mammary gland

乳腺
  • 文章类型: Journal Article
    使用彩色淋巴描记术和免疫组织化学方法,使用一组针对podoplanin的抗体研究了乳晕下的Sappey神经丛,平滑肌肌动蛋白,低分子量细胞角蛋白AE1/AE3和GATA3在86例诊断为非特殊型乳腺癌患者的根治性乳房切除术和部门性切除术和淋巴结清扫术中获得的档案材料上。在宏观和微观层面,已经证明了乳晕下淋巴丛与乳腺实质的淋巴系统之间的联系。在三阴性乳腺癌转移到腋窝淋巴结,显示了乳晕下淋巴丛累及到腋窝淋巴收集器淋巴结的淋巴转移。
    The subareolar Sappey\'s plexus was studied using color lymphography and immunohistochemical methods with a panel of antibodies to podoplanin, smooth muscle actin, low molecular weight cytokeratin AE1/AE3, and GATA3 on archival material obtained during radical mastectomies and sectoral resections with lymph node dissection from 86 patients diagnosed with non-special type breast cancer. At the macro- and microscopic levels, the connection between the subareolar lymphatic plexus and the lymphatic system of the breast parenchyma has been demonstrated. In triple negative breast cancer with metastases to the axillary lymph nodes, the involvement of subareolar lymphatic plexus into lymphogenous metastasis to the lymph nodes of the axillary lymphatic collector was shown.
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  • 文章类型: Journal Article
    分支形态发生是许多重要器官的特征,比如肺和肾,和大多数腺体,并且是两种组织行为的净结果:分支点起始和伸长。每个分支器官都有针对其生理功能而定制的独特结构,但是在这些分支管状结构中如何形成图案是发展的一个基本问题。这里,我们使用定量3D形态计量学,延时成像,操纵离体培养的小鼠胚胎器官和缺乏平面细胞极性成分Vangl2的小鼠,以解决发育中的乳腺中的这个问题。我们的结果表明,由于灵活使用了两种不同的分支点起始模式:侧向分支和尖端分叉,胚胎上皮树的拓扑结构高度复杂。这种非刻板印象与显著恒定的平均分支频率形成对比,表明导管生长不变,然而随机的,分支倾向。分支的可能性是有延展性的,并且可以通过操纵Fgf10和Tgfβ1途径来调节。最后,我们的体内数据和离体延时成像提示乳腺分支延长过程中涉及组织重排.
    Branching morphogenesis is a characteristic feature of many essential organs, such as the lung and kidney, and most glands, and is the net result of two tissue behaviors: branch point initiation and elongation. Each branched organ has a distinct architecture customized to its physiological function, but how patterning occurs in these ramified tubular structures is a fundamental problem of development. Here, we use quantitative 3D morphometrics, time-lapse imaging, manipulation of ex vivo cultured mouse embryonic organs and mice deficient in the planar cell polarity component Vangl2 to address this question in the developing mammary gland. Our results show that the embryonic epithelial trees are highly complex in topology owing to the flexible use of two distinct modes of branch point initiation: lateral branching and tip bifurcation. This non-stereotypy was contrasted by the remarkably constant average branch frequency, indicating a ductal growth invariant, yet stochastic, propensity to branch. The probability of branching was malleable and could be tuned by manipulating the Fgf10 and Tgfβ1 pathways. Finally, our in vivo data and ex vivo time-lapse imaging suggest the involvement of tissue rearrangements in mammary branch elongation.
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  • 文章类型: Journal Article
    目的:描述乳房切除术的适应症和手术技术,并描述回顾性病例系列中10例乳房切除术的结果。
    方法:10只患有一个或两个乳腺疾病的母马。
    方法:检索了2所大学教学医院的医疗记录(1995年至2022年),以确定进行过单侧或双侧乳房切除术的母马。有关历史记录的数据,信号,诊断测试,术前治疗,外科手术,并对术后管理进行了回顾。通过电话采访业主获得了后续信息。
    结果:切除了一个(n=4母马)或两个乳腺(6母马),原因如下:慢性细菌性乳腺炎(4),瘤形成(3),淋巴管扩张症(1),化脓症(1),和淋巴错构瘤(1)。没有一匹母马经历术中并发症。手术部位主要在2匹母马中闭合,在8匹母马中未缝合。两个缝合的伤口都出现了血清肿,和1嘘。业主报告说手术伤口,无论是缝合的还是未缝合的,在3个月内痊愈。所有的母马都回到了预定的用途,但3只母马在手术后2至4年因疾病进展而被安乐死。一只母马在出院一年后溺水身亡。
    结论:当母马难以接受药物治疗时,乳房切除术可以有效地治疗患有一个或两个乳腺疾病的母马。
    OBJECTIVE: To describe the indications for and surgical technique of mastectomy of mares and to describe the outcome of 10 mares that underwent mastectomy in a retrospective case series.
