Salmonella Infections

沙门氏菌感染
  • 文章类型: Journal Article
    由于与监测相关的大量费用,沙门氏菌感染引起了全球重大公共卫生问题。预防,并治疗感染。在这项研究中,我们通过减法蛋白质组学和免疫信息学方法探索沙门氏菌的核心蛋白质组,设计多表位疫苗。从30种不同的沙门氏菌分离株(NZCP014051菌株作为参考)中筛选了总共2395种核心蛋白。利用减性蛋白质组学方法对沙门氏菌核心蛋白质组,选择Curlin主要亚基A(CsgA)作为疫苗候选物。csgA是与生物膜形成相关的保守基因。使用许多免疫信息学工具预测来自CsgA的免疫显性B和T细胞表位。T淋巴细胞表位具有足够的群体覆盖率,并且其相应的MHC等位基因在基于肽-蛋白质的分子对接后显示出显着的结合得分。之后,用肽接头和人β防御素-2(作为佐剂)构建多表位疫苗。这种疫苗可能具有很高的抗原性,无毒,不过敏,并具有合适的物理化学性质。此外,分子动力学模拟和免疫模拟表明,该疫苗可以与Toll样受体4结合并引发强大的免疫反应。使用体外,在体内,和临床试验,我们的研究结果可能会产生一种泛沙门氏菌疫苗,该疫苗可能对各种沙门氏菌提供保护。
    Salmonella infections pose a significant global public health concern due to the substantial expenses associated with monitoring, preventing, and treating the infection. In this study, we explored the core proteome of Salmonella to design a multi-epitope vaccine through Subtractive Proteomics and immunoinformatics approaches. A total of 2395 core proteins were curated from 30 different isolates of Salmonella (strain NZ CP014051 was taken as reference). Utilizing the subtractive proteomics approach on the Salmonella core proteome, Curlin major subunit A (CsgA) was selected as the vaccine candidate. csgA is a conserved gene that is related to biofilm formation. Immunodominant B and T cell epitopes from CsgA were predicted using numerous immunoinformatics tools. T lymphocyte epitopes had adequate population coverage and their corresponding MHC alleles showed significant binding scores after peptide-protein based molecular docking. Afterward, a multi-epitope vaccine was constructed with peptide linkers and Human Beta Defensin-2 (as an adjuvant). The vaccine could be highly antigenic, non-toxic, non-allergic, and have suitable physicochemical properties. Additionally, Molecular Dynamics Simulation and Immune Simulation demonstrated that the vaccine can bind with Toll Like Receptor 4 and elicit a robust immune response. Using in vitro, in vivo, and clinical trials, our findings could yield a Pan-Salmonella vaccine that might provide protection against various Salmonella species.
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  • 文章类型: Journal Article
    为了生存和复制,沙门氏菌已经进化了进入隐窝肠上皮细胞的机制。然而,鼠伤寒沙门氏菌对干细胞和祖细胞的影响,它们负责肠上皮自我更新和保护的能力,尚不清楚。鉴于肠道类器官的生长是由干细胞和祖细胞活动维持的,我们使用这个模型来记录鼠伤寒沙门氏菌感染对上皮增殖和分化的影响,并将其与小鼠体内沙门氏菌感染模型进行了比较。在肠段中,盲肠优先被沙门氏菌作为目标。受感染的隐窝和类器官的分析显示长度和大小增加,分别。感染的隐窝和类器官的mRNA转录谱指出上调的EGFR依赖性信号,与分泌细胞谱系分化减少有关。最后,我们表明,类器官适合模拟沙门氏菌对干细胞和祖细胞的影响,具有极大的潜力,可以大大减少在该主题的科学研究中使用动物。在这两种模型中,EGFR通路,对干细胞和祖细胞的增殖和分化至关重要,沙门氏菌失调,提示反复感染可能对隐窝完整性和进一步的肿瘤发生产生影响。
    In order to survive and replicate, Salmonella has evolved mechanisms to gain access to intestinal epithelial cells of the crypt. However, the impact of Salmonella Typhimurium on stem cells and progenitors, which are responsible for the ability of the intestinal epithelium to renew and protect itself, remains unclear. Given that intestinal organoids growth is sustained by stem cells and progenitors activity, we have used this model to document the effects of Salmonella Typhimurium infection on epithelial proliferation and differentiation, and compared it to an in vivo model of Salmonella infection in mice. Among gut segments, the caecum was preferentially targeted by Salmonella. Analysis of infected crypts and organoids demonstrated increased length and size, respectively. mRNA transcription profiles of infected crypts and organoids pointed to upregulated EGFR-dependent signals, associated with a decrease in secretory cell lineage differentiation. To conclude, we show that organoids are suited to mimic the impact of Salmonella on stem cells and progenitors cells, carrying a great potential to drastically reduce the use of animals for scientific studies on that topic. In both models, the EGFR pathway, crucial to stem cells and progenitors proliferation and differentiation, is dysregulated by Salmonella, suggesting that repeated infections might have consequences on crypt integrity and further oncogenesis.
