virulence

毒力
  • 文章类型: Journal Article
    假铬杆菌属包括自由生活的细菌,在系统发育上接近铬杆菌属机会性病原体和布鲁氏菌,兼性细胞内寄生虫引起布鲁氏菌病,一种世界性的严重人畜共患病。最近,在布鲁氏菌选择培养基上从布鲁氏菌自然宿主中分离出假杆菌菌株,可能导致诊断混乱。引人注目的是,从牛淋巴结中分离。对细菌有害的器官。这里,我们分析了与白杆菌属和布鲁氏菌相比的潜在毒力因子。与基因组分析一致,Western-Blot分析证实,Algeriensis缺乏合成光滑布鲁氏菌核心物种的脂多糖(LPS)特征的N-甲酰氨基过氧化物O-多糖的能力。然而,与其他假铬杆菌不同,但与一些早期发散的布鲁氏菌相似,阿尔及利亚假单胞菌携带可能合成基于鼠李糖的O-多糖LPS的基因。通过MALDI-TOF进行的脂质A分析证明,阿尔及利亚的LPS具有减少的病原体相关分子模式的脂质A,一种与嗜铬杆菌和布鲁氏菌共有的性状,对产生高度稳定的外膜和延迟免疫激活至关重要。此外,虽然不能在巨噬细胞细胞内繁殖,的分析阿尔日疟原虫细胞脂质包膜揭示了大量的阳离子氨基脂类的存在,这可能解释了阿尔及利亚对杀菌肽的极高抗性,并可能有利于粘膜的定殖和在布鲁氏菌宿主中的短暂存活。然而,布鲁氏菌致病性中的两个关键性状在阿尔及利亚化脓杆菌中明显不同(T4SS[VirB])或不存在(赤藓糖醇分解代谢途径)。这项工作表明,虽然在其他特征上存在分歧,与布鲁氏菌致病性相关的脂质包膜特征在布鲁氏菌科中保守。这些特征的持续存在强烈地表明,由于一些环境挑战的相似性,在布鲁氏菌中保持了作为土壤适应性优势的包膜完整性的增强。如阳离子肽抗生素和宿主防御肽的作用。这些信息增加了有关布鲁氏菌科进化的知识,并强调了三个属的分类差异。
    The genus Pseudochrobactrum encompasses free-living bacteria phylogenetically close to Ochrobactrum opportunistic pathogens and to Brucella, facultative intracellular parasites causing brucellosis, a worldwide-extended and grave zoonosis. Recently, Pseudochrobactrum strains were isolated from Brucella natural hosts on Brucella selective media, potentially causing diagnostic confusions. Strikingly, P. algeriensis was isolated from cattle lymph nodes, organs that are inimical to bacteria. Here, we analyse P. algeriensis potential virulence factors in comparison with Ochrobactrum and Brucella. Consistent with genomic analyses, Western-Blot analyses confirmed that P. algeriensis lacks the ability to synthesize the N-formylperosamine O-polysaccharide characteristic of the lipopolysaccharide (LPS) of smooth Brucella core species. However, unlike other Pseudochrobactrum but similar to some early diverging brucellae, P. algeriensis carries genes potentially synthetizing a rhamnose-based O-polysaccharide LPS. Lipid A analysis by MALDI-TOF demonstrated that P. algeriensis LPS bears a lipid A with a reduced pathogen-associated molecular pattern, a trait shared with Ochrobactrum and Brucella that is essential to generate a highly stable outer membrane and to delay immune activation. Also, although not able to multiply intracellularly in macrophages, the analysis of P. algeriensis cell lipid envelope revealed the presence of large amounts of cationic aminolipids, which may account for the extremely high resistance of P. algeriensis to bactericidal peptides and could favor colonization of mucosae and transient survival in Brucella hosts. However, two traits critical in Brucella pathogenicity are either significantly different (T4SS [VirB]) or absent (erythritol catabolic pathway) in P. algeriensis. This work shows that, while diverging in other characteristics, lipidic envelope features relevant in Brucella pathogenicity are conserved in Brucellaceae. The constant presence of these features strongly suggests that reinforcement of the envelope integrity as an adaptive advantage in soil was maintained in Brucella because of the similarity of some environmental challenges, such as the action of cationic peptide antibiotics and host defense peptides. This information adds knowledge about the evolution of Brucellaceae, and also underlines the taxonomical differences of the three genera compared.
