virulence

毒力
  • 文章类型: Journal Article
    人乳头瘤病毒(HPV)81型最近已成为最常见的低风险HPV类型之一;关注它的文献是有限的。本研究旨在分析HPV81检出率增高的原因,并探讨其致病力的演变过程。我们分析了从2014年到2023年收集的229061个脱落的宫颈细胞样本中HPV81的检出率和趋势;收集了来自两个不同时间段的HPV81单个感染的样本;并分析了等位基因频率,积极选择,病毒载量,持续性感染能力,E6和E7基因型的致病性。我们发现HPV81在宫颈脱落细胞中的检出率在低风险类型中排名第一,并表现出明显的上升趋势(p<0.001)。HPV81的E6原型等位基因的频率(n=317)显着增加(p=0.018),并表现出最强的适应能力。E6原型的病毒载量和持续感染能力明显高于突变体,从而成为提高HPV81检出率和增强其致病性的关键驱动因素。病毒载量与持续感染能力和致病性呈正相关。持续感染是HPV81致病性的关键因素。HPV81的成功适应性进化伴随着增强的致病性。
    Human papillomavirus (HPV) type 81 has recently become one of the most common low-risk HPV types; however, literature focusing on it is limited. This study aimed to analyze the reasons for the increased detection rate of HPV81 and investigate its evolving pathogenicity. We analyzed the detection rates and trends of HPV81 in 229 061 exfoliated cervical cell samples collected from 2014 to 2023; collected samples of HPV81 single infections from two different time periods; and analyzed the allele frequencies, positive selection, viral load, persistent infection capacity, and pathogenicity of E6 and E7 genotypes. We found that the detection rate of HPV81 ranked first among the low-risk types in exfoliated cervical cells and exhibited a significantly increasing trend (p < 0.001). The frequency of the E6 prototype allele of HPV81 (n = 317) was significantly increased (p = 0.018) and demonstrated the strongest adaptive capacity. The viral load and persistent infection capacity of the E6 prototype were significantly higher than those of the mutants, thus serving as key drivers for increasing the detection rate of HPV81 and enhancing its pathogenicity. The viral load was positively correlated with persistent infection capacity and pathogenicity. Persistent infection was a crucial factor in the pathogenicity of HPV81. Successful adaptive evolution of HPV81 is accompanied by enhanced pathogenicity.
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  • 文章类型: Journal Article
    嗜冷黄杆菌,细菌性冷水病的病原体,是毁灭性的,分布在世界各地,在内陆养鱼场造成重大经济损失的鱼类病原体。先前的流行病学研究表明,流行的克隆复合物(CC)在受疾病影响的鱼类物种中有所不同,例如虹鳟鱼,大麻哈鱼和ayu,表明特定的嗜冷F.基因型与宿主物种之间存在显着关联。然而,种群结构是由鱼类和卵的交易还是由宿主特异性致病性驱动的,目前尚不确定。值得注意的是,从ayu中检索到的所有嗜冷菌分离株都属于3型O抗原(O-Ag),而从其他鱼类中检索到的菌株中只有极少数具有这种O-Ag,表明在影响ayu的疫情中的作用。因此,我们调查了基因型和致病性之间的联系,通过进行比较浴感染挑战在两个鱼宿主,ayu和虹鳟鱼,代表不同MLST基因型和O-Ag的分离株的集合。一种宿主物种中的高毒力菌株在另一种宿主物种中表现出低至无毒力。F.与ayu相关并具有3型O-Ag的嗜冷菌菌株在ayu的致病性方面表现出明显的变异性,从无毒到高毒性。引人注目的是,F.从虹鳟鱼中回收并具有3型O-Ag的嗜冷菌菌株对虹鳟鱼具有毒力,但对ayu没有毒力,表明单独的3型O-Ag不足以在ayu中产生致病性,它也不会阻止虹鳟鱼的致病性。这项研究表明,特定CC与宿主物种之间的关联部分取决于病原体对特定宿主物种的适应。
    Flavobacterium psychrophilum, the causative agent of bacterial cold-water disease, is a devastating, worldwide distributed, fish pathogen causing significant economic loss in inland fish farms. Previous epidemiological studies showed that prevalent clonal complexes (CC) differ in fish species affected with disease such as rainbow trout, coho salmon and ayu, indicating significant associations between particular F. psychrophilum genotypes and host species. Yet, whether the population structure is driven by the trade of fish and eggs or by host-specific pathogenicity is uncertain. Notably, all F. psychrophilum isolates retrieved from ayu belong to Type-3 O antigen (O-Ag) whereas only very few strains retrieved from other fish species possess this O-Ag, suggesting a role in outbreaks affecting ayu. Thus, we investigated the links between genotype and pathogenicity by conducting comparative bath infection challenges in two fish hosts, ayu and rainbow trout, for a collection of isolates representing