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  • 文章类型: Journal Article
    沙门氏菌感染被认为是引起人畜共患感染和食物中毒的最常见的食源性病原体。抗菌素耐药性被认为是全球性的焦虑,因为它会引起人类公共卫生的影响,以及导致动物发病率和死亡率的增加。
    本研究的目的是分离和鉴定肠沙门氏菌,以及使用聚合酶链反应(PCR)和从鸡肉产品(鸡蛋,肝脏,和肉末)和伊拉克瓦西特省的人类。
    总共300个样品(150个鸡肉产品样品,包括鸡蛋,肝脏,还有肉末,和150个人类粪便样本)于2022年1月至12月从伊拉克瓦西特省收集。根据ISO6579标准和全球食源性感染网络实验室协议的建议进行细菌分离。根据临床和实验室标准研究所的建议,通过使用19种抗生素进行血清分型测试和AST。2022年通过使用圆盘扩散敏感性测试和Vitik2测试。最后,使用常规PCR方法和一个独特的rRNA基因测序确认可疑分离株.
    结果表明,鸡肉产品中肠链球菌的分离率为8.66%(鸡蛋的12%,6%的肝脏,和8%的肉末),而在人类中,它是4.6%。此外,在人类中显示出100%的伤寒沙门氏菌。同时,在鸡蛋伤寒中,鼠伤寒沙门氏菌,肠炎沙门氏菌占50%,33.33%,和16.66%,分别。此外,在肝脏和肉末中均显示出100%的鼠伤寒沙门氏菌。人体分离物中的AST对氨苄青霉素具有抗性,头孢噻肟,头孢他啶,头孢吡肟,阿米卡星,庆大霉素,环丙沙星,诺氟沙星,和头孢曲松,虽然对阿莫西林没有抗药性,Pipracillin,Ertapenem,亚胺培南,美罗培南,磷霉素,呋喃妥因,甲氧苄啶,阿奇霉素,和四环素.在鸡肉产品中,分离株对阿米卡星耐药率不同,庆大霉素,四环素,环丙沙星,诺氟沙星,呋喃妥因,氨苄青霉素,头孢噻肟,头孢他啶,头孢吡肟,和甲氧苄啶;虽然对阿莫西林没有抗药性,Pipracillin,Ertapenem,亚胺培南,美罗培南,磷霉素,阿奇霉素,和头孢曲松.使用rRNA基因对四种PCR产物进行测序。
    这项研究表明肠链球菌的基因突变的存在,导致分子特征的变化,从鸡肉产品和人类中分离出的肠球菌的耐药性。
    UNASSIGNED: Salmonella infections are considered the most common foodborne pathogens responsible for zoonotic infections and food poisoning in humans and animal species such as birds. Antimicrobial resistance is considered a global anxiety because it causes human public health repercussions, as well as leads to an increase in animal morbidity and death.
    UNASSIGNED: The aims of this study are the isolation and identification of Salmonella enterica, as well as to investigate the antimicrobial susceptibility test (AST) and the molecular characteristics using polymerase chain reaction (PCR) and sequences for isolates from chicken products (eggs, livers, and minced meat) and human in the Wasit Governorate of Iraq.
    UNASSIGNED: A total of 300 samples (150 chicken product samples including eggs, livers, and minced meat, and 150 human fecal samples) were collected from the Wasit governorate of Iraq from January to December 2022. The bacterial isolation was done according to recommendations of ISO 6579 standard and the Global Foodborne Infections Network laboratory protocol. Serotyping test and AST were done by using 19 antibiotic agents according to the recommendations of the Clinical and Laboratory Standards Institute, 2022 by using disc diffusion susceptibility test and Vitik 2 test. Finally, the suspected isolates were confirmed using the conventional PCR method and sequencing for a unique rRNA gene.
