Minimum inhibitory concentration (MIC)

最小抑制浓度 (MIC)
  • 文章类型: Journal Article
    微生物病原体对常规抗生素的耐药性不断增加,因此有必要探索替代的抗微生物剂。本研究旨在评估紫菜(丁香)和黑胡椒(黑胡椒)提取物的抗菌潜力和植物化学性质,两者都以其在传统医学和烹饪应用中的历史用途而闻名。
    制备丁香和黑胡椒的水醇和水提取物。这些提取物的抗菌活性是使用圆盘扩散法对大肠杆菌进行评估的,金黄色葡萄球菌,铜绿假单胞菌,白色念珠菌,和黑曲霉.使用肉汤稀释法测定最小抑制浓度(MIC)。定性植物化学筛选确定了关键生物活性化合物的存在,同时定量分析测定总酚和黄酮含量。进行乙醇提取物的LC-HRMS/MS分析。
    两种香料提取物均表现出显着的抗菌活性,抑制区范围从14到18毫米。丁香显示出比黑纸更好的抗菌效果,特别是对真菌。两种香料的MIC值范围为3mg/mL至6mg/mL。植物化学分析显示丁香中总酚类和类黄酮含量较高,水醇提取物的浓度高于水提取物。HPLC定量了丁香提取物中较高的丁香酚含量和黑胡椒提取物中较高的胡椒碱含量。生物活性化合物含量的差异有统计学意义(p<0.05)。
    该研究证实,两种香料均具有显着的抗菌特性,归因于它们丰富的植物化学成分,特别是酚类和类黄酮。与黑纸相比,丁香表现出稍微优越的抗微生物活性。这些发现支持这些香料作为补充抗菌剂的潜在用途。进一步的研究应探讨其与常规抗生素的协同作用,并探索其在食品保鲜和替代医学中的应用。
    UNASSIGNED: The increasing resistance of microbial pathogens to conventional antibiotics necessitates the exploration of alternative antimicrobial agents. This study aims to evaluate the antimicrobial potential and phytochemical properties of Syzygium aromaticum (clove) and Piper nigrum (black pepper) extracts, both of which are known for their historical use in traditional medicine and culinary applications.
    UNASSIGNED: Hydroalcoholic and aqueous extracts of clove and black pepper were prepared. The antimicrobial activity of these extracts was assessed using the disk diffusion method against Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans, and Aspergillus niger. Minimum inhibitory concentration (MIC) was determined using the broth dilution method. Qualitative phytochemical screening identified the presence of key bioactive compounds, while quantitative analysis measured total phenolic and flavonoid contents. LC-HRMS/MS analysis of ethanolic extracts was performed.
    UNASSIGNED: Both spices extracts exhibited significant antimicrobial activity, with inhibition zones ranging from 14 to 18 mm. clove showed superior antimicrobial efficacy compared to black paper, particularly against fungi. MIC values ranged between 3 mg/mL and 6 mg/mL for both spices. Phytochemical analysis revealed higher total phenolic and flavonoid contents in clove, with hydroalcoholic extracts showing greater concentrations than aqueous extracts. HPLC quantified higher eugenol content in clove extracts and higher piperine content in black pepper extracts. The differences in bioactive compound content were statistically significant (p < 0.05).
    UNASSIGNED: The study confirms that both spices possess significant antimicrobial properties, attributable to their rich phytochemical composition, particularly phenolics and flavonoids. Clove exhibited slightly superior antimicrobial activity compared to black paper. These findings support the potential use of these spices as complementary antimicrobial agents. Further research should investigate their synergistic effects with conventional antibiotics and explore their applications in food preservation and alternative medicine.
