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High detection rate and genetic diversity of feline caliciviruses in an island population of feral cats with/without oral lesions. 在有/无口腔病变的野猫岛屿种群中,猫杯状病毒的高检出率和遗传多样性
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-02-04 DOI: 10.1016/j.meegid.2026.105892
Jessica L Kulberg, Felix N Toka, Yashpal S Malik, Souvik Ghosh

Although feline caliciviruses (FCVs) (Family Caliciviridae) have been studied extensively in household and shelter cats, limited information is available on FCVs in feral cat (Felis catus) populations. We report here high FCV detection rates (27.77%, 30/108) in oral samples from feral cats on the Caribbean island of St. Kitts. Fourteen (46.66%) of the FCV positive cats exhibited oral lesions that were characteristic of FCV infection. Based on analysis of VP1 sequences, the FCV strains from St. Kitts (FCP strains) formed two phylogenetically distinct clusters within FCV genotype-I, and exhibited significant genetic diversity between themselves, and with those of other FCVs (including the FCV vaccine strains). We identified genetically distinct FCV variants co-circulating in certain feral cat colonies, and hypothesized multiple-independent introductions of FCVs into the island feline population (especially from North America). Based on analysis of the putative VP1 E region, the FCP strains retained the conserved amino acid (aa) residues that are crucial for FCV binding to host receptor, whilst aa mismatches at the neutralizing and non-neutralizing epitopes, and at the virulence-related aa positions were observed between the FCP strains (and between the FCP strains and FCV vaccine strains). Taken together, our findings highlighted the complex molecular epidemiology of FCVs in the St. Kitts feral cat population, which might facilitate emergence of virulent pathotypes and/or antigenic variants. Considering these observations, and the potential risk of FCV transmission between feral and household cats, large-scale molecular epidemiological studies on FCVs in feral cat populations from different geographical regions are of utmost importance. To our knowledge, this is the first report on molecular prevalence and genetic diversity of FCVs from the Caribbean region.

虽然已经在家庭猫和收容所猫中广泛研究了猫杯状病毒(fcv科),但关于野猫(Felis catus)种群中fcv的信息有限。我们报告加勒比海圣基茨岛野猫口腔样本中FCV检出率高(27.77%,30/108)。14只(46.66%)FCV阳性猫出现FCV感染特征的口腔病变。基于VP1序列分析,来自圣基茨的FCV菌株(FCP菌株)在FCV基因型i内形成了两个系统发育上不同的集群,并且在它们之间以及与其他FCV(包括FCV疫苗株)之间表现出显著的遗传多样性。我们确定了在某些野猫群体中共同传播的遗传上不同的FCV变体,并假设FCV是多重独立引入岛屿猫科动物(特别是来自北美)的。基于VP1 E区分析,FCP菌株保留了对FCV与宿主受体结合至关重要的保守氨基酸(aa)残基,而在中和和非中和表位以及毒力相关的aa位置上,FCP菌株之间(以及FCP菌株与FCV疫苗株之间)观察到aa不匹配。综上所述,我们的研究结果强调了圣基茨野猫种群中fcv的复杂分子流行病学,这可能促进了毒性病原型和/或抗原变异的出现。考虑到这些观察结果,以及野猫和家猫之间FCV传播的潜在风险,对不同地理区域野猫种群中FCV的大规模分子流行病学研究至关重要。据我们所知,这是关于加勒比地区fcv分子流行率和遗传多样性的第一份报告。
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引用次数: 0
cagA-positive Helicobacter pylori and human NOS2-954G/C polymorphism: A possible association with severe clinical outcomes in Iranian patients. caga阳性幽门螺杆菌和人类NOS2-954G/C多态性:与伊朗患者严重临床结局的可能关联
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-02-02 DOI: 10.1016/j.meegid.2026.105891
Tayebeh Rezaeian, Roghayeh Mohammadzadeh, Shadi Akbari, Ali Beheshti Namdar, Bita Baghaee, Ayat Ahmadi, Hadi Farsiani

