Staphylococcal Infections

葡萄球菌感染
  • 文章类型: Journal Article
    由于干细胞在发育生物学中的先进研究,干细胞在体内的作用及其在相关疾病中的表型尚未明确涵盖。同时,随着对干细胞调节各种疾病机制的深入研究,干细胞治疗因其有效性和安全性日益受到重视。作为干细胞治疗中应用最广泛的干细胞之一,造血干细胞移植在白血病和其他血液恶性疾病的治疗中显示出巨大的优势。此外,由于抗炎和免疫调节的作用,间充质干细胞可能成为多种感染性疾病的潜在治疗策略。在这次审查中,我们总结了金黄色葡萄球菌(S.金黄色葡萄球菌)及其成分对不同类型成体干细胞及其下游信号通路的影响。此外,我们综述了不同种类的干细胞在金黄色葡萄球菌引起的各种疾病模型中的作用,为应用干细胞疗法治疗感染性疾病提供新的见解。
    Due to the advanced studies on stem cells in developmental biology, the roles of stem cells in the body and their phenotypes in related diseases have not been covered clearly. Meanwhile, with the intensive research on the mechanisms of stem cells in regulating various diseases, stem cell therapy is increasingly being attention because of its effectiveness and safety. As one of the most widely used stem cell in stem cell therapies, hematopoietic stem cell transplantation shows huge advantage in treatment of leukemia and other blood-malignant diseases. Besides, due to the effect of anti-inflammatory and immunomodulatory, mesenchymal stem cells could be a potential therapeutic strategy for variety infectious diseases. In this review, we summarized the effects of Staphylococcus aureus (S. aureus) and its components on different types of adult stem cells and their downstream signaling pathways. Also, we reviewed the roles of different kinds of stem cells in various disease models caused by S. aureus, providing new insights for applying stem cell therapy to treat infectious diseases.
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  • 文章类型: Journal Article
    骨髓炎是一种侵入性骨感染,可导致严重疼痛甚至残疾,给骨科手术带来挑战。柚皮苷可以减轻骨相关的炎症。本研究旨在阐明柚皮苷在金黄色葡萄球菌诱导的小鼠骨髓炎模型中的作用及机制。在给予柚皮苷后收集金黄色葡萄球菌感染的小鼠的股骨,并进行显微计算机断层扫描以分析皮质骨破坏和骨丢失。还评估了股骨中的细菌生长。使用酶联免疫吸附测定法测量小鼠股骨中的促炎细胞因子水平。采用苏木精和伊红染色和抗酒石酸酸性磷酸酶染色分析病理变化和骨吸收,分别。定量逆转录聚合酶链反应和蛋白质印迹分析用于定量股骨成骨分化相关基因的信使RNA和蛋白质表达。使用细胞计数试剂盒-8测定人骨髓来源的干细胞(hBMSC)的活力。进行茜素红S染色和碱性磷酸酶染色以评估矿化结节的形成和体外骨形成。使用蛋白质印迹分析评估股骨组织和hBMSCs中的Notch信号传导相关蛋白水平。实验结果表明,柚皮苷通过增加骨体积/总体积比减轻金黄色葡萄球菌诱导的小鼠皮质骨破坏和骨丢失。柚皮苷抑制金黄色葡萄球菌诱导的股骨细菌生长和炎症。此外,它缓解了组织病理学变化,抑制骨吸收,并增加了骨髓小鼠成骨标志物的表达。它在体外增加了hBMSCs的活力并促进其分化和骨矿化。此外,柚皮苷通过上调模型小鼠股骨和金黄色葡萄球菌刺激的hBMSCs中Notch1,Jagged1和Hes1的蛋白质水平来激活Notch信号。总之,柚皮苷减少细菌生长,炎症,和骨吸收,同时通过激活Notch信号上调金黄色葡萄球菌感染的小鼠和hBMSCs中成骨标志物的表达。
    Osteomyelitis is an invasive bone infection that can lead to severe pain and even disability, posing a challenge for orthopedic surgery. Naringin can reduce bone-related inflammatory conditions. This study aimed to elucidate the function and mechanism of naringin in a Staphylococcus aureus-induced mouse model of osteomyelitis. Femurs of S. aureus-infected mice were collected after naringin administration and subjected to microcomputed tomography to analyze cortical bone destruction and bone loss. Bacterial growth in femurs was also assessed. Proinflammatory cytokine levels in mouse femurs were measured using enzyme-linked immunosorbent assays. Pathological changes and bone resorption were analyzed using hematoxylin and eosin staining and tartrate-resistant acid phosphatase staining, respectively. Quantitative reverse transcription polymerase chain reaction and western blot analysis were used to quantify the messenger RNA and protein expression of osteogenic differentiation-associated