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Implementation of project management methodologies in microbiology research laboratories. 微生物研究实验室项目管理方法的实施。
Pub Date : 2025-08-19 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.001032.v3
Piotr R Stempinski, Heather M Lamb, Jiaqi Qian

The increasing complexity and collaborative nature of scientific research projects underscore the need to implement project management practices to manage resources and funding, ensure data quality and prevent delays in project progress. Here, we introduce three major project management methodologies, including agile, waterfall and hybrid approaches, and explore their suitability for biological and microbiological research laboratories. Variables that may influence choosing an appropriate strategy for managing projects are considered, including the size and experience of a research group. In the following article, we provide an overview of the five major stages of project planning and execution, focusing on implementing each of the discussed strategies in the research laboratory. Furthermore, we discuss the composition of the research team and outline the responsibilities assigned to each team member based on their role in the project. This paper highlights potential risks and challenges that may negatively impact research progress, underscoring the need for proper project planning. Applying proper project management methodologies is often neglected in academic research, leading to serious delays and waste of valuable resources.

科研项目的复杂性和协作性日益增加,因此需要实施项目管理实践,以管理资源和资金、确保数据质量和防止项目进度延误。在这里,我们介绍了三种主要的项目管理方法,包括敏捷、瀑布和混合方法,并探讨了它们在生物和微生物研究实验室中的适用性。考虑到可能影响选择适当的项目管理策略的变量,包括研究小组的规模和经验。在下面的文章中,我们概述了项目规划和执行的五个主要阶段,重点介绍了在研究实验室中实施所讨论的每个策略。此外,我们讨论了研究团队的组成,并根据每个团队成员在项目中的角色概述了分配给他们的责任。这篇论文强调了可能对研究进展产生负面影响的潜在风险和挑战,强调了适当的项目规划的必要性。在学术研究中,适当的项目管理方法往往被忽视,导致严重的延误和宝贵资源的浪费。
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引用次数: 0
Infection caused by a cryptic fungal species, Blastomyces gilchristii, in a tiger. 虎体内由一种隐生真菌——吉尔克里斯蒂芽孢菌引起的感染。
Pub Date : 2025-08-19 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.001011.v3
Sreekumari Rajeev, Porsha Reed, Alejandro Llanes, Rebekah Jones, Andrew Cushing, Linden E Craig, Brian Johnson

Blastomycosis is a serious fungal disease affecting humans and animals. It is typically caused by the thermally dimorphic fungus, Blastomyces dermatitidis. In this report, we describe an infection caused by the cryptic fungal species, Blastomyces gilchristii, in a tiger (Panthera tigris).

芽生菌病是一种影响人类和动物的严重真菌疾病。它通常是由热二态真菌引起的,皮炎芽孢菌。在这篇报告中,我们描述了一种在老虎(Panthera tigris)中由隐生真菌(Blastomyces gilchristii)引起的感染。
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引用次数: 0
Functional characterization of engineered bacterial biosensors for kynurenine detection. 犬尿氨酸检测工程细菌生物传感器的功能表征。
Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.001031.v5
Pisit Charoenwongwatthana, Halah Ahmed, Wojciech Cajdler, Jamie Coulter, Chien-Yi Chang

The kynurenine (KYN) pathway is the major catabolic pathway for tryptophan in humans, producing several metabolites that influence health. In clinical settings, KYN levels serve as a valuable biomarker for the diagnosis and prognosis of inflammatory and neurological diseases. Nevertheless, KYN detection relies on mass spectrometry analysis, which requires specialized knowledge and expertise with high operational costs. The bacterial biosensor presents as a promising tool for rapid and cost-effective targeted substance detection due to its ease of genetic modification. Therefore, this study aimed to develop an engineered bacterial biosensor by integrating a genetic module in a plasmid designed for KYN detection harboured in an Escherichia coli chassis. The KYN biosensing component in the genetic module encodes a KYN pathway regulator (KynR) from Pseudomonas aeruginosa, driven by the PBAD arabinose-inducible promoter. Upon expression, KynR would bind to the exogenous KYN and the bacterial responding kyn promoter to express the downstream green fluorescent protein gene to emit a fluorescence signal. However, despite successful induction by arabinose and the presence of KYN, biosensors with different gene orientations and genetic components failed to produce a significant fluorescence signal. These findings suggest that the sensitivity of P. aeruginosa KynR is insufficient to detect physiological levels of KYN. Further exploration of alternative biological sensing components is warranted.

