯坦结核分枝杆菌新亚系的出现。
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-11-13 DOI: 10.1016/j.ijmm.2025.151684
Muhammad Tahir Khan , Chendi Zhu , Arwa Omar Al Khatib , Dalal Sulaiman Alshaya , Ahmed A. Al-Qahtani , Irfan Ahmad , Taane G. Clark

Introduction

Understanding the distribution and prevalence of different M. tuberculosis lineages can help public health authorities and researchers track the spread of tuberculosis (TB). Some lineages are thought to be more virulent, transmissible, and prone to drug resistance. Here, we sought to find the major lineages and sublineages of M. tuberculosis circulating in Pakistan. Methods: A total of 396 whole-genome sequencing datasets were retrieved from NCBI and TB research centers. Results: In the current study, only four lineages and 21 sublineages have been detected in 396 genomic isolates in which lineages 3 (n = 274/396, 69.19 %) was the predominant, followed by lineage 4 (77/396, 19.4 %), lineage 2 (31/396, 7.8 %), and lineage 1 (14/396, 3.5 %). Lineage 3 was the most common, in which sublineage 3.1.1 (n = 254/274, 93.79 %) was dominant, followed by sublineage 3.1.2.1 (n = 11/274, 4 %) and 3.1.2 (n = 8/274, 2.9 %). 8 sublineages are likely reported for the first time in Pakistan based on current genomic surveillance including sublineage 3.1.2.1 (n = 11/274, 4 %). There were 14 sublineages in lineage 4, of which sublineage L4.5 (23/77, 29.8 %) was the most common, followed by sublineage 4.9 (22/77, 28.5 %). Conclusion: Collectively, these observations highlight Lineage 3’s ability to acquire first-line drug resistance continued transmission. Its predominance in the current study highlights the urgent need for lineage-specific diagnostics, enhanced drug susceptibility testing and tailored therapeutic regimens. The detection of diverse Mtb sublineages, including L3.1.2.1 and various sublineages of L4 (e.g., 4.1.1.1, 4.1.2.1, 4.3.4.2, and 4.6.2.2), signifies advancement in understanding the genetic landscape of TB in the region.
前言:了解不同结核分枝杆菌谱系的分布和流行情况可以帮助公共卫生当局和研究人员追踪结核病的传播。一些谱系被认为毒性更强,传染性更强,容易产生耐药性。在这里,我们试图找到在巴基斯坦流行的结核分枝杆菌的主要谱系和亚谱系。方法:从NCBI和TB研究中心检索396个全基因组测序数据集。结果:本研究在396株基因组分离株中仅检测到4个谱系和21个亚谱系,其中谱系3 (n = 274/396,69.19 %)占多数,其次是谱系4(77/396,19.4 %)、谱系2(31/396,7.8 %)和谱系1(14/396,3.5 %)。血统3是最常见的,sublineage 3.1.1 (93.79 n = 254/274, %)占主导地位,其次是sublineage 3.1.2.1 (n = 11/274,4 %)和3.1.2 (2.9 n = 8/274, %)。根据目前的基因组监测,可能在巴基斯坦首次报告了8个亚系,包括3.1.2.1亚系(n = 11/ 274,4 %)。谱系4共有14个亚系,其中以L4.5亚系(23/ 77,29.8 %)最为常见,其次是4.9亚系(22/ 77,28.5 %)。结论:总的来说,这些观察结果突出了Lineage 3获得一线耐药持续传播的能力。它在当前研究中的优势突出了对谱系特异性诊断、加强药物敏感性测试和量身定制治疗方案的迫切需要。多种结核分枝杆菌亚谱系的检测,包括L3.1.2.1和L4的各种亚谱系(如4.1.1.1、4.1.2.1、4.3.4.2和4.6.2.2),标志着对该地区结核遗传格局的进一步了解。
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引用次数: 0
Virulome and genome-wide association study of vancomycin-resistant Enterococcus faecium from bloodstream infections versus colonization isolates 血液感染与定植分离物对万古霉素耐药屎肠球菌的病毒组和全基因组关联研究
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-11-11 DOI: 10.1016/j.ijmm.2025.151683
Christian W. Böing , Julia S. Schneider , Neele J. Froböse , Annette Jurke , Stefanie Kampmeier , Alexander Mellmann

Introduction

Vancomycin-resistant Enterococcus faecium (VREfm) are multidrug-resistant pathogens that cause severe nosocomial infections. The knowledge of virulence profiles of VREfm for the development of invasive infections is still limited. The aim of this study was to analyse gene profiles and genetic variants of VREfm and their association with the development of VREfm bloodstream infections (VRE-BSI).

Methods

One-hundred twenty randomly selected VRE-BSI isolates from a state-wide surveillance study in the German state of North Rhine-Westphalia were included in the analysis and matched with one-hundred twenty VREfm colonization (VRE-COL) isolates from a tertiary hospital in North Rhine-Westphalia. All isolates were subjected to whole genome sequencing (WGS) and analysed for the presence or absence of known or putative virulence genes of E. faecium. A genome-wide association study (GWAS) approach was conducted to identify potential associations of genes and genetic variants with the development of VRE-BSI.

Results

The multilocus sequence typing (MLST) sequence types (ST) ST80 and ST117 were the most prevalent STs among VRE-BSI and VRE-COL isolates (ST80: 133 [55 %]; ST117: 98 [41 %]). ST80 was significantly more prevalent in VRE-BSI isolates compared to VRE-COL isolates (75 [63 %] vs. 58 [48 %], p = 0.027). Only fms21 (pilA), a gene of pili gene cluster 1 (PCG-1), coding for a cell-wall-anchored protein involved in adhesive processes, was significantly more prevalent in the VRE-BSI group. GWAS identified no associations of genes or variants with VRE-BSI.