Helicobacter pylori infects more than 50% of the global population. The diversity and severity of clinical outcomes are attributed to the complex interaction among pathogen, host, and environmental factors. This study investigated the association between H. pylori virulence genes (cagA, vacA, and dupA) and human host NOS2-954G/C polymorphism with clinical outcomes in H. pylori-infected Iranian patients. Polymerase chain reaction (PCR) was performed on 193H. pylori culture-positive biopsy samples to determine the presence of cagA, vacA, and dupA genotypes. The NOS2-954G/C polymorphism were assessed using PCR-restriction fragment length polymorphism (PCR-RFLP) on blood samples collected from 98 patients. The cagA and dupA genes were detected in 71.5% and 69.9% of isolates, respectively, and were more frequently found in strains derived from patients with peptic ulcer disease (PUD). The distribution of vacA polymorphisms was as follows: s1/s2 (82.9% / 17.1%), m1/m2 (44.6% / 55.4%), and i1/i2 (52.3% / 47.7%). Analysis of NOS2-954G/C polymorphism revealed the following genotypes: G/G (13.3%), G/C (81.6%), and C/C (5.1%). Notably, all 16 isolates obtained from gastric cancer (GC) patients exhibited the G/C genotype. Our findings suggest a borderline association between cagA-positive H. pylori isolates and disease severity, particularly PUD (p = 0.045), whereas a stronger and statistically significant association was observed for the human NOS2 - 954G/C polymorphism (p = 0.003). These results should be interpreted with caution, especially for outcomes with limited sample size.

幽门螺杆菌感染了全球50%以上的人口。临床结果的多样性和严重性归因于病原体、宿主和环境因素之间复杂的相互作用。本研究探讨了幽门螺杆菌毒力基因(cagA、vacA和dupA)和人类宿主NOS2-954G/C多态性与幽门螺杆菌感染伊朗患者临床结局的关系。193H进行聚合酶链反应(PCR)。幽门螺杆菌培养阳性活检样本,以确定cagA, vacA和dupA基因型的存在。采用pcr -限制性片段长度多态性(PCR-RFLP)对98例患者的血液样本进行NOS2-954G/C多态性分析。cagA和dupA基因分别在71.5%和69.9%的分离株中检测到,并且在消化性溃疡病(PUD)患者的菌株中更常见。vacA多态性分布为s1/s2(82.9% / 17.1%)、m1/m2(44.6% / 55.4%)和i1/i2(52.3% / 47.7%)。NOS2-954G/C多态性分析显示为G/G(13.3%)、G/C(81.6%)和C/C(5.1%)基因型。值得注意的是,从胃癌(GC)患者中获得的16株分离株均表现为G/C基因型。我们的研究结果表明,caga阳性幽门螺杆菌分离株与疾病严重程度之间存在临界关联,特别是PUD (p = 0.045),而人类NOS2 - 954G/C多态性(p = 0.003)存在更强且具有统计学意义的关联。这些结果应谨慎解释,特别是对于样本量有限的结果。
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引用次数: 0
Exploiting collateral sensitivity to combat antimicrobial resistance: Mechanisms and opportunities. 利用附带敏感性对抗抗菌素耐药性:机制和机遇。
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-02-02 DOI: 10.1016/j.meegid.2026.105893
Qi Jiang, Qi Li, Caihong Wu, Zihan Chen, Wei Lu

Collateral sensitivity (CS) was first described by Szybalski and Bryson in 1952. It refers to the phenomenon where bacteria become more susceptible to one antibiotic when they develop resistance to another. Given the global rise of antimicrobial resistance (AMR) and advancements in next-generation sequencing and high-throughput experimental techniques, researchers aim to leverage CS to mitigate or even reverse the spread of AMR by elucidating the molecular mechanisms underlying CS. This paper reviews recent progress in CS research, focusing on laboratory methods, resistance mechanisms leading to CS, and the molecular characterization of CS across different bacterial species. Unlike previous overviews, this article synthesizes the intersection of experimental methodologies and molecular mechanisms to provide a cohesive framework for translating CS from evolutionary principles to clinical application.