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  • 文章类型: Journal Article
    全球皮肤癣菌感染占真菌感染的20%至25%。皮肤癣菌已经开始表现出抗真菌耐药性,使得治疗这种特殊感染具有挑战性。精油可以用作替代解决方案,因为它们已经长期用于治疗不同的感染。这项研究证明了肉桂的抗真菌功效,丁香,柠檬草,茶树,百里香,和大蒜精油,并分析了它们的组合对犬小孢子菌的影响,扁桃体毛癣菌,T.紫罗兰,T.疣,和絮状表皮组织。使用聚合酶链反应(PCR)-限制性片段长度多态性(RFLP)来鉴定最普遍的犬分枝杆菌。获得M.canis的登录号为ON007275。除大蒜外,所有测试的精油均表现出抗皮肤癣菌作用。肉桂+丁香达到了协同效应,肉桂+柠檬草,丁香+柠檬草,丁香+茶树,和百里香+茶树组合。关于抗真菌活性,犬分枝杆菌是最易感的皮肤癣菌,除了百里香T.violaceum,这是最易感的皮肤科物种。在肉桂和肉桂+柠檬草组合对犬分枝杆菌的最大抑制作用。肉桂和丁香对M.canis的抑制浓度最低,肉桂+丁香对抗犬M.canis和T.violaceum,和肉桂+柠檬草对抗犬M.canis,T.紫罗兰,T.疣,和E.絮凝剂。肉桂对M.canis显示的最低杀菌浓度,肉桂+丁香对抗犬M.canis和T.violaceum,肉桂+柠檬草对抗M.canis,T.紫罗兰,T.疣,和E.絮凝剂,丁香+柠檬草对抗犬。
    Dermatophyte infections globally account for 20 to 25% of fungal infections. Dermatophytes have begun exhibiting antifungal drug resistance, making it challenging to treat this particular infection. Essential oils could be used as alternative solutions as they have been used for a long period to treat different infections. The research has demonstrated the antifungal efficacy of cinnamon, clove, lemongrass, tea tree, thyme, and garlic essential oils, and the impact of their combinations was assayed against Microsporum canis, Trichophyton tonsurans, T. violaceum, T. verrucosum, and Epidermophyton floccosum. Polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP) was used to identify the most prevalent M. canis. The accession number of M. canis was obtained as ON007275. All tested essential oils exhibited antidermatophytic action except garlic. A synergistic effect was attained by cinnamon + clove, cinnamon + lemongrass, clove + lemongrass, clove + tea tree, and thyme + tea tree combinations. Concerning antifungal activity, M. canis was the most susceptible dermatophytic species, except in the case of thyme T. violaceum, which was the most susceptible dermatophytic species. The maximum inhibition was recorded in the cases of cinnamon and cinnamon + lemongrass combination against M. canis. The least minimum inhibitory concentrations were attained by cinnamon and clove against M. canis, cinnamon + clove against M. canis and T. violaceum, and cinnamon + lemongrass against M. canis, T. violaceum, T. verrucosum, and E. floccosum. The least minimum fungicidal concentration showed by cinnamon against M. canis, cinnamon + clove against M. canis and T. violaceum, cinnamon + lemongrass against M. canis, T. violaceum, T. verrucosum, and E. floccosum, and clove + lemongrass against M. canis.
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  • 文章类型: Journal Article
    侵袭性真菌感染是一种主要的健康威胁,发病率和死亡率高。强调迫切需要快速诊断工具来检测抗真菌耐药性。传统的基于培养的抗真菌药敏试验(AFST)方法由于其漫长的过程而常常达不到。在我们之前的研究中,我们开发了一种全载玻片成像(WSI)技术,用于细菌抗生素耐药性的高通量评估.建立在这个基础上,这项研究通过高通量监测数百种单个真菌的生长,使其适应快速AFST,从而扩大了WSI的应用范围。由于真菌独特的“萌芽”生长模式,我们开发了一种独特的方法,利用特定的细胞数量变化来确定真菌的复制,而不是在我们之前的研究中用于细菌的细胞面积变化,以准确确定单个真菌细胞的生长速率。该方法不仅通过直接观察单个真菌细胞的生长来加速抗真菌耐药性的测定,但也产生准确的结果。采用白色念珠菌作为代表性的模式生物,可靠的最低抑制浓度(MIC)的氟康唑抑制白色念珠菌的100%细胞(表示为MIC100)在3h内使用开发的方法获得,而改良的肉汤稀释法需要72h才能获得类似的可靠结果。此外,我们的方法被有效地用于直接检测血液培养样本,消除了从掺有白色念珠菌的全血样品中分离真菌的需要。这些特征表明,所开发的方法具有巨大的潜力,可作为快速抗真菌药敏试验和MIC测定的通用工具。
    Invasive fungal infections are a major health threat with high morbidity and mortality, highlighting the urgent need for rapid diagnostic tools to detect antifungal resistance. Traditional culture-based antifungal susceptibility testing (AFST) methods often fall short due to their lengthy process. In our previous research, we developed a whole-slide imaging (WSI) technique for the high-throughput assessment of bacterial antibiotic resistance. Building on this foundation, this study expands the application of WSI by adapting it for rapid AFST through high-throughput monitoring of the growth of hundreds of individual fungi. Due to the distinct \"budding\" growth patterns of fungi, we developed a unique approach that utilizes specific cell number change to determine fungi replication, instead of cell area change used for bacteria in our previous study, to accurately determine the growth rates of individual fungal cells. This method not only accelerates the determination of antifungal resistance by directly observing individual fungal cell growth, but also yields accurate results. Employing Candida albicans as a representative model organism, reliable minimum inhibitory concentration (MIC) of fluconazole inhibiting 100% cells of Candida albicans (denoted as MIC100) was obtained within 3h using the developed method, while the modified broth dilution method required 72h for the similar reliable result. In addition, our approach was effectively utilized to test blood culture samples directly, eliminating the need to separate the fungi from whole blood samples spiked with Candida albicans. These features indicate the developed method holds great potential serving as a general tool in rapid antifungal susceptibility testing and MIC determination.