Conclusion

Using comparative genomics and GWAS, we could not identify a distinct virulence profile for the development of VRE-BSI.
万古霉素耐药屎肠球菌(VREfm)是一种多重耐药病原体,可引起严重的医院感染。关于VREfm对侵袭性感染发展的毒力谱的了解仍然有限。本研究的目的是分析VREfm的基因谱和遗传变异及其与VREfm血流感染(VRE-BSI)发展的关系。方法:从德国北莱茵-威斯特伐利亚州的一项全州监测研究中随机选择120株VRE-BSI分离株纳入分析,并与北莱茵-威斯特伐利亚州一家三级医院的120株VRE-COL定株相匹配。所有分离株均进行全基因组测序(WGS),并分析是否存在已知或推测的粪肠杆菌毒力基因。采用全基因组关联研究(GWAS)方法来确定基因和遗传变异与VRE-BSI发展的潜在关联。结果:在VRE-BSI和VRE-COL分离株中,ST80和ST117是最常见的多位点序列分型(ST80: 133[55 %];ST117: 98[41 %])。ST80在VRE-BSI分离株中明显高于VRE-COL分离株(75[63 %]比58[48 %],p = 0.027)。在VRE-BSI组中,只有毛基因簇1 (PCG-1)中的一个基因fms21 (pilA),编码参与粘附过程的细胞壁锚定蛋白。GWAS未发现与VRE-BSI相关的基因或变异。结论:使用比较基因组学和GWAS,我们无法确定VRE-BSI发展的独特毒力谱。
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引用次数: 0
A large outbreak investigation of Legionnaires’ disease associated with a public bath facility in Hiroshima, Japan, using PFGE, SBT, MLVA, and whole-genome sequencing 使用PFGE、SBT、MLVA和全基因组测序对与日本广岛公共浴室设施相关的军团病进行了大规模暴发调查
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.ijmm.2025.151680
Takahiro Hiratsuka , Noriko Nakanishi , Hiroko Akita , Kanako Masuda , Shoko Komatsu , Ryohei Nomoto , Junko Amemura-Maekawa
In 2017, a large outbreak of Legionnaires' disease, involving 58 patients, occurred in a public bath facility in Hiroshima Prefecture, Japan. We analyzed 94 Legionella pneumophila strains isolated from patients and the public bath facility using molecular typing methods, including Pulsed-Field Gel Electrophoresis, sequence-based typing, multi-locus variable number tandem repeat analysis, and Whole-Genome Sequencing (WGS). Genotypes obtained using these molecular epidemiological typing methods were highly correlated with each other. L. pneumophila strains of various genotypes were isolated from the public bath facility, of which only ST2398 and ST2399 were isolated from patients. ST2398 and ST2399, isolated from patients, bath water, and swabs, derived from one common circulating system at the bath facility out of seven were found to be novel genotypes and a highly clonal genetic lineage by single nucleotide variant (SNV) analysis based on WGS. The result of haplotype network analysis based on SNVs showed that ST2398 and ST2399 differed only approximately 30–42 SNVs, and some environmental strains that differed by only 0–3 SNVs from patient strains were isolated. These results demonstrated that this outbreak was caused by L. pneumophila assigned to the ST2398 and ST2399 clades. We found that at least three patients were co-infected with different clusters of L. pneumophila serogroup 1. Our results show that several strains must be isolated from a single sample to consider the accumulation of mutations in water and co-infection when investigating outbreaks.
2017年,在日本广岛县的一个公共浴室设施发生了军团病的大规模暴发,涉及58名患者。采用脉冲场凝胶电泳、序列分型、多位点可变数串联重复序列分析和全基因组测序(WGS)等分子分型方法,对从患者和公共洗浴设施分离的94株嗜肺军团菌进行分析。用这些分子流行病学分型方法得到的基因型彼此之间高度相关。从公共洗浴设施中分离到不同基因型的嗜肺乳杆菌,其中仅从患者身上分离到ST2398和ST2399。通过基于WGS的单核苷酸变异(SNV)分析,从患者、洗澡水和拭子中分离得到的ST2398和ST2399为新的基因型和高度克隆的遗传谱系。基于snv的单倍型网络分析结果显示,ST2398与ST2399仅相差约30-42个snv,分离到的环境菌株与患者株仅相差0-3个snv。这些结果表明,这次暴发是由ST2398和ST2399分支的嗜肺乳杆菌引起的。我们发现至少有3例患者同时感染了不同的嗜肺乳杆菌血清组1。我们的结果表明,在调查暴发时,必须从单个样本中分离出几个菌株,以考虑水中突变的积累和合并感染。
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引用次数: 0
Differential expression profile of streptolysin S in the covR and covS mutants of group A Streptococcus is a mediator of keratinocyte death and aggressive local infection A群链球菌covR和covS突变体中溶血素S的差异表达谱是角化细胞死亡和侵袭性局部感染的中介
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-10-28 DOI: 10.1016/j.ijmm.2025.151682
Yong-An Shi , Hang Kim Nguyen , Pei-Jane Tsai , Cheng-Hsun Chiu , Chuan Chiang-Ni
Group A Streptococcus (GAS) isolates with spontaneous mutations in covR and covS are frequently identified in patients with necrotizing fasciitis and toxic shock syndrome. CovR/CovS is a two-component regulator system, and the phosphorylation of CovR is solely modulated by CovS. Nonetheless, the phenotype of the ∆covS mutant and the ∆covR mutant is not entirely identical. It has been shown that the expression of SpeB protease is only detected in the ∆covR mutant, and the ∆covR mutant causes more severe local lesions than the ∆covS mutant in the mouse infection model. SpeB-mediated gasdermin A cleavage triggers keratinocyte death, resulting in sizeable lesion size but preventing invasive skin infection by GAS. This study, therefore, elucidated whether SpeB is a key factor related to trigger keratinocyte death