Pub Date : 2024-11-07DOI: 10.1016/j.anaerobe.2024.102920
Md Kamrul Hasan, Oluchi Alaribe, Revathi Govind
Clostridioides difficile has been recognized as an important nosocomial pathogen that causes diarrheal disease as a consequence of antibiotic exposure and costs the healthcare system billions of dollars every year. C. difficile enters the host gut as dormant spores, germinates into vegetative cells, colonizes the gut, and produces toxins TcdA and/or TcdB, leading to diarrhea and inflammation. Spores are the primary transmission vehicle, while the toxins A and B directly contribute to the disease. Thus, toxin production and sporulation are the key traits that determine the success of C. difficile as a pathogen. Both toxins and spores are produced during the late stationary phase in response to various stimuli. This review provides a comprehensive analysis of the current knowledge on the molecular mechanisms, highlighting the regulatory pathways that interconnect toxin gene expression and sporulation in C. difficile. The roles of carbohydrates, amino acids and other nutrients and signals, in modulating these virulence traits through global regulatory networks are discussed. Understanding the links within the gene regulatory network is crucial for developing effective therapeutic strategies against C. difficile infections, potentially leading to targeted interventions that disrupt the co-regulation of toxin production and sporulation.
艰难梭菌已被公认为一种重要的院内病原体,它因接触抗生素而导致腹泻,每年给医疗系统造成数十亿美元的损失。艰难梭菌以休眠孢子的形式进入宿主肠道,发芽成为无性细胞,在肠道内定植,并产生毒素 TcdA 和/或 TcdB,导致腹泻和炎症。孢子是主要的传播媒介,而毒素 A 和毒素 B 则直接导致疾病。因此,产生毒素和孢子是决定艰难梭菌能否成为病原体的关键特征。在静止后期,毒素和孢子都会在各种刺激下产生。本综述全面分析了有关分子机制的现有知识,重点介绍了艰难梭菌毒素基因表达和孢子产生之间的调控途径。文中讨论了碳水化合物、氨基酸和其他营养物质及信号在通过全球调控网络调节这些毒力特征方面的作用。了解基因调控网络内部的联系对于开发针对艰难梭菌感染的有效治疗策略至关重要,有可能导致有针对性的干预措施,破坏毒素生产和孢子生成的共同调控。
{"title":"Regulatory Networks: Linking Toxin Production and Sporulation in Clostridioides difficile.","authors":"Md Kamrul Hasan, Oluchi Alaribe, Revathi Govind","doi":"10.1016/j.anaerobe.2024.102920","DOIUrl":"https://doi.org/10.1016/j.anaerobe.2024.102920","url":null,"abstract":"<p><p>Clostridioides difficile has been recognized as an important nosocomial pathogen that causes diarrheal disease as a consequence of antibiotic exposure and costs the healthcare system billions of dollars every year. C. difficile enters the host gut as dormant spores, germinates into vegetative cells, colonizes the gut, and produces toxins TcdA and/or TcdB, leading to diarrhea and inflammation. Spores are the primary transmission vehicle, while the toxins A and B directly contribute to the disease. Thus, toxin production and sporulation are the key traits that determine the success of C. difficile as a pathogen. Both toxins and spores are produced during the late stationary phase in response to various stimuli. This review provides a comprehensive analysis of the current knowledge on the molecular mechanisms, highlighting the regulatory pathways that interconnect toxin gene expression and sporulation in C. difficile. The roles of carbohydrates, amino acids and other nutrients and signals, in modulating these virulence traits through global regulatory networks are discussed. Understanding the links within the gene regulatory network is crucial for developing effective therapeutic strategies against C. difficile infections, potentially leading to targeted interventions that disrupt the co-regulation of toxin production and sporulation.</p>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":" ","pages":"102920"},"PeriodicalIF":2.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Treponema denticola has been strongly implicated in the pathogenesis of chronic periodontitis. Previously, we reported that the potential transcriptional regulator TDE_0259 (oxtR1) is upregulated in the bacteriocin ABC transporter gene-deficient mutant. OxtR1 may regulate genes to adapt to environmental conditions during colonization; however, the exact role of the gene in T. denticola has not been reported. Therefore, we investigated its function using an oxtR1-deficient mutant.
Methods
The growth rates of the wild-type and oxtR1 mutant were monitored under anaerobic conditions; their antibacterial agent susceptibility and gene expression were assessed using a liquid dilution assay and DNA microarray, respectively. An electrophoretic mobility shift assay was performed to investigate the binding of OxtR1 to promoter regions.