different MLST genotypes and O-Ag. Highly virulent strains in one host species exhibited low to no virulence in the other. F. psychrophilum strains associated with ayu and possessing Type-3 O-Ag demonstrated significant variability in pathogenicity in ayu, ranging from avirulent to highly virulent. Strikingly, F. psychrophilum strains retrieved from rainbow trout and possessing the Type-3 O-Ag were virulent for rainbow trout but not for ayu, indicating that Type-3 O-Ag alone is not sufficient for pathogenicity in ayu, nor does it prevent pathogenicity in rainbow trout. This study revealed that the association between a particular CC and host species partly depends on the pathogen\'s adaptation to specific host species.
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  • 文章类型: Journal Article
    白僵菌(Bal。-Criv.)是一种重要的昆虫病原真菌,用于管理全球各种农业害虫。然而,所有的菌株都可能对白虱没有效果,烟粉虱,或其他害虫,菌株在生长中表现出多样性,孢子形成,毒力特征,和整体生物功效。因此,选择最有效的菌株,需要设计一个全面的方法。我们研究了从19种昆虫中分离出的102个菌株之间的多样性。毒力,和分子系统发育,为塔巴奇的管理确定有前途的。菌株在菌丝生长中表现出多样性,分生孢子生产,以及它们对B.tabaci若虫的毒力。最高的若虫死亡率(2龄和3龄)记录与MTCC-4511(95.1%),MTCC-6289(93.8%),和MTCC-4565(89.9%),浓度为1×106分生孢子ml-1。最高的生物功效指数(BI)是MTCC-4511(78.3%),MTCC-4565(68.2%),和MTCC-4543(62.1%)。MTCC-4511,MTCC-4565和MTCC-4543的前两个主成分的特征值呈正负载,聚类分析也与PCA(主成分分析)(若虫死亡率和BI)非常吻合。分子系统发育无法得出生理特征之间的任何明显关系,菌株的毒力与宿主和位置。BI,PCA,和平方欧氏距离簇被发现是选择潜在昆虫病原菌株的最有用工具。通过开发有效的制剂,所选择的菌株可用于田间烟粉虱若虫种群的管理。关键点:•102株对烟粉虱的生长和毒力表现出多样性。•生物功效指数,PCA,和SED组是选择潜在菌株的有效工具。•选择MTCC-4511、4565和4543作为杀死粉虱若虫的最强毒株。
    Beauveria bassiana (Bal.-Criv.) is an important entomopathogenic fungus being used for the management of various agricultural pests worldwide. However, all strains of B. bassiana may not be effective against whitefly, Bemisia tabaci, or other pests, and strains show diversity in their growth, sporulation, virulence features, and overall bioefficacy. Thus, to select the most effective strain, a comprehensive way needs to be devised. We studied the diversity among the 102 strains of B. bassiana isolated from 19 insect species based on their physiological features, virulence, and molecular phylogeny, to identify promising ones for the management of B. tabaci. Strains showed diversity in mycelial growth, conidial production, and their virulence against B. tabaci nymphs. The highest nymphal mortality (2nd and 3rd instar) was recorded with MTCC-4511 (95.1%), MTCC-6289 (93.8%), and MTCC-4565 (89.9%) at a concentration of 1 × 106 conidia ml-1 under polyhouse conditions. The highest bioefficacy index (BI) was in MTCC-4511 (78.3%), MTCC-4565 (68.2%), and MTCC-4543 (62.1%). MTCC-4511, MTCC-4565, and MTCC-4543 clustered with positive loading of eigenvalues for the first two principal components and the cluster analysis also corresponded well with PCA (principal component analysis) (nymphal mortality and BI). The molecular phylogeny could not draw any distinct relationship between physiological features, the virulence of B. bassiana strains with the host and location. The BI, PCA, and square Euclidean distance cluster were found the most useful tools for selecting potential entomopathogenic strains. The selected strains could be utilized for the management of the B. tabaci nymphal population in the field through the development of effective formulations. KEY POINTS: • 102 B. bassiana strains showed diversity in growth and virulence against B. tabaci. • Bioefficacy index, PCA, and SED group are efficient tools for selecting potential strains. • MTCC-4511, 4565, and 4543 chosen as the most virulent strains to kill whitefly nymphs.