after the ∆covR mutant infection. Although the ∆covR mutant caused more keratinocyte deaths than the ∆covS mutant, this difference was not contributed by SpeB but mediated by streptolysin S (SLS). Moreover, SLS in the ∆covR mutant contributed to increased macrophage cell death and elevated IL-1β levels. Similar to the SpeB expression profile, SLS was upregulated in the ∆covR mutant but repressed in the ∆covS mutant. In a mouse subcutaneous infection model, the SLS-deficient ∆covR mutant exhibited reduced lesion size and mortality compared to the ∆covR mutant, suggesting that SLS repression does not contribute to GAS immune evasion or invasive skin infection. This finding may help explain the differential presentations after ∆covR mutant and ∆covS mutant infection and why clinical GAS isolates more frequently harbor spontaneous mutations in covS rather than in covR.
在坏死性筋膜炎和中毒性休克综合征患者中经常发现covR和covS自发突变的A组链球菌(GAS)分离株。CovR/CovS是一个双组分调控系统,CovR的磷酸化仅受CovS的调控。然而,∆covS突变体和∆covR突变体的表型并不完全相同。结果表明,SpeB蛋白酶仅在∆covR突变体中有表达,并且在小鼠感染模型中,∆covR突变体比∆covS突变体引起更严重的局部病变。speb介导的气皮蛋白A裂解触发角质细胞死亡,导致相当大的病变大小,但防止气皮蛋白侵入性皮肤感染。因此,本研究阐明了SpeB是否是引起∆covR突变体感染后角化细胞死亡的关键因素。虽然∆covR突变体比∆covS突变体导致更多的角化细胞死亡,但这种差异不是由SpeB造成的,而是由链溶素S (SLS)介导的。此外,δ covR突变体的SLS导致巨噬细胞死亡增加和IL-1β水平升高。与SpeB表达谱相似,SLS在∆covR突变体中表达上调,而在∆covS突变体中表达抑制。在小鼠皮下感染模型中,与∆covR突变体相比,SLS缺失的∆covR突变体表现出更小的病变大小和死亡率,这表明SLS抑制不会导致GAS免疫逃避或侵袭性皮肤感染。这一发现可能有助于解释∆covR突变体和∆covS突变体感染后的差异表现,以及为什么临床GAS分离物更频繁地在cov而不是covR中发生自发突变。
{"title":"Differential expression profile of streptolysin S in the covR and covS mutants of group A Streptococcus is a mediator of keratinocyte death and aggressive local infection","authors":"Yong-An Shi ,&nbsp;Hang Kim Nguyen ,&nbsp;Pei-Jane Tsai ,&nbsp;Cheng-Hsun Chiu ,&nbsp;Chuan Chiang-Ni","doi":"10.1016/j.ijmm.2025.151682","DOIUrl":"10.1016/j.ijmm.2025.151682","url":null,"abstract":"<div><div>Group A <em>Streptococcus</em> (GAS) isolates with spontaneous mutations in <em>covR</em> and <em>covS</em> are frequently identified in patients with necrotizing fasciitis and toxic shock syndrome. CovR/CovS is a two-component regulator system, and the phosphorylation of CovR is solely modulated by CovS. Nonetheless, the phenotype of the ∆<em>covS</em> mutant and the ∆<em>covR</em> mutant is not entirely identical. It has been shown that the expression of SpeB protease is only detected in the ∆<em>covR</em> mutant, and the ∆<em>covR</em> mutant causes more severe local lesions than the ∆<em>covS</em> mutant in the mouse infection model. SpeB-mediated gasdermin A cleavage triggers keratinocyte death, resulting in sizeable lesion size but preventing invasive skin infection by GAS. This study, therefore, elucidated whether SpeB is a key factor related to trigger keratinocyte death after the ∆<em>covR</em> mutant infection. Although the ∆<em>covR</em> mutant caused more keratinocyte deaths than the ∆<em>covS</em> mutant, this difference was not contributed by SpeB but mediated by streptolysin S (SLS). Moreover, SLS in the ∆<em>covR</em> mutant contributed to increased macrophage cell death and elevated IL-1β levels. Similar to the SpeB expression profile, SLS was upregulated in the ∆<em>covR</em> mutant but repressed in the ∆<em>covS</em> mutant. In a mouse subcutaneous infection model, the SLS-deficient ∆<em>covR</em> mutant exhibited reduced lesion size and mortality compared to the ∆<em>covR</em> mutant, suggesting that SLS repression does not contribute to GAS immune evasion or invasive skin infection. This finding may help explain the differential presentations after ∆<em>covR</em> mutant and ∆<em>covS</em> mutant infection and why clinical GAS isolates more frequently harbor spontaneous mutations in <em>covS</em> rather than in <em>covR</em>.</div></div>","PeriodicalId":50312,"journal":{"name":"International Journal of Medical Microbiology","volume":"321 ","pages":"Article 151682"},"PeriodicalIF":3.6,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complete genome and comparative genomic analysis of cefpodoxime resistant Pantoea septica strain GABEPS69 isolated from saliva of a patient diagnosed with treatment resistant schizophrenia 从难治性精神分裂症患者唾液中分离的头孢多肟耐药败血症泛菌GABEPS69的全基因组和比较基因组分析
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-10-26 DOI: 10.1016/j.ijmm.2025.151681
Francesca McDonagh , Aneta Kovarova , Anna Tumeo , Andy O’Connor , Niamh McEvoy , Aneesa Mangalam Lonappan , Kasthuri Venkateswaran , Elaine K. Murray , Brian Hallahan , Georgios Miliotis