    METHODS: 10 mares having disease of one or both mammary glands.
    METHODS: Medical records (1995 to 2022) from 2 university teaching hospitals were searched to identify mares that had undergone unilateral or bilateral mastectomy. Data regarding history, signalment, diagnostic tests, preoperative treatment, surgical procedure, and postoperative management were reviewed. Follow-up information was obtained by interviewing the owners by telephone.
    RESULTS: One (n = 4 mares) or both mammary glands (6 mares) were excised for the following reasons: chronic bacterial mastitis (4), neoplasia (3), lymphangiectasia (1), pythiosis (1), and lymphoid hamartoma (1). None of the mares experienced intraoperative complications. The surgical site was closed primarily in 2 mares and left unsutured in 8 mares. Both sutured wounds developed a seroma, and 1 dehisced. The owners reported that the surgical wound, whether sutured or unsutured, was healed within 3 months. All mares returned to use for their intended purpose, but 3 mares were euthanized 2 to 4 years after surgery due to progression of disease. One mare drowned 1 year after discharge.
    CONCLUSIONS: Mastectomy can be an effective treatment for mares suffering from disease of one or both mammary glands when the mare is refractory to medical treatment.
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  • 文章类型: Journal Article
    对于宠物兔的乳腺癌,预后生物标志物定义不清,治疗仅限于手术切除。对于手术不是合适选择的兔患者,需要额外的治疗选择。在人类乳腺癌中,免疫抑制酶吲哚胺2,3-双加氧酶1(IDO1)是一种预后生物标志物和可能的治疗靶点.这项回顾性免疫组织化学研究检查了96例已知有丝分裂计数的宠物兔乳腺癌中的IDO1,激素受体状态,和间质瘤浸润淋巴细胞(TIL)的百分比。从96只宠物兔获得肿瘤,平均5.5年。所有报告性别的兔子(n=88)均为雌性或雌性。在癌症中,94%表达IDO1,86%具有与冷肿瘤一致的稀疏TIL。在较高百分比的IDO1阳性肿瘤细胞之间存在统计学上显着的相关性,降低有丝分裂计数,雌激素受体表达增加。显著性的阈值是>10%的肿瘤细胞中的IDO1染色。这些结果导致这样的假设,即IDO1表达有助于肿瘤发生,并且在宠物兔乳腺癌中也可能代表预后生物标志物和可能的治疗靶标。他们还支持兔子对乳腺癌研究的价值。
    For mammary carcinomas in pet rabbits, prognostic biomarkers are poorly defined, and treatment is limited to surgical excision. Additional treatment options are needed for rabbit patients for which surgery is not a suitable option. In human breast cancer, the immunosuppressive enzyme indoleamine 2,3-dioxygenase 1 (IDO1) represents a prognostic biomarker and possible therapeutic target. This retrospective immunohistochemical study examined IDO1 in 96 pet rabbit mammary carcinomas with known mitotic count, hormone receptor status, and percentage of stromal tumor infiltrating lymphocytes (TILs). Tumors were obtained from 96 pet rabbits with an average of 5.5 years. All rabbits with reported sex (n = 88) were female or female-spayed. Of the carcinomas, 94% expressed IDO1, and 86% had sparse TILs consistent with cold tumors. Statistically significant correlations existed between a higher percentage of IDO1-positive tumor cells, lower mitotic counts, and increased estrogen receptor expression. The threshold for significance was IDO1 staining in >10% of tumor cells. These results lead to the assumption that IDO1 expression contributes to tumorigenesis and may represent a prognostic biomarker and possible therapeutic target also in pet rabbit mammary carcinomas. They also support the value of rabbits for breast cancer research.