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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
    背景:奇异变形杆菌是一种重要的院内病原体,通常与多种感染有关,需要加强关注以减轻潜在的健康风险。因此,本研究旨在研究环丙沙星(CIP)亚最低抑制浓度(MIC)对奇异变形杆菌临床分离株的影响.
    方法:使用生长曲线方法选择CIP的亚MIC。评估了未经处理和处理的具有CIP亚MIC的分离株的生物膜发育,琼脂上的动症,和其他毒力因子。使用电子显微镜探索了未经处理和处理的具有CIP亚MIC的分离株的细胞形态。此外,使用定量实时PCR测量分离株中毒力基因的表达水平。
    结果:数据显示CIP的亚MIC显着(p<0.05),以浓度依赖的方式,在选定的分离物中抑制生物膜的形成和其他毒力因子。电子显微镜分析显示细胞增大以及细胞壁和膜完整性的各种异常。
    结论:CIP的亚MIC表现出针对奇异假单胞菌分离株的毒力抑制和形态完整性改变。
    BACKGROUND: Proteus mirabilis is a significant nosocomial pathogen that is frequently associated with a wide range of infections, necessitating heightened attention to mitigate potential health risks. Hence, this study was performed to investigate the impact of sub-minimum inhibitory concentrations (MICs) of ciprofloxacin (CIP) on Proteus mirabilis clinical isolates.
    METHODS: The sub-MICs of CIP were selected using the growth curve approach. The untreated and treated isolates with sub-MICs of CIP were assessed for their biofilm development, motilities on agar, and other virulence factors. The cell morphology of untreated and treated isolates with sub-MIC of CIP was explored using electron microscope. Moreover, the expression levels of the virulence genes in isolates were measured using quantitative real-time PCR.
    RESULTS: Data revealed that sub-MICs of CIP significantly (p < 0.05), in a concentration-dependent manner, inhibited biofilm formation and other virulence factors in the selected isolates. Electron microscope analysis showed cell enlargement and various abnormalities in the cell wall and membrane integrity.
    CONCLUSIONS: Sub-MICs of CIP exhibited inhibition of virulence and alterations in morphological integrity against P. mirabilis isolates.