Objectives

This study aims to generate the first complete genome of Pantoea septica and provide a thorough genomic characterisation of this under-documented species. The study seeks to enhance understanding of P. septica, clarifying features relevant to opportunistic infection in vulnerable cohorts.

Methods

P. septica GABEPS69 was an opportunistic coloniser isolated from the saliva of a patient prescribed the antipsychotic clozapine, leading to a dysbiotic oral microbiome. A hybrid sequencing approach yielded a closed genome comprising a 4.1 Mb chromosome and six plasmids. Phenotypic susceptibility was determined by disk-diffusion and minimum inhibitory concentration (MIC) assays. Its chromosomal and plasmidic content was bioinformatically analysed alongside all canonical GenBank available P. septica genomes and the type strains of taxonomic neighbours Pantoea piersonii and "Pantoea latae", with focus on virulence-factors (VFs), antimicrobial-resistance-genes (ARGs), metal-resistance-genes (MRGs) and biosynthetic gene clusters.

Results

GABEPS69 exhibited a narrow resistance spectrum, displaying resistance to the third-generation cephalosporin cefpodoxime. Plasmid pGABEPS69_1 harboured an aerobactin pathogenicity island homologue; a locus implicated in enhanced virulence, that was also identified across most other P. septica genomes and in the closely related human-pathogen Pantoea piersonii. A conserved chromosomal class-A β-lactamase homologue was also identified. Additionally, a universal presence of bioactive thiopeptide biosynthetic-gene-clusters was observed in P. septica genomes, suggesting a potential role in microbiome modulation.

Conclusion

This study presents a first complete genome of P. septica, revealing its genomic architecture, resistance, and virulence potential. Detailed plasmid analysis and comparative genomics enhance our understanding of the species clinical relevance and microbiome-modulating capacity. These findings motivate surveillance of transient oral microbiota in at-risk populations, including patients receiving clozapine.
目的:本研究旨在生成第一个完整的Pantoea septica基因组,并为这一文献不足的物种提供全面的基因组特征。该研究旨在加强对脓毒杆菌的了解,阐明易感人群中与机会性感染相关的特征。方法:败血症P. GABEPS69是从服用抗精神病药物氯氮平的患者唾液中分离出来的机会性定植菌,导致口腔微生物群失调。杂交测序方法产生了一个封闭的基因组,包括4.1 Mb染色体和6个质粒。表型敏感性采用纸片扩散法和最小抑制浓度法测定。对其染色体和质粒含量进行生物信息学分析,并与GenBank现有的所有典型septica基因组以及分类上邻近的Pantoea piersonii和Pantoea latae型菌株进行分析,重点分析了毒力因子(VFs)、抗菌素抗性基因(ARGs)、金属抗性基因(MRGs)和生物合成基因簇。结果:GABEPS69耐药谱窄,对第三代头孢菌素头孢多肟耐药。质粒pGABEPS69_1含有一个有氧肌动蛋白致病性岛同源物;一个与增强毒力有关的位点,在大多数其他败血症假单胞菌基因组和密切相关的人类病原体皮尔氏泛菌中也发现了这一位点。一个保守的染色体A类β-内酰胺酶同源物也被鉴定出来。此外,在脓毒杆菌基因组中观察到普遍存在生物活性硫肽生物合成基因簇,表明其在微生物组调节中具有潜在作用。结论:本研究首次获得败血性链球菌的完整基因组,揭示了其基因组结构、耐药性和毒力潜力。详细的质粒分析和比较基因组学增强了我们对物种临床相关性和微生物组调节能力的理解。这些发现激发了对高危人群(包括接受氯氮平治疗的患者)短暂性口腔微生物群的监测。
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引用次数: 0
The development of an Actinomadura madurae grain model in Galleria mellonella larvae mellonella幼虫中madurae放线瘤颗粒模型的发育。
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-10-15 DOI: 10.1016/j.ijmm.2025.151679
Shereen O. Abd Algaffar , Annelies Verbon , Kimberly Eadie , Deborah Horst-Kreft , Sami A. Khalid , Wendy W.J. van de Sande
Mycetoma is a neglected tropical disease characterized by large tumorous lesions. It can be caused by fungi (eumycetoma) or bacteria (actinomycetoma). The hallmark of mycetoma is the formation of grains by the causative agent. Grains can only be formed in vivo; therefore, in vivo models are crucial to studying mycetoma. In vivo, grain models have been developed in the invertebrate Galleria mellonella for eumycetoma, but not for actinomycetoma. Here, we aimed to develop the first actinomycetoma grain model in G. mellonella larvae. Actinomadura madurae strains DSM43236 and DSM44005 were used to infect G. mellonella larvae. Larval survival was monitored over 10 days. Grain formation was studied histologically and compared to grains in human tissues. The efficacy of trimethoprim-sulfamethoxazole and amikacin, the current standard treatment for actinomycetoma, was determined. A. madurae infection decreased the survival of G. mellonella larvae in a concentration-dependent manner. Grains were formed within 24 h post-infection. After 72 h these grains became melanised. No significantly enhanced survival was noted with trimethoprim-sulfamethoxazole, amikacin, or a combination thereof. In this model, the melanised A. madurae grains did differ from human grains, most likely due to the immune system of G. mellonella. The lack of therapeutic efficacy could be caused by this melanin or the fact that A. madurae grains, in general, are less susceptible to these drugs. More research will be needed to address this question.
足菌肿是一种被忽视的热带疾病,其特征是巨大的肿瘤病变。它可以由真菌(真菌瘤)或细菌(放线菌瘤)引起。足菌肿的标志是由病原体形成的颗粒。颗粒只能在体内形成;因此,体内模型对足菌肿的研究至关重要。在活体中,已经在无脊椎动物中建立了针对真菌肿的颗粒模型,但没有针对放线菌肿的颗粒模型。在此,我们的目标是建立第一个放线菌瘤颗粒模型。用放线瘤放线瘤菌株DSM43236和DSM44005分别感染黄颡鱼幼虫。10 d内监测幼虫存活率。从组织学上研究了颗粒的形成,并与人体组织中的颗粒进行了比较。测定放线菌瘤现行标准治疗方法甲氧苄啶-磺胺甲恶唑联合阿米卡星的疗效。棉铃虫感染后,棉铃虫幼虫存活率呈浓度依赖性下降。感染后24 h内形成颗粒。在72 h之后,这些颗粒变黑了。甲氧苄氨嘧啶-磺胺甲恶唑、阿米卡星或其组合没有显著提高生存率。在这个模型中,黑化的麻花麦穗确实不同于人类的麦穗,很可能是由于麻花麦穗的免疫系统。治疗效果的缺乏可能是由这种黑色素引起的,或者是由于马杜拉草颗粒通常对这些药物不太敏感。需要更多的研究来解决这个问题。
{"title":"The development of an Actinomadura madurae grain model in Galleria mellonella larvae","authors":"Shereen O. Abd Algaffar ,&nbsp;Annelies Verbon ,&nbsp;Kimberly Eadie ,&nbsp;Deborah Horst-Kreft ,&nbsp;Sami A. Khalid ,&nbsp;Wendy W.J. van de Sande","doi":"10.1016/j.ijmm.2025.151679","DOIUrl":"10.1016/j.ijmm.2025.151679","url":null,"abstract":"<div><div>Mycetoma is a neglected tropical disease characterized by large tumorous lesions. It can be caused by fungi (eumycetoma) or bacteria (actinomycetoma). The hallmark of mycetoma is the formation of grains by the causative agent. Grains can only be formed <em>in vivo;</em> therefore, <em>in vivo</em> models are crucial to studying mycetoma<em>. In vivo,</em> grain models have been developed in the invertebrate <em>Galleria mellonella</em> for eumycetoma, but not for actinomycetoma. Here, we aimed to develop the first actinomycetoma grain model in <em>G. mellonella</em> larvae. <em>Actinomadura madurae</em> strains DSM43236 and DSM44005 were used to infect <em>G. mellonella</em> larvae. Larval survival was monitored over 10 days. Grain formation was studied histologically and compared to grains in human tissues. The efficacy of trimethoprim-sulfamethoxazole and amikacin, the current standard treatment for actinomycetoma, was determined. <em>A. madurae</em> infection decreased the survival of <em>G. mellonella</em> larvae in a concentration-dependent manner. Grains were formed within 24 h post-infection. After 72 h these grains became melanised. No significantly enhanced survival was noted with trimethoprim-sulfamethoxazole, amikacin, or a combination thereof. In this model, the melanised <em>A. madurae</em> grains did differ from human grains, most likely due to the immune system of <em>G. mellonella</em>. The lack of therapeutic efficacy could be caused by this melanin or the fact that <em>A. madurae</em> grains, in general, are less susceptible to these drugs. More research will be needed to address this question.</div></div>","PeriodicalId":50312,"journal":{"name":"International Journal of Medical Microbiology","volume":"321 ","pages":"Article 151679"},"PeriodicalIF":3.6,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Culture-positive COVID-19-associated pulmonary aspergillosis (CAPA) in Germany 德国covid -19相关肺曲霉病(CAPA)培养阳性
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-09-23 DOI: 10.1016/j.ijmm.2025.151676
Leonie H. Aldejohann , Joerg Steinmann , Tamara Ruegamer , Ronny Martin , Nadja Thielemann , Grit Walther , Oliver Kurzai , Alexander M. Aldejohann