    UNASSIGNED: The results showed that the isolation percentage of S. enterica in chicken products was 8.66% (12% eggs, 6% livers, and 8% minced meat), while in humans it was 4.6%. Also, showed 100% of Salmonella typhi in humans. While, in chicken eggs S. typhi, Salmonella typhimurium, and Salmonella enteritidis were 50%, 33.33%, and 16.66%, respectively. Also, showed 100% of S. typhimurium in both livers and minced meat. The AST in human isolates showed resistance to Ampicillin, Cefotaxime, Ceftazidime, Cefepime, Amikacin, Gentamicin, Ciprofloxacin, Norfloxacin, and Ceftriaxone, while no resistance to Amoxicillin, Pipracillin, Ertapenem, Imipenem, Meropenem, Fosfomycin, Nitrofurantoin, Trimethoprim, Azithromycin, and Tetracycline. In chicken products, isolates were resistant with different percentages to Amikacin, Gentamicin, Tetracycline, Ciprofloxacin, Norfloxacin, Nitrofurantoin, Ampicillin, Cefotaxime, Ceftazidime, Cefepime, and Trimethoprim; while no resistance to Amoxicillin, Pipracillin, Ertapenem, Imipenem, Meropenem, Fosfomycin, Azithromycin, and Ceftriaxone. Sequencing by using rRNA gene was done for four PCR products.
    UNASSIGNED: This study showed the presence of genetic mutations for S. enterica which led to variations in the molecular characteristics, and antimicrobial drug resistance of S. enterica isolated from chicken products and humans.
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  • 文章类型: Journal Article
    非伤寒沙门氏菌(NTS)通常会导致自限性胃肠炎。然而,老年人(≥65岁)可经历NTS感染更严重的结局.我们以前已经证明减毒鼠伤寒沙门氏菌活疫苗,CVD1926(I77ΔguaBAΔclpPΔpipAΔhtrA),在成年但不是老年小鼠中具有免疫原性。在这里,我们描述了通过删除steD对CVD1926的修改,一种负责宿主免疫逃逸的沙门氏菌效应,我们假设这会增加老年小鼠的免疫原性。
    MelJuso和/或mutuDC细胞感染了鼠伤寒沙门氏菌I77,CVD1926及其各自的steD突变体,并评估MHC-II水平。老年(18月龄)C57BL/6小鼠接受两剂PBS,测定经口CVD1926或CVD1926ΔsteD(109CFU)和FliC特异性CD4+T细胞的数量。最后,老年C57BL/6小鼠接受三剂PBS,经口CVD1926或CVD1926ΔsteD(109CFU),然后用野生型鼠伤寒沙门氏菌SL1344(108CFU)经口攻击。还评估了这些动物的抗体应答。
    MHC-II诱导在用steD突变体处理的细胞中更高,与它们各自的亲本菌株相比。与PBS接种的小鼠相比,CVD1926ΔsteD在Peyer's斑块中引起明显更多的FliC特异性CD4+T细胞。与PBS免疫的小鼠相比,CVD1926的Peyer斑块或脾脏中的FliC特异性CD4T细胞没有显着差异。CVD1926和CVD1926ΔsteD在三个剂量后诱导了相似的血清和粪便抗核心和O多糖抗体滴度。两次免疫后,CVD1926的血清转化器的比例ΔsteD为83%(10/12),而CVD1926为42%(5/12)。与PBS免疫的小鼠相比,用CVD1926ΔsteD免疫的小鼠脾脏中鼠伤寒沙门氏菌计数显着降低,盲肠,和小肠在挑战。相比之下,PBS疫苗接种和CVD1926免疫动物的组织中细菌负荷没有差异.
    这些数据表明steD缺失增强了我们的减毒鼠伤寒沙门氏菌活疫苗的免疫原性。删除免疫逃避基因可能是改善老年人减毒活疫苗免疫原性的潜在策略。
    UNASSIGNED: Non-typhoidal Salmonella (NTS) generally causes self-limiting gastroenteritis. However, older adults (≥65 years) can experience more severe outcomes from NTS infection. We have previously shown that a live attenuated S. Typhimurium vaccine, CVD 1926 (I77 ΔguaBA ΔclpP ΔpipA ΔhtrA), was immunogenic in adult but not aged mice. Here we describe modification of CVD 1926 through deletion of steD, a Salmonella effector responsible for host immune escape, which we hypothesized would increase immunogenicity in aged mice.