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  • 文章类型: Journal Article
    大约20年前,耐乙酰乳酸合酶(ALS)抑制除草剂的向日葵品种的开发和商业化为农民提供了一种具有成本效益的控制Orobanchecumana的替代方法。然而,在2020年,来自戏剧(GR-DRA)和Orestiada(GR-ORE)的两个独立的向日葵扫帚种群,希腊,据报道,在施用抑制ALS的除草剂imazamox后,O.cumana严重感染。在这里,我们研究了GR-DRA和GR-ORE的种族,并确定了两个希腊O.cumana样品中对imazamox的抗性的基础。使用一组五个诊断向日葵品种,其特征是关于O.cumana侵染的不同抗性基因,我们已经清楚地确定GR-ORE和GR-DRA种群属于侵入性扫帚种族G和G+,分别。在使用两种不同的耐除草剂向日葵杂种作为宿主的整个植物剂量响应测试中,以GR-DRA和GR-ORE的推荐田间速率鉴定了活的地下结节和出芽,而不是其他两个标准敏感种群。ALS基因的测序在所有GR-ORE样品中鉴定出丙氨酸205至天冬氨酸突变。大多数GR-DRA结节的特征在于第二丝氨酸653到天冬酰胺ALS突变,而一些GR-DRA个体含有A205D突变。已知ALS密码子205和653处的突变影响咪唑啉和其它咪唑啉酮除草剂的结合和功效。这里产生的知识对于跟踪和管理向日葵生长地区对抑制ALS的除草剂的扫帚抗性非常重要。
    The development and commercialisation of sunflower varieties tolerant to acetolactate synthase (ALS)-inhibiting herbicides some 20 years ago provided farmers with an alternative method for the cost-effective control of Orobanche cumana. In 2020, however, two independent sunflower broomrape populations from Drama (GR-DRA) and Orestiada (GR-ORE), Greece, were reported to be heavily infested with O. cumana after application of the ALS-inhibiting herbicide imazamox. Here we have investigated the race of GR-DRA and GR-ORE and determined the basis of resistance to imazamox in the two Greek O. cumana samples. Using a set of five diagnostic sunflower varieties characterised by different resistant genes with respect to O. cumana infestation, we have clearly established that the GR-ORE and GR-DRA populations belong to the invasive broomrape races G and G+, respectively. Live underground tubercles and emerged shoots were identified at the recommended field rate of imazamox for GR-DRA and GR-ORE but not for two other standard sensitive populations in a whole plant dose response test using two different herbicide-tolerant sunflower hybrids as hosts. Sequencing of the ALS gene identified an alanine 205 to aspartate mutation in all GR-ORE samples. Most GR-DRA tubercles were characterised by a second serine 653 to asparagine ALS mutation whilst a few GR-DRA individuals contained the A205D mutation. Mutations at ALS codons 205 and 653 are known to impact on the binding and efficacy of imazamox and other imidazolinone herbicides. The knowledge generated here will be important for tracking and managing broomrape resistance to ALS-inhibiting herbicides in sunflower growing regions.