Background

COVID-19-associated-pulmonary-aspergillosis (CAPA) is a severe superinfection mostly affecting critically ill COVID-19 patients. Early diagnosis and clinical management of CAPA remain major clinical challenges.
Here, we evaluated different approaches to classify culture-positive CAPA at its peak season, assessed incidence and mortality, identified risk factors and analysed clinical and laboratory CAPA-management of three German tertiary care hospitals.

Methods

A retrospective multi-center analysis was performed. Inclusion criteria were SARS-CoV-2-positivity, Aspergillus-culture-positivity of lower respiratory tract specimen and ARDS. Cases were primarily classified according to ECMM/ISHAM-criteria. Species-ID was confirmed by each center. Susceptibility was assessed by EUCAST-microdilution or VIPcheck-screening. Statistical analysis revealed mortality affecting factors.

Results

95 culture-positive CAPA cases were classified as possible (36/95) or probable (59/95) by ECMM/ISHAM; 54 probable cases matched 2 or 3 additional classifications. Incidence rates were higher in ICU (2020/21: 1.56 %/2.13 % non-ICU vs. 5.14 %/6.77 % ICU). A. fumigatus was the most abundant species (93 %; (88/95)). Most patients received steroids to treat COVID-19-ARDS and required respiratory support (steroids: 71 % (67/95); intubated patients 52 % (49/95); ECMO (48 % (46/95)). Retrospective evaluation showed adherence to ECMM/ISHAM antifungal therapy guideline in 71 % (67/95). Case fatality rate was 60 % (57/95). A significant association between GM indices > 3 in respiratory fluid or nicotine abuse (p = 0.035 FE, OR=0.252, 95 % CI=0.066–0.986) and mortality was observed in univariate analysis. Convalescent plasma therapy was significantly associated with mortality reduction in uni- and multivariate analysis (p = 0.020).

