Natalia A. Volkova, Irina V. Mikheeva, A. A. Melnikova, V. G. Akimkin
Introduction. For early immunodiagnostics of tuberculosis (TB) in Russia, the Mantoux test (MT) has been used for decades; since 2013, the recombinant tuberculosis antigen (RTA) test has seen widespread use. The objective of this retrospective analytic observational cohort study was to evaluate the results of immunodiagnostics for TB in children with newly diagnosed active TB. Materials and methods. We studied data from Russian TB institutions on the results of MT and RTA assay in children with active and inactive TB first detected in 2013–2018, as well as children with active TB first detected in Moscow in 2017–2022. Results and discussion. In 2013–2018, out of 12,902 examined children with active TB, 11,673 (90.5%) had positive results of both skin tests and 198 (1.5%) had negative results. A negative RTA assay result with positive MT was found in 861 (6.7%) patients, and a positive RTA assay result with negative MT in 170 (1.3%). The sensitivity of the RTA assay in detecting active TB was 91.3%, while the sensitivity of MT was 97.2% (p 0.01). Similar data were obtained in the same regions in 14,127 children with inactive TB: the sensitivity of MT was higher than that of the RTA assay — 97.2% versus 95.2% (p 0.01). In Moscow, due to the small number of observations in 2022, it was not possible to show statistical reliability of the difference between the sensitivity of MT and RTA assay in detecting active TB in 2017–2022 (95.8% and 92.1% respectively; p 0.5). For the results obtained in 2017–2021, the difference was significant (p 0.05). Conclusion. The sensitivity of MT is higher than that of the RTA assay in screening children for TB. It is recommended to use the more sensitive MT test for screening children; screening with the RTA assay will increase the number of undetected and undiagnosed cases of active TB in children. Currently, MT cannot be excluded from the algorithm of early TB diagnosis in children.
{"title":"Retrospective evaluation of the results of immunodiagnostics for tuberculosis in children","authors":"Natalia A. Volkova, Irina V. Mikheeva, A. A. Melnikova, V. G. Akimkin","doi":"10.36233/0372-9311-477","DOIUrl":"https://doi.org/10.36233/0372-9311-477","url":null,"abstract":"Introduction. For early immunodiagnostics of tuberculosis (TB) in Russia, the Mantoux test (MT) has been used for decades; since 2013, the recombinant tuberculosis antigen (RTA) test has seen widespread use. \u0000The objective of this retrospective analytic observational cohort study was to evaluate the results of immunodiagnostics for TB in children with newly diagnosed active TB. \u0000Materials and methods. We studied data from Russian TB institutions on the results of MT and RTA assay in children with active and inactive TB first detected in 2013–2018, as well as children with active TB first detected in Moscow in 2017–2022. \u0000Results and discussion. In 2013–2018, out of 12,902 examined children with active TB, 11,673 (90.5%) had positive results of both skin tests and 198 (1.5%) had negative results. A negative RTA assay result with positive MT was found in 861 (6.7%) patients, and a positive RTA assay result with negative MT in 170 (1.3%). The sensitivity of the RTA assay in detecting active TB was 91.3%, while the sensitivity of MT was 97.2% (p 0.01). Similar data were obtained in the same regions in 14,127 children with inactive TB: the sensitivity of MT was higher than that of the RTA assay — 97.2% versus 95.2% (p 0.01). In Moscow, due to the small number of observations in 2022, it was not possible to show statistical reliability of the difference between the sensitivity of MT and RTA assay in detecting active TB in 2017–2022 (95.8% and 92.1% respectively; p 0.5). For the results obtained in 2017–2021, the difference was significant (p 0.05). \u0000Conclusion. The sensitivity of MT is higher than that of the RTA assay in screening children for TB. It is recommended to use the more sensitive MT test for screening children; screening with the RTA assay will increase the number of undetected and undiagnosed cases of active TB in children. Currently, MT cannot be excluded from the algorithm of early TB diagnosis in children.","PeriodicalId":508236,"journal":{"name":"Journal of microbiology, epidemiology and immunobiology","volume":"34 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140247825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tatyana A. Kuznetsova, N. Besednova, M. R. Aliev, M. Y. Shchelkanov