genes in the femurs. The viability of human bone marrow-derived stem cells (hBMSCs) was determined using cell counting kit-8. Alizarin Red S staining and alkaline phosphatase staining were performed to assess the formation of mineralization nodules and bone formation in vitro. Notch signaling-related protein levels in femur tissues and hBMSCs were assessed using western blot analysis. Experimental results revealed that naringin alleviated S. aureus-induced cortical bone destruction and bone loss in mice by increasing the bone volume/total volume ratio. Naringin suppressed S. aureus-induced bacterial growth and inflammation in femurs. Moreover, it alleviated histopathological changes, inhibited bone resorption, and increased the expression of osteogenic markers in osteomyelitic mice. It increased the viability of hBMSCs and promoted their differentiation and bone mineralization in vitro. Furthermore, naringin activated Notch signaling by upregulating the protein levels of Notch1, Jagged1, and Hes1 in the femurs of model mice and S. aureus-stimulated hBMSCs. In conclusion, naringin reduces bacterial growth, inflammation, and bone resorption while upregulating the expression of osteogenic markers in S. aureus-infected mice and hBMSCs by activating Notch signaling.
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  • 文章类型: Journal Article
    这项研究旨在创新一种基于纳米酶的治疗策略,该策略将聚集诱导的发射(AIE)光敏剂与铜纳米酶相结合。这种方法旨在解决细菌感染中经常出现的缺氧状况,旨在通过确保足够的氧气供应来产生活性氧(ROS)来提高光动力疗法(PDT)的有效性。
    我们的方法涉及二羟基三苯基乙烯基吡啶(DHTPY)-Cu@唑来膦酸(ZOL)纳米酶颗粒的合成。我们最初合成了DHTPY,然后将其与铜纳米酶结合形成DHTPY-Cu@ZOL复合材料。纳米酶的大小,形态学,使用各种技术表征化学性质,包括动态光散射,透射电子显微镜,和X射线光电子能谱。我们进行了一系列的体外和体内测试,以评估光动力,抗菌,DHTPY-Cu@ZOL纳米酶的伤口愈合特性,包括它们的氧气产生能力,ROS生产,和对耐甲氧西林金黄色葡萄球菌(MRSA)的抗菌效果。
    DHTPY-Cu@ZOL表现出熟练的H2O2清除和氧气生成,在缺氧感染环境中增强PDT至关重要。我们的体外分析显示对MRSA有显著的抗菌作用,表明纳米酶有可能破坏细菌细胞膜。Further,使用MRSA感染伤口的糖尿病大鼠模型进行的体内研究表明,DHTPY-Cu@ZOL显着改善了伤口愈合并减少了细菌的存在,强调其作为慢性感染的非抗生素方法的功效。
    我们的研究表明,DHTPY-Cu@ZOL是一种非常有前途的对抗抗生素抗性微生物病原体和生物膜的方法。这些纳米酶颗粒的生物相容性和稳定性,加上其改善的PDT疗效使他们成为临床应用的有希望的候选人。
    UNASSIGNED: This research was to innovate a nanozyme-based therapeutic strategy that combines aggregation-induced emission (AIE) photosensitizers with copper nanozymes. This approach is designed to address the hypoxic conditions often found in bacterial infections and aims to boost the effectiveness of photodynamic therapy (PDT) by ensuring sufficient oxygen supply for reactive oxygen species (ROS) generation.
    UNASSIGNED: Our approach involved the synthesis of dihydroxyl triphenyl vinyl pyridine (DHTPY)-Cu@zoledronic acid (ZOL) nanozyme particles. We initially synthesized DHTPY and then combined it with copper nanozymes to form the DHTPY-Cu@ZOL composite. The nanozyme\'s size, morphology, and chemical properties were characterized using various techniques, including dynamic light scattering, transmission electron microscopy, and X-ray photoelectron spectroscopy. We conducted a series of in vitro and in vivo tests to evaluate the photodynamic, antibacterial, and wound-healing properties of the DHTPY-Cu@ZOL nanozymes, including their oxygen-generation capacity, ROS production, and antibacterial efficacy against methicillin-resistant Staphylococcus aureus (MRSA).