犬尿氨酸(KYN)途径是人类色氨酸的主要分解代谢途径,产生几种影响健康的代谢物。在临床环境中,KYN水平作为炎症和神经系统疾病的诊断和预后的有价值的生物标志物。然而,KYN检测依赖于质谱分析,这需要专业知识和专业知识,操作成本高。细菌生物传感器由于其易于基因改造而成为一种有前途的快速、经济的目标物质检测工具。因此,本研究旨在开发一种工程细菌生物传感器,通过将遗传模块整合到大肠杆菌底盘中为KYN检测设计的质粒中。遗传模块中的KYN生物传感组件编码来自铜绿假单胞菌的KYN通路调节因子(KynR),由PBAD阿拉伯糖诱导启动子驱动。表达后,KynR结合外源KYN和应答的细菌KYN启动子表达下游绿色荧光蛋白基因,发出荧光信号。然而,尽管阿拉伯糖和KYN的存在成功诱导,具有不同基因取向和遗传成分的生物传感器未能产生显著的荧光信号。这些发现提示铜绿假单胞菌KynR的敏感性不足以检测生理水平的KYN。进一步探索替代生物传感元件是必要的。
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引用次数: 0
Genotypic study of isolated resistance to isoniazid in the Mycobacterium tuberculosis complex in a Moroccan hospital. 摩洛哥一家医院结核分枝杆菌复合体分离株异烟肼耐药性的基因型研究
Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.000928.v5
Amine Amri, Elmostafa Benaissa, Yassine Benlahlou, Fatna Bsaibis, Adil Maleb, Mariama Chadli, Mostafa Elouenass

Introduction. Despite the introduction 40 years ago of effective and low-cost treatment for tuberculosis (TB), morbidity and mortality from this disease remain substantial worldwide. According to the WHO, TB is once again the leading cause of death worldwide from a single infectious agent. In 2023, TB caused ~1.25 million deaths, surpassing COVID-19. In Morocco, the number of new TB cases rose from 30,897 in 2017 to 35,000 in 2019, highlighting a concerning upward trend that underscores the persistent challenge TB poses to the country's public health system. The incidence of multidrug-resistant (MDR) or rifampicin (RIF)-resistant TB was estimated at 1.7 per 100,000 inhabitants. Isoniazid (INH) is a cornerstone of first-line TB treatment, and resistance to it, even in the absence of RIF resistance, is associated with delayed treatment response, higher rates of treatment failure or relapse and increased risk of progression to MDR-TB if not promptly identified and appropriately managed. Moreover, current diagnostic algorithms in many settings, including Morocco, may miss INH monoresistance due to their reliance on rapid molecular tests that primarily detect RIF resistance, further emphasizing the emerging threat of drug-resistant TB. Despite this, national data on INH monoresistance remain scarce. Given the increasing burden of TB and the critical importance of early detection of drug resistance, it is essential to better understand patterns of resistance beyond RIF. It is within this context that we conducted the present study, which aims to investigate INH resistance in TB cases (pulmonary or extrapulmonary, new or previously treated) over a period of 3 years. Materials and methods. This is a retrospective study conducted at the Bacteriology Department of Mohammed V Military Instruction Hospital over a period of 3 years. Data were collected via the laboratory information system. Clinical samples underwent treatment using both conventional bacteriological methods and molecular techniques. The study of resistance to major anti-TB drugs was performed using the reverse hybridization technique, specifically the HAIN method (GenoType® MTBDR plus by Hain Lifescience). Statistical analysis was performed using IBM SPSS Statistics 19 and Microsoft Excel 2019. Results. The study involved 464 patients treated for pulmonary and extrapulmonary TB, including both new cases and those previously treated with positive cultures. The mean age of the patients was 42.2 years, with a range from 8 to 88 years. There was a predominance of males at 74%, with a sex ratio of 2.8. Pulmonary sputum samples accounted for 84.8% of the cases, whereas extrapulmonary samples represented only 15.2%, and the positivity rates for direct examination and culture across all samples were 74% and 100%, respectively. INH resistance had a prevalence of 9% (43 out of 464). Genetic mutations observed indicated that 63% of the clinical isolates resistant to