Conclusion

Our data reveal regional differences in prevalence, diagnosis, and treatment of culture-positive CAPA in Germany. We could identify new factors affecting survival or mortality.
背景COVID-19相关肺曲霉病(CAPA)是一种严重的重复感染,主要影响COVID-19危重症患者。CAPA的早期诊断和临床管理仍然是临床面临的主要挑战。在这里,我们评估了不同的方法来分类培养阳性的CAPA在其高峰期,评估发病率和死亡率,确定风险因素和分析临床和实验室CAPA管理三家德国三级保健医院。方法采用回顾性多中心分析。纳入标准为sars - cov -2阳性、下呼吸道标本曲菌培养阳性和ARDS。病例主要根据ECMM/ isham标准进行分类。各中心确认物种id。通过eucast微量稀释或vipcheck筛选评估敏感性。统计分析揭示了影响死亡率的因素。结果95例CAPA培养阳性患者ECMM/ISHAM评分为可能(36/95)或可能(59/95);54例可能病例符合2或3种额外分类。ICU的发病率更高(2020/21:1.56 %/2.13 %非ICU vs. 5.14 %/6.77 % ICU)。烟螨种类最多(93 %;88/95)。大多数患者接受类固醇治疗COVID-19-ARDS并需要呼吸支持(类固醇:71% % (67/95);插管患者52 % (49/95);Ecmo(48 %(46/95))。回顾性评价显示71% %(67/95)患者遵守ECMM/ISHAM抗真菌治疗指南。病死率为60 %(57/95)。在单因素分析中,呼吸液或尼古丁滥用的GM指数>; 3与死亡率有显著相关性(p = 0.035 FE, or =0.252, 95 % CI= 0.066-0.986)。单因素和多因素分析显示,恢复期血浆治疗与死亡率降低显著相关(p = 0.020)。结论:我们的数据揭示了德国培养阳性CAPA的患病率、诊断和治疗的地区差异。我们可以发现影响生存或死亡的新因素。
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引用次数: 0
The impact of HBV infection on gut microbiota using Chinese woodchuck model with woodchuck hepatitis virus (WHV) infection 用土拨鼠肝炎病毒(WHV)感染模型研究HBV感染对肠道菌群的影响
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-09-21 DOI: 10.1016/j.ijmm.2025.151675
Deng Hui , Zhu Bin , Zhang Shiyu , Zhang Bin , Dilihumar Zaire , Gao Ruihan , Liu Shuting , Zhou Xin , Zhou Shunchang , Xiong Jian , Yang Xuecheng , Feng Xuemei , Lu Yinping , Zheng Xin , Wang Baoju
Hepatitis B virus (HBV) infection seems to be related to gut microbiota. This study aims to explore the effects of HBV infection on gut microbiota and possible immunological mechanisms using the Chinese woodchuck model. Nine adult woodchucks were randomly divided into Cyclosporine A (CsA) or Control group. Animals were orally treated with CsA and saline for 2 weeks before WHV inoculation, and continued until 8 weeks after that. Blood CsA concentrations were tested at 2 weeks after administration and before discontinuation. Quantitative PCR was used to detect serum WHV DNA. Flow cytometry was used to detect T cell immune response. Feces were collected for 16S rRNA sequencing. The result shows CsA oral administration can reach effective blood drug concentration in woodchucks and successfully prolong WHV replication. After 2 weeks of oral treatment, there was no significant difference in the gut microbiota between the two groups. At the clearance period of serum WHV, the relative abundance of Prevotella and Prevotella genera in the phylum Bacteroidetes significantly increased, while the relative abundance of Firmicutes significantly decreased. Meanwhile, the CD107a degranulation of CD4-T cells in peripheral blood showed a decreasing trend, while there was no significant difference in the frequency of PD-1+ CD4-T cells. In Conclusion, oral administration of CsA can significantly prolong the replication time of WHV in Chinese woodchucks. The gut microbiota of Chinese woodchuck undergoes significant changes during serum WHV clearance, which implies the Chinese woodchuck model can be used to study the interaction between HBV infection and gut microbiota.
乙型肝炎病毒(HBV)感染似乎与肠道微生物群有关。本研究旨在探讨HBV感染对中国土拨鼠肠道菌群的影响及其可能的免疫机制。9只成年土拨鼠随机分为环孢素A (CsA)组和对照组。动物在接种WHV前2周口服CsA和生理盐水,并持续至接种WHV后8周。在给药后2周和停药前检测血CsA浓度。采用定量PCR检测血清WHV DNA。流式细胞术检测T细胞免疫应答。收集粪便进行16S rRNA测序。结果表明,口服CsA可使土拨鼠血药浓度达到有效水平,并能有效延长WHV的复制时间。口服治疗2周后,两组患者肠道菌群差异无统计学意义。在血清WHV清除率时,拟杆菌门普雷沃氏菌和普雷沃氏菌属的相对丰度显著升高,厚壁菌门的相对丰度显著降低。同时,外周血CD4-T细胞的CD107a脱颗粒呈下降趋势,而PD-1+ CD4-T细胞的频率无显著差异。综上所述,口服CsA可显著延长土拨鼠WHV的复制时间。在血清WHV清除过程中,中国土拨鼠的肠道菌群发生了显著变化,这意味着中国土拨鼠模型可以用于研究HBV感染与肠道菌群的相互作用。
{"title":"The impact of HBV infection on gut microbiota using Chinese woodchuck model with woodchuck hepatitis virus (WHV) infection","authors":"Deng Hui ,&nbsp;Zhu Bin ,&nbsp;Zhang Shiyu ,&nbsp;Zhang Bin ,&nbsp;Dilihumar Zaire ,&nbsp;Gao Ruihan ,&nbsp;Liu Shuting ,&nbsp;Zhou Xin ,&nbsp;Zhou Shunchang ,&nbsp;Xiong Jian ,&nbsp;Yang Xuecheng ,&nbsp;Feng Xuemei ,&nbsp;Lu Yinping ,&nbsp;Zheng Xin ,&nbsp;Wang Baoju","doi":"10.1016/j.ijmm.2025.151675","DOIUrl":"10.1016/j.ijmm.2025.151675","url":null,"abstract":"<div><div>Hepatitis B virus (HBV) infection seems to be related to gut microbiota. This study aims to explore the effects of HBV infection on gut microbiota and possible immunological mechanisms using the Chinese woodchuck model. Nine adult woodchucks were randomly divided into Cyclosporine A (CsA) or Control group. Animals were orally treated with CsA and saline for 2 weeks before WHV inoculation, and continued until 8 weeks after that. Blood CsA concentrations were tested at 2 weeks after administration and before discontinuation. Quantitative PCR was used to detect serum WHV DNA. Flow cytometry was used to detect T cell immune response. Feces were collected for 16S rRNA sequencing. The result shows CsA oral administration can reach effective blood drug concentration in woodchucks and successfully prolong WHV replication. After 2 weeks of oral treatment, there was no significant difference in the gut microbiota between the two groups. At the clearance period of serum WHV, the relative abundance of Prevotella and Prevotella genera in the phylum Bacteroidetes significantly increased, while the relative abundance of Firmicutes significantly decreased. Meanwhile, the CD107a degranulation of CD4-T cells in peripheral blood showed a decreasing trend, while there was no significant difference in the frequency of PD-1+ CD4-T cells. In Conclusion, oral administration of CsA can significantly prolong the replication time of WHV in Chinese woodchucks. The gut microbiota of Chinese woodchuck undergoes significant changes during serum WHV clearance, which implies the Chinese woodchuck model can be used to study the interaction between HBV infection and gut microbiota.</div></div>","PeriodicalId":50312,"journal":{"name":"International Journal of Medical Microbiology","volume":"321 ","pages":"Article 151675"},"PeriodicalIF":3.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimization and spectrum characterization of the antibacterial activity of lugdunin 菟丝子苷抗菌活性的优化及光谱表征