侧枝敏感性(CS)最早由Szybalski和Bryson于1952年提出。它指的是细菌对一种抗生素产生耐药性时对另一种抗生素更敏感的现象。鉴于全球抗菌素耐药性(AMR)的上升以及下一代测序和高通量实验技术的进步,研究人员旨在通过阐明CS的分子机制来利用CS来减轻甚至逆转AMR的传播。本文综述了近年来CS的研究进展,重点介绍了CS的实验室方法,导致CS的耐药机制以及CS在不同细菌物种中的分子特征。与之前的综述不同,本文综合了实验方法和分子机制的交叉,为将CS从进化原理转化为临床应用提供了一个有凝聚力的框架。
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引用次数: 0
Molecular epidemiology of Streptococcus pneumoniae serotypes 6A and 6B: A systematic review of circulating clones and clonal clusters. 肺炎链球菌6A和6B血清型的分子流行病学:循环克隆和克隆聚集性的系统回顾。
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-01-30 DOI: 10.1016/j.meegid.2026.105889
Richard Donkor Amponsah, Onyansaniba K Ntim, Eric S Donkor

Background: Pneumococcal serotypes 6A and 6B are serotypes of Streptococcus pneumoniae serogroup 6 that are most prevalent and cause invasive pneumococcal diseases (IPD). These serotypes are associated with unique clonal lineages, with some exhibiting antibiotic resistance and high virulence properties.

Objective: To explore the global spread of serotypes 6A and 6B clones, detailing their circulating patterns across regions.

Methods: Following the PRISMA guide, four databases were searched for English-language, peer-reviewed articles using molecular genotyping to determine sequence types (STs) of serotypes 6A and 6B.

Results: Thirty-seven studies from 23 countries were included, reporting 138 STs for serotype 6A and 106 for serotype 6B. Both were strongly associated with IPD. For serotype 6A, clonal complexes (CCs) 473 and 3173 were predominant. CC473, comprising ST473, ST1876, and ST471, exhibited widespread distribution across Europe, Asia, the Americas, and Oceania, while CC3173 (ST3173, ST361) was mainly reported in Africa and Asia. For serotype 6B, CC90 (ST90, ST273) and CC176 were the dominant lineages, with isolates recovered from all continents. Notably, ST395, ST1692, and ST3173 were identified in both serotypes. For example, ST395 was reported as 6A in Portugal, the United States, and Australia, and as 6B in Portugal; ST1692 was detected as 6B in Portugal and 6A in Australia; and ST3173 was observed as both 6A and 6B in China.

Conclusions: Serotypes 6A and 6B exhibit complex genetic variation and intercontinental widespread, with some lineages spanning both serotypes. This highlights their epidemiological significance and potential role in the spread of invasive pneumococcal diseases and antibiotic resistance globally.