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  • 文章类型: Journal Article
    磷霉素是一种推荐作为犬细菌性膀胱炎替代治疗的杀菌药物,特别是在没有其他选择的情况下,涉及多药耐药(MDR)感染。在这项研究中,采用琼脂稀释法测定磷霉素对79株临床大肠杆菌的最低抑菌浓度(MIC)和突变预防浓度(MPC)。大肠杆菌对磷霉素的敏感率为86.06%,MIC50和MIC90值为4mg/L和96mg/L,分别。MPC50和MPC90值分别为64mg/L和192mg/L。使用来自狗的药代动力学(PK)数据,给予单次80mg/kg口服剂量的磷霉素,每个MIC50的曲线下面积(AUC0-24/MIC50)为85.79,时间高于MIC50(T>MIC50)超过50%。在尿液中,AUC0-24/MIC50为10,694.78,AUC0-24/MPC90为222.81,T>MPC90延伸超过24小时。因此,磷霉素对犬尿路致病性大肠杆菌具有显著的抗菌活性,包括MDR菌株,在低于易感MIC断点的浓度下。然而,高MPC值,尤其是MPC90,表明进行磷霉素药敏试验和持续的耐药性监测至关重要.
    Fosfomycin is a bactericidal drug recommended as an alternative treatment for canine bacterial cystitis, particularly in cases involving multidrug-resistant (MDR) infections when no other options are available. In this study, minimum inhibitory concentration (MIC) and mutant prevention concentration (MPC) of fosfomycin were determined against 79 clinical E. coli isolates using the agar dilution method. The susceptibility rate of E. coli to fosfomycin was 86.06%, with MIC50 and MIC90 values of 4 mg/L and 96 mg/L, respectively. MPC50 and MPC90 values were 64 mg/L and 192 mg/L. Using pharmacokinetic (PK) data from dogs given a single 80 mg/kg oral dose of fosfomycin, the area under the curve per MIC50 (AUC0-24/MIC50) was 85.79 with time above MIC50 (T > MIC50) exceeding 50%. In urine, the AUC0-24/MIC50 was 10,694.78, and the AUC0-24/MPC90 was 222.81, with T > MPC90 extending beyond 24 h. Therefore, fosfomycin exhibited significant antibacterial activity against canine uropathogenic E. coli, including MDR strains, at concentrations below the susceptible MIC breakpoint. However, the high MPC values, especially the MPC90, indicate the critical importance of performing susceptibility testing for fosfomycin and maintaining ongoing resistance monitoring.