介绍。尽管40年前就开始采用有效和低成本的结核病治疗方法,但全世界结核病的发病率和死亡率仍然很高。据世界卫生组织称,结核病再次成为全球单一传染病导致死亡的主要原因。2023年,结核病造成约125万人死亡,超过COVID-19。在摩洛哥,新发结核病病例从2017年的30897例增加到2019年的3.5万例,这一令人担忧的上升趋势凸显了结核病对该国公共卫生系统构成的持续挑战。耐多药(MDR)或利福平(RIF)耐药结核病的发病率估计为每10万居民1.7例。异烟肼(INH)是一线结核病治疗的基石,即使在没有RIF耐药的情况下,对它的耐药性也与治疗反应延迟、治疗失败率或复发率较高以及如果不能及时发现和适当管理,发展为耐多药结核病的风险增加有关。此外,在包括摩洛哥在内的许多环境中,目前的诊断算法可能会错过INH单耐药,因为它们依赖于主要检测RIF耐药的快速分子检测,这进一步强调了耐药结核病的新威胁。尽管如此,关于INH耐药的国家数据仍然很少。鉴于结核病负担日益加重以及早期发现耐药性至关重要,必须更好地了解RIF以外的耐药模式。正是在这种背景下,我们开展了本研究,旨在调查3年期间结核病病例(肺部或肺外,新发或既往治疗)的INH耐药性。材料和方法。这是一项在穆罕默德五世军事指导医院细菌学部门进行的为期3年的回顾性研究。数据通过实验室信息系统收集。临床样本采用传统的细菌学方法和分子技术进行处理。对主要抗结核药物的耐药性研究采用反向杂交技术,特别是HAIN方法(HAIN Lifescience的GenoType®MTBDR plus)。采用IBM SPSS Statistics 19和Microsoft Excel 2019进行统计学分析。结果。该研究涉及464名接受肺和肺外结核治疗的患者,包括新病例和以前接受培养阳性治疗的患者。患者平均年龄42.2岁,年龄范围8 ~ 88岁。男性占多数,比例为74%,性别比为2.8。肺痰样本占84.8%,肺外样本仅占15.2%,所有样本直接检查和培养的阳性率分别为74%和100%。耐药率为9%(464人中有43人)。基因突变观察结果表明,63%的临床耐药INH分离株存在katG基因突变,37%存在inhA基因突变。结论。对一种或多种一线抗结核药物具有耐药性的结核分枝杆菌复合菌株日益流行,这突出表明迫切需要进行有针对性和持续的流行病学监测。在这项研究中,我们发现INH耐药性在3年期间影响了9%的结核病病例,强调了摩洛哥结核病控制工作面临的重大但未得到充分认识的威胁。分子分析显示,大多数耐药菌株携带katG基因突变,较小比例的菌株在inhA启动子区域发生突变。这些发现强调了将能够在没有RIF耐药的情况下检测INH耐药的分子诊断纳入常规结核病监测规划的重要性。加强诊断能力和相应更新治疗方案对于遏制耐h结核病的传播和防止耐多药结核病的出现至关重要。
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引用次数: 0
Parapipe: a pipeline for parasite next-generation sequencing data analysis applied to Cryptosporidium. Parapipe:应用于隐孢子虫的寄生虫下一代测序数据分析管道。
Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.000993.v3
Arthur V Morris, Guy Robinson, Rachel Chalmers, Simone Cacciò, Thomas Connor