Results
The growth rate of the bacterium was accelerated by the inactivation of oxtR1, and the mutant exhibited an increased minimum inhibitory concentration against ofloxacin. We observed a relative increase in the expression of genes associated with potential ferrodoxin (TDE_0260), flavodoxin, ABC transporters, heat-shock proteins, DNA helicase, iron compounds, and lipoproteins in the mutant. OxtR1 expression increased upon oxygen exposure, and oxtR1 complementation suppressed the expression of potential ferrodoxin. Our findings also suggested that OxtR1 binds to a potential promoter region of the TDE_0259–260 operon. Moreover, the mutant showed a marginal yet significantly faster growth rate than the wild-type strain under H2O2 exposure.
Conclusion
The oxygen-sensing regulator OxtR1 plays a role in regulating the expression of a potential ferrodoxin, which may contribute to the response of T. denticola to oxygen-induced stress.
{"title":"Novel transcriptional regulator OxtR1 regulates potential ferrodoxin in response to oxygen stress in Treponema denticola","authors":"Yumi Numata , Yuichiro Kikuchi , Toru Sato , Kazuko Okamoto-Shibayama , Yutaro Ando , Yuri Miyai-Murai , Eitoyo Kokubu , Kazuyuki Ishihara","doi":"10.1016/j.anaerobe.2024.102852","DOIUrl":"https://doi.org/10.1016/j.anaerobe.2024.102852","url":null,"abstract":"<div><h3>Objective</h3><p><em>Treponema denticola</em> has been strongly implicated in the pathogenesis of chronic periodontitis. Previously, we reported that the potential transcriptional regulator TDE_0259 (<em>oxtR1)</em> is upregulated in the bacteriocin ABC transporter gene-deficient mutant. OxtR1 may regulate genes to adapt to environmental conditions during colonization; however, the exact role of the gene in <em>T. denticola</em> has not been reported. Therefore, we investigated its function using an <em>oxtR1</em>-deficient mutant.</p></div><div><h3>Methods</h3><p>The growth rates of the wild-type and <em>oxtR1</em> mutant were monitored under anaerobic conditions; their antibacterial agent susceptibility and gene expression were assessed using a liquid dilution assay and DNA microarray, respectively. An electrophoretic mobility shift assay was performed to investigate the binding of OxtR1 to promoter regions.</p></div><div><h3>Results</h3><p>The growth rate of the bacterium was accelerated by the inactivation of <em>oxtR1</em>, and the mutant exhibited an increased minimum inhibitory concentration against ofloxacin. We observed a relative increase in the expression of genes associated with potential ferrodoxin (TDE_0260), flavodoxin, ABC transporters, heat-shock proteins, DNA helicase, iron compounds, and lipoproteins in the mutant. OxtR1 expression increased upon oxygen exposure, and <em>oxtR1</em> complementation suppressed the expression of potential ferrodoxin. Our findings also suggested that OxtR1 binds to a potential promoter region of the TDE_0259–260 operon. Moreover, the mutant showed a marginal yet significantly faster growth rate than the wild-type strain under H<sub>2</sub>O<sub>2</sub> exposure.</p></div><div><h3>Conclusion</h3><p>The oxygen-sensing regulator OxtR1 plays a role in regulating the expression of a potential ferrodoxin, which may contribute to the response of <em>T. denticola</em> to oxygen-induced stress.</p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"87 ","pages":"Article 102852"},"PeriodicalIF":2.3,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140638212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-12DOI: 10.1016/j.anaerobe.2024.102853
Sergio Ruiz-Saavedra , Nuria Salazar , Adolfo Suárez , Ylenia Diaz , Carmen González del Rey , Sonia González , Clara G. de los Reyes-Gavilán
Objectives
We investigated potential relationships among initial lesions of the intestinal mucosa, fecal enzymatic activities and microbiota profiles.
Methods
Fecal samples from 54 volunteers were collected after recruitment among individuals participating in a colorectal cancer (CRC) screening program in our region (Northern Spain) or attending for consultation due to clinical symptoms; intestinal mucosa samples were resected during colonoscopy. Enzymatic activities were determined in fecal supernatants by a semi-quantitative method. The fecal microbiota composition was determined by 16S rRNA gene-based sequencing. The results were compared between samples from clinical diagnosis groups (controls and polyps), according with the type of polyp (hyperplastic polyps or conventional adenomas) and considering the grade of dysplasia for conventional adenomas (low and high grade dysplasia).
Results
High levels of α-glucosidase activity were more frequent among samples from individuals diagnosed with intestinal polyps, reaching statistical significance for conventional adenomas and for low grade dysplasia adenomas when compared to controls. Regarding the microbiota profiles, higher abundance of Christensenellaceae_R-7 group and Oscillospiraceae_UCG-002 were found in fecal samples displaying low α-glucosidase activity as compared with those with higher activity as well as in controls with respect to conventional adenomas. A relationship was evidenced among intestinal mucosal lesions, gut glucosidase activities and intestinal microbiota profiles.