背景:肺炎球菌血清型6A和6B是肺炎链球菌血清型6中最常见并引起侵袭性肺炎球菌病(IPD)的血清型。这些血清型与独特的克隆谱系相关,其中一些表现出抗生素耐药性和高毒力特性。目的:探讨6A和6B血清型克隆的全球传播情况,详细介绍其跨地区传播模式。方法:根据PRISMA指南,检索4个数据库的英文同行评议文章,采用分子基因分型方法确定血清型6A和6B的序列类型(STs)。结果:纳入了来自23个国家的37项研究,报告了138例血清6A型STs和106例血清6B型STs。两者都与IPD密切相关。对于血清型6A,克隆复合物(CCs) 473和3173占优势。CC473包括ST473、ST1876和ST471,广泛分布于欧洲、亚洲、美洲和大洋洲,而CC3173 (ST3173、ST361)主要报道于非洲和亚洲。对于血清型6B, CC90 (ST90, ST273)和CC176是优势谱系,分离株来自所有大陆。值得注意的是,ST395、ST1692和ST3173在两种血清型中都被鉴定出来。例如,ST395在葡萄牙、美国和澳大利亚报告为6A,在葡萄牙报告为6B;ST1692在葡萄牙检测为6B,在澳大利亚检测为6A;ST3173在中国被观测到为6A和6B。结论:血清型6A和6B表现出复杂的遗传变异和洲际分布,一些谱系跨越两种血清型。这突出了它们在全球侵袭性肺炎球菌疾病和抗生素耐药性传播中的流行病学意义和潜在作用。
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引用次数: 0
A U.S.-linked HSV-2 clinical isolate from China reveals global transmission and informs region-specific vaccine design. 来自中国的与美国相关的2型单纯疱疹病毒临床分离物揭示了全球传播,并为区域特异性疫苗设计提供了信息。
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-01-29 DOI: 10.1016/j.meegid.2026.105890
Jiaxin Xie, Di Lin, Kai Yang, Zhidan Zhang, Jixiong Li, Ying Qian, Kaiyun Ding, Jingwen Xu, Yan Du, Jiandong Shi

The persistent global burden of herpes simplex virus type 2 (HSV-2) requires region-specific therapeutic strategies, yet the limited number of characterized clinical isolates from China has hindered accurate evaluation of local viral evolution and vaccine efficacy. To address this gap, we isolated and comprehensively characterized HSV-2/KM-1, a novel clinical strain obtained from a genital herpes patient in Kunming, China. Whole-genome sequencing showed 99.92% nucleotide identity with contemporary U.S. strains (MH790606, PP099973), which was markedly higher than its homology to China's reference strain HJ12 (128 amino acid differences). This unexpected phylogeographic similarity challenges existing models of geographically restricted HSV-2 evolution and suggests global viral gene flow facilitated by human mobility. Cell tropism analyses revealed accelerated replication in human foreskin fibroblasts (HFF-1), with early viral protein expression at 12 hpi, and high-titer production (7.0 log10 TCID50/mL) in Vero cells at a low MOI (0.001). Comparative genomics identified 27 amino acid substitutions in virulence determinants (ICP4, UL52, UL36, etc.) compared with the U.S strain (PP099973), 14 of which altered residue polarity, potentially influencing viral-host interactions, as suggested by previous studies on these proteins' roles. As a phylogenetically U.S.-linked clinical isolate from China, HSV-2/KM-1 helps to fill a gap in regional pathogen resources and provides a critical tool for assessing globally circulating strains and developing targeted interventions.