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  • 文章类型: Journal Article
    背景:A.鲍曼不动杆菌是一种重要而常见的临床病原菌,特别是在重症监护病房(ICU)。这项研究旨在表征社区获得性肺炎和单纯疱疹病毒1型感染患者的一种高毒力鲍曼不动杆菌菌株。
    方法:使用Kirby-Bauer(K-B)和肉汤微量稀释法测定最小抑制浓度(MIC)。进行了海棠感染模型实验。使用Illumina和Nanopore平台进行全基因组测序(WGS)。使用具有ResFinder和VFDB数据库的ABRicate程序鉴定抗性和毒力决定子。使用具有Kaptive的Kleborate鉴定了荚膜多糖基因座(K基因座)和脂寡糖外核心基因座(OC基因座)。使用BacWGSTdb服务器进行系统发育分析。
    结果:A.鲍曼不动杆菌XH2146菌株属于ST10Pas和ST447Oxf。该菌株对头孢唑啉具有抗性,环丙沙星,和甲氧苄啶/磺胺甲恶唑(TMP-SMX)。Bautype和Kaptive分析显示XH2146含有OCL2和KL49。WGS分析显示该菌株含有blaADC-76,blaOXA-68,ant(3\'\')-IIa,tet(B),sul2值得注意的是,tet(B)和sul2均位于114,700-bp质粒(命名为pXH2146-1)内。毒力测定显示鲍曼不动杆菌XH2146在12h具有比鲍曼不动杆菌AB5075更高的毒力。比较基因组分析表明,鲍曼不动杆菌ST447菌株主要从美国分离,并表现出相对密切的遗传关系。重要的是,观察到11个菌株携带blaOXA-58;在11个分离物中鉴定出blaOXA-23,三个ST447鲍曼不动杆菌菌株携带blaNDM-1。
    结论:建议早期检测社区获得性高毒力鲍曼不动杆菌菌株,以防止其在医院的广泛传播。
    BACKGROUND: A. baumannii is an important and common clinical pathogen, especially in the intensive care unit (ICU). This study aimed to characterize one hypervirulent A. baumannii strain in a patient with community-acquired pneumonia and herpes simplex type 1 virus infection.
    METHODS: Minimum inhibitory concentrations (MICs) were determined using the Kirby-Bauer (K-B) and broth microdilution methods. Galleria mellonella infection model experiment was conducted. Whole-genome sequencing (WGS) was performed using the Illumina and Nanopore platforms. The resistance and virulence determinants were identified using the ABRicate program with ResFinder and the VFDB database. The capsular polysaccharide locus (K locus) and lipooligosaccharide outer core locus (OC locus) were identified using Kleborate with Kaptive. Phylogenetic analyses were conducted using the BacWGSTdb server.
    RESULTS: A. baumannii XH2146 strain belongs to ST10Pas and ST447Oxf. The strain was resistant to cefazolin, ciprofloxacin, and trimethoprim/sulfamethoxazole (TMP-SMX). Bautype and Kaptive analyses showed that XH2146 contains OCL2 and KL49. WGS analysis revealed that the strain harbored blaADC-76, blaOXA-68, ant(3\'\')-IIa, tet(B), and sul2. Notably, tet(B) and sul2, both were located within a 114,700-bp plasmid (designated pXH2146-1). Virulence assay revealed A. baumannii XH2146 possessed higher virulence than A. baumannii AB5075 at 12 h. Comparative genomic analysis showed that A. baumannii ST447 strains were mainly isolated from the USA and exhibited a relatively close genetic relationship. Importantly, 11 strains were observed to carry blaOXA-58; blaOXA-23 was identified in 11 isolates and three ST447 A. baumannii strains harbored blaNDM-1.
    CONCLUSIONS: Early detection of community-acquired hypervirulent Acinetobacter baumannii strains is recommended to prevent their extensive spread in hospitals.