Conclusions
Our findings suggest a relationship among altered fecal α-glucosidase levels, the presence of intestinal mucosal lesions, which can be precursors of CRC, and shifts in defined microbial groups of the fecal microbiota.
{"title":"Human fecal alpha-glucosidase activity and its relationship with gut microbiota profiles and early stages of intestinal mucosa damage","authors":"Sergio Ruiz-Saavedra , Nuria Salazar , Adolfo Suárez , Ylenia Diaz , Carmen González del Rey , Sonia González , Clara G. de los Reyes-Gavilán","doi":"10.1016/j.anaerobe.2024.102853","DOIUrl":"https://doi.org/10.1016/j.anaerobe.2024.102853","url":null,"abstract":"<div><h3>Objectives</h3><p>We investigated potential relationships among initial lesions of the intestinal mucosa, fecal enzymatic activities and microbiota profiles.</p></div><div><h3>Methods</h3><p>Fecal samples from 54 volunteers were collected after recruitment among individuals participating in a colorectal cancer (CRC) screening program in our region (Northern Spain) or attending for consultation due to clinical symptoms; intestinal mucosa samples were resected during colonoscopy. Enzymatic activities were determined in fecal supernatants by a semi-quantitative method. The fecal microbiota composition was determined by 16S rRNA gene-based sequencing. The results were compared between samples from clinical diagnosis groups (controls and polyps), according with the type of polyp (hyperplastic polyps or conventional adenomas) and considering the grade of dysplasia for conventional adenomas (low and high grade dysplasia).</p></div><div><h3>Results</h3><p>High levels of α-glucosidase activity were more frequent among samples from individuals diagnosed with intestinal polyps, reaching statistical significance for conventional adenomas and for low grade dysplasia adenomas when compared to controls. Regarding the microbiota profiles, higher abundance of <em>Christensenellaceae_R-7</em> group and <em>Oscillospiraceae</em>_<em>UCG-002</em> were found in fecal samples displaying low α-glucosidase activity as compared with those with higher activity as well as in controls with respect to conventional adenomas. A relationship was evidenced among intestinal mucosal lesions, gut glucosidase activities and intestinal microbiota profiles.</p></div><div><h3>Conclusions</h3><p>Our findings suggest a relationship among altered fecal α-glucosidase levels, the presence of intestinal mucosal lesions, which can be precursors of CRC, and shifts in defined microbial groups of the fecal microbiota.</p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"87 ","pages":"Article 102853"},"PeriodicalIF":2.3,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1075996424000362/pdfft?md5=47ffa1eaeb36489ae825c3cddf0c8b6a&pid=1-s2.0-S1075996424000362-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140555158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-06DOI: 10.1016/j.anaerobe.2024.102851
Marion Saunier , Louis-Charles Fortier , Olga Soutourina
Interactions of bacteria with their viruses named bacteriophages or phages shape the bacterial genome evolution and contribute to the diversity of phages. RNAs have emerged as key components of several anti-phage defense systems in bacteria including CRISPR-Cas, toxin-antitoxin and abortive infection. Frequent association with mobile genetic elements and interplay between different anti-phage defense systems are largely discussed. Newly discovered defense systems such as retrons and CBASS include RNA components. RNAs also perform their well-recognized regulatory roles in crossroad of phage-bacteria regulatory networks. Both regulatory and defensive function can be sometimes attributed to the same RNA molecules including CRISPR RNAs. This review presents the recent advances on the role of RNAs in the bacteria-phage interactions with a particular focus on clostridial species including an important human pathogen, Clostridioides difficile.
{"title":"RNA-based regulation in bacteria-phage interactions","authors":"Marion Saunier , Louis-Charles Fortier , Olga Soutourina","doi":"10.1016/j.anaerobe.2024.102851","DOIUrl":"https://doi.org/10.1016/j.anaerobe.2024.102851","url":null,"abstract":"<div><p>Interactions of bacteria with their viruses named bacteriophages or phages shape the bacterial genome evolution and contribute to the diversity of phages. RNAs have emerged as key components of several anti-phage defense systems in bacteria including CRISPR-Cas, toxin-antitoxin and abortive infection. Frequent association with mobile genetic elements and interplay between different anti-phage defense systems are largely discussed. Newly discovered defense systems such as retrons and CBASS include RNA components. RNAs also perform their well-recognized regulatory roles in crossroad of phage-bacteria regulatory networks. Both regulatory and defensive function can be sometimes attributed to the same RNA molecules including CRISPR RNAs. This review presents the recent advances on the role of RNAs in the bacteria-phage interactions with a particular focus on clostridial species including an important human pathogen, <em>Clostridioides difficile</em>.</p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"87 ","pages":"Article 102851"},"PeriodicalIF":2.3,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1075996424000349/pdfft?md5=8b178f0cd4f8113a7a2463a6ddc04d55&pid=1-s2.0-S1075996424000349-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140540345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-04DOI: 10.1016/j.anaerobe.2024.102844
Hailee N. Nerber, Joseph A. Sorg
The small acid-soluble proteins are found in all endospore-forming organisms and are a major component of spores. Through their DNA binding capabilities, the SASPs shield the DNA from outside insults (e.g., UV and genotoxic chemicals). The absence of the major SASPs results in spores with reduced viability when exposed to UV light and, in at least one case, the inability to complete sporulation. While the SASPs have been characterized for decades, some evidence suggests that using newer technologies to revisit the roles of the SASPs could reveal novel functions in spore regulation.