2型单纯疱疹病毒(HSV-2)持续的全球负担需要针对特定地区的治疗策略,但中国临床特征分离株数量有限,阻碍了对当地病毒演变和疫苗疗效的准确评估。为了解决这一空白,我们分离并全面表征了HSV-2/KM-1,这是一种从中国昆明的一名生殖器疱疹患者身上获得的新型临床菌株。全基因组测序结果显示,该菌株与美国当代菌株(MH790606, PP099973)的同源性为99.92%,显著高于与中国参考菌株HJ12的同源性(128个氨基酸差异)。这种意想不到的系统地理相似性挑战了现有的受地理限制的HSV-2进化模型,并表明人类流动促进了全球病毒基因流动。细胞趋向性分析显示,人包皮成纤维细胞(HFF-1)的复制加速,在12 hpi时早期病毒蛋白表达,在低MOI(0.001)下,Vero细胞的高滴度产生(7.0 log10 TCID50/mL)。与美国毒株(PP099973)相比,比较基因组学鉴定出毒力决定因子(ICP4、UL52、UL36等)中有27个氨基酸取代,其中14个改变了残基极性,可能影响病毒与宿主的相互作用,这与先前对这些蛋白作用的研究一致。作为一种与美国有亲缘关系的来自中国的临床分离株,HSV-2/KM-1有助于填补区域病原体资源的空白,并为评估全球流行菌株和制定有针对性的干预措施提供了重要工具。
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引用次数: 0
Genetic survey of Ivermectin-resistance markers in head lice from Jazan, Saudi Arabia 沙特阿拉伯吉赞地区头虱伊维菌素耐药标记的遗传调查。
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-01-25 DOI: 10.1016/j.meegid.2026.105884
Noha Talal Zelai
Insecticide resistance in head lice is a widespread problem and has been intensively studied in recent years. Whereas numerous investigations have examined pyrethroid resistance, ivermectin (IVM) resistance has not been assessed in Saudi Arabia and has been addressed in few studies worldwide. IVM is the second most commonly used drug to treat head-louse infestations, and resistance to it is associated with five mutations in the glutamate-gated chloride channel (GluCl) gene. This study aimed to estimate the prevalence of GluCl mutations in the Jazan region. Sanger sequencing and PCR–restriction fragment length polymorphism (PCR-RFLP) were used to genotype the A251V, S46P, H272R, N143D, and T236A mutations in 62 samples. A251V was the most prevalent mutation in Jazan, with an allele frequency of 0.78. The highest mutant-allele frequencies were observed in the southern and eastern regions (0.85 and 1.00, respectively). Additional toxicological, pharmacological, and molecular surveillance studies are necessary.
头虱的抗药性是一个广泛存在的问题,近年来得到了广泛的研究。尽管许多调查已经检查了拟除虫菊酯耐药性,但在沙特阿拉伯尚未评估伊维菌素(IVM)耐药性,并且在世界范围内的一些研究中已经解决了这一问题。IVM是治疗头虱感染的第二常用药物,对它的耐药性与谷氨酸门控氯通道(GluCl)基因的五个突变有关。本研究旨在估计吉赞地区葡萄糖突变的患病率。采用Sanger测序和pcr -限制性片段长度多态性(PCR-RFLP)对62份样本的A251V、S46P、H272R、N143D和T236A突变进行基因分型。A251V是吉赞地区最常见的突变,等位基因频率为0.78。突变等位基因频率以南部和东部地区最高(分别为0.85和1.00)。额外的毒理学、药理学和分子监测研究是必要的。
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引用次数: 0
Direct transmission of SFTSV from dogs to humans: Molecular confirmation and risk assessment SFTSV犬向人类的直接传播:分子证实和风险评估。
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-01-23 DOI: 10.1016/j.meegid.2026.105882
Zhifeng Li , Shuyi Liang , Hao Jiang , Yin Wang , Liguo Zhu , Changjun Bao

Objectives

This study aimed to investigate the potential for dog-to-human transmission of Severe Fever with Thrombocytopenia Syndrome Virus (SFTSV) and characterize viral shedding patterns in naturally infected dogs.

Methods

We conducted genomic analysis of SFTSV strains isolated from an infected dog and its owner using whole-genome sequencing. Viral loads were quantified in canine saliva, urine, and stool samples via qRT-PCR during the acute infection phase.

Results

Genomic sequencing revealed 100% identity between viral strains from the dog and owner. The dog exhibited exceptionally high viral loads, particularly in bloody stools (2.2 × 107 copies/mL) and saliva (2.3 × 105 copies/mL), with persistent shedding observed throughout the clinical course. The owner developed SFTSV infection 14 days after the dog's symptom onset.