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  • 文章类型: Journal Article
    这项横断面研究调查了耐甲氧西林金黄色葡萄球菌(MRSA):其患病率,抗菌素耐药性,以及葡萄牙中部健康猪种群的分子特征。共从十二个农场的猪身上采集213份样本,和MRSA患病率使用选择性琼脂平板进行评估,并通过分子方法进行确认。进行抗菌素敏感性测试和全基因组测序(WGS)以表征抗性谱和遗传决定因素。在107个MRSA阳性样本中(患病率83.1%),育肥猪和繁殖母猪的携带率明显较高。20个分离株的基因组揭示了ST398克隆复合物的优势,与不同的水疗类型确定。抗菌药物敏感性试验表明对多种抗菌药物具有耐药性,包括青霉素,头孢西丁,还有四环素.WGS分析确定了一系列不同的抗性基因,强调抗菌素耐药性的遗传基础。此外,毒力基因谱分析显示存在与致病性相关的基因。这些发现强调了MRSA在猪群中的显著流行,并强调需要加强监测和控制措施以减轻人畜共患传播风险。实施审慎的抗菌药物使用实践和有针对性的干预策略对于降低MRSA患病率和维护公共卫生至关重要。有必要继续努力研究以阐明传播动力学和毒力潜力,最终确保食品安全和公众健康保护。
    This cross-sectional study investigates the methicillin-resistant Staphylococcus aureus (MRSA): its prevalence, antimicrobial resistance, and molecular characteristics in healthy swine populations in central Portugal. A total of 213 samples were collected from pigs on twelve farms, and MRSA prevalence was assessed using selective agar plates and confirmed via molecular methods. Antimicrobial susceptibility testing and whole genome sequencing (WGS) were performed to characterize resistance profiles and genetic determinants. Among the 107 MRSA-positive samples (83.1% prevalence), fattening pigs and breeding sows exhibited notably high carriage rates. The genome of 20 isolates revealed the predominance of the ST398 clonal complex, with diverse spa types identified. Antimicrobial susceptibility testing demonstrated resistance to multiple antimicrobial agents, including penicillin, cefoxitin, and tetracycline. WGS analysis identified a diverse array of resistance genes, highlighting the genetic basis of antimicrobial resistance. Moreover, virulence gene profiling revealed the presence of genes associated with pathogenicity. These findings underscore the significant prevalence of MRSA in swine populations and emphasize the need for enhanced surveillance and control measures to mitigate zoonotic transmission risks. Implementation of prudent antimicrobial use practices and targeted intervention strategies is essential to reducing MRSA prevalence and safeguarding public health. Continued research efforts are warranted to elucidate transmission dynamics and virulence potential, ultimately ensuring food safety and public health protection.
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  • 文章类型: Journal Article
    由细菌性阴道病(BV)和外阴阴道念珠菌病(VVC)引起的混合性阴道炎是最普遍的形式,并在全球范围内提出了重大的治疗挑战。因为,单一疗法的施用导致随后的复发性感染,完全根除两种病原体的协同治疗迫切需要管理混合阴道情况并防止其复发。当前的研究集中在探索植物化学物质对白色念珠菌和阴道念珠菌(Galleriamellonella)的个体和混合种的体外和体内毒力性状的协同抑制功效。五种植物化学物质(香芹酚,百里酚,肉桂醛,丁香酚,和冰片)筛选了与柠檬醛的协同作用[(Ct)由于其无数的治疗潜力而作为主要分子],香芹酚(Ca)与柠檬醛的组合具有良好的协同作用。时间杀死动力学和一分钟的接触杀死试验证明了Ct-Ca组合在30分钟和一分钟的时间间隔内对单物种和双物种的显着杀菌效果,分别。此外,Ct-Ca的亚CMIC(协同组合MIC)显着根除了成熟的生物膜,并显着降低了白色念珠菌和阴道念珠菌的毒力属性(即,酵母向菌丝转变,成丝,蛋白酶生产,和疏水性指数),在单一和双重物种状态。使用体外(人红细胞)和体内(Galleriamellonella)模型验证了Ct-Ca组合的无毒性质。此外,使用无脊椎动物模型系统G.mellonella进行体内功效评估和随后的组织病理学研究,这进一步确定了Ct-Ca组合在抵抗由白色念珠菌和阴道念珠菌的个体和混合种引起的感染中的有效性。同时,目前的工作是首次描述白色念珠菌和阴道念珠菌混合物种在其生长和生物膜状态下的体外相互作用,共同强调了广受好评的植物化学物质作为针对混合性阴道炎的组合协同疗法的有希望的治疗潜力。
    Mixed vaginitis due to bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC) is the most prevalent form and presents a significant therapeutic challenge globally. Since, the administration of monotherapy leads to subsequent recurrent infections, synergistic therapy that completely eradicates both pathogens is of dire need to manage mixed vaginities scenario and to prevent its recurrence. The current investigation was focused on exploring the synergistic inhibitory efficacy of phytochemicals against the virulence traits of individual and mixed species of C. albicans and G. vaginalis in vitro and in vivo (Galleria mellonella). Out of five phytochemicals (carvacrol, thymol, cinnamaldehyde, eugenol, and borneol) screened for synergism with citral [(Ct) as the prime molecule owing to its myriad therapeutic potential], carvacrol (Ca) in combination with citral exhibited promising synergistic effect. Time-kill kinetics and one-minute contact-killing