    UNASSIGNED: The DHTPY-Cu@ZOL exhibited proficient H2O2 scavenging and oxygen generation, crucial for enhancing PDT in oxygen-deprived infection environments. Our in vitro analysis revealed a notable antibacterial effect against MRSA, suggesting the nanozymes\' potential to disrupt bacterial cell membranes. Further, in vivo studies using a diabetic rat model with MRSA-infected wounds showed that DHTPY-Cu@ZOL markedly improved wound healing and reduced bacterial presence, underscoring its efficacy as a non-antibiotic approach for chronic infections.
    UNASSIGNED: Our study suggests that DHTPY-Cu@ZOL is a highly promising approach for combating antibiotic-resistant microbial pathogens and biofilms. The biocompatibility and stability of these nanozyme particles, coupled with their improved PDT efficacy position them as a promising candidate for clinical applications.
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  • 文章类型: Journal Article
    特应性皮炎(AD)是一种常见的慢性炎症性皮肤病,严重影响患者的生活质量。金黄色葡萄球菌(S。金黄色葡萄球菌)在皮肤上的定植在AD的发病机制中起重要作用;然而,其调节皮肤免疫以加重AD的机制尚不清楚.MicroRNA是短的非编码RNA,其充当基因的转录后调节因子。它们参与各种炎性皮肤病的发病机理。
    在这项研究中,我们建立了热灭活金黄色葡萄球菌(HKSA)刺激的角质形成细胞的miRNA表达谱.采用荧光原位杂交(FISH)分析特应性皮炎患者中miR-939的表达。将miR-939模拟物转染至人原代角质形成细胞以研究其在体外对基质金属蛋白酶基因(MMPs)表达的影响。随后,miR-939,以及Polyplus转染试剂,给予MC903诱导的特应性皮炎皮肤以评估其体内功能。
    MiR-939在HKSA刺激的角质形成细胞和AD病变中高度上调。体外研究显示miR-939增加了基质金属蛋白酶基因的表达,包括MMP1,MMP3和MMP9,以及人原代角质形成细胞中的细胞粘附分子ICAM1。体内研究表明miR-939增加基质金属蛋白酶的表达以促进金黄色葡萄球菌的定植并加剧金黄色葡萄球菌诱导的AD样皮肤炎症。
    我们的工作揭示miR-939是AD中皮肤炎症的重要调节因子,可用作AD的潜在治疗靶点。
    UNASSIGNED: Atopic dermatitis (AD) is a common chronic inflammatory skin diseases that seriously affects life quality of the patients. Staphylococcus aureus (S. aureus) colonization on the skin plays an important role in the pathogenesis of AD; however, the mechanism of how it modulates skin immunity to exacerbate AD remains unclear. MicroRNAs are short non-coding RNAs that act as post-transcriptional regulators of genes. They are involved in the pathogenesis of various inflammatory skin diseases.
    UNASSIGNED: In this study, we established miRNA expression profiles for keratinocytes stimulated with heat-killed S. aureus (HKSA). The expression of miR-939 in atopic dermatitis patients was analyzed by fluorescence in situ hybridization (FISH). miR-939 mimic was transfected to human primary keratinocyte to investigate its impact on the expression of matrix metalloproteinase genes (MMPs) in vitro. Subsequently, miR-939, along with Polyplus transfection reagent, was administered to MC903-induced atopic dermatitis skin to assess its function in vivo.
    UNASSIGNED: MiR-939 was highly upregulated in HKSA-stimulated keratinocytes and AD lesions. In vitro studies revealed that miR-939 increased the expression of matrix metalloproteinase genes, including MMP1, MMP3, and MMP9, as well as the cell adhesion molecule ICAM1 in human primary keratinocytes. In vivo studies indicated that miR-939 increased the expression of matrix metalloproteinases to promote the colonization of S. aureus and exacerbated S. aureus-induced AD-like skin inflammation.