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  • 文章类型: Journal Article
    由于围绝经期和绝经期都是公认的乳腺癌发生易感性的关键窗口,有必要开发生理相关模型。传统的卵巢切除模型导致卵巢产生的整个激素库的即时去除,这并不能准确地接近人类自然更年期逐渐过渡。这里,我们表征了4-乙烯基环己烯二环氧化物(VCD)处理的动物在不同时间点的乳腺,揭示了该模型可以为乳腺提供围绝经期和更年期状态。围绝经期腺体在导管结构中显示中度消退,对外部激素无反应,而更年期腺体表现出严重的退化,对激素过敏。利用VCD模型的发现,主要内分泌干扰物(多溴联苯醚,在更年期过渡期间和之后检查了乳腺上的PBDEs),两种曝光模式;低剂量,慢性(环境)和高剂量,亚急性(实验性)。多溴二苯醚暴露的所有条件都不会增加或损害更年期过渡和/或激素治疗导致的宏观导管重组。单细胞RNA测序显示,绝经后期间的实验性PBDE暴露导致非上皮区室中特定的转录组变化,例如成纤维细胞中的Errfi1上调。环境中的多溴二苯醚暴露在较小程度上导致了类似的转录组变化。总之,VCD小鼠模型为乳腺癌研究群体提供了围绝经期和更年期的易感性窗口.多溴二苯醚,包括所有测试过的模型,可能会影响绝经后腺体,包括对非上皮区室的影响。
    As both perimenopausal and menopausal periods are recognized critical windows of susceptibility for breast carcinogenesis, development of a physiologically relevant model has been warranted. The traditional ovariectomy model causes instant removal of the entire hormonal repertoire produced by the ovary, which does not accurately approximate human natural menopause with gradual transition. Here, we characterized the mammary glands of 4-vinylcyclohexene diepoxide (VCD)-treated animals at different time points, revealing that the model can provide the mammary glands with both perimenopausal and menopausal states. The perimenopausal gland showed moderate regression in ductal structure with no responsiveness to external hormones, while the menopausal gland showed severe regression with hypersensitivity to hormones. Leveraging the findings on the VCD model, effects of a major endocrine disruptor (polybrominated diphenyl ethers, PBDEs) on the mammary gland were examined during and after menopausal transition, with the two exposure modes; low-dose, chronic (environmental) and high-dose, subacute (experimental). All conditions of PBDE exposure did not augment or compromise the macroscopic ductal reorganization resulting from menopausal transition and/or hormonal treatments. Single-cell RNA sequencing revealed that the experimental PBDE exposure during the post-menopausal period caused specific transcriptomic changes in the non-epithelial compartment such as Errfi1 upregulation in fibroblasts. The environmental PBDE exposure resulted in similar transcriptomic changes to a lesser extent. In summary, the VCD mouse model provides both perimenopausal and menopausal windows of susceptibility for the breast cancer research community. PBDEs, including all tested models, may affect the post-menopausal gland including impacts on the non-epithelial compartments.
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  • 文章类型: Journal Article
    背景:早期乳腺癌(BC)迫切需要创新的治疗策略。源自乳腺导管细胞的肿瘤提供了靶向干预的机会。方法:我们探索了通过自然乳头开口进行导管内治疗作为早期BC的一种有希望的非侵入性方法。使用功能性近红外II(NIR-II)纳米材料,特别是NIR-IIb量子点与Epep多肽缀合,用于导管细胞靶向,我们对乳腺导管进行了原位成像和光热消融。导管内给药之后用808nm激光进行刺激。结果:该方法在微环境中实现了精确的导管破坏和增强的免疫反应。该技术在三阴性BC小鼠模型和导管原位癌大鼠模型中得到了验证,证明了局部BC治疗和预防的有希望的治疗潜力。结论:我们的研究证明了NIR-II纳米探针在引导乳腺导管的非侵入性光热消融中的有效性,为早期BC治疗提供了一条引人注目的途径。
    Background: Innovative treatment strategies for early-stage breast cancer (BC) are urgently needed. Tumors originating from mammary ductal cells present an opportunity for targeted intervention. Methods: We explored intraductal therapy via natural nipple openings as a promising non-invasive approach for early BC. Using functional Near-infrared II (NIR-II) nanomaterials, specifically NIR-IIb quantum dots conjugated with Epep polypeptide for ductal cell targeting, we conducted in situ imaging and photothermal ablation of mammary ducts. Intraductal administration was followed by stimulation with an 808 nm laser. Results: This method achieved precise ductal destruction and heightened immunological responses in the microenvironment. The technique was validated in mouse models of triple-negative BC and a rat model of ductal carcinoma in situ, demonstrating promising therapeutic potential for localized BC treatment and prevention. Conclusion: Our study demonstrated the effectiveness of NIR-II nanoprobes in guiding non-invasive photothermal ablation of mammary ducts, offering a compelling avenue for early-stage BC therapy.