    UNASSIGNED: Mel Juso and/or mutuDC cells were infected with S. Typhimurium I77, CVD 1926, and their respective steD mutants, and the MHC-II levels were evaluated. Aged (18-month-old) C57BL/6 mice received two doses of PBS, CVD 1926, or CVD 1926 ΔsteD perorally (109 CFU) and the number of FliC-specific CD4+ T cells were determined. Lastly, aged C57BL/6 mice received three doses of PBS, CVD 1926, or CVD 1926 ΔsteD perorally (109 CFU) and then were challenged perorally with wild-type S. Typhimurium SL1344 (108 CFU). These animals were also evaluated for antibody responses.
    UNASSIGNED: MHC-II induction was higher in cells treated with steD mutants, compared to their respective parental strains. Compared to PBS-vaccinated mice, CVD 1926 ΔsteD elicited significantly more FliC-specific CD4+ T cells in the Peyer\'s Patches. There were no significant differences in FliC-specific CD4+ T cells in the Peyer\'s patches or spleen of CVD 1926- versus PBS-immunized mice. CVD 1926 and CVD 1926 ΔsteD induced similar serum and fecal anti-core and O polysaccharide antibody titers after three doses. After two immunizations, the proportion of seroconverters for CVD 1926 ΔsteD was 83% (10/12) compared to 42% (5/12) for CVD 1926. Compared to PBS-immunized mice, mice immunized with CVD 1926 ΔsteD had significantly lower S. Typhimurium counts in the spleen, cecum, and small intestine upon challenge. In contrast, there were no differences in bacterial loads in the tissues of PBS-vaccinated and CVD 1926-immunized animals.
    UNASSIGNED: These data suggest that the steD deletion enhanced the immunogenicity of our live attenuated S. Typhimurium vaccine. Deletion of immune evasion genes could be a potential strategy to improve the immunogenicity of live attenuated vaccines in older adults.
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  • 文章类型: Journal Article
    背景:沙门氏菌,一种重要的食源性病原体,据估计,全球有9510万例病例和50,771例死亡。在中国,约有80%的人感染沙门氏菌,近年来报道了一些不常见的血清型引起的感染,虽然不是S.Welikade.本研究报告了中国首例由S.Welikade引起的临床病例,并通过基因组分析将中国S.Welikade分离株置于全球分离株的背景下。为了比较,还在中国沙门氏菌本地监测系统(CLSSS)中筛选了S.Welikade分离株。使用肉汤微量稀释法确定28种抗菌剂的最小抑制浓度(MIC)。在Illumina平台上对分离株进行测序,以鉴定抗微生物药物抗性基因,毒力基因,和系统发育关系。
    结果:S.Welikade分离株(Sal097)于2021年从一名患有急性胃肠炎的2岁男孩中分离出来。连同在CLSSS中发现的另外两个分离株,这三个中国分离株对所有被检查的抗菌药物都敏感,其序列类型为ST5123(n=2)和ST3774(n=1)。基于单核苷酸多态性(SNP)的系统发育分析表明,全球S.Welikade菌株可分为四组,将这三个中国分离株分为B(n=2;Sal097和XXB1016)和C(n=1;XXB700)。B组,两个中国ST5123分离株与三个英国ST5123分离株紧密聚集。C组,中国分离株与其他12个ST3774分离株密切相关。S.Welikade分离株中的毒力基因的数量范围为59至152。galF基因只存在于A组中,pipB2基因仅在A组中缺失,avrA基因只在B组中缺失,和所有的B,sseK1,sspH2,STM0287和tlde1仅在C和D组分离株中发现。Sal097分离株有15个独特的基因座。
    结论:本研究首次对中国的临床S.Welikade分离株进行表征和调查。该临床分离株负责2021年的小儿胃肠炎病例,不具有抗菌素耐药性,属于全球S.Welikade基因组的系统发育组B。
    BACKGROUND: Salmonella, an important foodborne pathogen, was estimated to be responsible for 95.1 million cases and 50,771 deaths worldwide. Sixteen serovars were responsible for approximately 80% of Salmonella infections in humans in China, and infections caused by a few uncommon serovars have been reported in recent years, though not with S. Welikade. This study reports the first clinical case caused by S. Welikade in China and places Chinese S. Welikade isolates in the context of global isolates via genomic analysis. For comparison, S. Welikade isolates were also screened in the Chinese Local Surveillance System for Salmonella (CLSSS). The minimum inhibitory concentrations (MICs) of 28 antimicrobial agents were determined using the broth microdilution method. The isolates were sequenced on an Illumina platform to identify antimicrobial resistance genes, virulence genes, and phylogenetic relationships.