    UNASSIGNED: Our work reveals miR-939 is an important regulator of skin inflammation in AD that could be used as a potential therapeutic target for AD.
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  • 文章类型: Journal Article
    蜂胶具有潜在的抗炎特性,但是对其对抗耐药细菌引起的炎症反应的功效知之甚少,蜂胶和树胶的功效差异也不清楚。这里,进行了一项体内研究,以研究杨树蜂胶(EEP)和杨树胶(EEG)的乙醇提取物对热灭活的耐甲氧西林金黄色葡萄球菌(MRSA)引起的小鼠急性肺损伤(ALI)的影响。EEP和EEG预处理(100mg/kg,p.o.)对小鼠ALI产生了显着的保护作用,与EEG相比,EEP对减轻肺组织病变和ALI评分具有更强的活性。此外,EEP显著抑制肺内促炎介质的水平,包括TNF-α,IL-1β,IL-6和IFN-γ。肠道菌群分析显示,EEP和EEG都可以调节肠道菌群的组成,增强有益微生物群的丰度,减少有害微生物群,部分恢复短链脂肪酸的水平。EEP可以调节更多的血清代谢物,并且在血清代谢物和肠道微生物群之间显示出更强的相关性。总的来说,这些结果支持蜂胶在ALI治疗中的抗炎作用,以及蜂胶质量控制的必要性。
    Propolis has potential anti-inflammatory properties, but little is known about its efficacy against inflammatory reactions caused by drug-resistant bacteria, and the difference in efficacy between propolis and tree gum is also unclear. Here, an in vivo study was performed to study the effects of ethanol extract from poplar propolis (EEP) and poplar tree gum (EEG) against heat-inactivated methicillin-resistant Staphylococcus aureus (MRSA)-induced acute lung injury (ALI) in mice. Pre-treatment with EEP and EEG (100 mg/kg, p.o.) resulted in significant protective effects on ALI in mice, and EEP exerted stronger activity to alleviate lung tissue lesions and ALI scores compared with that of EEG. Furthermore, EEP significantly suppressed the levels of pro-inflammatory mediators in the lung, including TNF-α, IL-1β, IL-6, and IFN-γ. Gut microbiota analysis revealed that both EEP and EEG could modulate the composition of the gut microbiota, enhance the abundance of beneficial microbiota and reduce the harmful ones, and partly restore the levels of short-chain fatty acids. EEP could modulate more serum metabolites and showed a more robust correlation between serum metabolites and gut microbiota. Overall, these results support the anti-inflammatory effects of propolis in the treatment of ALI, and the necessity of the quality control of propolis.
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  • 文章类型: Case Reports
    目的:坏死性气管支气管炎是一种罕见的临床实体,表现为累及主干气管和远端支气管的坏死性炎症。我们报道了一例由乙型流感和耐甲氧西林金黄色葡萄球菌(MRSA)共同感染引起的严重坏死性气管支气管炎。
    方法:我们描述了一名36岁的男性,最初出现咳嗽症状,严格的,肌肉酸痛和发烧。两天后,他的病情迅速恶化,他被插管。支气管镜检查显示严重坏死性气管支气管炎,CT成像显示双肺多发斑片状和空化形成。下一代测序(NGS)和支气管肺泡灌洗液(BALF)培养支持乙型流感和MRSA的共感染。我们还发现,在病情加重期间,T淋巴细胞和NK淋巴细胞功能受到极大抑制。患者接受抗病毒药物和抗生素治疗,包括万古霉素。随后的支气管镜检查和CT扫描显示气道和肺部病变明显改善,淋巴细胞功能恢复。最后,这名患者成功出院。
    结论:乙型流感感染后迅速恶化的患者应怀疑坏死性气管支气管炎。合并感染的及时诊断和准确的抗生素对有效治疗至关重要。
    OBJECTIVE: Necrotizing tracheobronchitis is a rare clinical entity presented as a necrotic inflammation involving the mainstem trachea and distal bronchi. We reported a case of severe necrotizing tracheobronchitis caused by influenza B and methicillin-resistant Staphylococcus aureus (MRSA) co-infection in an immunocompetent patient.