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  • 文章类型: Journal Article
    烟酰胺磷酸核糖转移酶(NAMPT)的组织特异性缺陷,烟酰胺腺嘌呤二核苷酸(NAD+)-补救途径的限速酶,导致组织中NAD+的减少,导致功能异常。NAD+-挽救途径在哺乳期乳腺中急剧激活,但是这一点的意义还没有确立。为了研究NAD+扰动对乳腺的影响,我们产生了两个新的乳腺上皮细胞特异性Nampt基因敲除小鼠(MGKO)。LC-MS/MS分析证实,哺乳期乳腺中NAD及其前体烟酰胺单核苷酸(NMN)的水平显着增加。我们发现鼠奶含有非常高水平的NMN。在哺乳期,MGKO表现出乳腺中组织NAD+和乳NMN水平的显著降低。尽管NAD+水平下降,MGKO的乳腺似乎发育正常。转录组分析显示MGKO的基因谱与野生型的基因谱没有区别,除了Nampt.尽管MGKO牛奶中的NMN含量降低了,牛奶的代谢组学特征没有改变。乳腺也含有脂肪细胞,但是Nampt的脂肪细胞特异性缺乏并不影响乳腺NAD代谢或乳腺发育。这些结果表明,NAD+-补救途径在泌乳期间在乳腺上皮细胞中被激活,并且表明这种激活对于乳NMN的产生而不是乳腺发育是必需的。我们的MGKO小鼠可能是探索NMN在牛奶中的潜在作用的合适模型。
    Tissue-specific deficiency of nicotinamide phosphoribosyl transferase (NAMPT), the rate-limiting enzyme of the nicotinamide adenine dinucleotide (NAD+)-salvage pathway, causes a decrease of NAD+ in the tissue, resulting in functional abnormalities. The NAD+-salvage pathway is drastically activated in the mammary gland during lactation, but the significance of this has not been established. To investigate the impact of NAD+ perturbation in the mammary gland, we generated two new lines of mammary gland epithelial-cell-specific Nampt-knockout mice (MGKO). LC-MS/MS analyses confirmed that the levels of NAD+ and its precursor nicotinamide mononucleotide (NMN) were significantly increased in lactating mammary glands. We found that murine milk contained a remarkably high level of NMN. MGKO exhibited a significant decrease in tissue NAD+ and milk NMN levels in the mammary gland during lactation periods. Despite the decline in NAD+ levels, the mammary glands of MGKO appeared to develop normally. Transcriptome analysis revealed that the gene profiles of MGKO were indistinguishable from those of their wild-type counterparts, except for Nampt. Although the NMN levels in milk from MGKO were decreased, the metabolomic profile of milk was otherwise unaltered. The mammary gland also contains adipocytes, but adipocyte-specific deficiency of Nampt did not affect mammary gland NAD+ metabolism or mammary gland development. These results demonstrate that the NAD+ -salvage pathway is activated in mammary epithelial cells during lactation and suggest that this activation is required for production of milk NMN rather than mammary gland development. Our MGKO mice could be a suitable model for exploring the potential roles of NMN in milk.