Conclusions

This study provides the first molecular confirmation of direct SFTSV transmission from dogs to humans, identifying bloody stools and saliva as high-risk transmission sources. These findings underscore the importance of including dogs in SFTSV surveillance systems and implementing protective measures when handling sick pets in endemic areas.
目的:本研究旨在调查严重发热伴血小板减少综合征病毒(SFTSV)在狗与人之间传播的可能性,并表征自然感染狗的病毒脱落模式。方法:采用全基因组测序方法对从感染犬及其主人身上分离的SFTSV菌株进行基因组分析。在急性感染阶段,通过qRT-PCR定量检测犬唾液、尿液和粪便样本中的病毒载量。结果:基因组测序显示来自狗和主人的病毒株100%相同。狗表现出异常高的病毒载量,特别是在血便(2.2 × 107拷贝/mL)和唾液(2.3 × 105拷贝/mL)中,在整个临床过程中观察到持续的脱落。主人在狗出现症状14 天后出现SFTSV感染。结论:本研究首次从分子上证实了SFTSV从狗直接传播给人,确定了血便和唾液是高危传播源。这些发现强调了将犬类纳入SFTSV监测系统以及在疫区处理患病宠物时实施保护措施的重要性。
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引用次数: 0
Dynamics of azithromycin resistance in pediatric Haemophilus influenzae isolates in Wuhan (2015–2024): Temporal associations with the COVID-19 period and the 2023–2024 Mycoplasma pneumoniae resurgence 武汉市儿童流感嗜血杆菌分离株阿奇霉素耐药性动态(2015-2024年):与COVID-19时期和2023-2024年肺炎支原体复发的时间相关性
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-01-22 DOI: 10.1016/j.meegid.2026.105887
Xing Zhang , HongYan Chen , Jing Xiong

Objectives

To investigate the 10-year dynamics of azithromycin resistance in Haemophilus influenzae isolates from pediatric inpatients in Wuhan, and to assess the temporal association with major public health events, including COVID-19 containment and the 2023 Mycoplasma pneumoniae epidemic.

Methods

A total of 815 non-duplicate H. influenzae isolates were collected from pediatric inpatients with respiratory tract infections (2015–2024). Azithromycin susceptibility was determined by CLSI-recommended disk diffusion. Annual resistance rates, mean inhibition zone diameters, and isolate volumes were analyzed. Statistical methods included the Jonckheere–Terpstra trend test, χ2 tests, linear regression, and segmented regression with pre-specified calendar breakpoints at 2020 and 2022; an exploratory Spearman correlation with annual MRMP positivity (2018–2024) was also performed.

Results

The azithromycin resistance rate increased significantly from 20.0% in 2015 to 61.7% in 2024 (Z = −6.837, P < 0.001). From 2020 to 2024, susceptibility declined sharply from 69.7% to 38.3%, averaging a 7.85% annual decrease. A transient, non-significant improvement in susceptibility was observed in 2020 (P = 0.518), temporally coincident with the initial COVID-19 containment period. In 2023, susceptibility dropped by 20.57% (P = 0.004), the largest single-year decline, with resistance surpassing 40% for the first time. This resistance surge paralleled a 57.7% increase in isolate volume and a city-wide MRMP epidemic with high macrolide resistance reported. Mean inhibition zone diameter strongly correlated with susceptibility (R2 = 0.90, P < 0.001), decreasing to 11.91 mm in 2024, near the CLSI resistance breakpoint. In segmented regression with pre-specified breakpoints at 2020 and 2022, we observed a non-significant level drop at 2020 (−0.484 log-odds; p = 0.270) and a non-significant post-2022 slope increase (Δslope +0.777 log-odds/year; p = 0.126). In a complementary three-phase model, the 2023–2024 slope was significant (+1.065 log-odds/year; p < 0.001).