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  • 文章类型: Journal Article
    抗微生物肽(AMP)由于能够降低对抗生素的敏感性,因此正在探索作为对抗抗生素耐药性的潜在策略。这项研究探讨了使用改良的两倍连续稀释法,[R4W4]肽的作用方式是抑菌还是杀菌,并评估了庆大霉素和[R4W4]对大肠杆菌的协同作用(E.大肠杆菌)和耐甲氧西林金黄色葡萄球菌(MRSA)通过方格板测定法。[R4W4]对细菌分离株具有杀菌活性(MBC/MIC≤4),与庆大霉素对大肠杆菌(FICI=0.3)但不对MRSA(FICI=0.75)具有协同作用。此外,我们研究了[R4W4]对MRSA的作用机制,通过应用生物物理试验来评估zeta电位,细胞质膜去极化,和脂磷壁酸(LTA)结合亲和力。在16mg/mL浓度下,[R4W4]将MRSA的ζ电位稳定为-31±0.88mV至-8.37mV。此外,在2×MIC和16×MIC下的[R4W4]揭示了与浓度依赖性效应相关的膜扰动过程。最后,在BODIPY-TR-尸胺(BC)荧光染料的存在下,[R4W4]对LTA表现出与蜂毒素相当的结合亲和力,积极的控制。此外,在不存在和存在LTA的情况下,[R4W4]对MRSA的抗菌活性保持不变,MIC为8µg/mL。因此,[R4W4]作用机制被认为是杀菌的,涉及与细菌细胞膜的相互作用,导致浓度依赖性膜扰动。此外,在30个连续段落之后,对[R4W4]耐药的MRSA菌株略有增加,抗菌效果MIC[R4W4]和万古霉素分别变化8和4倍,左氧氟沙星MIC1~2µg/mL略有变化.这些数据表明[R4W4]值得进一步考虑作为潜在的AMP。
    Antimicrobial peptides (AMPs) are being explored as a potential strategy to combat antibiotic resistance due to their ability to reduce susceptibility to antibiotics. This study explored whether the [R4W4] peptide mode of action is bacteriostatic or bactericidal using modified two-fold serial dilution and evaluating the synergism between gentamicin and [R4W4] against Escherichia coli (E. coli) and methicillin-resistant Staphylococcus aureus (MRSA) by a checkered board assay. [R4W4] exhibited bactericidal activity against bacterial isolates (MBC/MIC ≤ 4), with a synergistic effect with gentamicin against E. coli (FICI = 0.3) but not against MRSA (FICI = 0.75). Moreover, we investigated the mechanism of action of [R4W4] against MRSA by applying biophysical assays to evaluate zeta potential, cytoplasmic membrane depolarization, and lipoteichoic acid (LTA) binding affinity. [R4W4] at a 16 mg/mL concentration stabilized the zeta potential of MRSA -31 ± 0.88 mV to -8.37 mV. Also, [R4W4] at 2 × MIC and 16 × MIC revealed a membrane perturbation process associated with concentration-dependent effects. Lastly, in the presence of BODIPY-TR-cadaverine (BC) fluorescence dyes, [R4W4] exhibited binding affinity to LTA comparable with melittin, the positive control. In addition, the antibacterial activity of [R4W4] against MRSA remained unchanged in the absence and presence of LTA, with an MIC of 8 µg/mL. Therefore, the [R4W4] mechanism of action is deemed bactericidal, involving interaction with bacterial cell membranes, causing concentration-dependent membrane perturbation. Additionally, after 30 serial passages, there was a modest increment of MRSA strains resistant to [R4W4] and a change in antibacterial effectiveness MIC [R4W4] and vancomycin by 8 and 4 folds with a slight change in Levofloxacin MIC 1 to 2 µg/mL. These data suggest that [R4W4] warrants further consideration as a potential AMP.
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  • 文章类型: Journal Article
    该研究的目的是研究8种商业饮用水添加剂对主要人畜共患病家禽病原体(弯曲杆菌属。,大肠杆菌,鼠伤寒沙门氏菌,金黄色葡萄球菌和李斯特菌。).我们测试了两种基于精油的植物遗传学(PhytoCSCLiquideB,AEN350B液体),两种酸基益生菌(Salgard®液体,Intesti-Flora),和四种精油和有机酸的混合物(ProPhorceTMSAExclusive,草药酸,Rigosol-N和Eubisan3000)。通过使用微量稀释法估算最小抑制浓度(MIC)来确定抗菌活性。产品对弯曲杆菌属的MIC。范围从0.071%到0.568%v/v,其中草药酸,富含乳酸和磷酸的混合物,还含有百里香和牛至油,表现出对所有测试菌株的最高效力(MIC:0.071%v/v)。测试产品对大肠杆菌的MIC范围为0.071%至1.894%v/v。具体来说,Rigosol-N的MIC,高浓度乳酸和乙酸的混合物,两种测试菌株的v/v为0.142%,而肠道植物区系的中等收入国家,富含乳酸和丙酸的混合物,范围从0.284%到0.568%v/v。产品对鼠伤寒沙门氏菌的MIC在0.095%和1.894%v/v之间。具体来说,Eubisan3000的MIC,一种富含牛至油的混合物,是0.284%v/v对金黄色葡萄球菌的MIC在0.142%和9.090%v/v之间。PhytoCSC液化B的MIC,富含反式肉桂醛,在3.030%和9.090%v/v之间,显示所有测试产品的最高MIC值。最后,测试的商业产品对李斯特菌的MIC值。为0.095%至3.030%v/v。ProPhorceTMSA独家的MIC,甲酸及其盐的高度浓缩混合物,对李斯特菌为0.095-0.142%v/v。,而AEN350B液体的MIC在0.284%至1.894%之间,表现出高李斯特菌。应变变异性。总之,所有选定的商业产品都或多或少地表现出对病原菌的抗菌活性,因此,可以作为抗生素的替代品,用于控制人畜共患家禽病原体和限制抗微生物细菌。