Cryptosporidium, a protozoan parasite of significant public health concern, is responsible for severe diarrhoeal disease, particularly in immunocompromised individuals and young children in resource-limited settings. Analysis of whole-genome next-generation sequencing (NGS) data is critical in improving our understanding of Cryptosporidium epidemiology, transmission and diversity. However, effective analysis of NGS data in a public health context necessitates the development of robust, validated computational tools. We present Parapipe, an ISO-accreditable bioinformatic pipeline for high-throughput analysis of NGS data from Cryptosporidium and related taxa. Built using Nextflow DSL2 and containerized with Singularity, Parapipe is modular, portable, scalable and designed for use by public health laboratories. Using both simulated and real Cryptosporidium datasets, we demonstrate the power of Parapipe's genomic analysis for generating epidemiological insights. We highlight how whole-genome analysis yields substantially greater phylogenetic resolution than conventional gp60 molecular typing in Cryptosporidium parvum. Uniquely, Parapipe facilitates the integration of mixed infection analysis and phylogenomic clustering with epidemiological metadata, representing a powerful tool in the investigation of complex transmission pathways and identification of outbreak sources. Parapipe significantly advances genomic surveillance of Cryptosporidium, offering a streamlined, reproducible analytical framework. By automating a complex workflow and delivering detailed genomic characterization, Parapipe provides a valuable tool for public health agencies and researchers, supporting efforts to mitigate the global burden of cryptosporidiosis.

隐孢子虫是一种引起重大公共卫生关注的原生动物寄生虫,可导致严重的腹泻病,特别是在资源有限的环境中免疫功能低下的个体和幼儿中。全基因组新一代测序(NGS)数据分析对于提高我们对隐孢子虫流行病学、传播和多样性的理解至关重要。然而,要在公共卫生背景下对国家地质勘探局数据进行有效分析,就必须开发可靠的、经过验证的计算工具。我们提出了Parapipe,一个iso认证的生物信息学管道,用于高通量分析隐孢子虫和相关分类群的NGS数据。Parapipe是使用Nextflow DSL2和Singularity容器构建的,是模块化的,便携式的,可扩展的,专为公共卫生实验室使用而设计。使用模拟和真实的隐孢子虫数据集,我们展示了Parapipe的基因组分析在产生流行病学见解方面的能力。我们强调了在细小隐孢子虫中,全基因组分析比传统的gp60分子分型产生更大的系统发育分辨率。独特的是,Parapipe促进了混合感染分析和系统基因组聚类与流行病学元数据的整合,是调查复杂传播途径和确定疫情来源的有力工具。Parapipe显著推进了隐孢子虫的基因组监测,提供了一个精简的、可重复的分析框架。通过自动化复杂的工作流程和提供详细的基因组特征,Parapipe为公共卫生机构和研究人员提供了一个有价值的工具,支持减轻隐孢子虫病的全球负担。
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引用次数: 0
At-home, self-sampling of the skin microbiome: development of an unsupervised sampling approach. 在家,皮肤微生物组的自采样:一种无监督采样方法的发展。
Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.000991.v3
J Leng, J Tyson-Carr, S Adams, M Scott, A Thomas, T Giesbrecht, N Fallon, B Murphy, M Hoptroff, C Roberts, S Paterson

Large-scale skin microbiome studies are often restricted due to the need for participants to visit a research centre to have their skin swabbed by a trained individual. If samples taken by participants at home returned high-quality data, similar to that generated from samples taken by trained experts under controlled conditions, it would provide the potential for studies to have larger cohorts, include participants from multiple locations and facilitate longitudinal sample collection. Here, we describe the development of a novel unsupervised skin microbiome sample collection method and compare the data quality with that of supervised, in-lab sample collection. We enrolled 57 participants to collect skin swabs from their axillae, forearms, cheeks and scalps. Initially, samples were collected in our research centre under strict supervision by a trained expert. Participants then collected swabs from the same body sites 24 h later, unsupervised, at home, which they returned to the research centre within 3-5 days. All samples then underwent bacterial DNA extraction and 16S rRNA gene sequencing. Yield of extracted bacterial DNA was different depending on body site, with the dry swabs from the forearm producing the lowest amount. There were no significant differences in alpha and beta-diversities between supervised and unsupervised sampling methods, regardless of body site. Taxonomic analysis of bacterial genera also did not differ for axilla, cheek or scalp. Our data suggest that self-sampling skin microbiome methods can produce data that are comparable to samples collected under the supervision of a trained expert in lab settings. These findings should encourage the scalability of future research and allow for greater representative population diversity in genomic and microbiome research.