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-09-20 DOI: 10.1016/j.ijmm.2025.151678
Cheng-Yen Kao , Nevia Longjam , Jazon Harl Hidrosollo , Lee-Chung Lin , Jang-Jih Lu
Staphylococcus lugdunensis, an emerging coagulase-negative Staphylococcus (CoNS) pathogen, has garnered increasing interest due to its production of lugdunin, a thiazolidine-containing antimicrobial peptide. However, standardized protocols for directly assessing lugdunin activity produced by S. lugdunensis remain lacking. In this study, we examined the effects of pH and incubation duration on lugdunin activity and evaluated the antibacterial spectrum of lugdunin produced by S. lugdunensis isolates against a panel of gram-positive and gram-negative bacterial strains. The optimal conditions for lugdunin antibacterial activity of isolate CGMH-SL85 were identified as pH 7.5 and a 72-h incubation period. Under the tested conditions, the lugdunin produced by CGMH-SL85 exhibited antimicrobial activity against five gram-positive strains, including Staphylococcus aureus ATCC29213 and Staphylococcus haemolyticus CGMH-SH53, followed by Enterococcus faecium EF029 and EF081–2 and Listeria monocytogenes ATCC10403S. However, no antibacterial activity was observed against any of the 11 tested gram-negative bacterial species. Furthermore, four distinct lugdunin susceptibility phenotypes were observed among 47 lugdunin-nonproducing S. lugdunensis strains (14 sequence type (ST)4, 27 ST27, and 6 ST29 strains), including Type A characterized by large, clear inhibition zones; Type B with smaller, clear zones; Type C displaying halo-like inhibition zones; and Type D showing no detectable activity. Moreover, 20 S. lugdunensis strains (42.6 %) exhibited the Type C phenotype. Notably, all six ST29 strains displayed the Type C phenotype, while the Type A phenotype was observed only among ST27 strains (3 strains). In conclusion, we developed a standardized protocol for evaluating lugdunin activity, using pH 7.5 and a 72-h incubation period, and found that different S. lugdunensis strains exhibited distinct lugdunin susceptibility phenotypes.
lugdunensis葡萄球菌是一种新兴的凝固酶阴性葡萄球菌(con)病原体,由于其产生lugdunin(一种含噻唑烷的抗菌肽)而引起越来越多的兴趣。然而,直接评估S. lugdunensis产生的lugdunin活性的标准化方案仍然缺乏。在这项研究中,我们检测了pH和孵育时间对lugdunensis活性的影响,并评估了S. lugdunensis分离物对一组革兰氏阳性和革兰氏阴性菌株产生的lugdunin的抗菌谱。菌株CGMH-SL85的最佳抑菌条件为pH 7.5,孵育72 h。在实验条件下,CGMH-SL85生产的lugdunin对5种革兰氏阳性菌株有抗菌活性,分别是金黄色葡萄球菌ATCC29213和溶血葡萄球菌CGMH-SH53,其次是屎肠球菌EF029和EF081-2以及单核增生李斯特菌ATCC10403S。然而,对11种革兰氏阴性细菌均无抗菌活性。此外,在47株不产生lugdunin的菌株(14株序列型(ST)4、27株序列型(ST27)和6株序列型(ST29))中观察到4种不同的lugdunin敏感性表型,其中A型具有大而清晰的抑制区;B型具有较小的、清晰的区域;C型表现为晕状抑制带;D型没有可检测到的活性。20株lugdunensis(42.6 %)呈现C型表型。值得注意的是,6株ST29菌株均表现为C型表型,而只有ST27菌株(3株)表现为A型表型。总之,我们制定了一个标准化的方案来评估lugdunin的活性,使用pH 7.5和72小时的潜伏期,发现不同的S. lugdunensis菌株表现出不同的lugdunin敏感性表型。
{"title":"Optimization and spectrum characterization of the antibacterial activity of lugdunin","authors":"Cheng-Yen Kao ,&nbsp;Nevia Longjam ,&nbsp;Jazon Harl Hidrosollo ,&nbsp;Lee-Chung Lin ,&nbsp;Jang-Jih Lu","doi":"10.1016/j.ijmm.2025.151678","DOIUrl":"10.1016/j.ijmm.2025.151678","url":null,"abstract":"<div><div><em>Staphylococcus lugdunensis</em>, an emerging coagulase-negative <em>Staphylococcus</em> (CoNS) pathogen, has garnered increasing interest due to its production of lugdunin, a thiazolidine-containing antimicrobial peptide. However, standardized protocols for directly assessing lugdunin activity produced by <em>S. lugdunensis</em> remain lacking. In this study, we examined the effects of pH and incubation duration on lugdunin activity and evaluated the antibacterial spectrum of lugdunin produced by <em>S. lugdunensis</em> isolates against a panel of gram-positive and gram-negative bacterial strains. The optimal conditions for lugdunin antibacterial activity of isolate CGMH-SL85 were identified as pH 7.5 and a 72-h incubation period. Under the tested conditions, the lugdunin produced by CGMH-SL85 exhibited antimicrobial activity against five gram-positive strains, including <em>Staphylococcus aureus</em> ATCC29213 and <em>Staphylococcus haemolyticus</em> CGMH-SH53, followed by <em>Enterococcus faecium</em> EF029 and EF081–2 and <em>Listeria monocytogenes</em> ATCC10403S. However, no antibacterial activity was observed against any of the 11 tested gram-negative bacterial species. Furthermore, four distinct lugdunin susceptibility phenotypes were observed among 47 lugdunin-nonproducing <em>S. lugdunensis</em> strains (14 sequence type (ST)4, 27 ST27, and 6 ST29 strains), including Type A characterized by large, clear inhibition zones; Type B with smaller, clear zones; Type C displaying halo-like inhibition zones; and Type D showing no detectable activity. Moreover, 20 <em>S. lugdunensis</em> strains (42.6 %) exhibited the Type C phenotype. Notably, all six ST29 strains displayed the Type C phenotype, while the Type A phenotype was observed only among ST27 strains (3 strains). In conclusion, we developed a standardized protocol for evaluating lugdunin activity, using pH 7.5 and a 72-h incubation period, and found that different <em>S. lugdunensis</em> strains exhibited distinct lugdunin susceptibility phenotypes.</div></div>","PeriodicalId":50312,"journal":{"name":"International Journal of Medical Microbiology","volume":"321 ","pages":"Article 151678"},"PeriodicalIF":3.6,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genomic analyses of enteroinvasive Escherichia coli revealed the circulation of conjugative virulence plasmids and emergence of novel clones 肠道侵入性大肠杆菌的基因组分析揭示了共轭毒力质粒的循环和新克隆的出现