酸溶性小蛋白存在于所有形成内孢子的生物体中,是孢子的主要成分。通过其 DNA 结合能力,SASPs 可保护 DNA 免受外界损伤(如紫外线和基因毒性化学物质)。缺乏主要的 SASPs 会导致孢子在紫外线照射下存活率降低,至少在一种情况下,孢子无法完成分生。虽然 SASPs 的特征已被描述了几十年,但一些证据表明,利用更新的技术重新审视 SASPs 的作用,可能会发现其在孢子调控中的新功能。
{"title":"The small acid-soluble proteins of spore-forming organisms: Similarities and differences in function","authors":"Hailee N. Nerber, Joseph A. Sorg","doi":"10.1016/j.anaerobe.2024.102844","DOIUrl":"https://doi.org/10.1016/j.anaerobe.2024.102844","url":null,"abstract":"<div><p>The small acid-soluble proteins are found in all endospore-forming organisms and are a major component of spores. Through their DNA binding capabilities, the SASPs shield the DNA from outside insults (e.g., UV and genotoxic chemicals). The absence of the major SASPs results in spores with reduced viability when exposed to UV light and, in at least one case, the inability to complete sporulation. While the SASPs have been characterized for decades, some evidence suggests that using newer technologies to revisit the roles of the SASPs could reveal novel functions in spore regulation.</p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"87 ","pages":"Article 102844"},"PeriodicalIF":2.3,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1075996424000271/pdfft?md5=43c02569759ce5a7d997c1defcfc5882&pid=1-s2.0-S1075996424000271-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140543038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-13DOI: 10.1016/j.anaerobe.2024.102832
Bakhtiyar Mahmood , Károly Péter Sárvári , Laszló Orosz , Elisabeth Nagy , József Sóki
Objectives
This study screened the prevalence of rare β-lactamase genes in Bacteroides fragilis group strains from clinical specimens and normal microbiota and examined the genetic properties of the strains carrying these genes.
Methods
blaHGD1, blaOXA347, cblA, crxA, and pbbA were detected by real-time polymerase chain reaction in collections of Bacteroides strains from clinical (n = 406) and fecal (n = 184) samples. To examine the genetic backgrounds of the samples, end-point PCR, FT-IR, and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry were used.
Results
All B. uniformis isolates were positive for cblA in both collections. Although crxA was B. xylanisolvens-specific and associated with carbapenem resistance, it was only found in six fecal and three clinical B. xylanisolvens strains. Moreover, the crxA-positive strains were not clonal among B. xylanisolvens (contrary to cfiA in B. fragilis), implicating a rate of mobility or emergence by independent evolutionary events. The Phocaeicola (B.) vulgatus/P. dorei-specific gene blaHGD1 was detected among all P. vulgatus/P. dorei isolates from fecal (n = 36) and clinical (n = 26) samples. No blaOXA347-carrying isolate was found from European collections, but all US samples (n = 6) were positive. For three clinical isolates belonging to B. thetaiotaomicron (n = 2) and B. ovatus (n = 1), pbbA was detected on mobile genetic elements, and pbbA-positive strains displayed non-susceptibility to piperacillin or piperacillin/tazobactam phenotypically.
Conclusions
Based on these observations, β-lactamases produced by rare β-lactamase genes in B. fragilis group strains should not be overlooked because they could encode important resistance phenotypes.