    The aim of the study was to investigate in vitro the antibacterial activity of 8 commercial drinking water additives against major zoonotic poultry pathogens (Campylobacter spp., Escherichia coli, Salmonella Typhimurium, Staphylococcus aureus and Listeria spp.). We tested two essential oil-based phytogenics (Phyto CSC Liquide B, AEN 350 B Liquid), two acid-based eubiotics (Salgard® liquid, Intesti-Flora), and four blends of essential oils and organic acids (ProPhorceTM SA Exclusive, Herbal acid, Rigosol-N and Eubisan 3000). The antibacterial activity was determined by estimating the minimum inhibitory concentration (MIC) using a microdilution method. The MICs of the products against Campylobacter spp. ranged from 0.071% to 0.568% v/v, in which Herbal acid, a blend rich in lactic and phosphoric acids, also containing thyme and oregano oils, exhibited the highest efficacy (MIC: 0.071% v/v) against all the tested strains. The MICs of the tested products against Escherichia coli ranged between 0.071% and 1.894% v/v. Specifically, the MIC of Rigosol-N, a blend of high concentrations of lactic and acetic acid, was 0.142% v/v for both tested strains, whereas the MICs of Intesti-Flora, a mixture rich in lactic and propionic acid, ranged from 0.284% to 0.568% v/v. The MICs of the products against Salmonella Typhimurium were between 0.095% and 1.894% v/v. Specifically, the MIC of Eubisan 3000, a blend rich in oregano oil, was 0.284% v/v. The MICs against Staphylococcus aureus were between 0.142% and 9.090% v/v. The MICs of Phyto CSC Liquide B, which is rich in trans-cinnamaldehyde, were between 3.030% and 9.090% v/v, showing the highest MIC values of all tested products. Finally, the MIC values of the tested commercial products against Listeria spp. were 0.095% to 3.030% v/v. The MICs of ProPhorceTM SA Exclusive, a highly concentrated blend of formic acid and its salts, were 0.095-0.142% v/v against Listeria spp., while the MICs of AEN 350 B Liquid were between 0.284% and 1.894% exhibiting high Listeria spp. strain variability. In conclusion, all the selected commercial products exhibited more or less antibacterial activity against pathogenic bacteria and, thus, can be promising alternatives to antibiotics for the control of zoonotic poultry pathogens and the restriction of antimicrobial-resistant bacteria.
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  • 文章类型: Journal Article
    最低抑制浓度(MIC)测定经常因其代表性而受到质疑。特别是当食源性病原体被检测时,重要的是还要考虑人体消化系统的参数。因此,本研究旨在评估两种抗生素的抑制能力,环丙沙星和四环素,对抗肠道沙门氏菌和单核细胞增生李斯特菌,在具有代表性的环境条件下。更具体地说,从简单的有氧实验室条件开始,逐渐将人类胃肠道(GIT)恶劣环境的各个方面添加到GIT的体外模拟中。这样,包括缺氧环境在内的参数的影响,GIT的物理化学条件(低胃液pH,消化酶,胆汁酸)和肠道微生物群进行了评估。通过包括选定的肠道细菌物种的代表性财团来模拟后者。在这项研究中,建立了两种抗生素对相关食源性病原体的MIC,在前面提到的环境条件下。肠球菌的结果强调了进行此类研究时厌氧环境的重要性,因为病原体在这样的条件下生长。包含物理化学屏障导致肠球菌和单核细胞增生李斯特菌的结果完全相反,因为前者对环丙沙星更敏感,而后者对四环素的敏感性较低。最后,即使在没有抗生素的情况下,肠道细菌也对单核细胞增生李斯特菌具有杀菌作用,而肠道细菌保护肠球菌免受环丙沙星的影响。