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  • 文章类型: Journal Article
    蜜蜂寄生虫仍然是管理和保护的关键挑战。因为管理的蜜蜂被保存在整个景观的蜂群中,蜜蜂寄生虫的研究可以研究寄生虫生态学和进化中的空间原理。我们使用受控的田间试验来研究寄生虫Varroa破坏因子(Anderson和Trueman)的种群增长率与毒力(菌落存活)之间的关系。我们使用了14个菌落的10个补丁(蜂巢)的嵌套设计,以检查Varroa种群增长对菌落生存至关重要的空间尺度。我们跟踪了Varroa种群的大小和菌落的存活率,发现Varroa种群在春季和夏季在其寄主菌落中生长更快,导致整个养蜂场(斑块)中的Varroa种群数量增加,相邻菌落的损失率更高。至关重要的是,这种增加的菌落损失风险表现在斑块规模上,死亡风险与快速生长的Varroa菌株的菌落的空间邻接有关,而不是与菌落本身的Varroa生长速率有关。因此,殖民地内部种群的增长预测了全菌毒力,证明在调查寄生虫生长-毒力关系时需要考虑多个尺度。
    Honey bee parasites remain a critical challenge to management and conservation. Because managed honey bees are maintained in colonies kept in apiaries across landscapes, the study of honey bee parasites allows the investigation of spatial principles in parasite ecology and evolution. We used a controlled field experiment to study the relationship between population growth rate and virulence (colony survival) of the parasite Varroa destructor (Anderson and Trueman). We used a nested design of 10 patches (apiaries) of 14 colonies to examine the spatial scale at which Varroa population growth matters for colony survival. We tracked Varroa population size and colony survival across a full year and found that Varroa populations that grow faster in their host colonies during the spring and summer led to larger Varroa populations across the whole apiary (patch) and higher rates of neighboring colony loss. Crucially, this increased colony loss risk manifested at the patch scale, with mortality risk being related to spatial adjacency to colonies with fast-growing Varroa strains rather than with Varroa growth rate in the colony itself. Thus, within-colony population growth predicts whole-apiary virulence, demonstrating the need to consider multiple scales when investigating parasite growth-virulence relationships.
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  • 文章类型: Journal Article
    球茎腐烂,郁金香植物的一种极具破坏性的疾病,阻碍了他们在全球范围内的有利可图的种植。这种腐烂发生在田间和储存条件下,构成了重大挑战。虽然这种疾病被归因于一系列病原体,以前的研究仅在单病原体疾病模型的框架内对其进行了检查.我们的研究采取了不同的方法,并确定了四种与疾病相关的病原体:镰刀菌,产黄青霉,灰霉病菌,和黑曲霉.我们研究的主要目的是检查共感染对这些病原体整体毒力动态的影响。通过马铃薯葡萄糖琼脂的联合接种实验,我们描述了三种主要的相互作用模式:抗菌,死锁,和合并。涉及在郁金香鳞茎上接种单个病原体的体外试验表明,菊苣,是最具毒性和诱导的完全灯泡衰变。尽管如此,当这些病原体以各种组合同时引入时,结果范围从部分灯泡衰变到延长腐烂期。这表明病原体之间有明显的拮抗行为。虽然协同相互作用在一些组合中很明显,敌对情绪压倒性地占了上风。这些病原体在共感染期间的复杂相互作用导致疾病的总体严重程度的显著变化。这强调了病原体-病原体相互作用在植物病理学领域的重要性,为理解和管理郁金香鳞茎腐烂开辟新的见解。
    Bulb rot, a highly damaging disease of tulip plants, has hindered their profitable cultivation worldwide. This rot occurs in both field and storage conditions posing significant challenges. While this disease has been attributed to a range of pathogens, previous investigations have solely examined it within the framework of a single-pathogen disease model. Our study took a different approach and identified four pathogens associated with the disease: Fusarium solani, Penicillium chrysogenum, Botrytis tulipae, and Aspergillus niger. The primary objective of our research was to examine the impact of co-infections on the overall virulence dynamics of these pathogens. Through co-inoculation experiments on potato dextrose agar, we delineated three primary interaction patterns: antibiosis, deadlock, and merging. In vitro trials involving individual pathogen inoculations on tulip bulbs revealed that B. tulipae,was the most virulent and induced complete bulb decay. Nonetheless, when these pathogens were simultaneously introduced in various combinations, outcomes ranged from partial bulb decay to elongated rotting periods. This indicated a notable degree of antagonistic behaviour among the pathogens. While synergistic interactions were evident in a few combinations, antagonism overwhelmingly prevailed. The complex interplay of these pathogens during co-infection led to a noticeable change in the overall severity of the disease. This underscores the significance of pathogen-pathogen interactions in the realm of plant pathology, opening new insights for understanding and managing tulip bulb rot.