    RESULTS: The S. Welikade isolate (Sal097) was isolated from a two-year-old boy with acute gastroenteritis in 2021. Along with the other two isolates found in CLSSS, the three Chinese isolates were susceptible to all the examined antimicrobial agents, and their sequence types (STs) were ST5123 (n = 2) and ST3774 (n = 1). Single nucleotide polymorphism (SNP)-based phylogenetic analysis revealed that global S. Welikade strains can be divided into four groups, and these three Chinese isolates were assigned to B (n = 2; Sal097 and XXB1016) and C (n = 1; XXB700). In Group B, the two Chinese ST5123 isolates were closely clustered with three UK ST5123 isolates. In Group C, the Chinese isolate was closely related to the other 12 ST3774 isolates. The number of virulence genes in the S. Welikade isolates ranged from 59 to 152. The galF gene was only present in Group A, the pipB2 gene was only absent from Group A, the avrA gene was only absent from Group B, and the allB, sseK1, sspH2, STM0287, and tlde1 were found only within Group C and D isolates. There were 15 loci unique to the Sal097 isolate.
    CONCLUSIONS: This study is the first to characterize and investigate clinical S. Welikade isolates in China. Responsible for a pediatric case of gastroenteritis in 2021, the clinical isolate harbored no antimicrobial resistance and belonged to phylogenetic Group B of global S. Welikade genomes.
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  • 文章类型: Journal Article
    抗菌素耐药性(AMR)是一个日益严重的公共卫生危机,需要创新的解决方案。当前的敏感性测试方法限制了我们快速区分抗微生物敏感和耐药生物体的能力。鼠伤寒沙门氏菌(S.鼠伤寒)是导致严重胃肠道疾病和侵袭性疾病的肠道病原体。尽管存在广泛的阻力,环丙沙星仍然是沙门氏菌感染的常用治疗方法,特别是在资源较低的环境中,其中药物是凭经验给出的。这里,我们利用高含量成像技术对纵向暴露于浓度递增的环丙沙星的鼠伤寒沙门氏菌分离株进行深度表型分析.我们将机器学习算法应用于成像数据,并证明单个分离株显示出不同的生长和形态特征,这些特征按时间点和对环丙沙星的敏感性聚集。独立于环丙沙星暴露而发生。使用另一组鼠伤寒沙门氏菌临床分离株,我们发现,机器学习分类器可以准确地预测环丙沙星易感性,而无需暴露于环丙沙星或任何抗性表型的先验知识。这些结果证明了使用具有机器学习算法的高含量成像来预测临床细菌分离株的药物敏感性的原理。该技术可能是了解抗菌剂对细菌细胞的形态学影响以鉴定具有新作用模式的药物的重要工具。
    Antimicrobial resistance (AMR) is a growing public health crisis that requires innovative solutions. Current susceptibility testing approaches limit our ability to rapidly distinguish between antimicrobial-susceptible and -resistant organisms. Salmonella Typhimurium (S. Typhimurium) is an enteric pathogen responsible for severe gastrointestinal illness and invasive disease. Despite widespread resistance, ciprofloxacin remains a common treatment for Salmonella infections, particularly in lower-resource settings, where the drug is given empirically. Here, we exploit high-content imaging to generate deep phenotyping of S. Typhimurium isolates longitudinally exposed to increasing concentrations of ciprofloxacin. We apply machine learning algorithms to the imaging data and demonstrate that individual isolates display distinct growth and morphological characteristics that cluster by time point and susceptibility to ciprofloxacin, which occur independently of ciprofloxacin exposure. Using a further set of S. Typhimurium clinical isolates, we find that machine learning classifiers can accurately predict ciprofloxacin susceptibility without exposure to it or any prior knowledge of resistance phenotype. These results demonstrate the principle of using high-content imaging with machine learning algorithms to predict drug susceptibility of clinical bacterial isolates. This technique may be an important tool in understanding the morphological impact of antimicrobials on the bacterial cell to identify drugs with new modes of action.