    METHODS: We described a 36-year-old man with initial symptoms of cough, rigors, muscle soreness and fever. His status rapidly deteriorated two days later and he was intubated. Bronchoscopy demonstrated severe necrotizing tracheobronchitis, and CT imaging demonstrated multiple patchy and cavitation formation in both lungs. Next-generation sequencing (NGS) and bronchoalveolar lavage fluid (BALF) culture supported the co-infection of influenza B and MRSA. We also found T lymphocyte and NK lymphocyte functions were extremely suppressed during illness exacerbation. The patient was treated with antivirals and antibiotics including vancomycin. Subsequent bronchoscopy and CT scans revealed significant improvement of the airway and pulmonary lesions, and the lymphocyte functions were restored. Finally, this patient was discharged successfully.
    CONCLUSIONS: Necrotizing tracheobronchitis should be suspected in patients with rapid deterioration after influenza B infection. The timely diagnosis of co-infection and accurate antibiotics are important to effective treatment.
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  • 文章类型: Journal Article
    在感染伤口愈合中用于抗微生物和治疗用途的纳米乳剂中掺入菊花苷。
    通过高速剪切法制备了Luvangetin纳米乳液,并根据其外观结构对其进行了表征,平均液滴尺寸,多分散指数(PDI),电势,储存稳定性。通过Box-Behnken设计(BBD)优化菊苣素纳米乳的配方。樟脑苷纳米乳对常见医院病原菌的抗菌活性及抗菌机制,ie,金黄色葡萄球菌(S。金黄色葡萄球菌)和大肠杆菌(E.大肠杆菌),使用樟脑苷纳米乳液进行了研究。通过细胞毒性评价樟脑苷纳米乳的生物安全性,凋亡,和使用人正常表皮细胞和内皮细胞的活性氧(ROS)测定实验。最后,在B6小鼠中研究了姜黄素纳米乳对感染伤口愈合的影响。
    Luvangetin纳米乳液配方由2.5%葵花籽油组成,10%乳化剂Span-20和7分钟的剪切时间,并具有良好的稳定性。Luvangetin纳米乳液通过破坏细菌细胞膜的结构产生针对金黄色葡萄球菌和大肠杆菌的抗菌活性。Luvangetin纳米乳液对HaCat和HUVEC具有生物学安全性。樟脑苷纳米乳对MRSA感染小鼠创面有较好的治疗作用。
    第一次,开发了一种名为Luvangetin纳米乳液的新配方,对革兰氏阳性细菌表现出优异的抗菌作用。Luvangetin纳米乳剂在促进感染伤口愈合方面具有良好的效果。我们结合了Luvangetin,有多个活动,与纳米乳液提供一种新的局部杀真菌制剂,并全面评估了其有效性和安全性,为luvangetin的进一步应用开辟了新的可能性。
    UNASSIGNED: Incorporation of luvangetin in nanoemulsions for antimicrobial and therapeutic use in infected wound healing.
    UNASSIGNED: Luvangetin nanoemulsions were prepared by high-speed shear method and characterized based on their appearance structure, average droplet size, polydispersity index (PDI), electric potential, storage stability. Optimized formulation of luvangetin nanoemulsion by Box-Behnken design (BBD). The antimicrobial activity and antimicrobial mechanism of luvangetin nanoemulsions against common hospital pathogens, ie, Staphylococcus aureus (S. aureus) and Escherichia coli (E. coli), were investigated using luvangetin nanoemulsions. The biosafety of luvangetin nanoemulsion was evaluated through cytotoxicity, apoptosis, and reactive oxygen species (ROS) assay experiments using human normal epidermal cells and endothelial cells. Finally, the effect of luvangetin nanoemulsion on healing of infected wounds was investigated in B6 mice.
    UNASSIGNED: Luvangetin nanoemulsion formulation consists of 2.5% sunflower seed oil, 10% emulsifier Span-20 and 7 minutes of shear time, and with good stability. Luvangetin nanoemulsion produces antibacterial activity against S. aureus and E. coli by disrupting the structure of bacterial cell membranes. Luvangetin nanoemulsion are biologically safe for HaCat and HUVEC. Luvangetin nanoemulsion showed good therapeutic effect on MRSA infected wounds in mice.