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  • 文章类型: Case Reports
    由香型假单胞菌引起的人类感染,一种环境细菌,很少见,近年来仅报道了2例与罕见尿路感染和菌血症有关的病例。所有这些病例通常发生在免疫功能受损或降低的老年患者中。同时,由侵入性活检程序或胃肠道疾病如胃肠炎引起的上皮屏障破坏为香型假单胞菌渗透生物体提供了途径。在这项研究中,我们提供了一例病例的首例报告,其中从无潜在疾病的患者发炎的阑尾中分离出了香型假单胞菌和大肠杆菌。与大肠杆菌相比,在阑尾炎患者中从未分离出香茅假单胞菌。我们使用MALDI-TOFMS和基因测序鉴定了该物种。根据我们的发现,我们强调了香型假单胞菌可以在健康个体的肠道中定植,并可能引发阑尾炎等感染的观点.
    Human infections caused by Pseudomonas citronellolis, an environmental bacterium, are infrequent, with only two cases related to uncommon urinary tract infections and bacteremia reported in recent years. All these cases typically occurred in elderly patients with compromised or decreased immune function. Simultaneously, the epithelial barrier disruption induced by invasive biopsy procedures or gastrointestinal disorders such as gastroenteritis provided a pathway for Pseudomonas citronellolis to infiltrate the organism. In this study, we present the first report of a case where Pseudomonas citronellolis and Escherichia coli were isolated from the inflamed appendix of a patient without underlying conditions. Compared to the Escherichia coli, Pseudomonas citronellolis has never been isolated in patients with appendicitis. We identified the species using MALDI-TOF MS and genetic sequencing. Based on our findings, we highlight the perspective that Pseudomonas citronellolis can colonize the intestines of healthy individuals and may trigger infections like appendicitis.
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  • 文章类型: Journal Article
    在过去的几十年里,人畜共患疾病的出现和疾病爆发的频率大大增加,由于全球变化,栖息地侵蚀和媒介与更多宿主重叠。病原体的毒力是成功入侵的一个关键性状。为了了解栖息地同质化和气候变化等全球变化驱动因素如何驱动病原体毒力进化,我们采用了已建立的基于个体的宿主-病原体动力学模型.我们的模型模拟了动态景观中受直接传播的不断发展的病原体影响的社交宿主种群。病原体毒力进化导致模型中多个菌株的传播能力和致死率不同。我们通过模拟时间(资源异步)和空间(均质化)的环境变化来表示全球变化的影响。我们发现,随着景观均质化的增加,致病毒力增加,菌株优势发生了变化。我们的模型进一步表明,在零散的景观中,低毒力占主导地位,尽管在资源异步下出现了高毒力菌株的脉冲。虽然所有景观情景都倾向于低毒力和高毒力菌株的同时出现,当宿主密度增加并可能成为优势时,高毒力菌株利用了传播的可能性。由于全球变化,异步可能更频繁地发生,我们的模型表明,随后向低毒力的进化可能导致某些疾病在其宿主种群中流行。
    Throughout the last decades, the emergence of zoonotic diseases and the frequency of disease outbreaks have increased substantially, fuelled by habitat encroachment and vectors overlapping with more hosts due to global change. The virulence of pathogens is one key trait for successful invasion. In order to understand how global change drivers such as habitat homogenization and climate change drive pathogen virulence evolution, we adapted an established individual-based model of host-pathogen dynamics. Our model simulates a population of social hosts affected by a directly transmitted evolving pathogen in a dynamic landscape. Pathogen virulence evolution results in multiple strains in the model that differ in their transmission capability and lethality. We represent the effects of global change by simulating environmental changes both in time (resource asynchrony) and space (homogenization). We found an increase in pathogenic virulence and a shift in strain dominance with increasing landscape homogenization. Our model further indicated that lower virulence is dominant in fragmented landscapes, although pulses of highly virulent strains emerged under resource asynchrony. While all landscape scenarios favoured co-occurrence of low- and high-virulent strains, the high-virulence strains capitalized on the possibility for transmission when host density increased and were likely to become dominant. With asynchrony likely to occur more often due to global change, our model showed that a subsequent evolution towards lower virulence could lead to some diseases becoming endemic in their host populations.