大规模的皮肤微生物组研究通常受到限制,因为参与者需要访问研究中心,由受过训练的人员擦拭他们的皮肤。如果参与者在家中采集的样本返回的高质量数据与训练有素的专家在受控条件下采集的样本产生的数据类似,那么它将为研究提供更大的队列,包括来自多个地点的参与者,并促进纵向样本收集。在这里,我们描述了一种新的无监督皮肤微生物组样本收集方法的发展,并将数据质量与有监督的实验室样本收集进行了比较。我们招募了57名参与者,从他们的腋窝、前臂、脸颊和头皮收集皮肤拭子。最初,样品是在我们的研究中心由一位训练有素的专家严格监督下收集的。24小时后,在无人监督的情况下,参与者在家中从相同的身体部位收集拭子,并在3-5天内返回研究中心。然后对所有样本进行细菌DNA提取和16S rRNA基因测序。提取细菌DNA的产量因身体部位的不同而不同,前臂的干拭子产生的量最低。无论身体部位如何,有监督和无监督取样方法在α和β多样性方面没有显著差异。腋窝、脸颊和头皮的细菌属分类分析也没有差异。我们的数据表明,自采样皮肤微生物组方法可以产生与实验室环境中训练有素的专家监督下收集的样本相当的数据。这些发现应该鼓励未来研究的可扩展性,并允许在基因组和微生物组研究中具有更大代表性的种群多样性。
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引用次数: 0
Automated molecular detection of the vancomycin resistance genes vanA and vanB using the geneLEAD VIII platform. geneLEAD VIII平台对万古霉素耐药基因vanA和vanB的自动分子检测。
Pub Date : 2025-08-07 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.001044.v4
Keiichiro Mori, Yasufumi Matsumura, Yusuke Tsuda, Koh Shinohara, Yasuhiro Tsuchido, Masaki Yamamoto, Miki Nagao

Rapid and accurate detection of vancomycin-resistant enterococci (VREs) can aid in the early application of appropriate antimicrobial treatment and the implementation of infection prevention measures. The VIASURE real-time PCR assay (Certest Biotec) is a multiplex nucleic acid-based in vitro diagnostic test intended for the detection of vanA and vanB, and geneLEAD VIII (Precision System Science) is a customizable, fully automated molecular detection platform. We evaluated the performance of the VIASURE assay on the geneLEAD VIII platform against 200 clinical enterococcal isolates consisting of 151 VREs and 49 vancomycin-susceptible enterococci collected in Japan, primarily in the Kinki region, and compared it to that of the in-house reference multiplex PCR assay. The performance of the VIASURE assay for the detection of vanA and vanB was comparable to that of the reference multiplex PCR assay, with both a sensitivity and specificity of 100%. Compared with the reference PCR assay, the VIASURE assay reduced the turn-around time by ~3 h 40 min (5 h 34 min vs. 1 h 54 min) and the hands-on time by 46 min per four samples. Fully automated molecular detection of vanA and vanB using the VIASURE assay and geneLEAD VIII for bacterial isolates can enable fast and reliable testing while reducing labour and is a promising tool for clinical laboratories and nosocomial infection control.

快速准确地检测万古霉素耐药肠球菌(VREs)有助于早期应用适当的抗菌药物治疗和实施感染预防措施。VIASURE实时PCR检测(Certest Biotec)是一种基于多重核酸的体外诊断测试,用于检测vanA和vanB,而geneLEAD VIII (Precision System Science)是一种可定制的全自动分子检测平台。我们在geneLEAD VIII平台上评估了在日本(主要是在Kinki地区)收集的200株临床肠球菌分离物(包括151株VREs和49株万古霉素敏感肠球菌)的VIASURE检测性能,并将其与内部参考多重PCR检测进行了比较。VIASURE法检测vanA和vanB的性能与参考多重PCR法相当,灵敏度和特异性均为100%。与参考PCR法相比,VIASURE法每4个样品的周转时间缩短了约3 h 40 min (5 h 34 min vs 1 h 54 min),操作时间缩短了46 min。使用VIASURE测定法和geneLEAD VIII对细菌分离物进行vanA和vanB的全自动分子检测,可以实现快速可靠的检测,同时减少人工,是临床实验室和医院感染控制的有前途的工具。
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引用次数: 0
A hospital-based observational study on HIV-TB co-infection. 一项基于医院的HIV-TB合并感染的观察性研究。
Pub Date : 2025-08-06 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.000787.v4
Akansha Soni, Vimala Venkatesh, Parul Jain, Amita Jain, D Himanshu Reddy, Neetu Gupta, Ritu Tandon