    UNASSIGNED: For the first time, developed a new formulation called luvangetin nanoemulsion, which exhibited superior antibacterial effects against Gram-positive bacteria. Luvangetin nanoemulsion has a favorable effect in promoting infected wound healing. We have combined luvangetin, which has multiple activities, with nanoemulsions to provide a new topical fungicidal formulation, and have comprehensively evaluated its effectiveness and safety, opening up new possibilities for further applications of luvangetin.
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  • 文章类型: Journal Article
    准确、快速检测耐甲氧西林金黄色葡萄球菌(MRSA)具有重要的临床意义。这项工作提出了一种检测耐甲氧西林金黄色葡萄球菌的新方法(S.临床样品中的金黄色葡萄球菌)。该方法使用基于适体的比色测定法,该测定法结合识别探针来识别靶标并分裂DNA酶以放大信号,导致对甲氧西林耐药性的高度敏感和直接分析。临床样品中金黄色葡萄球菌膜上PBP2a蛋白的鉴定导致识别探针的变构,并因此为分裂DNA酶的邻近连接提供了模板。分裂的DNA酶的邻近连接形成完整的DNA酶,以识别L探针中的环部分,并产生切口位点以释放环序列(\“3\”和\“4\”片段)。\"3\"和\"4\"片段形成完整的序列,以诱导催化发夹组装,暴露富含G的部分。释放的LR探针的富含G的序列诱导G-四链体-血红素DNA酶的形成作为比色信号读出。在优化的实验参数下,在5个数量级的动态范围的宽范围内,吸收强度显示出与金黄色葡萄球菌浓度的对数的强线性关联。计算的检出限为23CFU/ml,该方法对MRSA显示出高选择性。
    The accurate and rapid detection of methicillin-resistant Staphylococcus aureus (MRSA) holds significant clinical importance. This work presents a new method for detecting methicillin-resistant Staphylococcus aureus (S. aureus) in clinical samples. The method uses an aptamer-based colorimetric assay that combines a recognizing probe to identify the target and split DNAzyme to amplify the signal, resulting in a highly sensitive and direct analysis of methicillin-resistance. The identification of the PBP2a protein on the membrane of S. aureus in clinical samples leads to the allosterism of the recognizing probe, and thus provides a template for the proximity ligation of split DNAzyme. The proximity ligation of split DNAzyme forms an intact DNAzyme to identify the loop section in the L probe and generates a nicking site to release the loop sequence (\"3\" and \"4\" fragments). The \"3\" and \"4\" fragments forms an intact sequence to induce the catalytic hairpin assembly, exposing the G-rich section. The released the G-rich sequence of LR probe induces the formation of G-quadruplex-hemin DNAzyme as a colorimetric signal readout. The absorption intensity demonstrated a strong linear association with the logarithm of the S. aureus concentration across a wide range of 5 orders of magnitude dynamic range under the optimized experimental parameters. The limit of detection was calculated to be 23 CFU/ml and the method showed high selectivity for MRSA.
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  • 文章类型: Journal Article
    背景:使用甲氧苄啶-磺胺甲恶唑(SXT)的长期治疗可导致金黄色葡萄球菌的小菌落变体(SCV)的形成。然而,SCV形成背后的机制仍然知之甚少。在这项研究中,我们探索了SXT诱导的金黄色葡萄球菌SCV的表型和基于组学的表征,并阐明了SCV形成的潜在原因.
    方法:通过使用12/238µg/ml的SXT连续处理金黄色葡萄球菌分离株,获得稳定的SCV,以生长动力学为特征,抗生素药敏试验,和营养缺陷测试。随后,选择一对代表性菌株(SCV及其亲本菌株)进行基因组,转录组学和代谢组学分析。
    结果:成功筛选了三个稳定的金黄色葡萄球菌SCV,并证明其与其相应的亲本菌株同源。表型测试表明,所有SCV都是与甲萘醌利用受损相关的非经典机制,血红素和胸腺嘧啶,并表现出较慢的生长和较高的抗生素最低抑制浓度(MIC),与它们相应的亲本菌株相比。基因组数据显示有代表性的SCV中13个基因中有15个错义突变,参与粘附,分子内磷酸在核糖上的转移,运输途径,和噬菌体编码的蛋白质。转录组和代谢组的组合分析鉴定了可能与金黄色葡萄球菌的表型转换相关的35个重叠途径。这些途径主要包括代谢的变化,比如嘌呤代谢,丙酮酸代谢,氨基酸代谢,和ABC运输机,通过影响细菌的核酸合成和能量代谢,对促进SCV的发育起到至关重要的作用。
    结论:这项研究为SXT诱导的金黄色葡萄球菌SCV形成的原因提供了深刻的见解。这些发现可能为开发对抗金黄色葡萄球菌SCV感染的新策略提供有价值的线索。
    BACKGROUND: Long-term treatment with trimethoprim-sulfamethoxazole (SXT) can lead to the formation of small-colony variants (SCVs) of Staphylococcus aureus. However, the mechanism behind SCVs formation remains poorly understood. In this study, we explored the phenotype and omics-based characterization of S. aureus SCVs induced by SXT and shed light on the potential causes of SCV formation.