研究目的方法:通过实时聚合酶链反应检测临床样本(406株)和粪便样本(184株)中脆弱拟杆菌菌株中的blaaHGD1、blaOXA347、cblA、crxA和pbbA。为检测样本的遗传背景,采用了终点 PCR、傅立叶变换红外光谱和基质辅助激光解吸/电离飞行时间质谱法:结果:在这两个样本集中,所有分离出的均匀芽孢杆菌的 cblA 都呈阳性。尽管crxA是木聚糖杆菌特异性的,并且与碳青霉烯耐药性有关,但它只在6株粪便和3株临床木聚糖杆菌中发现。此外,crxA 阳性菌株在 B. xylanisolvens 中没有克隆(与 B. fragilis 中的 cfiA 相反),这意味着其流动性或出现于独立的进化事件中。从粪便样本(36 个)和临床样本(26 个)中分离出的所有 P. vulgatus/P. dorei 都检测到了 Phocaeicola (B.) vulgatus/P. dorei 特异基因 blaHGD1。欧洲采集的样本中没有发现携带 blaOXA347 的分离株,但所有美国样本(n = 6)均呈阳性。在属于 B. thetaiotaomicron(n = 2)和 B. ovatus(n = 1)的三个临床分离株中,pbbA 在移动遗传因子上被检测到,pbbA 阳性菌株在表型上对哌拉西林或哌拉西林/他唑巴坦无敏感性:基于这些观察结果,不应忽视脆弱拟杆菌属菌株中罕见的β-内酰胺酶基因所产生的β-内酰胺酶,因为它们可能编码重要的耐药表型。
{"title":"Novel and rare β-lactamase genes of Bacteroides fragilis group species: Detection of the genes and characterization of their genetic backgrounds","authors":"Bakhtiyar Mahmood , Károly Péter Sárvári , Laszló Orosz , Elisabeth Nagy , József Sóki","doi":"10.1016/j.anaerobe.2024.102832","DOIUrl":"10.1016/j.anaerobe.2024.102832","url":null,"abstract":"<div><h3>Objectives</h3><p>This study screened the prevalence of rare β-lactamase genes in <em>Bacteroides fragilis</em> group strains from clinical specimens and normal microbiota and examined the genetic properties of the strains carrying these genes.</p></div><div><h3>Methods</h3><p><em>bla</em>HGD1, <em>bla</em>OXA347, <em>cblA</em>, <em>crxA</em>, and <em>pbbA</em> were detected by real-time polymerase chain reaction in collections of <em>Bacteroides</em> strains from clinical (n = 406) and fecal (n = 184) samples. To examine the genetic backgrounds of the samples, end-point PCR, FT-IR, and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry were used.</p></div><div><h3>Results</h3><p>All <em>B. uniformis</em> isolates were positive for <em>cblA</em> in both collections. Although <em>crxA</em> was <em>B. xylanisolvens</em>-specific and associated with carbapenem resistance, it was only found in six fecal and three clinical <em>B. xylanisolvens</em> strains. Moreover, the <em>crxA</em>-positive strains were not clonal among <em>B. xylanisolvens</em> (contrary to <em>cfiA</em> in <em>B. fragilis</em>), implicating a rate of mobility or emergence by independent evolutionary events. The <em>Phocaeicola</em> (<em>B.</em>) <em>vulgatus/P. dorei</em>-specific gene <em>bla</em>HGD1 was detected among all <em>P. vulgatus/P. dorei</em> isolates from fecal (n = 36) and clinical (n = 26) samples. No <em>bla</em>OXA347-carrying isolate was found from European collections, but all US samples (n = 6) were positive. For three clinical isolates belonging to <em>B. thetaiotaomicron</em> (n = 2) and <em>B. ovatus</em> (n = 1), <em>pbbA</em> was detected on mobile genetic elements, and <em>pbbA</em>-positive strains displayed non-susceptibility to piperacillin or piperacillin/tazobactam phenotypically.</p></div><div><h3>Conclusions</h3><p>Based on these observations, β-lactamases produced by rare β-lactamase genes in <em>B. fragilis</em> group strains should not be overlooked because they could encode important resistance phenotypes.</p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"86 ","pages":"Article 102832"},"PeriodicalIF":2.3,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139740219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-07DOI: 10.1016/j.anaerobe.2024.102821
Frederick J. Angulo , Canna Ghia , Mark A. Fletcher , Egemen Ozbilgili , Graciela del Carmen Morales
Background
Clostridioides difficile (formerly Clostridium difficile) is well-documented in Europe and North America to be a common cause of healthcare-associated gastrointestinal tract infections. In contrast, C difficile infection (CDI) is infrequently reported in literature from Asia, which may reflect a lack of clinician awareness. We conducted a narrative review to better understand CDI burden in Asia.
Methods
We searched the PubMed database for English language articles related to C difficile, Asia, epidemiology, and molecular characteristics (eg, ribotype, antimicrobial resistance).
Results
Fifty-eight articles that met eligibility criteria were included. C difficile prevalence ranged from 7.1% to 45.1 % of hospitalized patients with diarrhea, and toxigenic strains among all C difficile in these patients ranged from 68.2% to 91.9 % in China and from 39.0% to 60.0 % outside of China. Widespread C difficile ribotypes were RT017, RT014/020, RT012, and RT002. Recurrence in patients with CDI ranged from 3.0% to 17.2 %. Patients with CDI typically had prior antimicrobial use recently. High rates of resistance to ciprofloxacin, clindamycin, and erythromycin were frequently reported.