assays demonstrated the phenomenal microbicidal effect of Ct-Ca combination against both mono and dual-species within 30 min and one-minute time intervals, respectively. Furthermore, the sub-CMICs (synergistic combinatorial MIC) of Ct-Ca have significantly eradicated the mature biofilms and remarkably reduced the virulence attributes of both C. albicans and G. vaginalis (viz., yeast to hyphae transition, filamentation, protease production, and hydrophobicity index), in single and dual species states. The non-toxic nature of Ct-Ca combination was authenticated using in vitro (human erythrocyte cells) and in vivo (Galleria mellonella) models. In addition, the in vivo efficacy evaluation and subsequent histopathological investigation was done using the invertebrate model system G. mellonella, which further ascertained the effectiveness of Ct-Ca combination in fighting off the infection caused by individual and mixed species of C. albicans and G. vaginalis. Concomitantly, the current work is the first of its kind to delineate the in vitro interaction of C. albicans and G. vaginalis mixed species at their growth and biofilm states, together emphasizes the promising therapeutic potential of acclaimed phytochemicals as combinatorial synergistic therapy against mixed vaginitis.
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  • 文章类型: Journal Article
    耳念珠菌是一种机会性真菌病原体,死亡率高,对公众健康构成明显威胁。金黄色葡萄球菌感染的风险很高,因为它可以在体内定殖,抵抗抗真菌治疗,逃避免疫系统.这些性状的遗传机制尚不清楚。识别它们可能会导致新疗法的新目标。为此,我们提出了C.auris碳代谢的遗传学和基因表达模式的分析,耐药性,和巨噬细胞相互作用。我们选择同时研究两个金黄色葡萄球菌分离株,一种药物敏感(来自CladeII的B11220)和一种耐药(来自CladeIII的B11221)。比较基因组,我们证实了先前报道的发现,即B11220在VI号染色体上缺失了一个12.8kb的区域。该区域包含编码与替代糖利用相关的蛋白质的基因簇。我们证明了具有基因簇的B11221,与具有缺失的B11220相比,容易同化并利用D-半乳糖和L-鼠李糖。当在这些糖中生长时,与B11220相比,B11221表现出增加的粘附性和耐药性。在葡萄糖或半乳糖上生长的两种分离株的转录组学分析显示,在D-半乳糖上生长时,基因簇上调。这些发现加强了代谢与药物耐受性之间联系的越来越多的证据。B11221抵抗巨噬细胞的吞噬作用,并表现出减少的β-1,3-葡聚糖暴露,一个让念珠菌逃避宿主免疫系统的关键决定因素,与B11220相比。在与巨噬细胞共培养的两种分离株的转录组学分析中,我们在B11221中发现与转运和转录因子相关的基因上调。我们的研究表明,膜成分和免疫逃避之间存在正相关,交替糖利用,和金黄色葡萄球菌的药物耐受性。
    Candida auris is an opportunistic fungal pathogen with high mortality rates which presents a clear threat to public health. The risk of C. auris infection is high because it can colonize the body, resist antifungal treatment, and evade the immune system. The genetic mechanisms for these traits are not well known. Identifying them could lead to new targets for new treatments. To this end, we present an analysis of the genetics and gene expression patterns of C. auris carbon metabolism, drug resistance, and macrophage interaction. We chose to study two C. auris isolates simultaneously, one drug sensitive (B11220 from Clade II) and one drug resistant (B11221 from Clade III). Comparing the genomes, we confirm the previously reported finding that B11220 was missing a 12.8 kb region on chromosome VI. This region contains a gene cluster encoding proteins related to alternative sugar utilization. We show that B11221, which has the gene cluster, readily assimilates and utilizes D-galactose and L-rhamnose as compared to B11220, which harbors the deletion. B11221 exhibits increased adherence and drug resistance compared to B11220 when grown in these sugars. Transcriptomic analysis of both isolates grown on glucose or galactose showed that the gene cluster was upregulated when grown on D-galactose. These findings reinforce growing evidence of a link between metabolism and drug tolerance. B11221 resists phagocytosis by macrophages and exhibits decreased β-1,3-glucan exposure, a key determinant that allows Candida to evade the host immune system, as compared to B11220. In a transcriptomic analysis of both isolates co-cultured with macrophages, we find upregulation of genes associated with transport and transcription factors in B11221. Our studies show a positive correlation between membrane composition and immune evasion, alternate sugar utilization, and drug tolerance in C. auris.