    METHODS: Stable SCVs were obtained by continuously treating S. aureus isolates using 12/238 µg/ml of SXT, characterized by growth kinetics, antibiotic susceptibility testing, and auxotrophism test. Subsequently, a pair of representative strains (SCV and its parental strain) were selected for genomic, transcriptomic and metabolomic analysis.
    RESULTS: Three stable S. aureus SCVs were successfully screened and proven to be homologous to their corresponding parental strains. Phenotypic tests showed that all SCVs were non-classical mechanisms associated with impaired utilization of menadione, heme and thymine, and exhibited slower growth and higher antibiotic minimum inhibitory concentrations (MICs), compared to their corresponding parental strains. Genomic data revealed 15 missense mutations in 13 genes in the representative SCV, which were involved in adhesion, intramolecular phosphate transfer on ribose, transport pathways, and phage-encoded proteins. The combination analysis of transcriptome and metabolome identified 35 overlapping pathways possible associated with the phenotype switching of S. aureus. These pathways mainly included changes in metabolism, such as purine metabolism, pyruvate metabolism, amino acid metabolism, and ABC transporters, which could play a crucial role in promoting SCVs development by affecting nucleic acid synthesis and energy metabolism in bacteria.
    CONCLUSIONS: This study provides profound insights into the causes of S. aureus SCV formation induced by SXT. The findings may offer valuable clues for developing new strategies to combat S. aureus SCV infections.
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  • 文章类型: Case Reports
    背景:耐甲氧西林金黄色葡萄球菌(CA-MRSA),有可能产生严重的感染,是皮肤和软组织感染的常见原因,急性化脓性淋巴结炎罕见。
    方法:患者是一个有肿块的女婴,压痛,右侧颈部和腹股沟发热.实验室检查提示细菌感染。根据临床体征和辅助检查的结果,对急性化脓性淋巴结炎进行了诊断。三天后,化脓性淋巴结分泌物中出现MRSA。她母亲的鼻咽拭子样本结果显示MRSA。进行分子分析的两种细菌菌株的基因型相同。
    结果:入院后17天,患者出现临床康复迹象.
    结论:该事件揭示了CA-MRSA在中国人群中的可能传播。即使没有明确的感染途径,当急性化脓性淋巴结炎患儿的标准治疗无效时,应考虑CA-MRSA。婴儿期早期MRSA的获得可能主要是由母婴水平传播引起的。
    BACKGROUND: Methicillin-resistant Staphylococcus aureus (CA-MRSA), which has the potential to produce serious infections, was a common cause of skin and soft tissue infections, acute purulent lymphadenitis was rare.
    METHODS: The patient was a female infant with lumps, tenderness, and fever on the right side of the neck and groin. Laboratory tests suggested a bacterial infection. The diagnosis of acute purulent lymphadenitis was made based on the clinical signs and the results of a supporting exam. After three days, MRSA developed in the secretions of suppurative lymph nodes. Her mother\'s nasopharyngeal swab sample results revealed MRSA. The genotypes of two bacterial strains that underwent molecular analysis were identical.
    RESULTS: 17 days after admission, the patient showed signs of clinical recovery.
    CONCLUSIONS: The incident brought to light the possible spread of CA-MRSA in the Chinese population. Even without a definite path of infection, CA-MRSA should be taken into consideration when the standard treatment for children with acute purulent lymphadenitis is ineffective. Early infancy MRSA acquisition may be mostly caused by maternal-infant horizontal transmission.
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