Background. Human immunodeficiency virus (HIV) is the major cause of failure to reach targets of tuberculosis (TB) control in settings with high HIV loads. TB, on the other hand, enhances the progression of HIV infection to AIDS. This study was done to understand the epidemiological and clinical profile of HIV-TB co-infected patients and to study the impact of TB on the recovery of CD4 counts. Methodology. An observational study was conducted in which of the 573 patients newly diagnosed with HIV infection and enrolled at the antiretroviral therapy (ART) centre, King George's Medical University, Lucknow, between May 2021 and June 2022, 80 patients who also had newly diagnosed TB were included. These HIV-TB co-infected patients were analysed for demographic factors. Also, clusters of differentiation 4 (CD4) counts were done at the time of enrolment on ART and then later, ~6 to 8 months of recieving ART and anti-tubercular treatment (ATT) initiation. For comparison, of the 493 HIV-only patients, 50 age- and gender-matched consecutive patients for whom baseline and follow-up CD4 counts were available were enrolled as controls. The change from baseline CD4 count was calculated using a paired t-test and Wilcoxon signed rank test. Results. In the present study, among HIV-TB co-infected patients, baseline CD4 levels were 194.52±162.27, and follow-up CD4 levels were 285.09±170.33. A statistically significant increment of 90.57±165.60 in mean CD4 levels was observed (t=4.019; P<0.001). Likewise, in only HIV-positive patients, a statistically significant increment of 125.26±191.48 (35.75%) cells in mean CD4 levels was observed (t=4.626; P<0.001). The increase in CD4 counts in HIV only population was significantly higher than that observed in HIV-TB co0infected patients. Conclusion. Though significant rise in CD4 counts was observed in both HIV-TB co-infected patients and HIV-only patients after 6 to 8 months of appropriate therapy, the rise was significantly higher among the HIV-only group as compared to the HIV-TB co-infected group.

背景。人类免疫缺陷病毒(HIV)是在艾滋病毒载量高的环境中无法达到结核病控制目标的主要原因。另一方面,结核病加速了艾滋病毒感染向艾滋病的发展。本研究旨在了解HIV-TB合并感染患者的流行病学和临床概况,并研究结核病对CD4计数恢复的影响。方法。进行了一项观察性研究,在2021年5月至2022年6月期间,在勒克诺乔治国王医科大学抗逆转录病毒治疗中心登记的573名新诊断为艾滋病毒感染的患者中,包括80名新诊断为结核病的患者。对这些HIV-TB合并感染患者进行人口统计学因素分析。此外,在ART入组时进行CD4细胞计数,然后在ART和抗结核治疗(ATT)开始后的6至8个月进行计数。为了比较,在493名hiv患者中,50名年龄和性别匹配的连续患者作为对照,这些患者的基线和随访CD4计数都是可用的。使用配对t检验和Wilcoxon符号秩检验计算基线CD4计数的变化。结果。本研究中,HIV-TB合并感染患者的基线CD4水平为194.52±162.27,随访CD4水平为285.09±170.33。两组患者CD4平均水平增加90.57±165.60,差异有统计学意义(t=4.019;Pt = 4.626;PConclusion。虽然经过6至8个月的适当治疗后,HIV-TB合并感染患者和HIV-TB合并感染患者的CD4计数均显著上升,但与HIV-TB合并感染组相比,HIV-TB合并感染组的CD4计数明显上升。
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引用次数: 0
Molecular analysis of HBV pre-core gene mutations in patients co-infected with HIV at a tertiary care hospital in North India. 北印度三级医院合并感染HIV患者HBV前核基因突变的分子分析
Pub Date : 2025-08-05 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.000927.v4
Hiba Sami, Mohd Asaad, Safiya Firoze, Syed Haider Mehdi Husaini, Parvez A Khan, Nazish Fatima, Adil Raza, Haris M Khan