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  • 文章类型: Case Reports
    背景:高毒力多药耐药肺炎克雷伯菌(KP)在临床实践中越来越普遍,尤其是碳青霉烯类耐药KP在临床实践中的兴起,导致宁夏KP肝脓肿的出现,中国。对于肝脓肿患者的预后,识别病原体的类型和识别对病原体敏感的抗生素尤为重要。
    方法:一位来自中国的73岁男子因腹痛来我院就诊,黄疸和发烧。患者没有明显的腹痛原因,腹胀,腹痛持续。腹部检查显示肝肿大,距右肋缘2厘米无压痛,腹胀等一般检查无明显异常。他没有高血压和糖尿病病史,在本次就诊前1年对胆管癌进行ERCP,无明显并发症发生。
    方法:他最初的诊断是梗阻性胆管炎,计算机断层扫描图像和肝引流液细菌培养和遗传聚合酶链反应测试后来确定患者患有KP肝脓肿。
    方法:肝导管引流和抗生素治疗7周。
    结果:患者肝脓肿基本消失。
    优化肝脓肿病原体的诊断对于及时有效地治疗患者尤为重要。
    BACKGROUND: Highly virulent multidrug-resistant Klebsiella pneumoniae (KP) is becoming more and more common in clinical practice, especially the rise of carbapenem-resistant KP in clinical practice, resulting in the emergence of KP liver abscess in Ningxia, China. For the prognosis of liver abscess patients, it is particularly important to identify the types of pathogens and identify antibiotics that are sensitive to the pathogens.
    METHODS: A 73-year-old man from China presents to our hospital with abdominal pain, jaundice and fever. Patients have no obvious cause of abdominal pain, abdominal distension, and abdominal pain is persistent. Abdominal examination showed hepatomegaly, no tenderness 2 cm from the right costal margin, abdominal distension and other general examinations did not have obvious abnormalities. He had no history of hypertension and diabetes, ERCP was performed for cholangiocarcinoma 1 year before the current visit, and no significant complications occurred.
    METHODS: His initial diagnosis was obstructive cholangitis, and computed tomographic images and liver drainage fluid bacterial culture and genetic polymerase chain reaction tests later determined that the patient had KP liver abscess.
    METHODS: Drainage by liver catheter and antibiotic treatment for 7 weeks.
    RESULTS: The patient liver abscess is basically gone.
    UNASSIGNED: It is particularly important to optimize the diagnosis of liver abscess pathogens for timely and effective treatment of patients.
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  • 文章类型: Review
    念珠菌(C.auris),一种最近发展起来的高毒力真菌病,易于传输,以及医院的大量药物耐药性,对人类健康构成越来越大的威胁。2009年,在一位日本老年患者的耳道中发现了这种疾病的初步文献。自从最初的隔离以来,C.auris在六大洲的存在一直引起医学专家和科学家的严重关注。根据最近的调查结果,C.auris与五个地理上不同的谱系和显着的抗真菌耐药性相关。此外,在医疗保健环境中,弧菌感染缺乏适当的治疗选择和预防和控制的标准化策略。这会导致许多治疗失败,并阻碍医疗机构中C.auris的消除。目的:探讨金黄色葡萄球菌的耐药机制,为临床治疗提供帮助。我们提供一例金黄色葡萄球菌感染病例以及相关文献的简短回顾。
    一名患有脑出血的81岁女性入院,并被诊断为与导尿管相关的C.auris。对样本进行了评估,并在培养方面进行了报告,identification,药物敏感性,和基因测序。我们还评估了分离菌株的形态与其耐药性之间的关系。全基因组测序产生了基因ERG11-Y132F,CDR1-E709D,TAC1B-Q503E,和TAC1B-A583S;然而,没有额外的基因座包括关注的改变,根据我们的结果。ERG11-Y132F和TAC1B-A583S为耐药基因位点,而CDR1-E709D和TAC1B-Q503E是未鉴定的变异体。
    我们在一个有一些耐药基因的老年女性身上发现了一个特定菌株的C.auris病例,一些基因可能与已经报道的基因位点不同。基因座,突变,和耐药机制研究可能有助于创新药物和治疗方法的创造。临床医生和微生物学家必须意识到这种全球传播的酵母,这构成了医院的实质性诊断,治疗,和感染控制挑战。未来的多中心研究必须进行,以发现这种健康威胁,并提供新的,有效的治疗。
    Candida auris (C. auris), a recently developing fungal disease with high virulence, easy transmission, and substantial medication resistance in hospitals, poses a growing danger to human health. In 2009, the initial documentation of this disease was made when it was discovered in the ear canal of an elderly Japanese patient. Since its initial isolation, the presence of C. auris across six continents has been a cause for severe concern among medical professionals and scientists. According to recent findings, C. auris is connected with five geographically different lineages and significant rates of antifungal resistance. Furthermore, C. auris infections in healthcare settings lack appropriate treatment options and standardized strategies for prevention and control. This results in many treatment failures and hinders the elimination of C. auris in healthcare institutions. To examine the drug resistance mechanism of C. auris and to aid in clinical therapy, we provide a case of C. auris infection along with a short review of the relevant literature.