The aim of the review is to give a brief characteristic of cell cultures obtained from mammalian tissues and to consider the current possibilities and prospects for their use in virology. The analysis of the literature data presented in the main databases, such as Web of Science, PubMed, Scopus, Elsevier, Google Scholar and RSCI (as of July 2023), indicates that various types of cell cultures are currently used in virological studies. The use of cell culture has a number of advantages over other in vitro and in vivo methods of virological research. The review provides numerous examples on the development of new methods of obtaining cell cultures for the cultivation of viruses. Among them are sensitive and reporter cell systems, the design of which can be a promising tool for diagnostics of existing and new unknown viral infections. Cell cultures are characterized as potential in vitro models in virology for developing new diagnostic test-systems and antiviral drugs. An important area of cell cultures application is their use as a substrate for the production of culture-derived vaccines. Another aspect of the cell cultures application is also highlighted, such as the study of the effect of the viruses on the host immune system or the mechanisms of immunopathogenesis of viral infections. It is concluded that the use of cell cultures remains currently and in the near future one of the most important methods in practical virology and in scientific research.
本综述旨在简要介绍从哺乳动物组织中获得的细胞培养物的特点,并探讨其目前在病毒学中应用的可能性和前景。对主要数据库(如 Web of Science、PubMed、Scopus、Elsevier、Google Scholar 和 RSCI,截至 2023 年 7 月)中的文献数据进行的分析表明,目前有各种类型的细胞培养物被用于病毒学研究。与其他体外和体内病毒学研究方法相比,细胞培养法具有许多优势。这篇综述提供了大量实例,说明如何开发新的细胞培养方法来培养病毒。其中包括敏感细胞和报告细胞系统,这些系统的设计可以成为诊断现有和新的未知病毒感染的有前途的工具。细胞培养物是病毒学中潜在的体外模型,可用于开发新的诊断测试系统和抗病毒药物。细胞培养物的一个重要应用领域是用作生产培养物衍生疫苗的基质。此外,还强调了细胞培养物应用的另一个方面,如研究病毒对宿主免疫系统的影响或病毒感染的免疫发病机制。总之,细胞培养物的使用在当前和不久的将来仍然是实用病毒学和科学研究中最重要的方法之一。
{"title":"The cell cultures in virology: from the past to the future","authors":"Tatyana A. Kuznetsova, N. Besednova, M. R. Aliev, M. Y. Shchelkanov","doi":"10.36233/0372-9311-421","DOIUrl":"https://doi.org/10.36233/0372-9311-421","url":null,"abstract":"The aim of the review is to give a brief characteristic of cell cultures obtained from mammalian tissues and to consider the current possibilities and prospects for their use in virology. \u0000The analysis of the literature data presented in the main databases, such as Web of Science, PubMed, Scopus, Elsevier, Google Scholar and RSCI (as of July 2023), indicates that various types of cell cultures are currently used in virological studies. The use of cell culture has a number of advantages over other in vitro and in vivo methods of virological research. The review provides numerous examples on the development of new methods of obtaining cell cultures for the cultivation of viruses. Among them are sensitive and reporter cell systems, the design of which can be a promising tool for diagnostics of existing and new unknown viral infections. Cell cultures are characterized as potential in vitro models in virology for developing new diagnostic test-systems and antiviral drugs. An important area of cell cultures application is their use as a substrate for the production of culture-derived vaccines. Another aspect of the cell cultures application is also highlighted, such as the study of the effect of the viruses on the host immune system or the mechanisms of immunopathogenesis of viral infections. It is concluded that the use of cell cultures remains currently and in the near future one of the most important methods in practical virology and in scientific research.","PeriodicalId":508236,"journal":{"name":"Journal of microbiology, epidemiology and immunobiology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140245360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariia A. Makarova, Z. N. Matveeva, Lidiya A. Kaftyreva