    Minimum inhibitory concentrations (MIC) assays are often questioned for their representativeness. Especially when foodborne pathogens are tested, it is of crucial importance to also consider parameters of the human digestive system. Hence, the current study aimed to assess the inhibitory capacity of two antibiotics, ciprofloxacin and tetracycline, against Salmonella enterica and Listeria monocytogenes, under representative environmental conditions. More specifically, aspects of the harsh environment of the human gastrointestinal tract (GIT) were gradually added to the experimental conditions starting from simple aerobic lab conditions into an in vitro simulation of the GIT. In this way, the effects of parameters including the anoxic environment, physicochemical conditions of the GIT (low gastric pH, digestive enzymes, bile acids) and the gut microbiota were evaluated. The latter was simulated by including a representative consortium of selected gut bacteria species. In this study, the MIC of the two antibiotics against the relevant foodborne pathogens were established, under the previously mentioned environmental conditions. The results of S. enterica highlighted the importance of the anaerobic environment when conducting such studies, since the pathogen thrived under such conditions. Inclusion of physicochemical barriers led to exactly opposite results for S. enterica and L. monocytogenes since the former became more susceptible to ciprofloxacin while the latter showed lower susceptibility towards tetracycline. Finally, the inclusion of gut bacteria had a bactericidal effect against L. monocytogenes even in the absence of antibiotics, while gut bacteria protected S. enterica from the effect of ciprofloxacin.
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  • 文章类型: Journal Article
    克拉霉素耐药性的上升破坏了幽门螺杆菌(H.幽门螺杆菌)治疗效果。我们旨在确定克拉霉素的最低抑制浓度(MIC)水平,并确定23S核糖体亚基(23SrRNA)中的特定突变位点,以预测克拉霉素铋四联疗法(阿莫西林1g,克拉霉素500毫克,雷贝拉唑10毫克,和胶体果胶铋200毫克)。
    我们包括以前没有接受克拉霉素治疗的成人幽门螺杆菌患者,作为初始或抢救治疗。排除了青霉素过敏,最近使用相关药物,严重的疾病,或者无法合作。患者接受了14天的克拉霉素铋四联疗法。根除前在内镜检查期间获得胃粘膜标本。使用E-test方法测定对阿莫西林和克拉霉素的MIC。受试者工作特征(ROC)曲线有助于找到最佳的克拉霉素抗性MIC断点。通过Sanger测序鉴定幽门螺杆菌23SrRNA的遗传序列。(ChiCTR2200061476)。
    在招募的196名患者中,92符合符合方案(PP)人群的纳入标准。整体意向治疗(ITT)根除率为80.00%(84/105),而改良意向治疗(MITT)和PP根除率分别为90.32%(84/93)和91.30%(84/92)。没有观察到阿莫西林耐药性,但克拉霉素耐药率为36.19%(38/105),35.48%(33/93),ITT中的34.78%(33/92),米特,和PP种群分别。与传统克拉霉素耐药断点0.25μg/mL相比,12μg/mL的MIC阈值预测更好的根除。在23SrRNA基因152个位点的173个突变中,只有2143A>G突变可以预测根除结果(p<0.000)。
    对升高的MIC值的解释在敏感性测试中至关重要,而不是二进制的“易感”或“抗性”分类。2143A>G突变在预测根除结果方面具有有限的特异性,需要进一步研究与克拉霉素抗性相关的其他突变位点。
    UNASSIGNED: Rising clarithromycin resistance undermines Helicobacter pylori (H. pylori) treatment efficacy. We aimed to determine clarithromycin\'s minimum inhibitory concentration (MIC) levels and identify specific mutation sites in the 23S ribosomal subunit (23S rRNA) that predict treatment outcomes in a 14-day regimen of clarithromycin bismuth quadruple therapy (amoxicillin 1g, clarithromycin 500 mg, rabeprazole 10 mg, and colloidal bismuth pectin 200 mg).
    UNASSIGNED: We included adult H. pylori patients who hadn\'t previously undergone clarithromycin-based treatment, either as initial or rescue therapy. Exclusions were made for penicillin allergy, recent use of related medications, severe illnesses, or inability to cooperate. Patients underwent a 14-day clarithromycin bismuth quadruple therapy. Gastric mucosa specimens were obtained during endoscopy before eradication. MIC against amoxicillin and clarithromycin was determined using the E-test method. The receiver operating characteristic (ROC) curve helped to find the optimal clarithromycin resistance MIC breakpoint. Genetic sequences of H. pylori 23S rRNA were identified through Sanger Sequencing. (ChiCTR2200061476).