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  • 文章类型: Journal Article
    乳腺组织中AA的摄取受催乳素(PRL)的影响。为了研究PRL诱导的AA摄取是否与L型AA转运蛋白1(LAT1)有关,我们分析了在PRL或PRL加BCH存在下奶牛乳腺上皮细胞培养基中AA的变化,LAT1的抑制剂。然后用Westernblot和荧光素酶法检测PRL对LAT1表达和功能的调控机制。我们的结果表明,Thr,Val,Met,Ile,Leu,Tyr,Lys,Phe,和His是LAT1底物,可以通过LAT1转运到乳腺上皮细胞中。PRL刺激增加了奶牛乳腺上皮细胞对大多数AA的摄取,然而,抑制LAT1转运活性降低了PRL诱导的AA摄取,提示PRL对AA转运的影响取决于LAT1的表达和功能。PRL刺激不仅上调奶牛乳腺上皮细胞的LAT1表达和质膜定位,而且在小鼠乳腺上皮细胞系HC11中。Westernblot显示PI3K-AKT-mTOR信号可在PRL刺激的乳腺上皮细胞中被激活。用LY294002处理细胞可降低PI3K-AKT-mTOR的活化,以及LAT1表达式,这反过来又减少了牛奶蛋白质的合成。荧光素酶实验表明,PRL处理增加了LAT1启动子片段-419~-86bp的启动子活性。用PI3K抑制剂LY294002处理细胞,或SC79,AKT的激活剂在PRL存在下消除或促进了该启动子片段的转录活性。这些结果表明,LAT1启动子的-419~-86bp片段介导PI3K-AKT-mTOR信号对奶牛乳腺上皮细胞LAT1转录的作用,这又增加了LAT1表达和AA摄取。
    The uptake of AA in mammary tissues is affected by prolactin (PRL). To investigate whether PRL-induced AA uptake is involved in L-type AA transporter 1 (LAT1), we analyzed the changes of AA in the medium of dairy cow mammary epithelial cells in the presence of PRL or PRL plus BCH, an inhibitor of LAT1. Then Western blot and luciferase assay were used to detect the regulation mechanism of PRL on LAT1 expression and function. Our results showed that Thr, Val, Met, Ile, Leu, Tyr, Lys, Phe, and His are LAT1 substrates and could be transported into mammary epithelial cells via LAT1. PRL stimulation increased the uptake of most AA into mammary epithelial cells of dairy cows, however, inhibition of LAT1 transport activity reduced PRL-induced AA uptake, suggesting that the effect of PRL on AA transport depends on LAT1 expression and function. PRL stimulation upregulated LAT1 expression and plasma membrane location not only in dairy cow mammary epithelial cells, but also in mouse mammary epithelial cell line HC11. Western blot showed that PI3K-AKT-mTOR signaling could be activated in PRL-stimulated mammary epithelial cells. Treatment of cells with LY294002 decreased PI3K-AKT-mTOR activation, as well LAT1 expression, that in turn decreased milk protein synthesis. Luciferase assay showed PRL treatment increased the promoter activity of LAT1 promoter fragment -419∼-86 bp. Treatment of cells with LY294002, an inhibitor of PI3K, or SC79, an activator of AKT abolished or promoted the transcriptional activity of this promoter fragment in the presence of PRL. These results suggested that the -419∼-86 bp fragment of LAT1 promoter mediates the action of PI3K-AKT-mTOR signaling on LAT1 transcription in mammary epithelial cells of dairy cows, which in turn increased LAT1 expression and AA uptake.
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  • 文章类型: Journal Article
    了解犬乳腺(CMG)的正常生理至关重要,因为它为了解犬乳腺肿瘤提供了基础参考。Ki-67表达表示的增殖指数(PI)之间的关系,随着细胞凋亡指数(AI)通过Caspase-3的表达在发情周期,在现有文献中没有充分的记载。这项研究旨在提供对整个发情周期阶段CMG中PI和AI之间相互作用的见解。对一系列不同的母犬(n=18)进行了广泛的调查。通过阴道细胞学检查确定发情周期阶段,生殖道和血清孕酮和雌二醇浓度的组织学检查。对整个乳腺链进行了组织学检查,通过使用抗Ki-67和Caspase-3抗体的双重免疫组织化学评估增殖和凋亡。PI和AI通过系统随机抽样的方法进行了评估,每个细胞类型至少计数200个细胞。在所有乳腺成分的早期发情期间,PI均显着较高,与基质细胞相比,上皮细胞中观察到的阳性细胞比例更高。在终芽内的上皮细胞中检测到最高的PI。在颅内乳腺的Ki-67标记中发现了显着差异。在上皮细胞中,孕酮浓度与PI之间呈正相关。在整个发情周期中,AI始终处于低位,在组织学成分中几乎没有差异。Caspase-3标记在尾部乳腺对中显示出最高的阳性。在小叶间充质细胞中,孕酮浓度与AI之间呈负相关和中度相关。这项研究强调了内分泌调节对乳腺组织细胞增殖指数的影响,强调在涉及犬乳腺的毒理学研究中需要考虑这些激素变化。