Conclusion
The regional CDI burden in Asia is still incompletely documented, seemingly due to low awareness and limited laboratory testing. Despite this apparent under recognition, the current CDI burden highlights the need for broader surveillance and for application of preventative measures against CDI in Asia.
{"title":"The burden of Clostridioides difficile infections in South-East Asia and the Western Pacific: A narrative review","authors":"Frederick J. Angulo , Canna Ghia , Mark A. Fletcher , Egemen Ozbilgili , Graciela del Carmen Morales","doi":"10.1016/j.anaerobe.2024.102821","DOIUrl":"10.1016/j.anaerobe.2024.102821","url":null,"abstract":"<div><h3>Background</h3><p><em>Clostridioides difficile</em> (formerly <em>Clostridium difficile</em>) is well-documented in Europe and North America to be a common cause of healthcare-associated gastrointestinal tract infections. In contrast, <em>C difficile</em> infection (CDI) is infrequently reported in literature from Asia, which may reflect a lack of clinician awareness. We conducted a narrative review to better understand CDI burden in Asia.</p></div><div><h3>Methods</h3><p>We searched the PubMed database for English language articles related to <em>C difficile</em>, Asia, epidemiology, and molecular characteristics (eg, ribotype, antimicrobial resistance).</p></div><div><h3>Results</h3><p>Fifty-eight articles that met eligibility criteria were included. <em>C difficile</em> prevalence ranged from 7.1% to 45.1 % of hospitalized patients with diarrhea, and toxigenic strains among all <em>C difficile</em> in these patients ranged from 68.2% to 91.9 % in China and from 39.0% to 60.0 % outside of China. Widespread <em>C difficile</em> ribotypes were RT017, RT014/020, RT012, and RT002. Recurrence in patients with CDI ranged from 3.0% to 17.2 %. Patients with CDI typically had prior antimicrobial use recently. High rates of resistance to ciprofloxacin, clindamycin, and erythromycin were frequently reported.</p></div><div><h3>Conclusion</h3><p>The regional CDI burden in Asia is still incompletely documented, seemingly due to low awareness and limited laboratory testing. Despite this apparent under recognition, the current CDI burden highlights the need for broader surveillance and for application of preventative measures against CDI in Asia.</p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"86 ","pages":"Article 102821"},"PeriodicalIF":2.3,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1075996424000040/pdfft?md5=a67eadf5d2987e8de0055e0091988e1d&pid=1-s2.0-S1075996424000040-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139711356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.anaerobe.2024.102819
Jae Hyun Shin , Glenn Tillotson , Tiffany N. MacKenzie , Cirle A. Warren , Hannah M. Wexler , Ellie J.C. Goldstein
Microbial communities play a significant role in maintaining ecosystems in a healthy homeostasis. Presently, in the human gastrointestinal tract, there are certain taxonomic groups of importance, though there is no single species that plays a keystone role. Bacteroides spp. are known to be major players in the maintenance of eubiosis in the human gastrointestinal tract. Here we review the critical role that Bacteroides play in the human gut, their potential pathogenic role outside of the gut, and their various methods of adapting to the environment, with a focus on data for B. fragilis and B. thetaiotaomicron. Bacteroides are anaerobic non-sporing gram-negative organisms that are also resistant to bile acids, generally thriving in the gut and having a beneficial relationship with the host. While they are generally commensal organisms, some Bacteroides spp. can be opportunistic pathogens in scenarios of GI disease, trauma, cancer, or GI surgery, and cause infection, most commonly intra-abdominal infection. B. fragilis can develop antimicrobial resistance through multiple mechanisms in large part due to its plasticity and fluid genome. Bacteroidota (formerly, Bacteroidetes) have a very broad metabolic potential in the GI microbiota and can rapidly adapt their carbohydrate metabolism to the available nutrients. Gastrointestinal Bacteroidota species produce short-chain fatty acids such as succinate, acetate, butyrate, and occasionally propionate, as the major end-products, which have wide-ranging and many beneficial influences on the host. Bacteroidota, via bile acid metabolism, also play a role in in colonization-resistance of other organisms, including Clostridioides difficile, and maintenance of gut integrity.