Objective. Hepatitis B virus (HBV) spontaneous mutations may impact the severity of liver disease. This study aimed to assess the mutations in the pre-core (PC) region in HBV-HIV (human immunodeficiency virus) co-infected patients. Additionally, we explored its association with genotypes and examined the clinical implications. Methods. A total of 100 HBV-HIV co-infected patients and 50 HBV mono-infected patients were included in the study. We focused on the PC region of the HBV genome, sequencing it to identify PC mutant variants. PCR products were quantified via spectrophotometry and sequenced using the Sanger method. The resulting sequences were assembled, annotated and aligned in a single reading frame. Subsequent mutational and phylogenetic analyses were performed using UGENE software to determine the genotypes of the isolates. Results. The PC region was successfully amplified and sequenced in 27 samples, comprising 16 from HBV-HIV co-infected patients and 11 from HBV mono-infected patients. Phylogenetic analysis identified two HBV genotypes: genotype D, which was predominant and found in 24 samples (88.9%), and genotype A, present in 3 samples (11.1%). A T-to-C mutation at nucleotide position 1912 was detected in 48.1% of the patients. Furthermore, several additional PC mutations were observed, including A1850T, C1858T, G1899A, G1862T, G1951T, T1812C and T1809G, along with novel mutations such as C1936T, A2011G, T2020A and C2044T. Notably, the prevalence of these PC mutations did not significantly differ between the HBV mono-infected and HBV-HIV co-infected groups. Conclusion. This study underscored the prevalence of PC mutations in HBV-HIV co-infected patients. Although several of these mutations have been previously reported, our findings also revealed novel variants. Further research is needed to elucidate the clinical significance of these new mutations.

目标。乙型肝炎病毒(HBV)的自发突变可能影响肝脏疾病的严重程度。本研究旨在评估HBV-HIV(人类免疫缺陷病毒)合并感染患者的前核区(PC)突变。此外,我们探讨了其与基因型的关系,并检查了临床意义。方法。共纳入100例HBV- hiv合并感染患者和50例HBV单感染患者。我们专注于HBV基因组的PC区,对其进行测序以鉴定PC突变变体。PCR产物通过分光光度法定量,Sanger法测序。结果序列被组装、注释并在一个阅读框中对齐。随后使用UGENE软件进行突变和系统发育分析,以确定分离株的基因型。结果。在27份样本中成功扩增和测序了PC区,其中16份来自HBV- hiv合并感染患者,11份来自HBV单一感染患者。系统发育分析发现两种HBV基因型:基因D型在24份样本中占主导地位(88.9%),基因A型在3份样本中占主导地位(11.1%)。在48.1%的患者中检测到核苷酸位置1912的T-to-C突变。此外,还观察到其他几种PC突变,包括A1850T、C1858T、G1899A、G1862T、G1951T、T1812C和T1809G,以及C1936T、A2011G、T2020A和C2044T等新突变。值得注意的是,这些PC突变的患病率在HBV单感染组和HBV- hiv共感染组之间没有显著差异。结论。这项研究强调了PC突变在HBV-HIV合并感染患者中的患病率。虽然之前已经报道了其中一些突变,但我们的研究结果也揭示了新的变异。需要进一步的研究来阐明这些新突变的临床意义。
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引用次数: 0
Incidence rates of resistant enterotoxigenic Escherichia coli in fresh vegetables and salads. 新鲜蔬菜和沙拉中耐药产肠毒素大肠杆菌的发病率。
Pub Date : 2025-07-28 eCollection Date: 2025-01-01 DOI: 10.1099/acmi.0.000957.v3
Carlos Ramón Vázquez-Quiñones, Monica Rincón-Guevara, Iván Natividad-Bonifacio, Carlos Vázquez-Salinas, Humberto González-Márquez