    Understanding the normal physiology of the canine mammary gland (CMG) is crucial, as it provides a foundational reference for understanding canine mammary neoplasms. The relation between the Proliferation Index (PI) indicated by Ki-67 expression, along with the Apoptotic Index (AI) determined through Caspase-3 expression during the oestrous cycle, is inadequately documented in existing literature. This study seeks to offer insights into the interplay between PI and AI in the CMG across oestrous cycle phases. An extensive investigation was conducted on a diverse case series of bitches (n = 18). Oestrous cycle stages were determined through vaginal cytology, histological examination of the reproductive tract and serum progesterone and oestradiol concentrations. The entire mammary chain was histologically examined, and proliferation and apoptosis were assessed via double immunohistochemistry employing anti-Ki-67 and Caspase-3 antibodies. PI and AI were evaluated through a systematic random sampling approach, counting a minimum of 200 cells for each cell type. There was a significantly higher PI during early dioestrus in all mammary gland components, with a greater proportion of positive cells observed in epithelial cells compared to stromal cells. The highest PI was detected in epithelial cells within the end buds. Significant differences were found in Ki-67 labelling across the cranial mammary glands. A positive and strong correlation was noted between progesterone concentration and PI in epithelial cells. The AI remained consistently low throughout the oestrous cycle, with few differences observed across histological components. Caspase-3 labelling displayed the highest positivity in caudal mammary pairs. A negative and moderate correlation was identified between progesterone concentration and AI in interlobular mesenchymal cells. This study highlights the influence of endocrine regulation on cell proliferation indices in mammary tissue, emphasizing the need to consider these hormonal variations in toxicopathological studies involving canine mammary gland.
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  • 文章类型: Journal Article
    牛乳腺炎是奶牛的重要且昂贵的疾病。通常在巴西进行的诊断方法是体细胞计数(SCC)和牛奶微生物学。牛奶中细菌的低脱落意味着微生物测试中没有菌落生长和假阴性结果。无乳链球菌和金黄色葡萄球菌是混合乳腺炎的主要病原体。然而,无乳链球菌从乳腺中的细菌释放量比金黄色葡萄球菌高,影响诊断金黄色葡萄球菌的微生物敏感性。本研究旨在根据乳中分离的病原体估算奶牛的SCC和总细菌计数(TBC),并通过无乳链球菌治疗期间的微生物学试验评估金黄色葡萄球菌诊断的变化。这就是所谓的闪电战疗法。无乳链球菌和金黄色葡萄球菌均表现出高SCC手段,尽管无乳链球菌的细菌脱落量是金黄色葡萄球菌的2.3倍。无乳链球菌治疗期间,对金黄色葡萄球菌的微生物敏感性增加了5个月。无乳链球菌的患病率在5个月的治疗程序后下降。金黄色葡萄球菌的患病率增加到39.0。结果表明,由于灵敏度高,聚合酶链反应(PCR)可以在突击治疗开始时使用,目的是从乳牛群中根除无乳链球菌。
    Bovine mastitis is an important and costly disease to dairy cattle. Diagnostic methods usually performed in Brazil are somatic cell counts (SCC) and milk microbiology. Low bacteria shedding in milk implies no colony growth in microbiological tests and false negative results. Streptococcus agalactiae and Staphylococcus aureus are principal pathogens of mixed mastitis. However, S. agalactiae has a higher bacterial release from the mammary gland than S. aureus, affecting microbiological sensitivity to diagnose S. aureus. This study aimed to estimate the SCC and total bacterial count (TBC) from cows according to pathogen isolated in milk and to evaluate variation in S. aureus diagnosis by a microbiological test during S. agalactiae treatment, which is called blitz therapy. Both S. agalactiae and S. aureus presented high SCC means, although S. agalactiae showed shedding of bacteria 2.3 times greater than S. aureus. Microbiological sensitivity to S. aureus increased for 5 months during S. agalactiae treatment. The prevalence of S. agalactiae fell after 5 months of therapeutic procedures. The prevalence of S. aureus increased to 39.0. The results showed that due to high sensitivity, the polymerase chain reaction (PCR) could be used at the beginning of blitz therapy with the goal of S. agalactiae eradication from the dairy herd.
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