{"title":"Bacteroides and related species: The keystone taxa of the human gut microbiota","authors":"Jae Hyun Shin , Glenn Tillotson , Tiffany N. MacKenzie , Cirle A. Warren , Hannah M. Wexler , Ellie J.C. Goldstein","doi":"10.1016/j.anaerobe.2024.102819","DOIUrl":"10.1016/j.anaerobe.2024.102819","url":null,"abstract":"<div><p><span>Microbial communities play a significant role in maintaining ecosystems in a healthy homeostasis<span>. Presently, in the human gastrointestinal tract, there are certain taxonomic groups of importance, though there is no single species that plays a keystone role. </span></span><span><em>Bacteroides</em></span> spp. are known to be major players in the maintenance of eubiosis in the human gastrointestinal tract. Here we review the critical role that <em>Bacteroides</em> play in the human gut, their potential pathogenic role outside of the gut, and their various methods of adapting to the environment, with a focus on data for <em>B. fragilis</em> and <em>B. thetaiotaomicron</em>. <em>Bacteroides</em><span> are anaerobic non-sporing gram-negative organisms that are also resistant to bile acids, generally thriving in the gut and having a beneficial relationship with the host. While they are generally commensal organisms, some </span><em>Bacteroides</em><span><span> spp. can be opportunistic pathogens<span> in scenarios of GI disease, trauma, cancer, or </span></span>GI surgery, and cause infection, most commonly intra-abdominal infection. </span><em>B</em>. <em>fragilis</em><span><span> can develop antimicrobial resistance<span><span> through multiple mechanisms in large part due to its plasticity and fluid genome. Bacteroidota (formerly, Bacteroidetes) have a very broad metabolic potential in the GI microbiota and can rapidly adapt their </span>carbohydrate metabolism to the available nutrients. Gastrointestinal Bacteroidota species produce short-chain fatty acids such as </span></span>succinate<span><span><span>, acetate, butyrate, and occasionally </span>propionate, as the major end-products, which have wide-ranging and many beneficial influences on the host. Bacteroidota, via </span>bile acid metabolism, also play a role in in colonization-resistance of other organisms, including </span></span><span><em>Clostridioides difficile</em></span>, and maintenance of gut integrity.</p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"85 ","pages":"Article 102819"},"PeriodicalIF":2.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139409639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Methanogenic archaea are a minor component of human oral microbiota. Due to their relatively low abundance, the detection of these neglected microorganisms is challenging.
Objective
This study concerns the presence of methanogens in salivary samples collected from Tunisian adults to evaluate their prevalence and burden using a polyphasic molecular approach.
Methods
A total of 43 saliva samples were included. Metagenomic and standard 16S rRNA sequencing were performed as an initial screening to detect the presence of methanogens in the oral microbiota of Tunisian adults. Further investigations were performed using specific quantitative real-time PCR targeting Methanobrevibacter oralis and Methanobrevibacter smithii.
Results
Methanobrevibacter was detected in 5/43 (11.62 %) saliva samples after metagenomic 16S rRNA data analysis. The presence of M. oralis was confirmed in 6/43 samples by standard 16S rRNA sequencing. Using real-time PCR, methanogens were detected in 35/43 (81.39 %) samples, including 62.79 % positive for M. oralis and 76.74 % positive for M. smithii. These findings reflect the high prevalence of both methanogens, revealed by the high sensitivity of the real-time PCR approach. Interestingly, we also noted a significant statistical association between the detection of M. smithii and poor adherence to a Mediterranean diet, indicating the impact of diet on M. smithii prevalence.
Conclusion
Our study showed the presence of methanogens in the oral microbiota of Tunisian adults with an unprecedented relatively high prevalence. Choice of methodology is also central to picturing the real prevalence and diversity of such minor taxa in the oral microbiota.
{"title":"Polyphasic molecular approach to the characterization of methanogens in the saliva of Tunisian adults","authors":"Fériel Bouzid , Imen Gtif , Salma Charfeddine , Leila Abid , Najla Kharrat","doi":"10.1016/j.anaerobe.2024.102820","DOIUrl":"10.1016/j.anaerobe.2024.102820","url":null,"abstract":"<div><h3>Background</h3><p>Methanogenic archaea are a minor component of human oral microbiota. Due to their relatively low abundance, the detection of these neglected microorganisms is challenging.</p></div><div><h3>Objective</h3><p>This study concerns the presence of methanogens in salivary samples collected from Tunisian adults to evaluate their prevalence and burden using a polyphasic molecular approach.</p></div><div><h3>Methods</h3><p>A total of 43 saliva samples were included. Metagenomic and standard 16S rRNA sequencing were performed as an initial screening to detect the presence of methanogens in the oral microbiota of Tunisian adults. Further investigations were performed using specific quantitative real-time PCR targeting <em>Methanobrevibacter oralis</em> and <em>Methanobrevibacter smithii.</em></p></div><div><h3>Results</h3><p><em>Methanobrevibacter</em> was detected in 5/43 (11.62 %) saliva samples after metagenomic 16S rRNA data analysis. The presence of <em>M. oralis</em> was confirmed in 6/43 samples by standard 16S rRNA sequencing. Using real-time PCR, methanogens were detected in 35/43 (81.39 %) samples, including 62.79 % positive for <em>M. oralis</em> and 76.74 % positive for <em>M. smithii</em>. These findings reflect the high prevalence of both methanogens, revealed by the high sensitivity of the real-time PCR approach. Interestingly, we also noted a significant statistical association between the detection of <em>M. smithii</em> and poor adherence to a Mediterranean diet, indicating the impact of diet on <em>M. smithii</em> prevalence.</p></div><div><h3>Conclusion</h3><p>Our study showed the presence of methanogens in the oral microbiota of Tunisian adults with an unprecedented relatively high prevalence. Choice of methodology is also central to picturing the real prevalence and diversity of such minor taxa in the oral microbiota.</p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"85 ","pages":"Article 102820"},"PeriodicalIF":2.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139658685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruminococcus gnavus is a rare human pathogen, and clinical data on R. gnavus infection are insufficient. This retrospective study aimed to investigate the clinical characteristics of R. gnavus infections.