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  • 文章类型: Journal Article
    胃肠道被称为微生物群的多微生物群落密集定植,该微生物群作为抵抗病原体入侵的主要防线。微生物群可以在感染的不同阶段限制肠腔病原体的生长。这可以追溯到表现出直接或间接保护功能的特定共生菌株。尽管这些机制有可能开发新的方法来对抗肠道病原体,他们仍然远远没有被完全描述。在这项研究中,我们研究了小鼠共生大肠杆菌如何胜过伤寒沙门氏菌(S.Tm)。使用沙门氏菌病小鼠模型,我们发现共生大肠杆菌8178菌株依赖于特洛伊木马陷阱策略来限制S.Tm在发炎的肠道中的扩张。结合突变体和记者工具,我们证明,炎症触发大肠杆菌8178抗菌microcinH47毒素的表达,当与salmochelin铁载体融合时,可以特异性地改变S.Tm的生长。这种保护功能在破坏大肠杆菌8178tonB依赖性儿茶酚铁载体摄取系统时受到损害,突出了铁摄入量和microcinH47活性之间以前未被重视的串扰。通过确定介导S.Tm竞争的遗传决定因素,我们的工作不仅提供了对肠道微生物群成员所表现出的保护功能的更好的机械理解,而且进一步扩大了微生物在细菌拮抗关系中的一般贡献。最终,这些见解可以为开发基于微生物群的方法以更好地控制肠道感染开辟新的途径。
    The gastrointestinal tract is densely colonized by a polymicrobial community known as the microbiota which serves as primary line of defence against pathogen invasion. The microbiota can limit gut-luminal pathogen growth at different stages of infection. This can be traced to specific commensal strains exhibiting direct or indirect protective functions. Although these mechanisms hold the potential to develop new approaches to combat enteric pathogens, they remain far from being completely described. In this study, we investigated how a mouse commensal Escherichia coli can outcompete Salmonella enterica serovar Typhimurium (S. Tm). Using a salmonellosis mouse model, we found that the commensal E. coli 8178 strain relies on a trojan horse trap strategy to limit S. Tm expansion in the inflamed gut. Combining mutants and reporter tools, we demonstrated that inflammation triggers the expression of the E. coli 8178 antimicrobial microcin H47 toxin which, when fused to salmochelin siderophores, can specifically alter S. Tm growth. This protective function was compromised upon disruption of the E. coli 8178 tonB-dependent catecholate siderophore uptake system, highlighting a previously unappreciated crosstalk between iron intake and microcin H47 activity. By identifying the genetic determinants mediating S. Tm competition, our work not only provides a better mechanistic understanding of the protective function displayed by members of the gut microbiota but also further expands the general contribution of microcins in bacterial antagonistic relationships. Ultimately, such insights can open new avenues for developing microbiota-based approaches to better control intestinal infections.
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  • 文章类型: Journal Article
    氧化克雷伯氏菌物种复合体是人类微生物组的一部分,尤其是在婴儿期和童年时期。K.oxytoca物种复合菌株可以产生肠毒素,即,替利霉素和替利缬氨酸,同时也有助于定殖抗性(CR)。这些看似矛盾的角色之间的关系还没有得到很好的理解。这里,通过将离体测定与CRISPR诱变和各种小鼠模型相结合,我们证明K.oxytoca对鼠伤寒沙门氏菌提供CR。体外,对各种沙门氏菌菌株的抗菌活性取决于替利霉素的产生,并由各种简单的碳水化合物诱导。在体内,针对沙门氏菌的CR取决于无菌小鼠的毒素产生,而在残留微生物群的小鼠中,它在很大程度上是不依赖毒素的。这与体内毒素诱导碳水化合物的相对水平有关。最后,利用dulcitol对于不依赖毒素的小鼠CR至关重要。一起,这表明营养的可利用性对于氧化克雷伯菌和沙门氏菌之间的毒素依赖性和底物驱动的竞争都是关键.