IF 3.6 3区 医学 Q1 MICROBIOLOGY Pub Date : 2025-09-20 DOI: 10.1016/j.ijmm.2025.151677
Kazuhisa Okada , Warawan Wongboot , Amonrattana Roobthaisong , Nonzee Hanchanachai , Pawinee Doung-ngern , Pilailuk Akkapaiboon Okada , Thanee Wongchai , Witaya Swaddiwudhipong , Tetsuya Iida , Shigeyuki Hamada
Enteroinvasive Escherichia coli (EIEC) is a diarrhoeagenic E. coli pathotype that shares key virulence traits with Shigella, including the invasion plasmid (pINV). In Thailand, an outbreak caused by the EIEC serotype O8:H19—the first reported in the country—occurred in 2023, affecting over 150 patients. To elucidate the emergence, clinical relevance, and epidemiological distribution of EIEC in Thailand, we conducted a comprehensive investigation. We isolated and genomically characterised 63 isolates, comprising 28 EIEC (eight serotypes, including O96:H19 from a 2024 outbreak) and 35 Shigella (25 S. sonnei and 10 S. flexneri), along with 85 global reference strains. Comparative genomics revealed that the 2023 and 2024 EIEC outbreak isolates, along with a novel OX18:H25 EIEC lineage, harboured highly similar pINV plasmids with conserved invasion genes and complete conjugation elements. These isolates retained several biochemical traits that were more typical of commensal E. coli than classical EIEC. Limited chromosomal genome reduction—a hallmark of Shigella— was observed, which suggests that these lineages are in an early stage of adaptation toward a pathogenic lifestyle. Phylogenomic analysis showed that OX18:H25 is closely related to livestock-associated E. coli, supporting the hypothesis that pINV was recently acquired via horizontal gene transfer. These findings highlight the active circulation of putatively conjugative virulence plasmids among E. coli populations and the ongoing emergence of novel EIEC clones with epidemic-inducing potential.
肠侵入性大肠杆菌(EIEC)是一种腹泻致病性大肠杆菌,与志贺氏菌(Shigella)具有相同的关键毒力特征,包括入侵质粒(pINV)。在泰国,由EIEC血清型O8: h19引起的疫情于2023年发生,影响了150多名患者,这是该国首次报告的疫情。为了阐明EIEC在泰国的出现、临床相关性和流行病学分布,我们进行了全面的调查。我们分离并鉴定了63株分离株,包括28株EIEC(8种血清型,包括来自2024年暴发的O96:H19)和35株志贺氏菌(25株sonnei和10株flexneri),以及85株全球参考菌株。比较基因组学显示,2023年和2024年爆发的EIEC分离株,以及新的OX18:H25 EIEC谱系,具有高度相似的pINV质粒,具有保守的入侵基因和完整的偶联元件。这些分离株保留了比经典EIEC更典型的共生大肠杆菌的几种生化特性。有限的染色体基因组减少——志贺氏菌的一个标志——被观察到,这表明这些谱系处于适应致病性生活方式的早期阶段。系统基因组分析显示,OX18:H25与家畜相关的大肠杆菌密切相关,支持了pINV是最近通过水平基因转移获得的假设。这些发现强调了假定的共轭毒力质粒在大肠杆菌群体中的活跃循环,以及具有诱导流行潜力的新型EIEC克隆的不断出现。
{"title":"Genomic analyses of enteroinvasive Escherichia coli revealed the circulation of conjugative virulence plasmids and emergence of novel clones","authors":"Kazuhisa Okada ,&nbsp;Warawan Wongboot ,&nbsp;Amonrattana Roobthaisong ,&nbsp;Nonzee Hanchanachai ,&nbsp;Pawinee Doung-ngern ,&nbsp;Pilailuk Akkapaiboon Okada ,&nbsp;Thanee Wongchai ,&nbsp;Witaya Swaddiwudhipong ,&nbsp;Tetsuya Iida ,&nbsp;Shigeyuki Hamada","doi":"10.1016/j.ijmm.2025.151677","DOIUrl":"10.1016/j.ijmm.2025.151677","url":null,"abstract":"<div><div>Enteroinvasive <em>Escherichia coli</em> (EIEC) is a diarrhoeagenic <em>E. coli</em> pathotype that shares key virulence traits with <em>Shigella</em>, including the invasion plasmid (pINV). In Thailand, an outbreak caused by the EIEC serotype O8:H19—the first reported in the country—occurred in 2023, affecting over 150 patients. To elucidate the emergence, clinical relevance, and epidemiological distribution of EIEC in Thailand, we conducted a comprehensive investigation. We isolated and genomically characterised 63 isolates, comprising 28 EIEC (eight serotypes, including O96:H19 from a 2024 outbreak) and 35 <em>Shigella</em> (25 <em>S. sonnei</em> and 10 <em>S. flexneri</em>), along with 85 global reference strains. Comparative genomics revealed that the 2023 and 2024 EIEC outbreak isolates, along with a novel OX18:H25 EIEC lineage, harboured highly similar pINV plasmids with conserved invasion genes and complete conjugation elements. These isolates retained several biochemical traits that were more typical of commensal <em>E. coli</em> than classical EIEC. Limited chromosomal genome reduction—a hallmark of <em>Shigella</em>— was observed, which suggests that these lineages are in an early stage of adaptation toward a pathogenic lifestyle. Phylogenomic analysis showed that OX18:H25 is closely related to livestock-associated <em>E. coli</em>, supporting the hypothesis that pINV was recently acquired via horizontal gene transfer. These findings highlight the active circulation of putatively conjugative virulence plasmids among <em>E. coli</em> populations and the ongoing emergence of novel EIEC clones with epidemic-inducing potential.</div></div>","PeriodicalId":50312,"journal":{"name":"International Journal of Medical Microbiology","volume":"321 ","pages":"Article 151677"},"PeriodicalIF":3.6,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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International Journal of Medical Microbiology
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