Methods
This study included 13 cases of bacteremia and three cases of non-bacteremia infections caused by R. gnavus. We evaluated the patient data, infection source, clinical outcomes, and antimicrobial susceptibility of R. gnavus isolates for these cases.
Results
The median age of patients was 75 years (range 47–95), and eight patients were female. Twelve cases were presumed to have an intra-abdominal infection source, and the remaining four cases had an unknown infection source. The most common underlying conditions were immunosuppression (seven cases), solid tumors (seven cases), and history of gastrointestinal surgery (five cases). Thirteen patients exhibited gastrointestinal problems (dysfunction, bleeding, intra-abdominal infection, or inflammation). Multiple pathogens were observed in six cases, and fatal outcomes were recorded in three cases. Antimicrobial susceptibility data were available for eight isolates, all of which exhibited low minimum inhibitory concentrations to penicillin (≤0.03 μg/mL), ampicillin–sulbactam (≤0.5 μg/mL), piperacillin–tazobactam (≤4 μg/mL), and metronidazole (≤0.5–1 μg/mL).
Conclusion
Ruminococcus gnavus is frequently associated with an intra-abdominal infection source, and treatment strategies should consider the possibility of multiple pathogens.
{"title":"Clinical and microbiological characteristics of Ruminococcus gnavus bacteremia and intra-abdominal infection","authors":"Naoki Watanabe , Tomohisa Watari , Yoshihito Otsuka , Naoto Hosokawa , Kazufumi Yamagata , Miyuki Fujioka","doi":"10.1016/j.anaerobe.2024.102818","DOIUrl":"10.1016/j.anaerobe.2024.102818","url":null,"abstract":"<div><h3>Objectives</h3><p><span><em>Ruminococcus</em><em> gnavus</em></span><span> is a rare human pathogen, and clinical data on </span><em>R. gnavus</em> infection are insufficient. This retrospective study aimed to investigate the clinical characteristics of <em>R. gnavus</em> infections.</p></div><div><h3>Methods</h3><p><span>This study included 13 cases of bacteremia and three cases of non-bacteremia infections caused by </span><em>R. gnavus</em><span>. We evaluated the patient data, infection source, clinical outcomes, and antimicrobial susceptibility of </span><em>R. gnavus</em> isolates for these cases.</p></div><div><h3>Results</h3><p><span>The median age of patients was 75 years (range 47–95), and eight patients were female. Twelve cases were presumed to have an intra-abdominal infection source, and the remaining four cases had an unknown infection source. The most common underlying conditions were immunosuppression (seven cases), </span>solid tumors<span><span> (seven cases), and history of gastrointestinal surgery<span> (five cases). Thirteen patients exhibited gastrointestinal problems<span> (dysfunction, bleeding, intra-abdominal infection, or inflammation). Multiple pathogens<span> were observed in six cases, and fatal outcomes were recorded in three cases. Antimicrobial susceptibility data were available for eight isolates, all of which exhibited low minimum inhibitory concentrations to penicillin (≤0.03 μg/mL), ampicillin–sulbactam (≤0.5 μg/mL), piperacillin–tazobactam (≤4 μg/mL), and </span></span></span></span>metronidazole (≤0.5–1 μg/mL).</span></p></div><div><h3>Conclusion</h3><p><em>Ruminococcus gnavus</em><span> is frequently associated with an intra-abdominal infection source, and treatment strategies should consider the possibility of multiple pathogens.</span></p></div>","PeriodicalId":8050,"journal":{"name":"Anaerobe","volume":"85 ","pages":"Article 102818"},"PeriodicalIF":2.3,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139414985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}