Conclusions

Early-2020 COVID-19–related containment may have coincided with a temporary slowdown in azithromycin resistance, whereas the 2023 MRMP epidemic was associated with a marked surge—consistent with a level drop at 2020 and a non-significant post-2022 slope increase in segmented regression. Inhibition zone diameter appears to provide an early phenotypic warning of resistance shifts. These findings support reassessing empirical treatment choices and strengthening regional resistance surveillance.
目的了解武汉市儿科住院患者流感嗜血杆菌10年阿奇霉素耐药动态,并评估其与2019冠状病毒病疫情和2023年肺炎支原体疫情等重大公共卫生事件的时间相关性。方法收集2015-2024年住院儿科呼吸道感染患者非重复流感嗜血杆菌815株。采用clsi推荐的圆盘扩散法测定阿奇霉素敏感性。分析了年耐药率、平均抑制带直径和分离体体积。统计方法包括Jonckheere-Terpstra趋势检验、χ2检验、线性回归和在2020年和2022年预先设定日历断点的分段回归;还进行了探索性的Spearman相关性与年度MRMP阳性(2018-2024)。结果阿奇霉素耐药率由2015年的20.0%上升至2024年的61.7% (Z = - 6.837, P < 0.001)。从2020年到2024年,易感性从69.7%急剧下降到38.3%,年均下降7.85%。在2020年观察到易感性的短暂无显著改善(P = 0.518),暂时与最初的COVID-19遏制期一致。2023年,药敏率下降20.57% (P = 0.004),单年降幅最大,耐药性首次超过40%。这一耐药性激增与分离菌数量增加57.7%和城市范围内MRMP流行的高大环内酯类药物耐药性报告并行。平均抑制带直径与敏感性密切相关(R2 = 0.90, P < 0.001), 2024年降低至11.91 mm,接近CLSI抗性断点。在2020年和2022年预先指定断点的分段回归中,我们观察到2020年的非显著水平下降(- 0.484 log-odds; p = 0.270)和2022年后的非显著斜率增加(Δslope +0.777 log-odds/年;p = 0.126)。在互补三相模型中,2023-2024年的斜率显著(+1.065 log-odds/year; p < 0.001)。结论:2020年初与covid -19相关的防控措施可能与阿奇霉素耐药性的暂时放缓相吻合,而2023年MRMP流行与阿奇霉素耐药性的显著飙升相关——与2020年的水平下降和2022年后分段回归的非显著斜率增加相一致。抑制带直径似乎提供了抗性转移的早期表型预警。这些发现支持重新评估经验性治疗选择和加强区域耐药性监测。
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引用次数: 0
Different roads to the brain: A brief overview of divergent pathways and convergent mechanisms in amoebic neuroinvasion 通往大脑的不同道路:阿米巴神经入侵的不同途径和趋同机制的简要概述。
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-01-22 DOI: 10.1016/j.meegid.2026.105888
Ruqaiyyah Siddiqui , Sutherland K. Maciver , Naveed Ahmed Khan
Free-living amoebae such as Acanthamoeba spp., Balamuthia mandrillaris, and Naegleria fowleri are opportunistic protists capable of causing devastating infections of the central nervous system. Although these organisms differ in ecology, morphology, and clinical progression, they converge on shared strategies that enable adhesion, immune evasion, and neuroinvasion. Here, we briefly present a comparative analysis of their routes of entry, molecular determinants, and neuropathogenic mechanisms with an eye to understand parallel and divergent pathways. A complete understanding of shared and distinct mechanisms can inform translational advances, including organoid-based modelling, multi-omics biomarker discovery, and therapeutic targeting of conserved host-pathogen signalling pathways.
自由生活的阿米巴,如棘阿米巴、曼氏巴和福氏奈格里亚都是机会主义的原生生物,能够引起中枢神经系统的毁灭性感染。尽管这些生物在生态、形态和临床进展方面有所不同,但它们在实现粘附、免疫逃避和神经侵袭的共同策略上趋同。在这里,我们简要地介绍了它们的进入途径,分子决定因素和神经致病机制的比较分析,以了解平行和不同的途径。对共享和独特机制的完整理解可以为翻译进步提供信息,包括基于类器官的建模,多组学生物标志物的发现,以及保守的宿主-病原体信号通路的治疗靶向。
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引用次数: 0