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  • 文章类型: Journal Article
    新城疫(ND)是安哥拉的地方病。在该国南部各省,在小后院鸡群和死亡率高的村鸡中发生了几次ND暴发,Cunene,纳米贝和韦拉,2016年和2018年。那些年,分离出15株强毒ND病毒(NDV)毒株,并归入基因型VII的亚基因型2(亚基因型VII.2)。我们现在对分离物的热稳定性进行研究,旨在选择最耐热的菌株,经过基因改造以降低毒力,可以适应疫苗的生产,减少对冷链的依赖,更足以保护本地鸡免受ND。通过将病毒的等分试样在56°C孵育不同的时间间隔来确定分离物的血凝素(Ha)活性和感染性(I)的热灭活动力学。来自纳米贝省的两个分离株在≤10分钟内显示感染性降低2log10,因此属于I表型,但是,尽管2016年的NB1分离株保持了Ha活性长达30分钟,并被归类为耐热病毒(I-Ha),2018年NB2分离株的Ha活性在30分钟内下降了2log2,被归类为不耐热病毒(I-Ha-)。在来自威拉省的13种NDV分离物中,10个分离株被归类为热稳定的,8个表型为I+Ha+,2个表型为I-Ha+。来自该省的其他三个分离株被分类为不耐热病毒(I-Ha-)。贡献:本研究将有助于安哥拉新城疫病毒的控制和/或根除。从该国的鸡中分离出的热稳定病毒株可以通过反向基因技术进行遗传操作,以降低其毒力,并在安哥拉偏远地区将其用作疫苗。
    Newcastle disease (ND) is endemic in Angola. Several outbreaks of ND occurred in small backyard flocks and village chickens with high mortality in the southern provinces of the country, Cunene, Namibe and Huíla, in 2016 and 2018. In those years, 15 virulent ND virus (NDV) strains were isolated and grouped within subgenotype 2 of genotype VII (subgenotype VII.2). We now present a study on the thermostability of the isolates, aiming at the selection of the most thermostable strains that, after being genetically modified to reduce their virulence, can be adapted to the production of vaccines less dependent on cold chain and more adequate to protect native chickens against ND. Heat-inactivation kinetics of haemagglutinin (Ha) activity and infectivity (I) of the isolates were determined by incubating aliquots of virus at 56 °C for different time intervals. The two isolates from Namibe province showed a decrease in infectivity of 2 log10 in ≤ 10 min, therefore belonging to the I-phenotype, but while the NB1 isolate from 2016 maintained the Ha activity up to 30 min and was classified as thermostable virus (I-Ha+), the Ha activity of the 2018 NB2 isolate decreased by 2 log2 in 30 min, being classified as a thermolabile virus (I-Ha-). Of the 13 NDV isolates from Huíla province, 10 isolates were classified as thermostable, eight with phenotype I+Ha+ and 2 with phenotype I-Ha+. The other three isolates from this province were classified as thermolabile viruses (I-Ha-).Contribution: This study will contribute to the control and/or eradication of Newcastle disease virus in Angola. The thermostable viral strains isolated from chickens in the country can be genetically manipulated by reverse genetic technology in order to reduce their virulence and use them as a vaccine in the remote areas of Angola.