    The Klebsiella oxytoca species complex is part of the human microbiome, especially during infancy and childhood. K. oxytoca species complex strains can produce enterotoxins, namely, tilimycin and tilivalline, while also contributing to colonization resistance (CR). The relationship between these seemingly contradictory roles is not well understood. Here, by coupling ex vivo assays with CRISPR-mutagenesis and various mouse models, we show that K. oxytoca provides CR against Salmonella Typhimurium. In vitro, the antimicrobial activity against various Salmonella strains depended on tilimycin production and was induced by various simple carbohydrates. In vivo, CR against Salmonella depended on toxin production in germ-free mice, while it was largely toxin-independent in mice with residual microbiota. This was linked to the relative levels of toxin-inducing carbohydrates in vivo. Finally, dulcitol utilization was essential for toxin-independent CR in gnotobiotic mice. Together, this demonstrates that nutrient availability is key to both toxin-dependent and substrate-driven competition between K. oxytoca and Salmonella.
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  • 文章类型: Journal Article
    背景:沙门氏菌是全球范围内食源性暴发和感染的最常见原因之一。非伤寒沙门氏菌(NTS)感染很常见,在重要的细菌性食源性疾病中仍然是一个重要的公共卫生问题。本研究旨在确定莫罗哥罗地区转诊医院(MRRH)选定患者的非伤寒沙门氏菌感染和抗菌素耐药性状况,莫罗哥罗地区,坦桑尼亚,告知临床护理管理和公共卫生干预措施。
    方法:使用医疗记录进行了一项横断面研究,并在2021年10月至12月期间从住院和门诊患者中收集了样本。共有153名参与者参加了这项研究,132人同意进行抽样。使用标准微生物技术分析收集的样品。对分离株进行分子基因分型,其中聚合酶链反应(PCR)是针对16SrDNA基因进行的。然后将PCR产物提交用于测序以建立系统发育相关性。
    结果:系统发育分析确定了两个沙门氏菌血清型:肠炎沙门氏菌和鼠伤寒沙门氏菌。分离株来自四名成人和七名儿童患者。对分离株进行了六种抗微生物剂的测试:四环素,甲氧苄啶,庆大霉素,环丙沙星,氨苄青霉素和头孢噻肟。通过使用PCR筛选10个抗微生物抗性基因来进行进一步的抗微生物测定。总的来说,氨苄青霉素的耐药性最高(100%),而环丙沙星和庆大霉素的耐药率最低(9.1%).此外,其中4株(36.4%)对头孢噻肟耐药,3株(27.3%)对四环素和甲氧苄啶耐药.分离株还表现出磺胺甲恶唑1和2,四环素(tet)A和B的抗性基因的存在,β-内酰胺酶CTXM,β-内酰胺酶TEM,β-内酰胺酶SHV,Gentamycine,Acra和acc3-1出现不同。总之,Morogoro地区沙门氏菌的总体患病率为8.3%(11/132),其中肠炎沙门氏菌和鼠伤寒沙门氏菌是从成人和儿童粪便样本中检测到的唯一血清变型.
    结论:我们的调查显示,儿童和成人都曾接触过沙门氏菌。然而,与成人(3.0%(4/132)相比,儿童(5.3%(7/132))的NTS发生率较高.为了阻止人畜共患感染和社区中抗生素耐药性的发展,这就要求在卫生机构和社区一级开展感染预防和控制(IPC)和合理使用抗菌药物的管理方案。
    BACKGROUND: Salmonella is one of the most common causes of food-borne outbreaks and infection worldwide. Non-typhoidal Salmonella (NTS) infections are common and remain a significant public health problem among important bacterial foodborne diseases. The current study aimed to establish the Non typhoidal Salmonella infection and antimicrobial resistance status among selected patients at Morogoro Regional Referral Hospital (MRRH), Morogoro Region, Tanzania, to inform clinical care management and public health interventions.
    METHODS: A cross-sectional study was conducted using medical records and samples were collected from hospitalised and outpatients between October and December 2021. A total of 153 participants were enrolled in the study and 132 consented to being sampled. The collected samples were analysed using standard microbiological techniques. The isolates were subjected to molecular genotyping, where Polymerase Chain Reaction (PCR) was performed targeting the 16S rDNA gene. PCR products were then submitted for sequencing to establish phylogenetic relatedness. Antimicrobial susceptibility testing and resistance genes screening were also conducted.