Introduction. Uropathogenic Escherichia coli (UPEC) are characterized by the ability to survive and reproduce in the urinary tract due to the presence of specific virulence factors. In routine laboratory practice, the detection of diagnostically significant bacteriuria does not provide an idea of the level of infection of the urinary system (renal parenchyma, bladder), the pathogenic potential of the strain in the progression and chronicity of the infectious process, and the occurrence of life-threatening conditions (urosepsis, meningitis). Objective. To characterize the population structure, genetic diversity and pathogenic potential of E. coli strains isolated from urine. Materials and methods. 194 strains of E. coli isolated from urine were studied. Detection of 17 genes encoding the synthesis of: adhesins (pap, fimH, sfa, focG, afa), toxins (hlyA, cvaC, cnf, cdtB), capsular antigens (kpsMTII, kpsMTIII, kpsMT K1), siderophores (fyuA, iutA), invasins (ibeA), genetic markers of the pathogenicity island (PAI) of UPEC CFT073, the gene (traT) encoding serum resistance capacity and phylogenetic groups were performed by PCR (CXT-1000, BioRad, USA) with published primers (Synthol, Sibenzyme, Evrogen, Russia). To assess the statistical significance of differences, Fisher's exact test was used. Differences were considered significant at a confidence interval of 95% (p 0.05). Results. E. coli strains more often (p 0.05) belonged to the phylogenetic group B2 (57.7%). Pathogenetically significant virulence determinants were identified in 97.9% of strains. Based on the combination of 17 genes, 134 individual virulence genotypes were identified. In 93.3% of strains, a genetic predisposition to the occurrence of recurrent urinary tract infections (UTIs) was revealed, in 6.9% there was a potential for the development of pyelonephritis and recurrent cystitis. Markers of life-threatening complications of UTI were identified in 12% of strains, of which 10.7% were the development of urosepsis and 1.3% were meningitis. Conclusion. Detection of a complex of genes in E. coli strains isolated from urine confirms the etiological significance of the isolate and allows one to assess the pathogenic potential for the development of chronic and severe life-threatening complications.
{"title":"An integrative approach to assessing the pathogenic potential of Escherichia coli strains isolated from urine","authors":"Mariia A. Makarova, Z. N. Matveeva, Lidiya A. Kaftyreva","doi":"10.36233/0372-9311-493","DOIUrl":"https://doi.org/10.36233/0372-9311-493","url":null,"abstract":"Introduction. Uropathogenic Escherichia coli (UPEC) are characterized by the ability to survive and reproduce in the urinary tract due to the presence of specific virulence factors. In routine laboratory practice, the detection of diagnostically significant bacteriuria does not provide an idea of the level of infection of the urinary system (renal parenchyma, bladder), the pathogenic potential of the strain in the progression and chronicity of the infectious process, and the occurrence of life-threatening conditions (urosepsis, meningitis). \u0000Objective. To characterize the population structure, genetic diversity and pathogenic potential of E. coli strains isolated from urine. \u0000Materials and methods. 194 strains of E. coli isolated from urine were studied. Detection of 17 genes encoding the synthesis of: adhesins (pap, fimH, sfa, focG, afa), toxins (hlyA, cvaC, cnf, cdtB), capsular antigens (kpsMTII, kpsMTIII, kpsMT K1), siderophores (fyuA, iutA), invasins (ibeA), genetic markers of the pathogenicity island (PAI) of UPEC CFT073, the gene (traT) encoding serum resistance capacity and phylogenetic groups were performed by PCR (CXT-1000, BioRad, USA) with published primers (Synthol, Sibenzyme, Evrogen, Russia). To assess the statistical significance of differences, Fisher's exact test was used. Differences were considered significant at a confidence interval of 95% (p 0.05). \u0000Results. E. coli strains more often (p 0.05) belonged to the phylogenetic group B2 (57.7%). Pathogenetically significant virulence determinants were identified in 97.9% of strains. Based on the combination of 17 genes, 134 individual virulence genotypes were identified. In 93.3% of strains, a genetic predisposition to the occurrence of recurrent urinary tract infections (UTIs) was revealed, in 6.9% there was a potential for the development of pyelonephritis and recurrent cystitis. Markers of life-threatening complications of UTI were identified in 12% of strains, of which 10.7% were the development of urosepsis and 1.3% were meningitis. \u0000Conclusion. Detection of a complex of genes in E. coli strains isolated from urine confirms the etiological significance of the isolate and allows one to assess the pathogenic potential for the development of chronic and severe life-threatening complications.","PeriodicalId":508236,"journal":{"name":"Journal of microbiology, epidemiology and immunobiology","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140245537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anastasiya Yu. Goncharova, S. Bugorkova, E. V. Kislitsina, V. Germanchuk