Diarrhoeal diseases remain a significant global health challenge, particularly in developing regions such as Africa, Asia and Latin America, where they are a leading cause of child mortality. Contaminated food, including raw or undercooked vegetables, is a major transmission route for diarrhoeal pathogens such as norovirus, Campylobacter, non-typhoid Salmonella and pathogenic Escherichia coli. This study aimed to assess the prevalence of enterotoxigenic E. coli (ETEC), a key diarrhoeal pathogen, in fresh produce and prepared salads in Mexico City. A total of 128 samples, including prepared salads (lettuce, carrots and tomatoes) and unprocessed coriander and lettuce, were analysed over 2 years using protocols from the Bacteriological Analytical Manual and the Official Mexican Standard (NOM) SSA 210. Genotyping was performed to detect ETEC-specific virulence genes encoding heat-stable and heat-labile enterotoxins (st and lt), respectively. ETEC was identified in 9.9% of the total samples, representing 51.56% of the confirmed E. coli isolates. Contamination rates varied by food type, with coriander showing the highest prevalence (78.78%), followed by lettuce (9.09%) and prepared salads from La Vicentina Market (9.09%) and La Purísima Market (3.03%). Genotyping revealed that 12.12% of the ETEC-positive samples carried both st and lt genes, while 33.3 and 54.6% carried only the lt or st gene, respectively. In lettuce samples, 9.09% were positive for ETEC, with 3.03% carrying the lt gene, 3.03% the st gene and 3.03% both genes. Similarly, in coriander, 21.21% were positive for the lt gene, 51.51% for the st gene and 6.06% for both genes. These findings highlight the widespread presence of ETEC in fresh produce sold in Mexico City, posing a significant public health risk, particularly given the increasing consumption of raw vegetables. The study provides the first reported data on ETEC contamination ratios in Mexico City, emphasizing the urgent need for improved food safety measures, including better hygiene practices during production, handling and preparation of fresh produce. This research underscores the importance of ongoing surveillance and preventive strategies to mitigate the risk of foodborne diarrhoeal diseases in urban populations.

腹泻病仍然是一个重大的全球卫生挑战,特别是在非洲、亚洲和拉丁美洲等发展中区域,腹泻病是儿童死亡的主要原因。受污染的食物,包括生的或未煮熟的蔬菜,是诺如病毒、弯曲杆菌、非伤寒沙门氏菌和致病性大肠杆菌等腹泻病原体的主要传播途径。本研究旨在评估墨西哥城新鲜农产品和预制沙拉中主要腹泻病原体产肠毒素大肠杆菌(ETEC)的流行情况。在2年多的时间里,使用《细菌学分析手册》和墨西哥官方标准(NOM) SSA 210的方案对共计128个样本进行了分析,包括准备好的沙拉(生菜、胡萝卜和西红柿)以及未加工的香菜和生菜。进行基因分型,分别检测编码热稳定型和热不稳定型肠毒素的etec特异性毒力基因(st和lt)。9.9%的样品中检出ETEC,占大肠杆菌确诊分离株的51.56%。污染率因食物种类而异,香菜的患病率最高(78.78%),其次是生菜(9.09%),以及来自La Vicentina市场(9.09%)和La Purísima市场(3.03%)的预制沙拉。基因分型结果显示,12.12%的ecc阳性样本同时携带st和lt基因,33.3%和54.6%的ecc阳性样本仅携带lt或st基因。莴苣ETEC阳性检出率为9.09%,其中携带lt基因的检出率为3.03%,携带st基因的检出率为3.03%,携带两种基因的检出率为3.03%。同样,香菜中lt基因为21.21%,st基因为51.51%,两个基因均为6.06%。这些发现突出表明,在墨西哥城销售的新鲜农产品中广泛存在ETEC,构成重大的公共卫生风险,特别是考虑到生蔬菜消费量的增加。该研究首次提供了墨西哥城ETEC污染比率的报告数据,强调迫切需要改进食品安全措施,包括在生产、处理和制备新鲜农产品过程中改善卫生习惯。这项研究强调了持续监测和预防战略的重要性,以减轻城市人口中食源性腹泻病的风险。
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引用次数: 0
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Access microbiology
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