    UNASSIGNED: Out of 196 patients recruited, 92 met the inclusion criteria for the per-protocol (PP) population. The overall intention-to-treat (ITT) eradication rate was 80.00 % (84/105), while the modified intention-to-treat (MITT) and PP eradication rates were 90.32 % (84/93) and 91.30 % (84/92) respectively. No amoxicillin resistance was observed, but clarithromycin resistance rates were 36.19 % (38/105), 35.48 % (33/93), and 34.78 % (33/92) in the ITT, MITT, and PP populations respectively. Compared with the traditional clarithromycin resistance breakpoint of 0.25 μg/mL, a MIC threshold of 12 μg/mL predicted better eradication. Among 173 mutations on 152 sites in the 23S rRNA gene, only the 2143A > G mutation could predict eradication outcomes (p < 0.000).
    UNASSIGNED: Interpretation of elevated MIC values is crucial in susceptibility testing, rather than a binary \"susceptible\" or \"resistant\" classification. The 2143A > G mutation has limited specificity in predicting eradication outcomes, necessitating further investigation into additional mutation sites associated with clarithromycin resistance.
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  • 文章类型: Journal Article
    这项研究是由两部分组成的系列的最后一部分,该系列研究了在酸胁迫下驱动肠沙门氏菌适应性实验室进化(ALE)的分子机制。分析了酸胁迫暴露70天后肠道沙门氏菌的酸进化谱系(EL)的表型和转录组变化。
    在去除胁迫后,使用新开发的进化谱系EL5探索了在乙酸中70天后观察到的表型变化的稳定性。此外,还检查了短期酸胁迫对先前适应的谱系EL4的影响。
    结果表明,当消除酸胁迫时,在暴露于乙酸70天后观察到的升高的抗生素最低抑制浓度(MIC)消失了。观察到这种现象对人类抗生素如美罗培南,环丙沙星,庆大霉素,和链霉素.在第70天,美罗培南在EL4中的MIC为0.094mM,当在第70天后从乙酸胁迫中去除时,其降至0.032mM。然而,重新引入应力后,MIC迅速升高,4天内,它恢复到0.094mM。在乙酸中再适应20天后,美罗培南MIC增加到0.125mM。测试的其他人类抗生素表现出类似的趋势。在第70天,EL4中乙酸的MIC为35mM,即使在去除乙酸胁迫后也保持恒定。EL4在乙酸中再适应20天导致乙酸MIC增加至37mM。EL5的细菌全基因组测序揭示了与发病机理有关的几个基因中的碱基取代,如phoQ和wzc基因。EL5的转录组学分析显示毒力上调,耐药性,毒素-抗毒素,和铁代谢基因。与野生型未进化的肠炎沙门氏菌相比,在EL5中也观察到肠炎沙门氏菌的不稳定的小菌落变体(SSCV)。
    这项研究提供了对表型进化的全面理解,基因组,以及由于通过ALE长时间的酸暴露而导致的肠炎沙门氏菌的转录组变化。
    UNASSIGNED: This study is the final part of a two-part series that delves into the molecular mechanisms driving adaptive laboratory evolution (ALE) of Salmonella enterica in acid stress. The phenotypic and transcriptomic alterations in the acid-evolved lineages (EL) of Salmonella enterica serovar Enteritidis after 70 days of acid stress exposure were analyzed.
    UNASSIGNED: The stability of phenotypic changes observed after 70 days in acetic acid was explored after stress removal using a newly developed evolutionary lineage EL5. Additionally, the impact of short-term acid stress on the previously adapted lineage EL4 was also examined.