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  • 文章类型: Journal Article
    背景:除了高毒力肺炎克雷伯菌(KP)感染的近期全球扩张,关于社区获得性肺炎(KP-CAP)病例的现有文献仍然很少,但报道了极高的早期死亡率.我们在2015年至2019年之间进行了一项回顾性多中心研究(法国7家ICU),比较了KP-CAP与肺炎链球菌-CAP(SP-CAP)的预后和严重程度。
    方法:对于每个KP-CAP,在同一中心和同一6个月窗口内的ICU中,选择了三个SP-CAP。如果可用,对KP菌株进行了研究,和细菌毒力进行遗传评估的毒力因子。主要结果是院内死亡率。使用单变量和多变量逻辑回归测试临床结果与感染类型之间的关联。针对配对变量进行了调整。
    结果:包括27个KP-CAP和81个SP-CAP。住院死亡率分别为59%(n=16)和17%(n=14,p<0.001),尽管有足够的抗生素治疗。KP-CAP从入院到死亡的中位时间为26.9h[IQR5.75-44h],并且与更高的多器官衰竭发生率显着相关(93%vs.42%,p<0.001),弥漫性血管内凝血(12%vs.1.3%,p=0.046),感染性休克(ICU入院时乳酸中位数4.60vs.2.90mmol/L,p=0.030)和肾衰竭(KDIGO-3:87%vs.44%,p<0.001)。有趣的是,酒精中毒是KP-CAP唯一确定的诱发因素。在多变量分析中,ICU入院的严重程度(KP-CAP高2倍)是与死亡率相关的唯一因素。
    结论:我们描述了与SP-CAP相比,KP-CAP感染与更高和更早的死亡率之间的强关联。此外,酒精中毒是与KP-CAP感染相关的唯一诱发因素。这些发现应提高参与严重CAP管理的临床医生对这种微生物学病因的认识。未来的前瞻性研究需要证实这些结果,并设计策略来改善此类感染的预后。
    BACKGROUND: Alongside the recent worldwide expansion of hypervirulent Klebsiella pneumoniae (KP) infections, the available literature regarding cases of community acquired pneumonias (KP-CAP) remains scarce but reports a strikingly high and early mortality. We performed a retrospective multicenter study (7 ICU in France) between 2015 and 2019, comparing prognosis and severity of KP-CAP versus Streptococcus pneumoniae - CAP (SP-CAP).
    METHODS: For each KP-CAP, three SP-CAP admitted in ICUs within the same center and within the same 6-month window were selected. When available, KP strains were studied, and bacterial virulence was genetically assessed for virulence factors. The primary outcome was in-hospital mortality. Associations between clinical outcomes and type of infection were tested using univariate and multivariate logistic regressions, adjusted for pairing variables.
    RESULTS: Twenty-seven KP-CAP and 81 SP-CAP were included. Respective in-hospital mortality rates were 59% (n = 16) and 17% (n = 14, p < 0.001), despite adequate antibiotic therapy. KP-CAP median time from admission to death was 26.9 h [IQR 5.75-44 h] and were significantly associated with higher rates of multiple organ failures (93% vs. 42%, p < 0.001), disseminated intravascular coagulation (12% vs. 1.3%, p = 0.046), septic shock (median lactate on ICU admission 4.60 vs. 2.90 mmol/L, p = 0.030) and kidney failure (KDIGO-3: 87% vs. 44%, p < 0.001). Interestingly, alcoholism was the only identified predisposing factor of KP-CAP. Severity on ICU admission (2-fold higher for KP-CAP) was the only factor associated with mortality in a multivariate analysis.
    CONCLUSIONS: We described a strong association between KP-CAP infection and higher and earlier mortality when compared to SP-CAP. Moreover, alcoholism was the sole predisposing factor associated with KP-CAP infection. These findings should raise awareness of clinicians involved in the management of severe CAP about this microbiological etiology. Future prospective studies are needed to confirm these results and to design strategies to improve the prognosis of such infections.
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