    RESULTS: The phylogenetic analysis identified two Salmonella serovars; Salmonella Enteritidis and Salmonella Typhimurium. The isolates were from four adults and seven children patients. The isolates were tested against six antimicrobial agents: tetracycline, trimethoprim, gentamycin, ciprofloxacin, ampicillin and cefotaxime. Further antimicrobial assays were performed by screening 10 antimicrobial resistance genes using PCR. Overall, the highest resistance was observed in ampicillin (100%), whereas the lowest resistance was recorded for ciprofloxacin and gentamicin (9.1%). In addition, four (36.4%) of the isolates were resistant to cefotaxime and three (27.3%) to tetracycline and trimethoprim. The isolates also exhibit the presence of resistance genes for sulfamethoxazole 1&2, tetracycline (tet) A&B, Beta-lactamase CTXM, Beta-lactamase TEM, Beta-lactamase SHV, Gentamycine, Acra and acc3-1 in different occurrences. The overall prevalence of Salmonella species in Morogoro region was 8.3% (11/132) with Salmonella Enteritidis and Salmonella Typhimurium being the only serovars detected from adults and children stool samples.
    CONCLUSIONS: Our investigation showed that both children and adults had been exposed to Salmonella spp. However, the occurrence of NTS was higher in children (5.3% (7/132) compared to adults (3.0% (4/132). To stop zoonotic infections and the development of antimicrobial resistance in the community, this calls for Infection Prevention and Control (IPC) and stewardship programmes on rational use of antimicrobials in both health facilities and at the community level.
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  • 文章类型: Journal Article
    沙门氏菌病,欧洲最常见的食源性感染之一,由食品安全监管计划监测,从而产生了大量的数据库。通过利用基于树的机器学习(ML)算法,我们利用来自食品安全审计的数据来预测意大利西北部沙门氏菌病的时空模式。2015-2018年确认的人类病例数据(n=1969)和2014-2018年收集的食品监测数据用于开发ML算法。我们将每月市政人类发病率与27个潜在预测因素进行了整合,包括观察到的食物中沙门氏菌的患病率。我们应用了树回归,考虑不同场景的随机森林和梯度提升算法,并根据平均绝对百分比误差(MAPE)和R2评估其预测性。使用2019年的类似数据集,获得了时空预测及其相对敏感性和特异性。随机森林和梯度提升(R2=0.55,MAPE=7.5%)优于树回归算法(R2=0.42,MAPE=8.8%)。食物中沙门氏菌的流行;空间特征;以及即食牛奶的监测工作,水果和蔬菜,猪肉产品对模型的预测性贡献最大,将方差减少90.5%。相反,特定食物基质的阳性样本数量对预测的影响最小(2.9%).2019年的时空预测显示,敏感性和特异性水平分别为46.5%(由于缺乏一些感染热点)和78.5%,分别。这项研究表明,整合来自人类和兽医卫生服务的数据以开发人类沙门氏菌病发生的预测模型具有附加价值,提供有助于减轻食源性疾病对公共卫生影响的早期警告。
    Salmonellosis, one of the most common foodborne infections in Europe, is monitored by food safety surveillance programmes, resulting in the generation of extensive databases. By leveraging tree-based machine learning (ML) algorithms, we exploited data from food safety audits to predict spatiotemporal patterns of salmonellosis in northwestern Italy. Data on human cases confirmed in 2015-2018 (n = 1969) and food surveillance data collected in 2014-2018 were used to develop ML algorithms. We integrated the monthly municipal human incidence with 27 potential predictors, including the observed prevalence of Salmonella in food. We applied the tree regression, random forest and gradient boosting algorithms considering different scenarios and evaluated their predictivity in terms of the mean absolute percentage error (MAPE) and R2. Using a similar dataset from the year 2019, spatiotemporal predictions and their relative sensitivities and specificities were obtained. Random forest and gradient boosting (R2 = 0.55, MAPE = 7.5%) outperformed the tree regression algorithm (R2 = 0.42, MAPE = 8.8%). Salmonella prevalence in food; spatial features; and monitoring efforts in ready-to-eat milk, fruits and vegetables, and pig meat products contributed the most to the models\' predictivity, reducing the variance by 90.5%. Conversely, the number of positive samples obtained for specific food matrices minimally influenced the predictions (2.9%). Spatiotemporal predictions for 2019 showed sensitivity and specificity levels of 46.5% (due to the lack of some infection hotspots) and 78.5%, respectively. This study demonstrates the added value of integrating data from human and veterinary health services to develop predictive models of human salmonellosis occurrence, providing early warnings useful for mitigating foodborne disease impacts on public health.
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