    UNASSIGNED: The results indicate that the elevated antibiotic minimum inhibitory concentration (MIC) observed after exposure to acetic acid for 70 days was lost when acid stress was removed. This phenomenon was observed against human antibiotics such as meropenem, ciprofloxacin, gentamicin, and streptomycin. The MIC of meropenem in EL4 on day 70 was 0.094 mM, which dropped to 0.032 mM when removed from acetic acid stress after day 70. However, after stress reintroduction, the MIC swiftly elevated, and within 4 days, it returned to 0.094 mM. After 20 more days of adaptation in acetic acid, the meropenem MIC increased to 0.125 mM. The other human antibiotics that were tested exhibited a similar trend. The MIC of acetic acid in EL4 on day 70 was observed to be 35 mM, which remained constant even after the removal of acetic acid stress. Readaptation of EL4 in acetic acid for 20 more days caused the acetic acid MIC to increase to 37 mM. Bacterial whole genome sequencing of EL5 revealed base substitutions in several genes involved in pathogenesis, such as the phoQ and wzc genes. Transcriptomic analysis of EL5 revealed upregulation of virulence, drug resistance, toxin-antitoxin, and iron metabolism genes. Unstable Salmonella small colony variants (SSCV) of S. Enteritidis were also observed in EL5 as compared to the wild-type unevolved S. Enteritidis.
    UNASSIGNED: This study presents a comprehensive understanding of the evolution of the phenotypic, genomic, and transcriptomic changes in S. Enteritidis due to prolonged acid exposure through ALE.
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  • 文章类型: Journal Article
    抗菌素耐药性正在成为兽医领域关注的问题,需要使用有效的局部治疗来帮助伤口愈合。蜂蜜因其药用特性已经使用了数千年,但近年来,医用级麦卢卡蜂蜜已被用于治疗感染的伤口。这项研究的目的是根据最低抑菌浓度(MIC)和最低杀菌浓度(MBC)确定四种常见马伤口病原体对十种不同类型抗菌剂的相对敏感性。研究的病原体包括ATCC实验室驯化的铜绿假单胞菌,大肠杆菌,和耐甲氧西林金黄色葡萄球菌,以及来自提交给科罗拉多州兽医诊断实验室的马样本中的一种(马氏链球菌。动物流行病(动物流行病链球菌))。该研究的另一个目标是描述医用级麦卢卡蜂蜜的杀菌活性的比较,当地蜂蜜,商业,食品级蜂蜜与其他常用的伤口敷料(20%高渗盐水,磺胺嘧啶银乳膏,PHMB纱布,和PHMB泡沫)。目的是为兽医从业人员提供关于使用多种抗微生物敷料来抑制常见伤口细菌生长的比较数据。麦卢卡的MIC和MBC,store,当地蜂蜜与无菌纱布相当,糖,和高渗盐水.在细菌物种中,与麦卢卡蜂蜜和商业蜂蜜相比,当地蜂蜜被证明具有更多的杀菌活性,食品级蜂蜜.与其他抗微生物剂相比,PHMB纱布和泡沫的MIC和MBC始终处于较高的稀释度。与ATCC实验室适应的其他细菌相比,大多数抗微生物剂对从伤口获得的兽疫链球菌分离物表现出更强的抑制和杀菌活性。需要对体内应用进行其他研究,以了解有效的伤口处理是否存在差异。
    Antimicrobial resistance is becoming a problem of concern in the veterinary field, necessitating the use of effective topical treatments to aid the healing of wounds. Honey has been used for thousands of years for its medicinal properties, but in recent years medical-grade Manuka honey has been used to treat infected wounds. The goal of this study was to determine the relative susceptibility of four common equine wound pathogens to ten different types of antimicrobial agents based on the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC). The pathogens studied include ATCC lab-acclimated Pseudomonas aeruginosa, Escherichia coli, and methicillin-resistant Staphylococcus aureus and one from an equine sample submitted to the Colorado State Veterinary Diagnostic Laboratory (Streptococcus equi ssp. zooepidemicus (Streptococcus zooepidemicus)). An additional goal of the study was to describe the comparison of bactericidal activity of medical-grade Manuka honey, local honey, and commercial, food-grade honey to other commonly used wound dressings (20% hypertonic saline, silver sulfadiazine cream, PHMB gauze, and PHMB foam). The objective is to provide veterinary practitioners with comparative data on the use of a variety of antimicrobial dressings for inhibiting the growth of common wound bacteria. MIC and MBC for Manuka, store, and local honeys were comparable to those of sterile gauze, sugar, and hypertonic saline. Across bacterial species, local honey proved to have more bactericidal activity when compared to Manuka honey and commercial, food-grade honey. The MIC and MBC for PHMB gauze and foam was consistently at a higher dilution compared to the other antimicrobials. The majority of antimicrobials exhibited stronger inhibitory and bactericidal activity against a Streptococcus zooepidemicus isolate obtained from a wound compared to other bacteria that were ATCC lab-acclimated. Additional research for in vivo applications needs to be done to see whether differences exist in effective wound management.
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