    An 81-year-old female with cerebral hemorrhage was admitted to the hospital and diagnosed with a urinary catheter-related C. auris. The sample was evaluated and reported in terms of culture, identification, drug sensitivity, and gene sequencing. We also evaluated the relationship between the morphology of the isolated strains and their drug resistance. Whole-genome sequencing yielded the genes ERG11-Y132F, CDR1-E709D, TAC1B-Q503E, and TAC1B-A583S; however, no additional loci included alterations of concern, according to our results. ERG11-Y132F and TAC1B-A583S are drug-resistant gene loci, whereas CDR1-E709D and TAC1B-Q503E are unidentified variants.
    We discover a C. auris case of specific a strain in an old female that has some drug-resistant genes, and some genes may be different from already reported gene sites. Gene locus, mutation, and drug resistance mechanism studies may contribute to the creation of innovative drugs and therapeutic treatments. Clinicians and microbiologists must be aware of this globally spreading yeast, which poses substantial hospital diagnostic, treatment, and infection control challenges. Future multicenter research must be performed to uncover this health threat and provide new, effective treatments.
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  • 文章类型: Case Reports
    背景:AFG2B(以前称为SPATA5L1)的双等位基因变体最近与具有听力损失和痉挛的神经发育障碍有关,以及孤立的听力损失。我们报道了一个有全球发育迟缓历史的61/2岁女孩,随后的智力残疾,没有相关的语言习得,感觉神经性听力损失,肌肉张力减退和小头畸形。
    方法:我们对患者及其父母进行了三外显子组测序。
    结果:Trio外显子组测序显示AFG2B中可能的致病复合杂合错义变体[c.527G>T,p.(Gly176Val)和c.1313T>C,p.(Leu438Pro)]在患者中。
    结论:值得注意的是,更改c.1313T>C,p。(Leu438Pro)已在先前发表的患者中观察到,作为复杂疾病等位基因的一部分,以及第二个纯合错义变化,因此,这两种改变对该患者疾病的确切贡献最初仍不清楚。我们的结果支持c.1313T>C的致病相关性,p。(Leu438Pro)等位基因,同时提供对另一位患者的疾病表现的详细见解。
    BACKGROUND: Bi-allelic variants in AFG2B (previously known as SPATA5L1) have recently been associated with a neurodevelopmental disorder with hearing loss and spasticity, as well as isolated hearing loss. We report on a 6 1/2-year-old girl with a history of global developmental delay, subsequent intellectual disability without relevant language acquisition, sensorineural hearing loss, muscular hypotonia and microcephaly.
    METHODS: We performed trio exome sequencing on the patient and her parents.
    RESULTS: Trio exome sequencing revealed likely pathogenic compound heterozygous missense variants in AFG2B [c.527G>T, p.(Gly176Val) and c.1313T>C, p.(Leu438Pro)] in the patient.
    CONCLUSIONS: Of note, the change c.1313T>C, p.(Leu438Pro) has been observed in a previously published patient as part of a complex disease allele along with a second homozygous missense change, so the exact contribution of the two alterations to this patient\'s disease had initially remained unclear. Our results support the pathogenic relevance of the c.1313T>C, p.(Leu438Pro) allele while providing detailed insights into the disease manifestation of a further patient.
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