Transcriptome integration analysis of shared biomarkers and common immune mechanisms in SLE and PSO SLE和PSO中共享生物标志物和共同免疫机制的转录组整合分析
IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2026-01-21 DOI: 10.1016/j.meegid.2026.105886
Meijia Cheng , Yue Pei , Baoyue Li , Yanhui Yu , Jiangning Li , Jingyan Zhang , Xiaodong Sun , Dan Zou , Yunen Liu , Yichen Wang
This study aimed to identify shared diagnostic biomarkers and common immune mechanisms between systemic lupus erythematosus (SLE) and psoriasis (PSO) via integrated transcriptomic analysis, and to elucidate the role of genetic susceptibility in driving disease pathogenesis following viral infection. GEO datasets of SLE and PSO were analyzed. Shared genes were screened using differential expression analysis and WGCNA. 92 DEGs were identified, and 7 key shared genes (OASL, SAMD9, IFI6, OAS3, NMI, UBE2L6, MX1) were determined after WGCNA and intersection analysis. Among 8 machine learning models, LASSO performed best: for SLE, training set AUC was 0.935, external validation AUCs were 0.764 (accuracy 0.745) and 0.844 (accuracy 0.896); for PSO, training set AUC was 0.841, internal validation AUC 0.910 (accuracy 0.989), external validation AUCs 0.941 (accuracy 0.968) and 0.869 (accuracy 0.815). Immune infiltration analysis showed significant correlations between key genes and specific immune cell subsets.Immunofluorescence analysis confirmed elevated protein expression levels of UBE2L6 and SAMD9 in both diseases.Single-cell analysis revealed that most key genes were differentially expressed in dendritic cells and monocytes in SLE, but in T cells in PSO. SLE and PSO share 7 susceptibility genes that are significantly enriched in immune response pathways related to viral infections. The genetic susceptibility of these genes can lead to imbalance or excessive activation of the body's antiviral defense, and through dysregulation of innate and adaptive immunity, promote the occurrence and development of the diseases. The LASSO model further supports the reliability of these genes as potential diagnostic biomarkers for SLE and PSO.
本研究旨在通过整合转录组学分析,确定系统性红斑狼疮(SLE)和牛皮癣(PSO)之间共享的诊断生物标志物和共同的免疫机制,并阐明遗传易感性在病毒感染后驱动疾病发病机制中的作用。分析SLE和PSO的GEO数据集。通过差异表达分析和WGCNA筛选共享基因。共鉴定出92个deg,经WGCNA和交叉分析,确定了7个关键共享基因(OASL、SAMD9、IFI6、OAS3、NMI、UBE2L6、MX1)。在8个机器学习模型中,LASSO表现最好:对于SLE,训练集AUC为0.935,外部验证AUC为0.764(准确率0.745)和0.844(准确率0.896);PSO的训练集AUC为0.841,内部验证AUC为0.910(正确率0.989),外部验证AUC为0.941(正确率0.968),0.869(正确率0.815)。免疫浸润分析显示关键基因与特异性免疫细胞亚群之间存在显著相关性。免疫荧光分析证实两种疾病中UBE2L6和SAMD9蛋白表达水平升高。单细胞分析显示,大多数关键基因在SLE患者的树突状细胞和单核细胞中差异表达,而在PSO患者的T细胞中差异表达。SLE和PSO共有7个易感基因,这些易感基因在与病毒感染相关的免疫反应途径中显著富集。这些基因的遗传易感性可导致机体抗病毒防御失衡或过度激活,并通过先天免疫和适应性免疫的失调,促进疾病的发生和发展。LASSO模型进一步支持了这些基因作为SLE和PSO潜在诊断生物标志物的可靠性。
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引用次数: 0
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Infection Genetics and Evolution
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