Introduction. Immunomodulatory drugs (ILP) have great potential to increase the nonspecific reactivity of the organism in a set of measures for emergency prevention of plague. The purpose of the work is to evaluate the protective effectiveness of the use of ILP of different groups in experiments on modeling infection with a highly virulent strain of the plague microbe. Materials and methods. ILP (rIFN-ɣ - recombinant interferon-gamma, PO - azoximer bromide, O1 - glutoxim, O2 - hepon, O3 - imunophan) was administered to white mice and guinea pigs subcutaneously with a virulent test strain of plague Y. pestis 231 (708). In addition, the effect of ILP on the production of interferon-gamma cytokines (IFN-ɣ) and interleukin-10 (IL-10) was investigated in white mice before infection. Results. The study of the effect of ILP on the survival of unvaccinated biomodels made it possible to establish that only rIFN-ɣ and PO increase the survival of two types of laboratory animals by 20-50% and significantly increase the LD50. However, all tested ILP contribute to an increase in the average life expectancy of biomodels by at least a day. An increase in spontaneous and mitogen-induced cytokine production was found only in white mice receiving rIFN-ɣ and PO, which correlates with animal survival rates. Conclusion. The obtained data indicate the effectiveness of the use of ILP, especially rIFN-ɣ and PO in protecting the macrocompany from infection with Y. pestis, which determines the prospects for research on the further improvement of emergency prevention of plague.
{"title":"Assessment of the effect of using immunomodulatory \u0000drugs for emergency prevention of experimental \u0000plague caused by a virulent strain of the main \u0000subspecies Yersinia pestis","authors":"Anastasiya Yu. Goncharova, S. Bugorkova, E. V. Kislitsina, V. Germanchuk","doi":"10.36233/0372-9311-415","DOIUrl":"https://doi.org/10.36233/0372-9311-415","url":null,"abstract":"Introduction. Immunomodulatory drugs (ILP) have great potential to increase the nonspecific reactivity of the organism in a set of measures for emergency prevention of plague. The purpose of the work is to evaluate the protective effectiveness of the use of ILP of different groups in experiments on modeling infection with a highly virulent strain of the plague microbe. \u0000Materials and methods. ILP (rIFN-ɣ - recombinant interferon-gamma, PO - azoximer bromide, O1 - glutoxim, O2 - hepon, O3 - imunophan) was administered to white mice and guinea pigs subcutaneously with a virulent test strain of plague Y. pestis 231 (708). In addition, the effect of ILP on the production of interferon-gamma cytokines (IFN-ɣ) and interleukin-10 (IL-10) was investigated in white mice before infection. \u0000Results. The study of the effect of ILP on the survival of unvaccinated biomodels made it possible to establish that only rIFN-ɣ and PO increase the survival of two types of laboratory animals by 20-50% and significantly increase the LD50. However, all tested ILP contribute to an increase in the average life expectancy of biomodels by at least a day. An increase in spontaneous and mitogen-induced cytokine production was found only in white mice receiving rIFN-ɣ and PO, which correlates with animal survival rates. \u0000Conclusion. The obtained data indicate the effectiveness of the use of ILP, especially rIFN-ɣ and PO in protecting the macrocompany from infection with Y. pestis, which determines the prospects for research on the further improvement of emergency prevention of plague.","PeriodicalId":508236,"journal":{"name":"Journal of microbiology, epidemiology and immunobiology","volume":"58 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139960589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}